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) Rare

b) Uncommon

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

a) Aripiprazole

b) Zuclopenthixol

c) Risperidone

d) Olanzapine

3 / 10

3. Which one of the following has conscious motivation

a) Malingering

b) Conversion disorder

c) Somatisation disorder

d) Factitious disorder

Malingering is the only one that has conscious motivation.

Malingering is the only one that has conscious motivation.

4 / 10

4. 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) Use of alcohol or drugs

c) Age of 35 years

d) Loss of rational thought

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).

5 / 10

5. SSRI use in pregnancy is

a) Associated with an increased risk of pulmonary hypertension.

b) Not associated with a significant risk of congenital disorders.

c) Associated with an increased risk of autism spectrum disorder.

d) Associated with an increased risk of cardiovascular malformations

SSRI use in pregnancy is not associated with a significant increased risk of congenital abnormalities.

SSRI use in pregnancy is not associated with a significant increased risk of congenital abnormalities.

6 / 10

6. 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) Nausea

b) Constant abdominal pain

c) Difficulty swallowing

d) Light headedness

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.

7 / 10

7. Which one of the following would be most appropriate when attempting to de-escalate an agitated patient.

a) Be informal to help ease tension

b) Have a single staff member talk with the patient

c) Ask them why they are behaving this way

d) Put your arm on their shoulder as a gesture of kindness

Have a single staff member talk with the patient is the most appropriate action of those listed. Touching the patient may lead to a violent reaction, a formal approach (to convey respect) is usually preferred over a casual one, and asking the patient why they are behaving as they is usually perceived as a challenge and is likely to lead to further escalation.

Have a single staff member talk with the patient is the most appropriate action of those listed. Touching the patient may lead to a violent reaction, a formal approach (to convey respect) is usually preferred over a casual one, and asking the patient why they are behaving as they is usually perceived as a challenge and is likely to lead to further escalation.

8 / 10

8. The parent who presents with a child with factitious disorder by proxy is most likely to have which one of the following

a) Major depressive disorder

b) Borderline personality disorder

c) Generalised anxiety disorder

d) Schizoaffective disorder

The most common mental heath diagnosis in a parent of a child with factitious disorder by proxy is borderline personality disorder.

The most common mental heath diagnosis in a parent of a child with factitious disorder by proxy is borderline personality disorder.

9 / 10

9. Which one of the following questions would be the most appropriate for assessing negative symptoms in a patient with schizophrenia?

a) How often have you visited your friends in the past week?

b) Have you ever thought about hurting yourself or someone else?

c) Have you had difficulty concentrating?

d) Have the voices you’ve heard persisted or returned?

How often have you visited with friends in the past week? is the most useful as an important component of negative symptoms is reduced social drive.
Asking about suicidality is helpful for a risk assessment, but suicidality is not considered a 'negative' symptom in Schizophrenia.

How often have you visited with friends in the past week? is the most useful as an important component of negative symptoms is reduced social drive.
Asking about suicidality is helpful for a risk assessment, but suicidality is not considered a 'negative' symptom in Schizophrenia.

10 / 10

10. 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.

Your score is
The average score is 63%
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