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. The benefits of ECT are usually maximal at

a) 1 week following treatment

b) 3 weeks following treatment

c) 6 months following treatment

d) 3 months 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.

2 / 10

2. 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 the voices you’ve heard persisted or returned?

d) Have you had difficulty concentrating?

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.

3 / 10

3. Auditory hallucinations in drug induced psychosis are

a) Uncommon

b) Rare

c) Common

d) Very common

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

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

4 / 10

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

a) Buspirone

b) Haloperidol

c) Mirtazepine

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.

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) Difficulty holding a conversation

b) Intusion into personal space

c) Personal threats

d) Pacing and agitation

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

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

b) Ask them why they are behaving this way

c) Be informal to help ease tension

d) Have a single staff member talk with the patient

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.

7 / 10

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

a) Bottled beer

b) Bananas

c) Fresh fish

d) Aged cheese

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.

8 / 10

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

a) 18 treatments

b) 24 treatments

c) 12 treatments

d) 6 treatments

A course of ECT usually requires at least 6 treatments

A course of ECT usually requires at least 6 treatments

9 / 10

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

a) Aripiprazole

b) Olanzapine

c) Zuclopenthixol

d) Risperidone

10 / 10

10. Thought blocking in drug induced psychosis is

a) Very common

b) Rare

c) Uncommon

d) Common

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

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

Your score is
The average score is 64%
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