Psychiatry OSCE Examination Questions – Flashcards
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What are the components of a Mental State Exam?
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ASEPTIC A= Appearance and Behaviour S= Speech E= Emotion [mood and affect] P= Perception [Hallucination and illusion] T= Thought content and process I= Insight and Judgement C= Cognition
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In Speech for MSE what 3 aspects should you comment on?
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Rate, tone and volume.
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What are the 3 phrases to describe Affect?
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The patient exhibits normal affect The patient has reduced/blunted affect The patient exhibits no affect
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Name the 3 common types of thought disorders
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Thought insertion Thought broadcasting Thought withdrawal
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What is the definition of a delusion?
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A fixed false belief that is held despite contrary evidence and is not in keeping with the patient's social, cultural and educational background.
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Name and describe 10 different delusions (and eponyms, if applicable)
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Controlling PRAWNs In My Garag(J)e Persecution - being followed / watched Reference - everything is referring to me Control/passivity - I'm being controlled Jealousy (Othello Syndrome) - my wife is definitely cheating on me Amorous (De Clerembault's Syndrome) - Such and such a famous person is in love with me. Grandiose - I am all powerful and I cause everything to happen Nihilistic (Cotard's Syndrome) - My organs are rotting Infestation (Ekbom's Syndrome) - my skin is infested with insects Misidentification (Capras Syndrome) - I know my sibling has been replaced by a clone Worthless - I'm not needed anymore and I'm just a nuisance now
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When the patient complains of having Auditory hallucinations, what 5 things should you clarify?
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How many? Recognisable? 2nd/3rd person? Thought echoing? Orders/commentary?
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What questions are asked in an AMT? (score/10)
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Age? Time? Remember 42 West Street Year? Name of where we are? Identifications of two people? DOB? Year of WW1? Name of current Prime Minister? Count backwards from 20 to 1 Recall address
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What are the 6 components of a Mini Mental State Exam and below which score indicated cognitive dysfunction?
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Orientation Registration Attention and calculation Recall Language Copying <25
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What 4 tests do you need to do before taking Lithium?
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ECG U+E, TFT, FBC
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Name and describe the mnemonic for suicide risk assessment
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SADPERSONS Sex: male Age >45/<19 Depressive symptoms Previous attempts Employment/drug abuse Recurrent psychiatric illness Social Isolation/support Organised plan to commit suicide No spouse Stated future intent
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Name Schneider's first rank symptoms
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ABCD Auditory hallucinations Broadcast of thoughts/insertions/withdrawal Control/passivity phenomena Delusional perceptions
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Name the clinical triad of core symptoms for depression
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MAF Mood is low Anhedonia Fatigue
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Name 4 symptoms of delirium tremens
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SHIT Seizures/sweats Hallucinations Insomnia/irritability Tremor/shaking
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Describe the 5 symptoms of Neuroleptic Malignant Syndrome and name a cause
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FCTCS Feverish and Coryzal muscle Twitching with Confusion and Sweating Olanzapine treatment
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Name 6 side effects of Olanzapine
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The 6 D's Dry mouth, Dry ass (constipation) Drowsiness/Dizziness Doughnuts (weight gain) Dyskinesia Dick problems (sexual problems)
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What are the SCOFF questions for Bulimia Nervosa?
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S - Do you make yourself Sick because you feel uncomfortably full? C- Do you worry that you have lost Control over how much you eat? O - Have you recently lost more than One stone (14 lb/8kg) in a 3-month period? F - Do you believe yourself to be Fat when others say you are too thin? F - Would you say that Food dominates your life?
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In Alcohol history taking, what is the mnemonic used for screening alcohol problems?
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CAGE Cut down - ever felt the need to..? Annoyed - when someone comments about your drinking? Guilty? - ever felt..? Eye opener - needed..?
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What are the 5 features of dependence?
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Tolerance Withdrawal Compulsion Primacy Previous treatment
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What are the 5 key features of Mania?
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EFGHH Elated mood Flight of ideas Grandiose delusions High self esteem High energy levels
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In the MSE, when assessing cognition, what 4 things should you ask about?
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(Consciousness will be very apparent and observed, not tested) Remember 3 words Apple Black Table (Short term memory) Date, Time, Place, Person (orientation) Spell WORLD backwards (attention/concentration) Repeat 3 words at the start (Long term memory)
