Mental health act

Question 1

Who is required for a mental health act assessment?

Answer 1

A section 12 approved doctor
Another doctor
An approved mental health professional

Question 2

Section 2

Answer 2

Compulsary admission for asessment
Cannot be renewed.
28 days.

Question 3

Section 3

Answer 3

Compulsary admission and treatment.
Maximum of 6 months.
Can be renewed.

Question 4

Section 4

Answer 4

Up to 72 hours
After voluntary hospital admission.
can be done by one doctor.

Question 5

Section 5 (4)

Answer 5

Emergency detention
Upto 6 hours
One nurse.

Question 6

Section 136?

Answer 6

Take person from a public place to a place of safety for 24 hours.
Police.

Question 7

Section 135?

Answer 7

Court order to break into property and remove a person to a place of safety.

Question 8

What is given for alcohol withdrawal?

Answer 8

Chlordiazepoxide

Question 9

Neuroleptic malignant syndrome?
Who gets it?
Symptoms?
Key investigation?

Answer 9

Seen in patients taking antipsychotics, usually just after starting within days.

Symptoms are:
Pyrexia
Rigidity
Confusion

Raised creatine kinase

Stop antipsychotic and offer IV fluids.

Question 10

What is serotonin syndrome?

Answer 10

Multiple antidepressants or higher doses

Rigidity
Pyrexia
Confusion

Management:
IV fluids
Withdraw causative agents.

Question 11

What is the treatment for paracetamol overdose?

Answer 11

Acetylcysteine.