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What is the main difference between bipolar I and bipolar II disorder?

1. ABipolar I occurs only in adults over 30; bipolar II occurs only in children, teenagers and young adults
2. BBipolar II is always more severe than bipolar I
3. CBipolar I involves at least one manic episode; bipolar II involves hypomania and major depression but never full mania
4. DBipolar I involves only depression; bipolar II involves only mania

Which early feature is most typical of frontotemporal dementia?

1. ASevere memory loss as the very first symptom, with no change in behaviour
2. BVisual hallucinations of people and animals
3. CStepwise decline after a series of small strokes
4. DChanges in personality and behaviour, such as loss of inhibition

A nurse suspects that a child is being abused but has no proof. What is the nurse's responsibility?

1. AWait until there is clear proof before telling anyone
2. BReport the concern according to child protection procedures
3. CInvestigate the family alone at home before reporting
4. DConfront the parents and ask them directly whether they hurt the child

A patient taking an antipsychotic is going on a summer day trip. What should the nurse teach?

1. AExercise as hard as possible in the heat to burn off the extra weight
2. BDrink enough fluids and avoid overheating, because the medicine can affect temperature control
3. CStop the medicine for the day so that it does not interact with the sunlight and cause a dangerous reaction
4. DAvoid all fluids so that there is less need to find a toilet

Which psychological treatment is most effective for obsessive-compulsive disorder?

1. AEncouraging the patient to perform the rituals more often
2. BPsychoanalysis focused on early childhood memories
3. CExposure and response prevention, a form of CBT
4. DHypnosis to remove the obsessive thoughts permanently in a single session

Flumazenil reverses benzodiazepine sedation. Why is it used with caution in patients who take benzodiazepines long-term?

1. AIt causes permanent memory loss after a single dose
2. BIt can cause sudden withdrawal and seizures
3. CIt makes the benzodiazepine effect much stronger
4. DIt causes a dangerous rise in blood sugar

For 8 months, a woman has worried about her job, money and family's health nearly every day. She has muscle tension, tiredness and poor sleep, but no sudden attacks of fear. Which diagnosis fits best?

1. ASpecific phobia
2. BGeneralised anxiety disorder
3. CPanic disorder
4. DAcute stress disorder after a recent trauma

A patient has had delusions and hallucinations for a year. For most of this time he has also had episodes of major depression, but for at least two weeks at a time his psychotic symptoms continued without any mood symptoms. Which diagnosis best fits this pattern?

1. ADelusional disorder
2. BSchizoaffective disorder
3. CMajor depression with psychotic features
4. DBrief psychotic disorder