psych

• What is De Clerambault's syndrome characterized by?

  Fixed belief of unreciprocated love
• What is the purpose of the Mini-Mental State Examination (MMSE)?

  To assess cognitive impairment in elderly patients
• Is the MMSE NICE approved?

  No, it is not NICE approved
• What is the first-line treatment for adolescents with bulimia nervosa?

  Bulimia-Nervosa-Focused Family Therapy (FT-BN)
• What physiological change can a panic attack cause?

  Acute respiratory alkalosis due to hyperventilation
• What symptoms can result from acute respiratory alkalosis during a panic attack?

  Dizziness and palpitations
• How does Olanzapine help in postpartum psychosis?

  By stabilizing mood and reducing hallucinations
• What is a potential side effect of purge-type bulimia?

  Hypokalaemia and metabolic alkalosis
• What initial investigation should patients with new onset palpitations undergo?

  24- or 48-hour Holter monitor ECG
• What characterizes bulimia nervosa?

  Binge eating followed by compensatory behaviors
• How should delirium in dementia patients be managed?

  Through environmental re-orientation
• When is acute inpatient admission essential for eating disorders?

  In cases of severe malnutrition and instability
• What are features of schizotypal personality disorder?

  Eccentric behavior and magical thinking
• How can memantine be used in Alzheimer's disease?

  It can be added to acetylcholinesterase inhibitors
• What does Section 136 of the Mental Health Act allow?

  Police to detain individuals with mental disorders
• What should be done if scaphoid fractures are suspected but not visible on initial radiographs?

  Immobilize the wrist and repeat radiographs
• What is the primary treatment for ecstasy (MDMA) intoxication?

  Supportive management addressing complications
• Can patients with capacity make decisions against medical advice?

  Yes, they can make informed decisions
• What is thought withdrawal in schizophrenia?

  Belief that one's thoughts are removed by an external force
• What increased risk do individuals with Down's syndrome face?

  Early-onset Alzheimer's disease
• How is postnatal depression managed?

  With antidepressants and psychological therapy
• What is the antidepressant of choice for breastfeeding mothers?

  Sertraline
• What increases the risk of hyperprolactinaemia in antipsychotic treatment?

  Strong antagonism of dopamine receptors
• What do fine and coarse tremors indicate in lithium use?

  Fine tremors indicate therapeutic levels; coarse tremors indicate toxicity
• Why is drug-induced psychosis important to consider?

  It can be a cause of new-onset psychotic symptoms
• What characterizes transient global amnesia?

  Brief episodes of memory loss without cognitive impairment
• How do atypical antipsychotics compare to typical ones regarding weight gain?

  Atypical antipsychotics increase the risk of weight gain more
• What symptoms do atypical antipsychotics like risperidone address?

  Both positive and negative symptoms of schizophrenia
• What should be considered in individuals with gait disturbance, urinary incontinence, and dementia?

  Normal pressure hydrocephalus
• What psychological therapies may be required for postpartum depression?

  Cognitive Behavioural Therapy or Interpersonal Therapy
• What characterizes vascular dementia?

  Memory impairment following vascular insults
• Why is electrolyte imbalance investigation crucial in bulimia nervosa?

  Due to frequent self-induced vomiting and laxative use
• What does factitious disorder involve?

  Intentionally producing symptoms for medical attention
• How long should antidepressant treatment continue after symptom improvement?

  At least six months
• What does sudden speech cessation followed by topic change indicate?

  Thought blocking in psychiatric assessments
• What symptoms can mania in bipolar affective disorder present with?

  Flight of ideas
• What characterizes serotonin syndrome?

  Mental alteration, autonomic hyperactivity, and tremors
• What is a characteristic of individuals with Schizoid Personality Disorder?

  Withdrawal from social interaction despite academic success
• How is delirium tremens treated?

  With oral benzodiazepines like lorazepam
• What is the first-line treatment for PTSD?

  Trauma-focused psychological therapies