Mental health
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Transcript of Mental health
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MENTAL HEALTH
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Which is not a criterion for substance abuse
a) Recurrent use when physically hazardousb) Tolerancec) Continued use despite
persistent/recurrent social or interpersonal problems
d) Recurrent substance-related legal problems
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Match the correct drug and mechanism of action
a) Alcoholb) Barbituratesc) Benzodiazepinesd) Amphetaminese) Cocainef) Nicotineg) LSDh) Codeinei) Marijuana
1. Enhance GABA effects2. Acts on serotonin receptors3. Possibly dec Ca2+ channels4. Potentiate GABA5. Stimulate cannabinoid
receptors6. Stimulate opioid receptors7. Inhibit DA, NA and 5-HT
transporters8. Stimulates nicotine receptors9. Release of DA, NA and 5-HT
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Which is generally not a recommended treatment option
for drug overdose?
a) Haemodialysisb) Administer antidotec) Emesisd) Activated charcoal
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What is the MOA of paracetamol toxicity?
a) Conjugation with glucuronideb) Reaction with the scavenger glutathionec) Conjugation with sulphated) Hydroxylation and rearrangement to
NAPBQI
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Which is a protective factor for suicide?
a) Intelligenceb) Male genderc) Lack of spoused) Ethanol intake
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What are some considerations when communicating with patients
in a mental health setting? Ensure privacy Introduce yourself to patient (and carer) Sit down, be willing to listen and do not hurry Body language (comfortable distance, use eye contact but do
not over-do it) Generally do not touch the patient Ask open ended questions where possible to facilitate discussion Tolerate silences Repetition Identify the patient’s emotions Allow the patient to maintain their dignity (engage them in
planning) Respect cultural/religious practices
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What are the important points in a mental status examination
Appearance and behaviour (eye contact and rapport; personal hygiene; facial expressions; motor behaviour; autonomic arousal)
Speech (form, volume, content) Mood (affective expression,
appropriateness, ?suicidal ideation) Thought and perception (stream of thought,
form, thought content, perceptions, delusions, hallucinations)
Cognition (orientation, concentration, registration, memory recall)
Insight
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If a patient does not open their eyes, makes incomprehensible sounds and shows decerebrate
extension to painful stimuli, what is their GCS score?
Eyes 1/4 Verbal 2/5 Motor 2/6
Total: 5/15
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Which is NOT a goal of CBT?
Enhance the patient’s problem solving capacities
To relieve the role of GPs in the mental health setting
To modify patients’ perspectives about themselves
To assist in the regulation of distressing affective states
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If a patient has recently been diagnosed with emphysema and is concerned that their smoking
could be contributing to the problem, which stage of
behavioural change are they at?a) Pre-contemplationb) Contemplationc) Preparationd) Actione) Maintenancef) Relapse
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Match the term and definition
1. Mood2. Affect3. Euthymia4. Anhedonia5. Alexithymia
a) Normal moodb) Inability to sense
and describe mood states
c) Superficial and immediate emotional state
d) Pervasive emotional state
e) Inability to experience pleasure
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Match the disorder and description1. Major depressive
disorder2. Dysthymic
disorder3. Bipolar disorder4. Cyclothymic
disorder5. Adjustment
disorder with depressed mood
6. Mood disorder not otherwise specified
a) Depression alternating with manic/hypomanic episodes
b) Minor depression/ mixed depression and anxiety
c) Pervasively depressed mood + impaired functioning
d) Chronic low-grade dysphoriae) Feeling down in response to
a loss or setbackf) Sudden and rapid alteration
between depressive and manic/hypomanic states
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Which of the following meets the criteria for a major depressive disorder
a) Insomnia + anhedonia + high self-esteem + fatigue + reduced concentration
b) Anhedonia + dysphoria + insomnia + hallucinations
c) Insomnia + weight gain + anhedonia + reduced concentration + fatigue
d) Anhedonia + diurnal mood variation + low self-esteem + suicidal thoughts
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Which is a first-line antidepressant?
a) Sertraline b) Mirtazapinec) Phenelzined) Amitriptyline
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Which is NOT a hypothesised pathological process leading
to schizophrenia?a) Excess dopamineb) Decreased serotoninc) Glutamate deficiencyd) Elevated acetylcholine
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Match the anti-depressant and MOA
1. MAOI2. SSRI3. SNaRI4. TCA5. NaSSAs
a) Inhibit serotonin and noradrenaline reuptake
b) Inhibit monoamine oxidase
c) Inhibit presynaptic a2, 5-HT2 and 5-HT3 receptors
d) Inhibit serotonin reuptake
e) Older drugs which inhibit reuptake of NA and 5-HT
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Which is not a possible treatment for bipolar disorder
a) Sodium valproateb) Risperidonec) Psychotherapyd) Increased sleepe) Electroconvulsive therapy
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Which is not part of the diagnostic criteria for
schizophrenia?a) Concurrent episodes of major depressive
disorderb) Presence of psychotic symptoms for at
least a monthc) Presence of significantly impaired
psychosocial functiond) At least six months duration of
continuous signs of illness
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Rehabilitation for people with schizophrenia includes
Pre-vocational programs Vocational programs Housing Social and recreational support All of the above
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Which drug has the greatest extra-pyramidal side effects?
a) Chlorpromazineb) Haloperidolc) Clozapined) Risperidone
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Which anti-psychotic is associated with seizures as an
adverse effect?a) Chlorpromazineb) Haloperidolc) Clozapined) Risperidone
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Are doctors legally required to notify the police of
domestic violence? Yes doctors are obligated to advise police
of crimes, non-accidental injuries using weapons and application of heat or partial strangulation/asphyxiation
This includes wilful injury, property damage, intimidation, harassment and indecent behaviour
But otherwise MUST maintain confidentiality