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. A course of ECT for depression usually requires at least

a) 24 treatments

b) 12 treatments

c) 6 treatments

d) 18 treatments

A course of ECT usually requires at least 6 treatments

A course of ECT usually requires at least 6 treatments

2 / 10

2. Which one of the following can reduce anxiety but does not have sedative, hypnotic, anticonvulsant, or musculoskeletal relaxation effects?

a) Mirtazepine

b) Buspirone

c) Haloperidol

d) Diazepam

Buspirone is a serotonin 5HT1A receptor partial agonist used to treat anxiety. It does not produce significant sedation, hypnotic, anticonvulsant,
or musculoskeletal relaxing effects. Diazepam causes sedation, Haloperidol can cause sedation and dyskinesias and Mirtazapine has H1 antagonist effects so can cause sedation.

Buspirone is a serotonin 5HT1A receptor partial agonist used to treat anxiety. It does not produce significant sedation, hypnotic, anticonvulsant,
or musculoskeletal relaxing effects. Diazepam causes sedation, Haloperidol can cause sedation and dyskinesias and Mirtazapine has H1 antagonist effects so can cause sedation.

3 / 10

3. The most effective treatment for PTSD is

a) Prazosin

b) Sertraline

c) Cognitive behavioural therapy

d) MAOIs

Cognitive behavioural therapy is thought to be the most effective therapy, although SSRIs and prazosin also appear to have some therapeutic benefit.

Cognitive behavioural therapy is thought to be the most effective therapy, although SSRIs and prazosin also appear to have some therapeutic benefit.

4 / 10

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

a) Aripiprazole

b) Olanzapine

c) Risperidone

d) Zuclopenthixol

5 / 10

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

a) Mirtazapine

b) Escitalopram

c) Sertraline

d) Fluoxetine

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

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

6 / 10

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

a) Inattention

b) Slow onset

c) Organised behaviour

d) Constant course

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.

7 / 10

7. Auditory hallucinations in drug induced psychosis are

a) Common

b) Uncommon

c) Very common

d) Rare

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

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

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) Generalised anxiety disorder

b) Major depressive disorder

c) Borderline personality 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 would be most appropriate when attempting to de-escalate an agitated patient.

a) Ask them why they are behaving this way

b) Be informal to help ease tension

c) Have a single staff member talk with the patient

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.

10 / 10

10. SSRI use in pregnancy is

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

b) Associated with an increased risk of pulmonary hypertension.

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

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.

Your score is
The average score is 63%
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