Psych

Question 1

Normal pregnancy the discussing vaginal delivery vs Caesarian section

Answer 1

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Question 2

New onset schizophrenia + MSE

Answer 2

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Question 3

Pv bleeding post menopausal but with delusions of pregnancy (do MSE)

Answer 3

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Question 4

OCD (2 years running)

Answer 4

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Question 5

Depression and diabetes

Answer 5

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Question 6

Delirium vs dementia (nurse asks for haloperidol)

Answer 6

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Question 7

ADHD

Answer 7

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Question 8

LD and contraception

Answer 8

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Question 9

Autism

Answer 9

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Question 10

Alcoholism on routine health check

Answer 10

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Question 11

Drug-induced delirium in crohn patient

Answer 11

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Question 12

Bipolar- manic/hypo manic episode

Answer 12

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Question 13

Delirium

Answer 13

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Question 14

Suicidal ideation/self-harm

Answer 14

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Question 15

Depression

Answer 15

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Question 16

Alcohol and falls

Answer 16

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Question 17

Load age abuse and old age depression

Answer 17

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Question 18

Puerperal psychosis

Answer 18

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Question 19

Social phobia

Answer 19

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Question 20

Delusional disorder

Answer 20

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Question 21

Personality disorder

Answer 21

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Question 22

Psychosis, acute and chronic

Answer 22

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Question 23

Anxiety/panic disorder

Answer 23

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Question 24

Social phobia

Answer 24

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Question 25

Dementia

Answer 25

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Question 26

Anorexia nervosa/bulimia

Answer 26

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Question 27

Domestic abuse

Answer 27

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Question 28

Alcohol withdrawal / alcohol cessation planning

Answer 28

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Question 29

Drug abuse (pain killers and street drugs)/ cocaine intox

Answer 29

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Question 30

Nurse on surgical ward called to let u know about mrs x, 51, who had a hysterectomy 3 days ago is now hallucinating. Please talk to her and perform a MSE

Answer 30

Delirium

Question 31

23 lady I’m a&e with laceration to her arm.Scars from previous injuries and this is her 10th presentation. Talk to her and undertake a risk assessment.

Answer 31

Self harm

Question 32

48y man presented to GP practice with high blood pressure. On previous attendance he had admitted to an intake of 40 units of alcohol a week. Please counsel him in regards to his alcohol intake and presence of any co-existence psychiatric illness.

Answer 32

Alcohol abuse and anxiety

Question 33

78 woman, complaining of poor appetite. Tearful and difficulties sleeping since the death of her husband two months ago. Assess her mood, and possible options for management

Answer 33

Grief reaction

Question 34

48 y man brought in by his wife. She tells you he is feeling very anxious, not been sleeping at night and telling his family he would like to sell the family house and move to the capital to be a minister in the next government. Please assess his mood and discuss management with the patient and his wife.

Answer 34

Mania

Question 35

24 y man brought in by the police after his wife called them saying he had been talking about killing their two children. He is stating hat he is the son of god. Please talk to him to assess insight and undertake a risk assessment,

Answer 35

Psychosis

Question 36

26 y woman come to GP because she feels that her heart is racing and is concerned there is something wrong. You note that she has had previous presentations with the same complaint. Please take a history and discuss potential management with a colleague

Answer 36

GAD

Question 37

32y woman who had her second child four weeks ago. She is upset because she is having difficulties breast feeding the baby and doesn’t think she can cope. She has a 3y old son living at home with her. Please take a history and talk about appropriate management

Answer 37

Postnatal depression

Question 38

Man come in to talk about his father who is 78. He is worried that he has been increasingly forgetful, leaving the gas on, on two occasions, he is also worried that he has lost weight and not been eating.

Answer 38

Dementia.

Question 39

19y woman has been asked to see u by her tutor at uni because of her obsessive behaviour there. She wears gloves all the time. And will not touch anything. This has been interfering with her studies. Please take a history.

Answer 39

OCD

Question 40

23 y man who has been brought in ny his mother because he has threatened to kill himself if his gf leaves him. He has threatened to do this in previous relationships and has taken overdoses in the past. Please take a history and come up with an appropriate management plan.

Answer 40

Borderline personality disorder

Question 41

17y woman has been brought by her parents because she is finding it difficult to walk. The nurses have commented over her low weight and calculated BMI is 15. Potassium was 2.9 on admission but this has been corrected and is declared medically fit to go home. Please talk to her before her discharge

Answer 41

AN

Question 42

82 y woman has called the ambulance because she is convinced that her neighbours have poisoned her. Please assess her mental state and take a psych history

Answer 42

Delusional disorder