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Practice Revision Questions
These questions have been designed to test your knowledge on the learning resources provided. It is advisable that you look at the resources that cover the 10 competencies before you attempt these questions.
Click below on the link to access the questions:
PRACTICE QUESTIONS
Click on the subject which you would like to be tested
on!
Dementia
Delirium psychosis capacity
alcohol depression
amts
Personal history
Social historysuicide
Mental state examination
Cognitive assessment
Dementia – Question 1
• A) An acquired global impairment of intellect, involving awareness of self and at least one other area of cognition.
• B) The process of losing vital brain processes.
• C) The process of losing memory and behaving oddly.
• D) An acquired global impairment of intellect involving memory and at least one other area of cognition.
The correct definition of dementia is:
Dementia – Answer 1
Wrong answer!
The correct answer is:D) An acquired global impairment
of intellect involving memory and at least one other area of cognition.
NEXT question
Dementia – Answer 1
correct answer!
D) An acquired global impairment of intellect involving memory and at least one other area of cognition.
Well done! You selected the correct answer:
Next question
Dementia – Question 2
The most common cause of dementia is:
o A) Vascular
o B) Alzheimer’s
o C) Lewy Body
o D) Fronto-temporal
Dementia – Answer 2
Wrong answer!
The correct answer is:B) Alzheimer’s
NEXT QUESTION
Dementia – Answer 2
CORRECT ANSWER
Well done! You selected the correct answer:
B) Alzheimer’s
Next question
Dementia – Question 3
The earliest sign of dementia is:
• A) Wandering• B) The patient being confused about
who they are• C) Incontinence • D) Memory loss
Dementia – Answer 3
Wrong answer!
The correct answer is:D) Memory loss
Next question
Dementia – Answer 3
CORRECT ANSWER
Well done! You selected the correct answer:
D) Memory loss
Next question
Dementia – Question 4
• Which of the following statements is false?
• A) Many things can mimic dementia• B) Young patients are much more likely to
have a looser type of dementia• C) CJD causes dementia• D) Dementia is more common in patients
of Asian ethnicity.
Dementia – Answer 4
Wrong answer!
The correct answer is:D) Dementia is more common in
patients of Asian ethnicity
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Dementia – Answer 4
CORRECT ANSWER
Well done! You selected the correct answer:
D) Dementia is more common in patients on Asian ethnicity
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Delirium – Question 1
• The definition of delirium is:
• A) An acute confusional state• B) Being extremely drowsy for no
reason• C) A chronic confusional state• D) An acute confusional state which
occurs only in the elderly
Delirium – Answer 1
Wrong answer!
The correct answer is:A) An acute confusional state
Next question
Delirium – Answer 1
CORRECT ANSWER
Well done! You selected the correct answer:
A) An acute confusional state
Next question
Delirium – Question 2
• Which of the following is NOT a clinical feature of delirium:
• A) Hallucinations and delusions • B) Being suicidal• C) Cognitive dysfunction• D) Mood changes
Delirium – Answer 2
Wrong answer!
The correct answer is:B) Being suicidal
Next question
Delirium – Answer 2
CORRECT ANSWER
Well done! You selected the correct answer:
B) Being suicidal
Next question
Delirium – Question 3
• What percentage of terminally ill patients have delirium?
• A) 20%• B) 80%• C) 50%• D) 10%
Delirium – Answer 3
Wrong answer!
The correct answer is:C) 50%
Next question
Delirium – Answer 3
CORRECT ANSWER
Well done! You selected the correct answer:
C) 50%
NEXT QUESTION
Delirium – Question 4
• Delirium is especially common in the elderly because?
• A) They are in hospital more often• B) They often have a high intake of caffeine
from tea• C) They don’t understand what is happening to
them• D) They are more likely to have conditions
which cause delirium and they react in a different way to young people suffering from the same conditions
Delirium – Answer 4
Wrong answer!
The correct answer is:D) They are more likely to have
conditions which cause delirium and they react in a different way to young people suffering from the same conditions
Next question
Delirium – Answer 4
CORRECT ANSWER
Well done! You selected the correct answer:
D) They are more likely to have conditions which cause delirium and they react in a different way to young people suffering from the same conditions
Next question
Delirium – Question 5
• How can you tell what the level of confusion is in a delirious patient?
• A) Do a neurological examination• B) Do the AMTS• C) Ask them how confused they are on a
scale of 1-10• D) Ask a family member of the patient to tell
you how different they are to their normal mental state
Delirium – Answer 5
Wrong answer!
The correct answer is:B) Doing the AMTS
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Delirium – Answer 5
CORRECT ANSWER
Well done! You selected the correct answer:
B) Doing the AMTS
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Psychosis – Question 1
• Hallucinations are:
• A) False unshakable beliefs• B) Perceiving things that are not real
through the senses• C) Feeling as if you are in a different world• D) Perceiving things that are not real
through the mind
Psychosis – Answer 1
Wrong answer!
The correct answer is:B) Perceiving things that are not
real through the senses
Next question
Psychosis – Answer 1
CORRECT ANSWER
Well done! You selected the correct answer:
B) Perceiving things that are not real through the senses
Next question
Psychosis – Question 2
• Delusions are:
• A) False unshakable beliefs that are produced when organic brain processes over complicate
• B) Perceiving things that are not real through the senses
• C) Lying to others without meaning to• D) False unshakable beliefs not held by others in
the same culture and despite evidence to the contrary
Psychosis – Answer 2
Wrong answer!
The correct answer is:D) False unshakable beliefs not
held by others in the same culture and despite evidence to the contrary
Next question
Psychosis – Answer 2
CORRECT ANSWER
Well done! You selected the correct answer:
D) False unshakable beliefs not held by others in the same culture and despite evidence to the contrary
Next question
Psychosis – Question 3
• Which of the following statements are true regarding primary delusions?
• A) They can arise suddenly out of the blue with no connection with previous events in the patient’s life.
• B) Are the first delusions a patient experiences
• C) First occur over a 24 hour time period• D) Are the most important type of delusion
Psychosis – Answer 3
Wrong answer!
The correct answer is:A) They can arise suddenly out of
the blue with no connection with previous events in the patient’s life.
Next question
Psychosis – Answer 3
CORRECT ANSWER
Well done! You selected the correct answer:
A) They can arise suddenly out of the blue with no connection with previous events in the patient’s life.
Next question
Psychosis – Question 4
• A secondary delusion is?
• A) The second delusion a patient experiences
• B) The second delusion in a 24 hour period
• C) Influenced by the patient’s background or current situations
• D) Are very rare
Psychosis – Answer 4
Wrong answer!
The correct answer is:C) Influenced by the patient’s
background or current situations
Next question
Psychosis – Answer 4
CORRECT ANSWER
Well done! You selected the correct answer:
C) Influenced by the patient’s background or current situations
Next question
Psychosis – Question 5
• Passivity phenomena is when a patient believes they are:
• A) Being controlled by an external agency
• B) Are having passive thoughts• C) Need to make others passive to them
by being controlling• D) An alien
Psychosis – Answer 5
Wrong answer!
The correct answer is:A) Being controlled by an external
agency
Next question
Psychosis – Answer 5
CORRECT ANSWER
Well done! You selected the correct answer:
A) Being controlled by an external agency
Next question
Psychosis – Question 6
• Which of the following is NOT a possible cause of psychosis?
• A) An electrolyte imbalance• B) A high level of cortisol• C) Drug withdrawal• D) Severe depression
Psychosis – Answer 6
Wrong answer!
The correct answer is:B) A high level of cortisol
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Psychosis – Answer 6
CORRECT ANSWER
Well done! You selected the correct answer:
B) A high level of cortisol
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Capacity – Question 1• Mrs Brown does not have capacity
and has already refused a nasogastric feeding tube. Does she also have the capacity to refuse IV medication?
• A) Yes• B) No• C) Maybe
Capacity– Answer 1
Wrong answer!
The correct answer is:C) Maybe, you would have to reassess
the patient’s capacity specifically for having the IV medication, as capacity is decision specific.
Next question
Capacity– Answer 1
CORRECT ANSWER
Well done! You selected the correct answer:
C) Maybe, you would have to reassess the patient’s capacity specifically for having the IV medication, as capacity is decision specific.
Next question
Capacity – Question 2• A patient on your ward needs an injection, you go
to consent then for having the injection when you discover they are unable to speak. Does the patient have the capacity to refuse the injection?
• A) Yes• B) No
Capacity– Answer 2
Wrong answer!
The correct answer is:A) Yes, a patient only has capacity if they can
communicate their decision. However, their ability to communicate must be optimised. Just because the patient can’t talk, it doesn’t man they can’t write their decision down or communicate in another way.
Next question
Capacity– Answer 2
CORRECT ANSWER
Well done! You selected the correct answer:
A) Yes, a patient only has capacity if they can communicate their decision. However, their ability to communicate must be optimised. Just because the patient can’t talk, it doesn’t man they can’t write their decision down or communicate in another way.
Next question
Capacity – Question 3• You have a patient who needs surgery. You spoke to him an hour ago
about the surgery, explained the risks and benefits of having it He understood and decided he wanted the surgery. You believed he had capacity to consent. However, he has some memory problems and can no longer remember what you told him. Did he have capacity to consent?
• A) Yes • B) No
Capacity– Answer 3
Wrong answer!
The correct answer is:A) Yes he does. A patient’s ability to
only retain information for a short period of time does not prevent him from being able to make a decision
Next question
Capacity– Answer 3
CORRECT ANSWER
Well done! You selected the correct answer:
A) Yes he does. A patient’s ability to only retain information for a short period of time does not prevent him from being able to make a decision
Next question
Capacity – Question 4
• Which of the following does a patient need to understand to have capacity?
• A) The consequences of deciding one way or another
• B) How much the procedure costs to the NHS
• C) The consequences to the surgeon if they do not have the operation
• D) The consequences of failing to make a decision
• E) What you, the medical student, believes is the best option
Capacity– Answer 4
• Both A and D
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Alcohol – Question 1
• How long after abstaining from drinking alcohol would a person with alcohol dependency start to suffer from withdrawal symptoms?
• A) 0-24 hours• B) 24-48 hours• C) 48-72 hours• D) 72-96 hours
Alcohol – Answer 1
• B) 24-48 hours
Next question
Alcohol – Question 2• Which of the following are not signs or symptoms
of alcohol withdrawal?
• A) Agitation• B) Elated mood• C) Disorientation in time• D) Hypertension• E) Nausea• F) Sweating• G) Forgetting where you are• H) Forgetting your name
Alcohol – Answer 2
• Both B and H
Next question
Alcohol – Question 3
• Using the CAGE question, do you ask patients if they:
• A) Think that they have an alcohol problem
• B) Feel guilty about how much they drink
• C) Have changed what they drink
Alcohol – Answer 3
• B
Next question
Alcohol – Question 4
• Which of the following screen for hazardous drinking?
• A) GACE questionnaire • B) FAST screening tool• C) AUDIT screening tool
Alcohol – Answer 4
• Both B and C
Next question
Alcohol – Question 5
• Which of the following are signs of alcohol dependency?
• A) Desire to drink• B) Enjoying a pint with your mates• C) Reinstatement • D) Having a glass of wine on your own• E) Drinking 0 pints in one night• F) Tolerance
Alcohol – Answer 5
• A, C, F
Next question
Alcohol – Question 6• Which of the following are given to patients
suffering from alcohol withdrawal?
• A) Atenolol• B) Spirinolactone • C) Chlordiazepoxide• D) Phenytoin• E) Enoxaparin• F) Ranitidine• G) Cephradine
Alcohol – Answer 6
• C
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Depression – Question 1
• Is loss of interest a:
• A) Core• B) Psychological• C) Physiological
……symptom of depression?
Depression – Answer 1
• A) Core
Next question
Depression – Question 2
• Which of the following types of hallucinations would you expect someone with severe depression to experience?
• A) Gustatory• B) Auditory• C) Tactile
Depression – Answer 2
• B) Auditory
Next question
Depression – Question 3
• Which area of cognition is particularly affected in depression?
• A) Orientation in time and place• B) Concentration • C) Language
Depression – Answer 3
• B) Concentration
Next question
Depression – Question 4
• What would a score of 14 suggest on a PHQ – 9 questionnaire suggest?
• A) Not depressed • B) Having a bad day• C) Definitely severely depressed• D) Definitely moderately depressed• E) Possibly moderately depressed• F) Possibly mildly depressed
Depression – Answer 4
• E
Next question
Depression – Question 5
• Which of the following can cause fatal food reactions?
• A) MAOI’S• B) SSRI’S• C) TRICYCLICS
Depression – Answer 5
• A) MAOI’S
NEXT QUESTION
Depression – Question 6
• Which if the following has the least toxicity and causes the least side effects?
• A) MAOI’S• B) SSRI’S• C) TRICYCLICS
Depression – Answer 6
• B) SSRI’S
NEXT QUESTION
Depression – Question 7
• Who benefits from supportive therapy?
• A) All patients with depression• B) Mildly depressed patients • C) Severely depressed patients• D) No one – it doesn’t work
Depression – Answer 7
• A) All patients with depression
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Personal History – Question 1
• Which of the following categories are specifically relevant to a personal history?
• A) Deaths • B) Children• C) Pet names• D) Medications• E) Birth• F) Childhood• G) Typical day• H) Social service input
Personal History – Answer 1
• A, B, E, F
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Social History – Question 1
• Which of the following are NOT relevant questions to ask when taking a social history?
• A) Do you manage getting up and down the stairs?
• B) Do you get help with the cooking?• C) Does you chest pain spread into your arm?• D) Do you have any family history of strokes?• E) Do you have any pets?• F) Are you a religious person?• G) Any problems with your waterworks?
Social History – Answer 1
• C, D, G
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AMTS – Question 1
• When conducting an AMTS on a patient, which of the following questions do you NOT ask the patient?
• A) What is you date of birth?• B) Who is the current monarch?• C) Where were you born?• D) How old are you?
AMTS – Answer 1
• C) Where were you born
Next question
AMTS – Question 2
• Which of the following is/are not assessed which conducting an AMTS?
• A) Memory• B) Understanding• C) Registration• D) Attention• E) Orientation• F) Perception
AMTS – Answer 2
• B and F
Next question
AMTS – Question 3• Which of the following would score 1 point on the AMTS
scoring system?
• A) Answering their full date of birth• B) Knowing what day their birthday is on this year
and what month it is in• C) Knowing the date and month of their birthday• D) Saying the time is 3.15pm, when the actual ti
me is 2.30pm• E) Saying the time is 1.20pm, when the actual tim
e is 2.30pm.• F) Knowing that you are in a hospital• G) Saying the date of the end of world war 1 whe
n asked for the start date
AMTS – Answer 3
• A, C, D, G
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Suicide – Question 1
• In which age group is suicide the second most common cause of death?
• A) 11-15 years• B) 15 – 24 years• C) 24-38 years• D) 68-80 years
Suicide – Answer 1
• B
Next question
Suicide – Question 2
• Which of these are risk factors for suicide?
• A) Suffering from depression• B) Taking MDMA at the weekends• C) Being infertile • D) Being aged between 60-80 years old• E) Being unemployed • F) Recently becoming a widow• G) Drinking caffeine
Suicide – Answer 2
• A, B ,E ,F
• However, it is important to remember that although being infertile will not directly increase your likelihood of committing suicide, it can lead to depression, and depression is a risk factor for suicide.
Next question
Suicide – Question 3• When screening a patient for suicidal thoughts, which
of the following should NOT be asked?
• A) Have you ever thought life is not worth living?• B) Do you sometimes feel really tired because you
think about committing suicide a lot?• C) Do you get angry when people interrupt your
suicidal thoughts?• Do you ever feel like not getting out if bed in the
morning?• Do you have any plans to commit suicide now?
Suicide – Answer 3
• B and C
• When assessing a patient for potential suicide risk, it is important that you approach the situation with sensitivity, yet it is important that questions are not avoided for the fear of asking them. Answers B and C could very well be asked if the situation suggested so, however when asking general screening questions for suicide, these questions are not relevant.Back to main menu
Cognitive Assessment – Question 1
• Can an AMTS be used to diagnose a 70 year old lady with dementia?
•A) Yes•B) No•C) Maybe
Cognitive Assessment – Answer 1
• B) No. An AMTS is a screening test for cognitive function. It cannot be solely used to diagnose a mental health disorder.
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