1.Easy
A patient speaks rapidly, jumping from one topic to another, with each idea loosely linked to the previous one. What is this called?
- AFlight of ideas
- BPerseveration
- CPoverty of speech
- DThought blocking
2.Easy
A patient's arm stays in an odd raised position for a long time after the nurse moves it. What is this called?
- AWaxy flexibility
- BEchopraxia
- CAkathisia
- DTardive dyskinesia
3.Easy
What is conversion disorder (functional neurological symptom disorder)?
- ADeliberately faking symptoms to get money or avoid work
- BNeurological symptoms, such as weakness or blindness, that are not explained by a neurological disease
- CA condition in which the person has two or more distinct identities, with gaps in memory between them
- DA belief that one has a serious illness without having any symptoms
4.Medium
What should a patient on clozapine be taught to report immediately?
- AIncreased saliva at night
- BA wish to eat more
- CFever, sore throat or other signs of infection
- DMild drowsiness after the evening dose
5.Medium
Which pattern suggests premenstrual dysphoric disorder?
- AMood symptoms that begin only after the menopause and last for several years
- BMarked mood symptoms in the week before menstruation that improve within a few days after it starts
- CMild bloating the day before a period, without any mood changes
- DLow mood throughout the whole month that is not linked to the menstrual cycle
6.Medium
In the mental status examination, which finding is recorded under thought content?
- AFlight of ideas
- BPressured speech
- CLoose associations
- DObsessions and delusions
7.Hard
A school nurse is teaching about inhalant use such as sniffing glue or aerosols. Which risk should be stressed?
- AThere is no physical risk, because the substances are legal
- BSudden death from a heart arrhythmia, even on the first use
- CInhalants are only dangerous if they are mixed with alcohol
- DInhalants cause only a mild headache and nothing else
8.Hard
A patient asks, "Do you think I should divorce my husband?" Which response best supports the patient's autonomy?
- A"No, divorce would only make things worse for you."
- B"Yes, I think you'd be happier without him."
- C"You should ask your doctor what to do about it."
- D"What are your thoughts about the options you have?"
Answer key
- 1. A · Flight of ideas
- 2. A · Waxy flexibility
- 3. B · Neurological symptoms, such as weakness or blindness, that are not explained by a neurological disease
- 4. C · Fever, sore throat or other signs of infection
- 5. B · Marked mood symptoms in the week before menstruation that improve within a few days after it starts
- 6. D · Obsessions and delusions
- 7. B · Sudden death from a heart arrhythmia, even on the first use
- 8. D · "What are your thoughts about the options you have?"
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