Psych Vivas · Consultation-liaison psychiatry
Traumatic brain injury psychiatry — structured clinical viva
Fellowship viva covering TBI severity, secondary syndromes, beta-blocker-first aggression care, sertraline evidence, and capacity at the rehab interface.
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Target exams
FRANZCPMRCPsychABPNMD-DNB
Prompt
You are the CL psychiatry registrar. Rehab medicine asks you to review a 38-year-old man 4 months after severe TBI (GCS nadir 7, prolonged PTA, right orbitofrontal contusion). Issues: major depression with suicidal ideation; intermittent aggression; family report of personality change; staff requesting regular risperidone; occupational therapy asking whether he can consent to a supported independent living trial and whether he can resume driving. Discuss definition/severity, differentials, assessment, aggression ladder, depression evidence, capacity, and prognosis.
Interpretation
Reveal interpretation
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You have read the opening of this viva. The complete unit — every section and its primary-source references — is part of the Psychiatry Fellowship fellowship atlas.
References7Show ledgerHide ledger
- [1]Menon DK, Schwab K, Wright DW, et al. Position statement: definition of traumatic brain injury Arch Phys Med Rehabil, 2010.PMID 21044706
- [2]Teasdale G, Jennett B Assessment of coma and impaired consciousness. A practical scale Lancet, 1974.PMID 4136544
- [3]Bombardier CH, Fann JR, Temkin NR, et al. Rates of major depressive disorder and clinical outcomes following traumatic brain injury JAMA, 2010.PMID 20483970
- [4]Fann JR, Bombardier CH, Temkin N, et al. Sertraline for Major Depression During the Year Following Traumatic Brain Injury: A Randomized Controlled Trial J Head Trauma Rehabil, 2017.PMID 28520672
- [5]Plantier D, Luauté J Drugs for behavior disorders after traumatic brain injury: Systematic review and expert consensus leading to French recommendations for good practice Ann Phys Rehabil Med, 2016.PMID 26797170
- [6]Fujii D, Ahmed I Characteristics of psychotic disorder due to traumatic brain injury: an analysis of case studies in the literature J Neuropsychiatry Clin Neurosci, 2002.PMID 11983787
- [7]Howlett JR, Nelson LD, Stein MB Mental Health Consequences of Traumatic Brain Injury Biol Psychiatry, 2022.PMID 34893317