Mental health quiz – The Emergency Medicine Manual

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Mental health

This is a 10 question quiz about Mental health.

The questions are randomly drawn from a bank of 25 questions so will be different each time you take it.

1 / 10

1. Thought blocking in drug induced psychosis is

a) Uncommon

b) Rare

c) Common

d) Very common

Thought blocking in drug induced psychosis is rare, unlike Schizophrenia.

Thought blocking in drug induced psychosis is rare, unlike Schizophrenia.

2 / 10

2. The factor least likely to predict a future suicide attempt within 6 months in ED patients referred to mental health services with self harm is:

a) Male sex

b) Loss of rational thought

c) Age of 35 years

d) Use of alcohol or drugs

Loss of rational thought is actually negatively associated with future suicide attempts within 6 months (despite being part of the SAD PERSONS index). All the other options are weakly positively associated with future suicide attempts - including age 20-45 years (i.e. the opposite to that stated as a negative risk factor by the SAD PERSONS index).

Loss of rational thought is actually negatively associated with future suicide attempts within 6 months (despite being part of the SAD PERSONS index). All the other options are weakly positively associated with future suicide attempts - including age 20-45 years (i.e. the opposite to that stated as a negative risk factor by the SAD PERSONS index).

3 / 10

3. Which of the following symptoms would make you most likely to seek an alternative diagnosis in a patient labelled as having a panic attack

a) Light headedness

b) Constant abdominal pain

c) Difficulty swallowing

d) Nausea

The most common symptoms of panic attacks are lightheadedness, paraesthesia, chest tightness, sensation of palpitations, difficulty breathing and choking/difficulty swallowing. Less common symptoms include flushes or sensation of chills, nausea or abdominal distress. True abdominal pain is very uncommon and not usually constant, so should initiate a search for an alternative cause.

The most common symptoms of panic attacks are lightheadedness, paraesthesia, chest tightness, sensation of palpitations, difficulty breathing and choking/difficulty swallowing. Less common symptoms include flushes or sensation of chills, nausea or abdominal distress. True abdominal pain is very uncommon and not usually constant, so should initiate a search for an alternative cause.

4 / 10

4. Auditory hallucinations in drug induced psychosis are

a) Uncommon

b) Common

c) Rare

d) Very common

Auditory hallucinations in drug induced psychosis are rare, unlike Schizophrenia.

Auditory hallucinations in drug induced psychosis are rare, unlike Schizophrenia.

5 / 10

5. Which one of the following would be expected to be the earliest indicator that a person is about to be violent.

a) Pacing and agitation

b) Intusion into personal space

c) Personal threats

d) Difficulty holding a conversation

Difficulty holding a conversation is usually the earliest feature of those listed indicating that violence may occur - however these features can vary in sequence.

Difficulty holding a conversation is usually the earliest feature of those listed indicating that violence may occur - however these features can vary in sequence.

6 / 10

6. Which of the following antidepressants is associated with the greatest risk of weight gain?

a) Mirtazapine

b) Fluoxetine

c) Sertraline

d) Escitalopram

Mirtazapine has the highest risk of weight gain of the agents listed.

Mirtazapine has the highest risk of weight gain of the agents listed.

7 / 10

7. Which one of the following has conscious motivation

a) Malingering

b) Factitious disorder

c) Conversion disorder

d) Somatisation disorder

Malingering is the only one that has conscious motivation.

Malingering is the only one that has conscious motivation.

8 / 10

8. Which one of the long acting intramuscular formulations of the following antipsychotic agents has the shortest duration of action

a) Olanzapine

b) Aripiprazole

c) Zuclopenthixol

d) Risperidone

9 / 10

9. Which one of the following actions is most likely to escalate a potentially violent patient.

a) Offering them choices of what will happen

b) Stating that you are concerned about your safety

c) Validate the patient's feelings of anger

d) An explanation of the rules of expected behaviour

An explanation of the rules of expected behaviour is most likely to escalate the situation, as it will likely be perceived as a challenge. The other actions are most likely to de-escalate it.

An explanation of the rules of expected behaviour is most likely to escalate the situation, as it will likely be perceived as a challenge. The other actions are most likely to de-escalate it.

10 / 10

10. Which one of the following suggests that a depressive episode is likely to be part of a bipolar illness.

a) Mild severity depression

b) Gradual onset

c) Hostility and agression

d) Onset at 40 years of age

Features that suggest that a depressive episode is likely to be part of a bipolar illness include hostility and aggression, onset at an early age, sudden onset, more severe depression, psychotic features and post partum onset.

Features that suggest that a depressive episode is likely to be part of a bipolar illness include hostility and aggression, onset at an early age, sudden onset, more severe depression, psychotic features and post partum onset.

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The average score is 63%
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