Introduction

Question 1

What is the largest individual disease burden according to WHO?

Answer 1

Depression

Question 2

What is involved in the examination in psych?

Answer 2

Mental state examination, cognitive assessment and physical exam

Question 3

What are negative cognitions?

Answer 3

Guilt (past), helplessness and worthlessness (present) and hopelessness (future)

Question 4

What factors are included in thought content?

Answer 4

Delusions, phobias, overvalued ideas, obsessions and compulsions.

Question 5

What types of delusions exist?

Answer 5

Persecutory, grandiose, nihilistic, passivity

Question 6

What are perceptions?

Answer 6

Hallucinations (in all the senses), illusions, deja vu (jamais vu), depersonalisation and derealisation.

Question 7

What is an organic disorder?

Answer 7

Psychiatric disorders secondary to known physical disease

Question 8

What is a functional disorder?

Answer 8

Psychiatric disorders in absence of physical disease

Question 9

Organic disorders are broken up into psychotic and non-psychotic organic disorders, what are examples of psychotic disorders?

Answer 9

Delirium and epilepsy

Question 10

What is an example of an organic non-psychotic disorder?

Answer 10

Anxiety secondary to hyperthyroidism

Question 11

What are examples of psychotic functional disorders?

Answer 11

schizophrenia, mania, depression

Question 12

What are examples of non-psychotic functional disorders?

Answer 12

OCD, phobias and depression

Question 13

Talk through the levels of the diagnostic hierarchy?

Answer 13

Organic disorders (this will kill first!!), functional psychosis, non-psychotic disorders and personality disorder.

Question 14

When was ICD 10 made?

Answer 14

1992

Question 15

How many categories of mental disorder are there and how many groups are they separated into?

Answer 15

458 categories separated into 10 major groups.

Question 16

What is formulation?

Answer 16

It is a way of drawing information from assessment together into one hypothesis to make sense of a patients distress- it describes factors which may have predisposed, now contributed and processed that may be maintaining these problems.

Question 17

What screening tool is used in primary care to assess depression?

Answer 17

PHQ-9, 0-4 none, 5-9 mild, 10-14 moderate, 15-19 moderately severe, 20-27 severe.

Question 18

What is GAD-7?

Answer 18

It is a screening tool for anxiety and it goes up to 15. Cut-offs 5, 10 and 15 are used or diagnoses of mild, moderate and severe anxiety.

Question 19

What is HAD?

Answer 19

Hospital anxiety and depression score: 21 questions (again 3 points each max), cut off point at 8 to diagnose anxiety or depression

Question 20

What is GDS?

Answer 20

Geriatric Depression Scale