Psychological medicine

22 Psychological medicine



Questions




Question 1


What investigations are recommended in a 70-year-old patient presenting with auditory and visual hallucinations with amnesia?



Question 1


Could you explain the definitions of pseudohallucinations and quasipsychotic episodes?



Question 3


What is the ‘condensation’ and ‘displacement’ that might underlie formal thought disorder?



Question 4


Is sulpiride of value in the treatment of conversion disorder?



Question 5


How does typhoid psychosis manifest? How often does psychosis accompany typhoid fever?



Question 6


What is the treatment for a case of typhoid psychosis?



Question 7


Can you please explain to me what changes take place in the body to cause a person to have chronic fatigue syndrome (CFS). I am having difficulty understanding the pathology of this condition.



Question 8


What is the best treatment for primary insomnia? Could benzodiazepines be used continuously?



Question 9


Does tolerance develop to the hypnotic effect of trazodone and mianserin? Do these play a role in the treatment of primary insomnia?



Question 10


Is there a specific treatment for night terror disorders?



Question 11


Can you suggest possible causes for a 55-year-old female waking regularly at midnight three to four times a month, feeling that she is going to die and feeling an urge to meet people at that time. She has no breathlessness.



Question 12


What is the modern treatment and prognosis for manic depressive disorder? Is there a malfunction of a metabolic pathway that causes it? Can it be remedied by treatment with neurotransmitter-stimulating drugs? If so which drugs are the most effective apart from lithium carbonate and carbamazepine?



Question 13


Is lamotrigine as effective a mood stabilizer as lithium?



Question 14


Is it safe to prescribe lithium for a patient with bipolar mood disorder with biliary cirrhosis and 40% blockage of the main coronary system?



Question 15


How long should the period of active and maintenance treatment last with mood stabilizers in a patient presenting with his first manic episode?



Question 16


Do lithium and selective serotonin re-uptake inhibitors (SSRIs) have an anti-impulse effect?



Question 17


Can any of the antipsychotics clozapine, olanzepine and quetiapine be used as mood stabilizers in bipolar affective disorder?



Question 18


Is hypothyroidism secondary to chronic lithium therapy in the treatment of bipolar affective disorder, reversible on discontinuation of lithium or its substitution by another mood stabilizer?



Question 19


In bipolar affective disorder in patients who are well controlled on lithium, is it possible to prescribe thiazide diuretics when hypertension is difficult to control?



Question 20


Are antipsychotics recommended as the most effective treatment for trichotillomania?



Question 21


I would like to know when and where antidepressants are used, because I am confused with selective serotonin re-uptake inhibitors (SSRIs), monoamine oxidase inhibitors (MAOIs) and tricyclics.



Question 22


You have written that the serotonin syndrome results from sudden discontinuation of selective serotonin re-uptake inhibitors (SSRIs) with a short half-life, whereas other books I have read say that serotonin syndrome results from an overdose of SSRI or from combination with monoamine oxidase inhibitors (MAOIs) or serotonin agonists. Please clarify.



Question 23


What is the safest antipsychotic and antidepressant to give during pregnancy?



Question 24


How frequently should patients receiving chronic lithium therapy be evaluated for thyroid and renal function?



Question 25


Is lithium generally associated with bone demineralization, especially in children?



Question 26


Is lithium recommended in childhood bipolar affective disorder?



Question 27


Is buspirone as effective as serotonin re-uptake inhibitors (SSRIs) in the treatment of a generalised anxiety disorder?



Question 28


Can diethylpropion be used to treat children with attention deficit hyperactivity disorder (ADHD)? If so, what is the recommended dose and at what age can it safely be administered?



Question 29


Can khat (norpseudoephedrine) be given to children with attention deficit hyperactivity disorder and, if so, from what age?



Question 30


Are selective serotonin re-uptake inhibitors (SSRIs) and venlafaxin effective in the treatment of attention deficit hyperactivity disorder (ADHD)? How efficient are they in comparison with imipramine?



Question 31


1. Why is weight monitored in infants on methylphenidate for the treatment of attention deficit hyperactivity disorder (ADHD)? Is this to prevent them losing weight, or is losing a certain amount of weight acceptable?


2. Should the electroencephalogram (EEG) be monitored in patients on methylphenidate for ADHD treatment? Should this be stopped if there is some epileptic discharge?



Question 32


What is the safest typical and atypical antipsychotic, antidepressant and serotonin re-uptake inhibitor (SSRI) used to treat obsessive-compulsive disorder (OCD) that can be used during pregnancy?



Question 33


What is the rationale for combining serotonin re-uptake inhibitor (SSRIs) and clomipramine in patients with obsessive-compulsive disorder (OCD)? Is this combination more effective than any agent when given alone?



Question 34


Is sertraline superior to fluoxetine in the treatment of obsessive-compulsive disorder and, if so, why?



Question 35


I want to find out if there is really a correlation between all cases of delirium tremens (DT) and thiamine deficiency. DT is meant to be a withdrawal state and I assume it can happen in well-nourished alcoholics, as not all alcoholics are malnourished. My friends and I have seen the question that DT is associated with thiamine deficiency in question papers and it has really proved a thorny issue.



Question 36



1. How long should a doctor treat a patient with the first episode of schizophrenia with regard to the active phase and maintenance therapy?

2. In a patient presenting with the third psychotic episode fulfilling the criteria of schizophrenia, for how long should antipsychotic treatment be continued?


Question 37


Is there a rationale for treating a patient presenting with his first psychotic episode fulfilling the criteria for schizophrenia, with atypical antipsychotics?

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Dec 4, 2016 | Posted by in GENERAL & FAMILY MEDICINE | Comments Off on Psychological medicine

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