1.Easy
Which type of hallucination is most common in schizophrenia?
- AAuditory
- BOlfactory
- CVisual
- DTactile
2.Easy
A man who is attracted to a colleague accuses his wife of wanting to have an affair. Which defence mechanism is this?
- AProjection
- BSuppression
- CRegression
- DRationalisation
3.Easy
A patient stops speaking in the middle of a sentence and cannot remember what he was saying. What is this called?
- AThought blocking
- BClang association
- CWord salad
- DFlight of ideas
4.Medium
What is assertive community treatment (ACT)?
- AIntensive team-based support at home for people with severe mental illness and frequent admissions
- BA self-help group run entirely by former patients, without any professional staff or support at all
- CCompulsory hospital treatment for people who refuse medicine
- DA short course of assertiveness training for people with mild social anxiety
5.Medium
A man taking risperidone reports breast enlargement and his partner says he has lost interest in sex. Which effect is the most likely cause?
- ARaised blood calcium
- BLow thyroid hormone
- CRaised prolactin
- DLow blood sodium
6.Medium
What is the key difference between factitious disorder and malingering?
- AThere is no real difference between them, and both terms mean exactly the same thing
- BIn factitious disorder, the symptoms are not produced on purpose at all
- CMalingering is a severe mental disorder, while factitious disorder is not classed as a mental disorder at all
- DIn factitious disorder, the aim is to be seen as ill; in malingering, the aim is an external reward
7.Hard
A patient who used methamphetamine heavily for weeks stopped 2 days ago. He sleeps most of the day, is very low and says life is pointless. What is the priority?
- AGive a stimulant to relieve the low mood
- BEncourage him to exercise hard to raise his energy
- CAssess his suicide risk
- DWake him often so that his sleep pattern returns to normal
8.Hard
A patient says, "I don't have a drinking problem. I only drink at weekends, like everyone else." He drinks heavily every weekend. Which approach fits his stage of change best?
- AOffer non-judgemental information and explore how drinking affects his life
- BHelp him set a quit date for next week
- CDiscuss detailed strategies to prevent a relapse after he has stopped drinking
- DRefer him straight to a residential detox programme
Answer key
- 1. A · Auditory
- 2. A · Projection
- 3. A · Thought blocking
- 4. A · Intensive team-based support at home for people with severe mental illness and frequent admissions
- 5. C · Raised prolactin
- 6. D · In factitious disorder, the aim is to be seen as ill; in malingering, the aim is an external reward
- 7. C · Assess his suicide risk
- 8. A · Offer non-judgemental information and explore how drinking affects his life
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