1.Easy
To which drug class does donepezil belong?
- ACholinesterase inhibitors
- BBenzodiazepines
- CSelective serotonin reuptake inhibitors
- DDopamine antagonists
2.Easy
A patient taking a monoamine oxidase inhibitor (MAOI) must avoid which kind of food?
- ARice and pasta
- BFresh vegetables
- CFoods high in tyramine, such as aged cheese and cured meats
- DFresh milk and plain yoghurt, because of their calcium content
3.Easy
To which drug class does methylphenidate belong?
- AAntipsychotics
- BMood stabilisers
- CCentral nervous system stimulants
- DBenzodiazepines
4.Medium
Which statement about benzodiazepines in anxiety disorders is correct?
- AThey give rapid relief but are generally used only short-term because of tolerance and dependence
- BThey are safe to stop suddenly after many months of daily use
- CThey take 4–6 weeks to have any effect on anxiety, like antidepressants
- DThey are the preferred long-term treatment for generalised anxiety disorder
5.Medium
An agitated patient has not responded to verbal de-escalation. A PRN medicine is prescribed. What is the most appropriate step?
- APlace him in seclusion and then decide about medicine later
- BOffer the oral medicine first, before considering an injection
- CGive an intramuscular injection at once without offering any choice
- DHide the medicine in his drink without telling him
6.Medium
Which principle applies to the use of physical restraint?
- AIt is a last resort when less restrictive measures have failed, with close monitoring and release as soon as safe
- BIt does not need to be documented
- CIt can be used as a punishment for rule-breaking
- DIt can be used for staff convenience on a busy shift, provided that it is documented and reviewed by the team afterwards
7.Hard
After her house burned down, a woman developed delusions and disorganised speech. Ten days later the symptoms have gone completely and she is back to normal. Which diagnosis best fits?
- ASchizophreniform disorder
- BDelusional disorder
- CBrief psychotic disorder
- DSchizophrenia
8.Hard
A patient's mood changes several times a day, usually after conflicts with others. She has chronic feelings of emptiness and a strong fear of being abandoned. Which diagnosis is most likely?
- ASchizoid personality disorder with low mood
- BPersistent depressive disorder
- CBipolar I disorder
- DBorderline personality disorder
Answer key
- 1. A · Cholinesterase inhibitors
- 2. C · Foods high in tyramine, such as aged cheese and cured meats
- 3. C · Central nervous system stimulants
- 4. A · They give rapid relief but are generally used only short-term because of tolerance and dependence
- 5. B · Offer the oral medicine first, before considering an injection
- 6. A · It is a last resort when less restrictive measures have failed, with close monitoring and release as soon as safe
- 7. C · Brief psychotic disorder
- 8. D · Borderline personality disorder
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