Part 1 Single best answer questions

* not completed

. The MMSE assesses the following aspects of cognitive function EXCEPT:

Orientation correct incorrect

Long term memory correct incorrect

Registration and recall correct incorrect

Calculation correct incorrect

Language correct incorrect

* not completed

. You are working in general practice. Peter Townsend is a 32 year old man who has been treated for schizophrenia for the last 10 years. He wishes to discuss some symptoms that he thinks are related to his medication.
Which of the following is an example of extrapyramidal side effects of antipsychotic medication?

Mannerisms correct incorrect

Akathisia correct incorrect

Stereotypies correct incorrect

Compulsions correct incorrect

Tics correct incorrect

* not completed

. During an assessment of a 40 year old woman in accident and emergency, you note that she seemingly becomes "stuck" on one answer, repeating it inappropriately in answer to a series of questions. You correctly recognize this as perseveration.
Which of the following is MOST likely to cause perseveration?

Mood disorders correct incorrect

Personality disorders correct incorrect

Substance misuse correct incorrect

Organic disorder correct incorrect

Schizophrenia correct incorrect

* not completed

. Rufus Martinsdale is a 21 year old man with a diagnosis of schizophrenia. He experiences hallucinations and delusions.
Rufus is most likely to experience hallucinations in which of the following modalities?

Visual correct incorrect

Olfactory correct incorrect

Tactile correct incorrect

Gustatory correct incorrect

Auditory correct incorrect

* not completed

. Cindy Goggins lives in London and is well known to psychiatric services with a diagnosis of paranoid schizophrenia. She has relapsed, following non-concordance with her olanzapine, and is now presenting with auditory hallucinations and persecutory delusions, in a manner almost identical to that of her previous relapse. Cindy has refused to engage with her Care Coordinator for the past three weeks, and her family report she is not eating and drinking, since she believes terrorists have spiked her food with ricin. The Community Mental Health Team are organizing a Mental Health Act Assessment to allow Cindy to be admitted to psychiatric hospital for treatment of her schizophrenia.
Which section of the Mental Health Act is most appropriate in this situation?

2 correct incorrect

3 correct incorrect

5 correct incorrect

12 correct incorrect

136 correct incorrect

* not completed

. Dimitrios Bekas is a 22 year old man, who was admitted informally to a psychiatric ward following a suicide attempt. The nursing staff have contacted you, as the on-call doctor, because Mr Bekas has become agitated and wishes to leave the ward. You assess Mr Bekas, and are concerned that he is very distressed and remains at high risk of self-harm if he leaves hospital tonight. You inform the registrar on-call, and are advised to place Mr Bekas under Section 5(2) of the Mental Health Act.
How long can Mr Bekas be held in hospital under Section 5(2)?

48 hours correct incorrect

72 hours correct incorrect

1 week correct incorrect

1 month correct incorrect

3 months correct incorrect

* not completed

. Mrs Bailey is an 82 year old woman, who lost her husband 3 months ago. She is admitted to Accident and Emergency with chest pain and a heart attack is diagnosed. Her condition and treatment options are explained to her, but she refuses treatment and wishes to return home. Her daughter, Emma, is her legal next of kin. Emma explains that her mother has 'given up', and hasn't been herself since Mr Bailey's death. Emma tearfully asks you to treat her mother.
Which of the following statements is TRUE?

She is likely to be suffering an abnormal grief reaction correct incorrect

In accordance with the Mental Health Act, her medical condition can be treated under Section 3 correct incorrect

The incidence of myocardial infarction is increased in those who have recently suffered the loss of their spouse correct incorrect

She is suffering severe depression and lacks the capacity to make decisions about her medical care correct incorrect

An elderly patient can be treated at the behest of their next of kin if it is judged they lack the capacity to consent to treatment correct incorrect

* not completed

. You are a student attached to a psychiatric firm. You are preparing to interview a patient.
Which of the following is TRUE?

Interviewing in pairs is intimidating to the patient and should be avoided as far as possible. correct incorrect

Formal dress is important since it implies respect for your patient; men should wear ties. correct incorrect

It is important to arrange the seating in the interview room prior to the interview. correct incorrect

Whilst patients are intoxicated their symptoms are easier to elicit due to disinhibition; it is often a good time to conduct an initial interview correct incorrect

Violent outbursts often occur 'out of the blue' and are usually impossible to predict correct incorrect