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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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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
slide9

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
slide11

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