1.Easy
What is trichotillomania?
- ARepeatedly pulling out one's own hair, leading to hair loss
- BHair loss caused by lithium treatment
- CA fear of hair, combs and hairdressers
- DA fungal infection of the scalp that is common in people with OCD
2.Easy
A patient with dementia can no longer find the right words and has trouble understanding speech. What is this called?
- AApraxia
- BAphasia
- CAgnosia
- DAtaxia
3.Easy
Which drug class is the main treatment for alcohol withdrawal?
- ABenzodiazepines
- BAntipsychotics as first-line treatment
- COpioids
- DSSRIs
4.Medium
A patient says, "I'm going to be a famous singer, and I'll buy this whole hospital." Which response best uses the technique of voicing doubt?
- A"That's wonderful. When will you start?"
- B"That sounds hard to believe."
- C"You know that isn't true at all."
- D"Why do you want to buy the hospital?"
5.Medium
Which nurse statement is most consistent with motivational interviewing?
- A"You're an alcoholic, and you need to admit it."
- B"If you don't stop drinking now, you'll die."
- C"I've decided that you need to stop drinking completely."
- D"What would be different for you if you drank less?"
6.Medium
Which group of findings suggests neuroleptic malignant syndrome?
- AHyperreflexia, clonus, diarrhoea, dilated pupils and agitation within hours of a new serotonergic drug
- BWeight gain and raised blood glucose
- CHigh fever, severe "lead-pipe" muscle rigidity, confusion, unstable blood pressure and a raised CK
- DFine tremor and increased thirst
7.Hard
A patient with anorexia nervosa is admitted with a BMI of 14, dizziness and low potassium. Which goal is the priority in the first days?
- APlanning her return to university and her studies after discharge
- BImproving body image through group discussions
- CGaining insight into family relationships through therapy
- DMedical stabilisation, with careful refeeding and correction of electrolytes
8.Hard
A 10-year-old eats only a few foods and refuses others because he fears choking after a frightening episode. He is losing weight but has no concerns about body shape. Which diagnosis fits best?
- AAvoidant/restrictive food intake disorder (ARFID)
- BAnorexia nervosa
- CBinge-eating disorder with secret eating
- DBulimia nervosa
Answer key
- 1. A · Repeatedly pulling out one's own hair, leading to hair loss
- 2. B · Aphasia
- 3. A · Benzodiazepines
- 4. B · "That sounds hard to believe."
- 5. D · "What would be different for you if you drank less?"
- 6. C · High fever, severe "lead-pipe" muscle rigidity, confusion, unstable blood pressure and a raised CK
- 7. D · Medical stabilisation, with careful refeeding and correction of electrolytes
- 8. A · Avoidant/restrictive food intake disorder (ARFID)
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