Mental health
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Mental health. Which is not a criterion for substance abuse. Recurrent use when physically hazardous Tolerance Continued use despite persistent/recurrent social or interpersonal problems Recurrent substance-related legal problems. Match the correct drug and mechanism of action. Alcohol

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Mental health

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Mental health

Mental health


Which is not a criterion for substance abuse

Which is not a criterion for substance abuse

  • Recurrent use when physically hazardous

  • Tolerance

  • Continued use despite persistent/recurrent social or interpersonal problems

  • Recurrent substance-related legal problems


Match the correct drug and mechanism of action

Match the correct drug and mechanism of action

  • Alcohol

  • Barbiturates

  • Benzodiazepines

  • Amphetamines

  • Cocaine

  • Nicotine

  • LSD

  • Codeine

  • Marijuana

  • Enhance GABA effects

  • Acts on serotonin receptors

  • Possibly dec Ca2+ channels

  • Potentiate GABA

  • Stimulate cannabinoid receptors

  • Stimulate opioid receptors

  • Inhibit DA, NA and 5-HT transporters

  • Stimulates nicotine receptors

  • Release of DA, NA and 5-HT


Which is generally not a recommended treatment option for drug overdose

Which is generally not a recommended treatment option for drug overdose?

  • Haemodialysis

  • Administer antidote

  • Emesis

  • Activated charcoal


What is the moa of paracetamol toxicity

What is the MOA of paracetamol toxicity?

  • Conjugation with glucuronide

  • Reaction with the scavenger glutathione

  • Conjugation with sulphate

  • Hydroxylation and rearrangement to NAPBQI


Which is a protective factor for suicide

Which is a protective factor for suicide?

  • Intelligence

  • Male gender

  • Lack of spouse

  • Ethanol intake


What are some considerations when communicating with patients in a mental health setting

What are some considerations when communicating with patients in a mental health setting?

  • Ensure privacy

  • Introduce yourself to patient (and carer)

  • Sit down, be willing to listen and do not hurry

  • Body language (comfortable distance, use eye contact but do not over-do it)

  • Generally do not touch the patient

  • Ask open ended questions where possible to facilitate discussion

  • Tolerate silences

  • Repetition

  • Identify the patient’s emotions

  • Allow the patient to maintain their dignity (engage them in planning)

  • Respect cultural/religious practices


What are the important points in a mental status examination

What are the important points in a mental status examination

  • Appearance and behaviour (eye contact and rapport; personal hygiene; facial expressions; motor behaviour; autonomic arousal)

  • Speech (form, volume, content)

  • Mood (affective expression, appropriateness, ?suicidal ideation)

  • Thought and perception (stream of thought, form, thought content, perceptions, delusions, hallucinations)

  • Cognition (orientation, concentration, registration, memory recall)

  • Insight


Mental health

If a patient does not open their eyes, makes incomprehensible sounds and shows decerebrate extension to painful stimuli, what is their GCS score?

  • Eyes  1/4

  • Verbal  2/5

  • Motor  2/6

  • Total: 5/15


Which is not a goal of cbt

Which is NOT a goal of CBT?

  • Enhance the patient’s problem solving capacities

  • To relieve the role of GPs in the mental health setting

  • To modify patients’ perspectives about themselves

  • To assist in the regulation of distressing affective states


Mental health

If a patient has recently been diagnosed with emphysema and is concerned that their smoking could be contributing to the problem, which stage of behavioural change are they at?

  • Pre-contemplation

  • Contemplation

  • Preparation

  • Action

  • Maintenance

  • Relapse


Match the term and definition

Match the term and definition

  • Mood

  • Affect

  • Euthymia

  • Anhedonia

  • Alexithymia

  • Normal mood

  • Inability to sense and describe mood states

  • Superficial and immediate emotional state

  • Pervasive emotional state

  • Inability to experience pleasure


Match the disorder and description

Match the disorder and description

  • Major depressive disorder

  • Dysthymic disorder

  • Bipolar disorder

  • Cyclothymic disorder

  • Adjustment disorder with depressed mood

  • Mood disorder not otherwise specified

  • Depression alternating with manic/hypomanic episodes

  • Minor depression/ mixed depression and anxiety

  • Pervasively depressed mood + impaired functioning

  • Chronic low-grade dysphoria

  • Feeling down in response to a loss or setback

  • Sudden and rapid alteration between depressive and manic/hypomanic states


Which of the following meets the criteria for a major depressive disorder

Which of the following meets the criteria for a major depressive disorder

  • Insomnia + anhedonia + high self-esteem + fatigue + reduced concentration

  • Anhedonia + dysphoria + insomnia + hallucinations

  • Insomnia + weight gain + anhedonia + reduced concentration + fatigue

  • Anhedonia + diurnal mood variation + low self-esteem + suicidal thoughts


Which is a first line antidepressant

Which is a first-line antidepressant?

  • Sertraline

  • Mirtazapine

  • Phenelzine

  • Amitriptyline


Which is not a hypothesised pathological process leading to schizophrenia

Which is NOT a hypothesised pathological process leading to schizophrenia?

  • Excess dopamine

  • Decreased serotonin

  • Glutamate deficiency

  • Elevated acetylcholine


Match the anti depressant and moa

Match the anti-depressant and MOA

  • MAOI

  • SSRI

  • SNaRI

  • TCA

  • NaSSAs

  • Inhibit serotonin and noradrenaline reuptake

  • Inhibit monoamine oxidase

  • Inhibit presynaptic a2, 5-HT2 and 5-HT3 receptors

  • Inhibit serotonin reuptake

  • Older drugs which inhibit reuptake of NA and 5-HT


Which is not a possible treatment for bipolar disorder

Which is not a possible treatment for bipolar disorder

  • Sodium valproate

  • Risperidone

  • Psychotherapy

  • Increased sleep

  • Electroconvulsive therapy


Which is not part of the diagnostic criteria for schizophrenia

Which is not part of the diagnostic criteria for schizophrenia?

  • Concurrent episodes of major depressive disorder

  • Presence of psychotic symptoms for at least a month

  • Presence of significantly impaired psychosocial function

  • At least six months duration of continuous signs of illness


Rehabilitation for people with schizophrenia includes

Rehabilitation for people with schizophrenia includes

  • Pre-vocational programs

  • Vocational programs

  • Housing

  • Social and recreational support

  • All of the above


Which drug has the greatest extra pyramidal side effects

Which drug has the greatest extra-pyramidal side effects?

  • Chlorpromazine

  • Haloperidol

  • Clozapine

  • Risperidone


Which anti psychotic is associated with seizures as an adverse effect

Which anti-psychotic is associated with seizures as an adverse effect?

  • Chlorpromazine

  • Haloperidol

  • Clozapine

  • Risperidone


Are doctors legally required to notify the police of domestic violence

Are doctors legally required to notify the police of domestic violence?

  • Yes  doctors are obligated to advise police of crimes, non-accidental injuries using weapons and application of heat or partial strangulation/asphyxiation

  • This includes wilful injury, property damage, intimidation, harassment and indecent behaviour

  • But otherwise MUST maintain confidentiality


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