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. Which one of the following features suggests delirium instead of a psychiatric illness?

a) Slow onset

b) Constant course

c) Inattention

d) Organised behaviour

Features suggestive of delirium include acute onset, a fluctuating course, inattention and generalised severe disorganization of behaviour.

Features suggestive of delirium include acute onset, a fluctuating course, inattention and generalised severe disorganization of behaviour.

2 / 10

2. Auditory hallucinations in drug induced psychosis are

a) Very common

b) Common

c) Uncommon

d) Rare

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

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

3 / 10

3. A course of ECT for depression usually requires at least

a) 12 treatments

b) 18 treatments

c) 6 treatments

d) 24 treatments

A course of ECT usually requires at least 6 treatments

A course of ECT usually requires at least 6 treatments

4 / 10

4. Which one of the following would be most appropriate first line pharmacological therapy for PTSD?

a) Lorazepam

b) Quetiapine

c) Paroxetine

d) Amitryptiline

First line pharmacological therapy for PTSD is usually with an SSRI such as paroxetine or sertraline. Antispychotics may be considered later if non responsive and benzodiazepines are not usually indicated.

First line pharmacological therapy for PTSD is usually with an SSRI such as paroxetine or sertraline. Antispychotics may be considered later if non responsive and benzodiazepines are not usually indicated.

5 / 10

5. Thought blocking in drug induced psychosis is

a) Rare

b) Common

c) Very common

d) Uncommon

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

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

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) Constant abdominal pain

b) Nausea

c) Light headedness

d) Difficulty swallowing

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 actions is most likely to escalate a potentially violent patient.

a) Validate the patient's feelings of anger

b) An explanation of the rules of expected behaviour

c) Stating that you are concerned about your safety

d) Offering them choices of what will happen

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.

8 / 10

8. Which one of the following is most likely to cause a hypertensive crisis in a patient taking a MAOI?

a) Aged cheese

b) Fresh fish

c) Bananas

d) Bottled beer

Aged cheeses may have high tyramine levels and should be avoided by patients taking MAOI. Bottled beer (not tap), fresh fish (not aged or smoked) and bananas (but not the skin) are considered safe.

Aged cheeses may have high tyramine levels and should be avoided by patients taking MAOI. Bottled beer (not tap), fresh fish (not aged or smoked) and bananas (but not the skin) are considered safe.

9 / 10

9. 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) Use of alcohol or drugs

b) Loss of rational thought

c) Male sex

d) Age of 35 years

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).

10 / 10

10. The benefits of ECT are usually maximal at

a) 6 months following treatment

b) 1 week following treatment

c) 3 months following treatment

d) 3 weeks following treatment

The benefits of ECT are usually maximal at 3 weeks after treatment.

The benefits of ECT are usually maximal at 3 weeks after treatment.

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The average score is 64%
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