PassMed

• What is De Clerambault's syndrome?

  Also known as erotomania

  Presence of a delusion that a famous person is in love with them, with the absence of other psychotic symptoms
• What is delusional parasitosis?

  Fixed, false belief (delusion) that they are infested by 'bugs'
• What is torticollis?

  Neck muscle spasm
• SSRI + NSAID = GI bleeding risk

  So give PPI
• What are the symptoms of SSRI discontinuation syndrome?

  Dizziness

  Electric shock sensations

  Anxiety

  Restlessness

  Difficulty sleeping

  Sweating

  GI symptoms
• Aripiprazole has the most tolerable side effect profile of the atypical antispsychotics, particularly for prolactin elevation.
• Erotomania is a specific form of delusional disorder.
• What drug is used in moderate/severe OCD when an SSRI cannot be used?

  Clomipramine
• Pseudohallucintions can be part of the normal grieving process.
• What scale is used to assess alcohol withdrawal?

  Clinical Institute Withdrawal Assessment for Alcohol (CIWA)
• What is functional neurological disorder?

  Also known as conversion disorder

  Typically involves loss of motor/sensory function

  Pts doesn't consciously feign the symptoms or seek material gain
• Agranulocytosis/neutropenia is a life-threatening side effect of clozapine.
• Antidepressants should be continued for at least 6 months after remission of symptoms to decrease risk of relapse.
• What is echolalia?

  Repetition of someone else's speech
• Chlordiazepoxide is a long-acting benzodiazepine commonly used to prevent alcohol withdrawal symptoms in pts with Hx of heavy alcohol consumption.
• What is a main side effect of zopiclone in elderly patients?

  Increased risk of falls
• What SSRI is used post MI?

  Sertraline
• What is Cotard syndrome?

  Delusional belief of being dead/non-existent
• When can personality disorders be diagnosed?


  Over 18 (personality has developed & adaptive behaviours become fixed)
• Triptans should be avoided in pts taking an SSRI (due to risk of serotonin syndrome)
• What is Othello syndrome?

  Delusional jealousy, usually believing their partner is unfaithful
• What is akathsia?

  Severe restlessness
• Tricyclic antidepressants may cause urinary retention.
• What type of drug is venlafaxine?


  SNRI
• When stopping an SSRI, how should this be done?


  Dose should be gradually reduced over 4 weeks
• What class of drug is duloxetine?


  SNRI
• Circadian rhythm disturbance is a feature of schizophrenia.
• SSRIs are associated with hyponatraemia
• Patients ≤ 25 years who have been started on an SSRI should be reviewed after 1 week.
• Korsakoff's syndrome is a complication of Wernicke's encephalopathy. It's features include: anterograde amnesia, retrograde amnesia, and confabulation.
• Aripiprazole has the most tolerable side effect profile of the atypical antispsychotics, particularly for prolactin elevation.
• Hypothyroidism is the most common endocrine disorder developing as a result of chronic lithium toxicity