Formative

Question 1

19yrs presents with 3month Hx of auditory hallucinations, being derogatory and telling him what to do. He believes his flatmates are against him and wish to harm him.
whats the most likely diagnosis?

Answer 1

schizophrenia

Question 2

24yrs is admitted with a Hx of psychotic symptoms and is given a diagnosis of schizophrenia.
what are first rank symptoms of schizophrenia? (ABCD)

Answer 2

auditory hallucinations
broadcasting, insertion, withdrawal of thoughts
controlled thought
delusional perception

Question 3

what is the standardised classification of anxiety disorders?

Answer 3

ICD 10

Question 4

8yrs boy is referred with behavioural problems. He is always active and moves from task to task. Finds it difficult to concentrate to read or watch TV.
He often puts himself in danger and his performance at school is poor and is easily distracted.
what is the diagnosis ?

Answer 4

ADHD

- attention deficit and hyperactivity disorder

Question 5

An elderly man has been admitted with acute onset disorientation, visual hallucinations and agitation.
he has no psychiatric Hx and live alone with no support.
what is the diagnosis?

Answer 5

delirium

Question 6

27yrs female with depression. You are confident that she doesn’t require to be treated in hospital and wish to start her on treatment.
what is 1st line?

Answer 6

SSRI

Question 7

which piece of legislation would be most appropriate for a surgical patient with a moderate learning disability ?

Answer 7

adults with incapacity act 2000

Question 8

29yrs being treated for depression with CBT?

what of the following is a term used in CBT?

Answer 8

negative automatic thoughts

Question 9

what questionnaire is appropriate for alcohol problems?

Answer 9

FAST/AUDIT

Question 10

how often do lithium levels need to be measured?

Answer 10

3 months

Question 11

45yrs is assessed with an intense interest in rare woods and has a very rigid timetable which he sticks to every day. He also gets upset when the doctor is late for the appointment.
what is the likely diagnosis ?

Answer 11

Autistic spectrum disorder

Question 12

39yrs female is fearful that something bad will happen to her. This fear is with her everywhere she goes and she cannot describe what might happen.
she also complains of chest pains, tremor and sweating
what is the diagnosis ?

Answer 12

generalised anxiety

Question 13

23yrs male has dermatological hand problem due to washing his hands 23 times before he leaves the house
what is the diagnosis ?

Answer 13

OCD

Question 14

What power should be used if a 70yrs mother has developed dementia and the daughter wants to manage her money?

Answer 14

power of attorney

Question 15

28yrs female with severe depression is admitted after taking an overdose. she requires treatment but tries to leave the hospital. The FY2 is the only doctor available.
what is the most appropriate legal power to use in this situation?

Answer 15

emergency detention certificate

Question 16

24yrs has been started on new medication and one of the side effects is an unpleasant sensation of restlessness. what is this symptom called?

Answer 16

akathisia

Question 17

24yrs has been started on new medication and one of the side effects is muscle stiffness and contraction sometimes caused by anti-psychotics
what is this called?

Answer 17

dystonia

Question 18

34yrs develops depression and suffers the inability to experience pleasure but can express other emotions
what is this called?

Answer 18

anhedonia

Question 19

what is alexithymia?

Answer 19

subclinical emotional blindness

Question 20

what is anergia?

Answer 20

lack of energy

Question 21

what is cyclothymia?

Answer 21

relatively mild mood fluctuations

Question 22

68yrs female has been diagnosed with severe depression and she believes her bowels are rotting
what is the correct term for this?

Answer 22

nihilistic delusion

Question 23

22yrs has no previous psychiatric illness sees a street lamp flicker and suddenly knows that he is the next scottish ambassador for wales.
what is the correct term for this?

Answer 23

delusional perception

Question 24

23yrs experiences irritability, grandiose delusion and reduced need for sleep.
he has a Hx of depression
what is the likely diagnosis?

Answer 24

bipolar affective disorder

Question 25

24yrs has one month Hx of low mood, early morning wakening, irritability, reduced appetite and some suicidal thoughts. She feels guilty she is too tired to take her 2yrs daughter to school.
what is the most likely diagnosis?

Answer 25

depression

Question 26

79yrs has had 2 admissions for depression in the past.
Daughter brings him to GP concerned he is spending lots of money, has reduced sleep, full of energy.
what is the likely diagnosis?

Answer 26

bipolar affective disorder

Question 27

34yrs with depression has been prescribed 2 antidepressants with limited improvement.
her mood has slightly improved but complains of poor sleep, lack of energy and motivation and poor appetite.
what is the most appropriate next step ?

Answer 27

add lithium

Question 28

28yrs is being treated for schizophrenia and her symptoms are improving.
she is convinced the nurses have been replaced by aliens and she can hear voices telling her to sit up all night
what is the most appropriate investigation to order?

Answer 28

urinary drug test