Psych

Question 1

most common ophthalmological conditions assoc with Charles Bonnet syndrome?

Answer 1

Age related macular degeneration

then (glaucoma/ cataracts)

Question 2

how often should lithium blood levels be monitored?

Answer 2

every 3 months

Question 3

how long should patients be continued on antidepressant therapy for after remission?

Answer 3

at least 6 mo after remission as this reduces the risk of relapse

Question 4

which SSRI has highest incidence of discontinuation symptoms?

Answer 4

paroxetine

Question 5

peak incidence of seizures following alcohol withdrawal?

Answer 5

36h

Question 6

what drugs are used in PTSD?

Answer 6

Venlafaxine of SSRI e.g. sertraline.

- in severe cases: risperidone may be used

Question 7

which tricyclic has the lowest incidence of toxicity in overdose?

Answer 7

lofepramine

Question 8

which tricyclic antidepressants are considered the most dangerous in overdose?

Answer 8

Amitriptyline and dosulepsin

Question 9

mx of mild OCD?

Answer 9

• CBT including exposure and response prevention (ERP)

OR SSRI

Question 10

short term side effects of electroconvulsive therapy?

Answer 10

• headache
• nausea
• short term memory impairment
• memory loss of events prior to ECT
• cardiac arrhythmia

Question 11

long term side effects of electroconvulsive therapy?

Answer 11

impaired memory

Question 12

CI to electroconvulsive therapy?

Answer 12

raised intracranial pressure

Question 13

risk factors to developing Charles Bonnet Syndrome?

Answer 13

• Advanced age
• Peripheral visual impairment
• Social isolation
• Sensory deprivation
• Early cognitive impairment

Question 14

how to withdraw from a benzodiazepine?

Answer 14

• switch patients to the equivalent dose of diazepam

- reduce dose of diazepam every 2-3 weeks in steps of 1/8 of the daily dose