MRCPSYCH & PSYCHIATRY
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Psychiatric Medicine
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Forwarded from Dr.Jayyan M.S
Which of the following drugs has been shown to decrease the suicide rate:
Anonymous Quiz
3%
A. Carbamazepine.
9%
B. Olanzapine.
14%
C. Sertraline.
71%
D. Lithium.
3%
E. Valproic acid.
Forwarded from Dr.Jayyan M.S
Forwarded from Dr.Jayyan M.S
Studies have shown that relapse of bipolar disorder after discontinuation of lithium is:
Anonymous Quiz
18%
A. 10% in 1 year.
34%
B. 50% in 1 year.
25%
C. 50% in 6 months.
13%
D. 20% in 6 months.
11%
E. 50% in 2 years
Forwarded from Dr.Jayyan M.S
The following are recognized side effects of lithium at therapeutic dose, except:
Anonymous Quiz
7%
A. Thirst.
10%
B. Fine tremors.
5%
C. Polydipsia.
32%
D. Diplopia.
46%
E. Erectile dysfunction.
Forwarded from Dr.Jayyan M.S
Which of the following antipsychotics also has an antidepressant effect:
Anonymous Quiz
38%
A. Flupenthixol.
22%
B. Chlorpromazine.
11%
C. Haloperidol.
15%
D. Trifluperazine.
14%
E. Fluphenazine.
Forwarded from Dr.Jayyan M.S
Peripheral neuropathy is a side effect of:
Anonymous Quiz
10%
A. SSRIs.
31%
B. TCAs.
8%
C. SNRIs.
42%
D. MAOIs.
9%
E. NRIs.
Forwarded from Dr.Jayyan M.S
A 48-year-old male patient with difficult-to-treat depression has tried all the antidepressants except MAOIs. He is currently on an SSRI.
Which of the following SSRIs needs the longest washout period before switching a patient to an MAOI:
Anonymous Quiz
17%
A. Paroxetine.
68%
B. Fluoxetine.
3%
C. Citalopram.
8%
D. Sertraline.
4%
E. Escitalopram
Forwarded from Dr.Jayyan M.S
Which of the following tricyclic antidepressants closely resembles an SSRI in its action mechanism?
Anonymous Quiz
20%
A. Amitriptyline.
11%
B. Nortriptyline.
11%
C. Imipramine.
39%
D. Clomipramine.
19%
E. Doxepine.
Forwarded from Dr.Jayyan M.S
Which of the following antidepressant blocks reuptake of dopamine:
Anonymous Quiz
15%
A. Venlafaxine.
57%
B. Bupropion.
11%
C. Buspirone.
10%
D. Mirtazapine.
7%
E. Fluoxetine.
Forwarded from Dr.Jayyan M.S
Forwarded from Dr.Jayyan M.S
Which of the following is used as an augmenting agent in the treatment of depression:
Anonymous Quiz
63%
A. Propranolol.
18%
B. Pindolol.
9%
C. Metaprolol.
5%
D. Sotalol.
6%
E. Labetolol.
Forwarded from Dr.Jayyan M.S
Forwarded from Dr.Jayyan M.S
A patient presents with atypical depression, i ing increased sleep, increased appetite with weight gain, mood reactivity, and rejection sensitivity. Which of the following attributes of her presentation is most likely to persist throughout life?
Anonymous Quiz
7%
A. Hypersomnia.
2%
B. Increased appetite.
22%
C. Mood reactivity.
60%
D. Rejection sensitivity.
8%
E. Weight gain.
Forwarded from Dr.Jayyan M.S
In the context of a major loss, which of the following is a symptom that distinguishes major depressive disorder from grief?
Anonymous Quiz
8%
A. Insomnia.
19%
B. Intense sadness.
57%
C. Persistent dysphoria.
1%
D. Decreased appetite.
15%
E. Weight loss.
Forwarded from Dr.Jayyan M.S
For a woman who has had a prior postpartum episode with psychotic features, what is the risk of recurrence with subsequent delivery?
Anonymous Quiz
11%
A. 5% to 10%
30%
B. 15% to 25%
44%
C. 30% to 50%
11%
D. 60% to 80%
4%
E. More than 85%
Forwarded from Dr.Jayyan M.S
Which of the following symptoms is not a criterion of the “mixed features” specifier for a manic or hypomanic episode?
Anonymous Quiz
12%
A. Anhedonia.
17%
B. Fatigue.
42%
C. Indecisiveness.
18%
D. Suicidal thinking.
11%
E. Feelings of worthlessness.
Forwarded from Dr.Jayyan M.S
Which of the following brain structures involved in response inhibition is hypoactive in mania, suggesting a link to symptoms of impulsivity (e.g., risk taking and pressured speech)?
Anonymous Quiz
21%
A. Amygdala.
20%
B. Anterior cingulate cortex.
10%
C. Insular cortex.
45%
D. Orbitofrontal cortex.
4%
E. Thalamus.
Forwarded from Dr.Jayyan M.S
Which of the following populations is MOST at risk for developing a secondary mood disorder (i.e., either substance induced or due to another medical condition)?
Anonymous Quiz
46%
A. Adolescents.
31%
B. The elderly.
2%
C. Latinos.
13%
D. The impoverished.
8%
E. Women.
Forwarded from Dr.Jayyan M.S
Which of the following is more common in males with bipolar disorder than in females with bipolar disorder?
Anonymous Quiz
3%
A. Co-morbid anxiety.
4%
B. Mixed features.
7%
C. Rapid cycling.
73%
D. Substance use disorder.
13%
E. Suicide attempts.
Forwarded from Dr.Jayyan M.S
How many times greater is the lifetime risk of suicide in individuals with bipolar disorder than in the general population?
Anonymous Quiz
26%
A. 5 times greater.
38%
B. 10 times greater.
16%
C. 15 times greater.
17%
D. 20 times greater.
3%
E. No difference.