1.Easy
Why is thiamine (vitamin B1) given to patients with alcohol dependence?
- ATo make alcohol taste unpleasant
- BTo reduce cravings for alcohol
- CTo treat liver cirrhosis
- DTo prevent or treat Wernicke's encephalopathy
2.Easy
Which medicine may be used to treat moderate serotonin syndrome?
- ASertraline
- BPhenelzine
- CTramadol
- DCyproheptadine
3.Easy
Which of these medicines is a second-generation (atypical) antipsychotic?
- AChlorpromazine
- BLorazepam
- CQuetiapine
- DHaloperidol
4.Medium
What is the CIWA-Ar scale used for?
- AMeasuring the risk of falls in hospital
- BMeasuring the depth of sedation in patients on a ventilator in intensive care
- CRating the severity of alcohol withdrawal to guide treatment
- DScreening for dementia in older adults
5.Medium
What should a patient taking chlorpromazine be taught about sun exposure?
- ASunbathe for longer each day to improve mood
- BSun exposure has no effect while taking this medicine
- CUse sunscreen and protective clothing, because the skin may burn easily
- DAvoid going outside at all, even in winter, for the rest of his life
6.Medium
A man with an intellectual disability is becoming irritable. Staff say it is "just his learning disability". What is this an example of?
- ADiagnostic overshadowing
- BPositive reinforcement
- CSplitting by the patient
- DTransference
7.Hard
A young man spends hours a day checking his nose in mirrors and has asked for several operations, although others see nothing unusual about it. What is the most likely diagnosis?
- ADelusional disorder, jealous type
- BAnorexia nervosa
- CBody dysmorphic disorder
- DIllness anxiety disorder
8.Hard
A patient in a manic episode starts taking off her clothes in the busy day room. What is the most appropriate action?
- AAsk the other patients to ignore her and carry on
- BTell her loudly in front of everyone that she must stop
- CCalmly cover her and guide her to her room or a quiet area
- DCall security to remove her from the ward
Answer key
- 1. D · To prevent or treat Wernicke's encephalopathy
- 2. D · Cyproheptadine
- 3. C · Quetiapine
- 4. C · Rating the severity of alcohol withdrawal to guide treatment
- 5. C · Use sunscreen and protective clothing, because the skin may burn easily
- 6. A · Diagnostic overshadowing
- 7. C · Body dysmorphic disorder
- 8. C · Calmly cover her and guide her to her room or a quiet area
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