1.Easy
In adults, persistent depressive disorder (dysthymia) involves a depressed mood on most days for at least how long?
- A2 years
- B2 months
- C2 weeks
- D6 weeks
2.Easy
What is the main goal of crisis intervention?
- ATo help the person return at least to their level of functioning before the crisis
- BTo admit every person in crisis to hospital for several months
- CTo explore the person's childhood experiences in depth over many years
- DTo change the person's personality so that crises never happen again
3.Easy
What are the core features of attention-deficit hyperactivity disorder (ADHD)?
- ADelusions, hallucinations and disorganised speech
- BInattention, hyperactivity and impulsivity
- CObsessions, compulsions and repeated checking
- DLow mood, loss of interest and poor sleep
4.Medium
An 80-year-old man often talks about his life and his achievements. According to Erikson, which task is he working on?
- AGenerativity versus stagnation
- BIdentity versus role confusion
- CIntegrity versus despair
- DIntimacy versus isolation
5.Medium
What does the Mini-Cog screening test for cognitive impairment involve?
- AMeasuring the level of alcohol in the blood
- BRecall of three words and a clock-drawing task
- CA questionnaire about mood over the past 2 weeks
- DA 30-minute brain scan
6.Medium
Which goal for a patient with depression is written in a SMART way?
- A"The patient will feel better soon."
- B"The patient will walk with staff for 15 minutes once a day by Friday."
- C"The patient will be happier."
- D"The patient will improve her mood and sleep and start exercising more at some point."
7.Hard
A patient with bulimia nervosa has a serum potassium of 2.8 mmol/L. What is the main concern?
- AA risk of life-threatening cardiac arrhythmias
- BImproved muscle strength
- CIncreased appetite
- DA risk of weight gain
8.Hard
A patient started an antidepressant 10 days ago. He says he now has more energy, but he still feels hopeless. Why does this need careful monitoring?
- AIt means the dose is too low, so the antidepressant should be stopped and a different one started straight away
- BEnergy may return before mood improves, which can increase the risk that he acts on suicidal thoughts
- CIt is a sign of serotonin syndrome
- DIt means the antidepressant has fully worked
Answer key
- 1. A · 2 years
- 2. A · To help the person return at least to their level of functioning before the crisis
- 3. B · Inattention, hyperactivity and impulsivity
- 4. C · Integrity versus despair
- 5. B · Recall of three words and a clock-drawing task
- 6. B · "The patient will walk with staff for 15 minutes once a day by Friday."
- 7. A · A risk of life-threatening cardiac arrhythmias
- 8. B · Energy may return before mood improves, which can increase the risk that he acts on suicidal thoughts
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