Life Span

Question 1

Personality disorders can only be diagnosed after what age?

Answer 1

Age 18

Question 2

What is the most common diagnosis in childhood?

Answer 2

Disruptive/ behavioural disorders

Question 3

Which behavioural disorder is diagnosed before age 12?

Answer 3

Oppositional defiant disorder

Question 4

Which behavioural disorder is diagnosed after age 12?

Answer 4

Conduct disorder

Question 5

What is the epidemiology of PTSD, in terms of M:F ratio?

Answer 5

4:1

Question 6

Females have an increased risk of depression during what stage of their life?

Answer 6

Puberty

Question 7

Which childhood disorder commonly presents with avoidance of school?

Answer 7

Separation anxiety

Normal during preschool

Question 8

List management options for behavioural disorders in childhood

Answer 8

Medication (commonly unlicensed for under 16s)
Mental health team (MDT)
Family (therapy, parenting courses)
School (team, home school liason)
Social (child protection, children’s reporter)

Question 9

Which peurperium disorder is a psychological emergency?

Answer 9

Puerperal psychosis

Question 10

Define ‘puerperal psychosis’

Answer 10

Acute sudden onset of psychotic symptoms/ disinhibition and confusion

Question 11

List risk factors for puerperal psychosis

Answer 11

Hx of mental illness
Thyroid disorder
FHx
Being unmarried
First pregnancy
C-section
Perinatal death

Question 12

What is the epidemiology of post-natal depression?

Answer 12

1 in 10

Question 13

List risk factors for post-natal depression

Answer 13

FHx
PMHx of depression/ anxiety
Complicated pregnancy
Traumatic birth
Relationship difficulties (inc. domestic violence)
Hx of abuse or trauma
Lack of support and financial difficulties

Question 14

List the prevalence of the different types of dementia, starting with the most common

Answer 14

70% Alzheimers
17% vascular
13% other

Question 15

Distinguish dementia and pseudo-dementia

Answer 15

Lack of neurodegeneration in pseudo-dementia

Question 16

List features of pseudo-dementia

Answer 16

Fluctuating loss of memory
Good insight
Slowed movement/ speech
Depressed mood
Not progressive
Responds to meds/ ECT

Question 17

Distinguish late onset depression from other depression

Answer 17

Typically somatic not depressive symptoms

Question 18

What type of systemic disease is commonly linked to late-onset depression?

Answer 18

Vascular disease