Psychiatry Previous Exams Questions
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Questions and Answers

What is the most common side effect of electroconvulsive therapy (ECT)?

  • Headache
  • Seizures
  • Long-term memory loss (correct)
  • Nausea
  • Sexual dysfunction associated with SSRIs is mediated mainly by:

  • 5-HT1, etc. receptor blockade
  • 5-HT2, etc. receptor stimulation
  • 5-HT1, etc. receptor stimulation
  • 5-HT2, etc. receptor blockade (correct)
  • 5-HT3, etc. stimulation
  • Use of stimulants is relatively contraindicated in which of the following patients with ADHD?

  • 9-year-old child with a family history of ADHD
  • 9-year-old child with a family history of psychosis
  • 9-year-old child with ADHD and treatment-emergent tics
  • 19-year-old with significant residual symptoms of ADHD
  • All of the above (correct)
  • Which of the following features confers a worse prognosis for a patient with bipolar II disorder?

    <p>Rapid-cycling pattern</p> Signup and view all the answers

    Which of the following antipsychotic drugs was shown to be useful in the prophylaxis of delirium?

    <p>Haloperidol</p> Signup and view all the answers

    Which of the following laboratory studies must be obtained before initiating lithium therapy in a child?

    <p>CBC, thyroid function tests, electrolytes, BUN, creatinine, urinalysis, ECG, and a pregnancy test in sexually active females.</p> Signup and view all the answers

    Immediately after a myocardial infarction, a 58-year-old man develops depression of moderate severity. The preferred antidepressant of choice is:

    <p>Sertraline</p> Signup and view all the answers

    What is the range of the correlation coefficient?

    <p>-1 to +1</p> Signup and view all the answers

    If A = number of people with disease and exposure, B = number of people without disease but with exposure, C = number of people with disease but without exposure, D = number of people without disease and without exposure, which of the following equations will calculate the odds ratio?

    <p>AB divided by CD</p> Signup and view all the answers

    Donna is an active opiate user who recently found out that she is pregnant. Which of the following is the most appropriate time for Donna to undergo opiate withdrawal during pregnancy?

    <p>Second trimester</p> Signup and view all the answers

    How do the depressive episodes associated with bipolar II disorder differ from those associated with bipolar I disorder?

    <p>They are less disabling than those associated with bipolar I disorder.</p> Signup and view all the answers

    In patients with delirium due to hepatic failure, which of the following EEG changes may be seen?

    <p>Slow triphasic waves</p> Signup and view all the answers

    A 48-year-old homeless man is brought to the A&E department with agitation and confusion. The most appropriate treatment is:

    <p>Intravenous thiamine</p> Signup and view all the answers

    A 42-year-old woman has a history of eating excessively after developing herpes encephalitis. Which syndrome explains this presentation?

    <p>Kluver–Bucy syndrome</p> Signup and view all the answers

    Study Notes

    Electroconvulsive Therapy (ECT) Side Effects

    • Common side effect of ECT is long-term memory loss.

    Sexual Dysfunction and SSRIs

    • Sexual dysfunction linked to SSRIs arises mainly from 5-HT2 receptor blockade.

    Antipsychotic Drugs and Delirium

    • Haloperidol has been shown useful for delirium prophylaxis.

    Stimulants and ADHD Contraindications

    • Stimulants may be contraindicated in children with a family history of psychosis and those with treatment-emergent tics.

    Prognosis in Bipolar II Disorder

    • Rapid-cycling pattern indicates a worse prognosis in bipolar II disorder.

    Lithium Therapy Laboratory Studies

    • Required laboratory tests prior to lithium treatment in children include CBC, thyroid function tests, electrolytes, BUN, creatinine, urinalysis, ECG, and a pregnancy test for sexually active females.

    Antidepressant Choice Post-Myocardial Infarction

    • Sertraline is preferred for treating depression after myocardial infarction, especially with self-harm ideations but no suicidal intent.

    Correlation Coefficient Range

    • The correlation coefficient ranges from -1 to +1.

    Odds Ratio Calculation

    • The odds ratio can be calculated as AD divided by BC.

    Opiate Withdrawal During Pregnancy

    • The second trimester is deemed the most appropriate time for opiate withdrawal during pregnancy.

    Depressive Episodes in Bipolar Disorders

    • Bipolar II depressive episodes are generally less severe and less frequent than those in bipolar I disorder.

    EEG Changes in Hepatic Encephalopathy

    • Slow triphasic waves may be observed in patients with delirium due to hepatic failure.

    MRI Findings in Acute Agitation

    • MRI may reveal high-intensity areas in the third ventricle and surrounding regions in cases of acute agitation related to alcohol use disorder.

    Personality Changes After Encephalitis

    • Changes in personality and excessive eating behaviors following herpes encephalitis may indicate Kluver-Bucy syndrome.

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    Description

    Test your knowledge on psychiatry with these previous exam questions covering electroconvulsive therapy, SSRIs, and antipsychotic medications. Each question challenges your understanding of common side effects and mechanisms of action. Perfect for students preparing for psychiatry examinations.

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