1.Easy
Which side effects are typical of mirtazapine?
- APriapism and a dry cough
- BInsomnia, agitation and weight loss
- CSedation and increased appetite with weight gain
- DHigh blood pressure and tremor
2.Easy
Bupropion is used as an antidepressant in some countries, such as the US. What else is it commonly used for?
- AReversing opioid overdose
- BTreating acute mania
- CTreating alcohol withdrawal seizures
- DHelping people stop smoking
3.Easy
A patient says, "If I don't get top marks, I'm a complete failure." Which cognitive distortion is this?
- ACatastrophising
- BMind reading
- CPersonalisation
- DAll-or-nothing thinking
4.Medium
A patient stopped paroxetine suddenly a few days ago. She now has dizziness, irritability, flu-like symptoms and brief "electric shock" feelings. What is the most likely cause?
- AAntidepressant discontinuation syndrome
- BSerotonin syndrome
- CNeuroleptic malignant syndrome
- DA relapse of her depression into a severe psychotic depression
5.Medium
Which information is essential when documenting the use of physical restraint?
- AThe reason for it, alternatives tried, start and end times, and the observations made
- BOnly the time the restraint started and the name of the nurse in charge of the shift
- CThe full names of the other patients who saw the incident
- DThe nurse's personal opinion of the patient's character and attitude
6.Medium
What advice about salt and fluid should a patient taking lithium receive?
- AFollow a strict low-salt diet and drink as little fluid as possible, especially in hot weather
- BKeep a steady, normal salt intake and drink enough fluid, especially in hot weather or illness
- CTake salt tablets daily
- DDrink as little water as possible
7.Hard
An 8-year-old with separation anxiety disorder has missed two weeks of school. What is the most helpful approach?
- ATell him that he is being silly and must go
- BAllow him to stay at home until he wants to go back
- CLet a parent stay with him in class every day for the rest of the year
- DSupport a gradual, planned return to school with a consistent goodbye routine
8.Hard
A patient who took a high-dose benzodiazepine daily for a year tells you she stopped it suddenly 2 days ago. What is the main risk?
- AWeight gain
- BWithdrawal seizures
- CHypoglycaemia
- DHair loss
Answer key
- 1. C · Sedation and increased appetite with weight gain
- 2. D · Helping people stop smoking
- 3. D · All-or-nothing thinking
- 4. A · Antidepressant discontinuation syndrome
- 5. A · The reason for it, alternatives tried, start and end times, and the observations made
- 6. B · Keep a steady, normal salt intake and drink enough fluid, especially in hot weather or illness
- 7. D · Support a gradual, planned return to school with a consistent goodbye routine
- 8. B · Withdrawal seizures
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