Mental Health

Question 1

Depression

Answer 1

Depression is a mood disorder that causes a persistent feeling of sadness and loss of interest.

Question 2

Delirium

Answer 2

An acutely disturbed state of mind characterized by restlessness, illusions, and incoherence, occurring in intoxication, fever, and other disorders.

Question 3

Dementia

Answer 3

A chronic or persistent disorder of the mental processes caused by brain disease or injury and marked by memory disorders, personality changes, and impaired reasoning

Question 4

Anxiety

Answer 4

Anxiety is a general term for several disorders that cause nervousness, fear, apprehension, and worrying.

Question 5

Alcohol Miss-use/ Dependency

Answer 5

Alcohol dependence is a previous psychiatric diagnosis in which an individual is physically or psychologically dependent upon drinking alcohol.

Question 6

Mental State Examination

Answer 6

All sane men think that pizza is Italian
Appearance
Speech
Mood (2 weeks or more)
Thought form
Thought content
Perception
Insight
Intelligence

Question 7

If someone had an unwashed aroma what would you differentially diagnose?

Answer 7

Alzhiemers, Psycocsis, depression

Question 8

If someone had a rapid flow rate of speech what would you differentially diagnose?

Answer 8

Bipolar, Hypomania

Question 9

If someone had a disordered thought form what would you diagnose?

Answer 9

Psycosis

Question 10

If someone had obsessional thought content what would you diagnose?

Answer 10

Depression, OCD

Question 11

What does perception in the mental state examination mean?

Answer 11

Visual hallucinations etc.

Question 12

What does insight in the mental state examination mean?

Answer 12

Are they aware something is wrong, if not psychosis

Question 13

What does a low AMTS/ MMSE/GPCOG/ 6-CIT/MoCA score mean?

Answer 13

Low intelligence (cognition)

Question 14

What is the CAGE questionnaire?

Answer 14

Have you ever felt you should CUT down on your drinking?
Have people ANNOYED you by criticising your drinking?
Have you ever felt bad or GUILTY about your drinking?
Have you ever had a drink first thing in the morning to steady your nerves or to get rid of a hangover (EYE opener)?
A score of 2 or more indicates clinically significant

Question 15

What is PHQ-9

Answer 15

Patient health questionairre regarding depression (0-3 scale)

Question 16

Psychosocial consequences of alcohol addiction

Answer 16

Anxiety, panic, depressed mood, memory problems, suicidal thoughts, delusions (Othello syndrome)

Question 17

What happens during withdrawal from alcohol for an alcoholic

Answer 17

hallucinations, confusion, Korsakoffs

Question 18

Difference between normal anxiety and abnormal anxiety

Answer 18

Normal
- Response to threatening situation
- Apprehension accompanied physiological changes that prepare for “Fight or flight” response
- Increase HR, BP, breathing
- Focus on threat e.g. attacking dog
Abnormal
- Response that is similar BUT
- Out of proportion to threat and/or more prolonged
or occurs without threat
- Focus on physiological response e.g. raised HR

Question 19

What is GAD-7?

Answer 19

General anxiety disorder score

Question 20

What is IAPT score?

Answer 20

A phobia scale

Question 21

Common treatment for alcohol abuse?

Answer 21

Antabuse (disulfiram)

Question 22

Common treatment for anxiety

Answer 22

Benzodiazapines (the pams)

Question 23

Common treatment for delirium

Answer 23

Haloperidol

Question 24

Common treatment for dementia

Answer 24

Cholinesterase inhibitors such as donepezil, galantamine, and rivastigmine

Question 25

Common treatment for depression

Answer 25

SSRI’s e.g. fluoxetine (Prozac), paroxetine (Paxil, Pexeva)

Question 26

Common treatment for psychosis

Answer 26

Antipsychotics and these include: clozapine (Clozaril)