1.Easy
Which drug class is the main treatment for alcohol withdrawal?
- ASSRIs
- BBenzodiazepines
- CAntipsychotics as first-line treatment
- DOpioids
2.Easy
A patient begins to talk about her fear of dying. The nurse says, "Let's talk about your visitors this afternoon." Which non-therapeutic technique is this?
- ARestating
- BSummarising
- CFocusing
- DChanging the subject
3.Easy
Which signs suggest acute cocaine intoxication?
- APinpoint pupils, slow breathing and drowsiness
- BDilated pupils, a fast heart rate and high blood pressure
- CSlurred speech, an unsteady gait and a strong smell of alcohol on the breath
- DRed eyes, increased appetite, dry mouth and slowed reactions
4.Medium
Why are "no-suicide contracts" not recommended as a safety measure?
- AThey are too long and complicated for most patients to read, so few patients sign them
- BThey are only for children
- CThere is no evidence that they prevent suicide, and they can give false reassurance
- DThey are illegal everywhere
5.Medium
According to DSM-5, how long must signs of the disturbance last before schizophrenia can be diagnosed?
- AAt least 6 months, including at least 1 month of active symptoms
- BAt least 1 month, with no further time required
- CAt least 2 weeks of continuous symptoms
- DAt least 2 years, including 6 months of active symptoms
6.Medium
A patient has taken a benzodiazepine daily for many months. Why must it not be stopped abruptly?
- ASudden withdrawal can cause severe anxiety, insomnia and seizures
- BIt would cause immediate weight gain
- CThere is no risk; benzodiazepines can be stopped at any time without tapering
- DThe patient would become allergic to it
7.Hard
The parents of a young man with schizophrenia often criticise him for being "lazy". He has relapsed twice this year. Which intervention is most helpful?
- ATell the parents that they caused his illness
- BFamily psychoeducation and help to communicate with less criticism
- CDischarge him to live alone in a flat, without any support from his family or the team
- DAdvise the parents to stop all contact with their son
8.Hard
A 50-year-old man has believed for a year that his wife is unfaithful. He works normally, his speech is organised and he has no hallucinations. Which diagnosis is most likely?
- ASchizophrenia
- BSchizophreniform disorder
- CBipolar I disorder
- DDelusional disorder
Answer key
- 1. B · Benzodiazepines
- 2. D · Changing the subject
- 3. B · Dilated pupils, a fast heart rate and high blood pressure
- 4. C · There is no evidence that they prevent suicide, and they can give false reassurance
- 5. A · At least 6 months, including at least 1 month of active symptoms
- 6. A · Sudden withdrawal can cause severe anxiety, insomnia and seizures
- 7. B · Family psychoeducation and help to communicate with less criticism
- 8. D · Delusional disorder
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