Formative Flashcards
A 19 year old student presents to his GP with a three month history of hearing a voice commenting on what he is doing and making derogatory comments about him. It has recently started telling him to do things. He has started to believe that his flatmates are against him and wish to harm him. He uses no illicit drugs.
What is the most likely diagnosis?
A. Depression without psychotic features. B. Drug induced psychosis. C. Schizophrenia. D. Mania. E. Depression with psychotic features.
C. Schizophrenia.
A 24 year old man is admitted to the acute psychiatric ward with a history of psychotic symptoms and is given a diagnosis of schizophrenia.
Which of the following symptoms is a first rank symptom of schizophrenia?
A. Nihilistic delusion. B. Confabulation. C. Pressure of speech. D. Thought insertion. E. Apathy.
D. Thought insertion.
A research student wishes to conduct a project on anxiety disorders and wishes to use a standardised classification system.
Which of the following is the classification system used for mental illness?
A. ICD-10 B. ICD-9 C. SCID D. SCAN E. CAGE
A. ICD-10
An 8 year old boy is referred with behavioural problems to the child Psychiatry Department. He is always active at home and moves from task to task. He finds it difficult to concentrate to read or watch TV. He often puts himself into dangerous situations like climbing onto high roofs. His performance at school is poor where he is distractible and causes distractions to others.
What is the most likely diagnosis? A. Mania. B. Schizophrenia. C. Somnambulism. D. Conduct disorder. E. Attention Deficit and Hyperactivity Disorder.
E. Attention Deficit and Hyperactivity Disorder.
An elderly man has been admitted to hospital with acute onset disorientation, visual hallucinations and agitation. He has no psychiatric history and lives alone and requires no support.
What is the most likely diagnosis? A. Alzheimer's Disease. B. Lewy Body Dementia. C. Schizophrenia. D. Depression. E. Delirium.
E. Delirium.
You are a foundation doctor in an orthopaedic ward in Inverness and a patient with a moderate learning disability is admitted to the ward. The team believe that he does not have capacity to consent to an operation.
Which piece of legislation would be most appropriate to use in this circumstance?
A. Adults with Incapacity (Scotland) Act 2000.
B. Mental Capacity Act 2005.
C. Mental Health (Care and Treatment)(Scotland) Act 2003.
D. Mental Health Act 2007.
E. Adult Support and Protection (Scotland) Act 2007.
A. Adults with Incapacity (Scotland) Act 2000.
A 29 year old junior doctor is being treated for depression with CBT.
Which of the following is a term used in CBT?
A. Interpersonal Map B. Negative Automatic Thoughts C. Pre-contemplation D. Separation Anxiety E. Thought Blocking
B. Negative Automatic Thoughts
A middle aged man is admitted to hospital with gall stones. Part of the admission history is to screen for alcohol problems.
Which of the following is an appropriate questionnaire to screen for alcohol problems?
A. FAST. B. GCS. C. BDI. D. MADRS. E. MOCA.
A. FAST.
A 43 year old man is seen in Accident & Emergency after having taken an overdose of Citalopram and Lithium.
Which of the following statements is true?
A. Lithium has a wide therapeutic index.
B. ‘Rebound mania’ is a risk of lithium toxicity.
C. Lithium is not a suitable treatment for unipolar depression.
D. There is no point continuing lithium if the patient does not show a response within one month.
E. Serum Lithium levels should be measured every 3 months.
B. ‘Rebound mania’ is a risk of lithium toxicity.
A 45 year old man is assessed in the outpatient department. He has an intense interest in rare woods and has a very rigid timetable which he sticks to each day. He is upset that the doctor assessing him was 10 minutes late. What is the most likely diagnosis?
A. Autistic Spectrum Disorder B. Delusional Disorder C. Generalised Anxiety Disorder D. Obsessive Compulsive Disorder E. Paranoid Personality
A. Autistic Spectrum Disorder
A 39 year old woman presents with a complaint that she is fearful that something bad may happen to her. This fear occurs where-ever she goes and she cannot describe what might happen. She also complains of pains in her chest, a tremor and sweating at times.
What is the most likely diagnosis?
A. Bipolar Affective Disorder B. Depression with psychotic features C. Generalised Anxiety Disorder D. Paranoid Personality Disorder E. Schizophrenia
C. Generalised Anxiety Disorder
A 33 year old male frequently presents to his GP practice appearing to be under the influence of a substance. He seems quite sedated, has small pupils and complains of constipation. He is also noted to Hepatitis C Virus positive. What is the most likely diagnosis?
A. Acute Alcohol Intoxication B. Acute Cannabis Intoxication C. Cocaine Dependence Syndrome D. Harmful Amphetamine Use E. Opiate Dependence Syndrome
E. Opiate Dependence Syndrome
A 67 year old woman arranges for her daughter to be able to manage her money as her own mother developed dementia at the age of 70.
power to use in this situation?
A. Assessment Order B. Guardianship Order C. Place of Safety Order D. Power of Attorney E. Restriction Order
D. Power of Attorney
A 28 year old woman with severe depression is admitted to the acute medical assessment ward having taken an overdose. She requires treatment but tries to leave the hospital. The FY2 is the only doctor available.
Which is the most appropriate legal power to use in this situation?
A. Compulsory Treatment Order B. Emergency Detention Certificate C. Place of Safety Order D. Restriction Order E. Short Term Detention Certificate
B. Emergency Detention Certificate
A 24 year old man has recently been started on new medication by his psychiatrist. One of the side effects is an unpleasant sensation of restlessness.
What is the correct term for this?
A. Akathisia B. Anhedonia C. Catatonia D. Dysarthria E. Dystonia
A. Akathisia
