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29 - Multiple choice questions and extended matching items
Summary
Multiple choice questions
Select the single best option for each question stem
1 Tacrolimus:
a causes anxiety, depression, and psychosis
b does not cause dizziness, headache and insomnia
c is always safe to administer with ziprasidone
d decreases sildenafil levels
e has no effect on mood.
2 Body dysmorphic disorder:
a is usually cured by cosmetic surgery
b responds to lithium
c is usually easily treated
d is nearly always comorbid with other psychiatric diagnoses
e is classified as an eating disorder.
3 Psychiatric illness:
a is as common on surgical wards as on medical wards
b does not affect the availability of NHS funding for a surgical procedure
c can predict mortality in some surgical patient groups
d has no impact on length of stay in surgical patients
e is routinely screened for in surgical patients.
4 Mental disorder is:
a a positive predictor of good outcome in patients with physical illness
b an independent predictor of outcome in patients with physical illness
c more common in the community than in the general hospital
d easily detected in the general hospital setting
e less prevalent in older people admitted to the general hospital than younger people.
5 The following statement is true in relation to older adults:
a The majority of older adults attempting suicide have delirium
b self-harm in older people is rarely associated with high suicidal intent
c increasing age is a risk factor for suicide
d two-thirds of NHS beds are occupied by people under the age of 65
e diagnostic case-mix of older people referred to liaison services is similar to younger adults.
6 The following is true in relation to dementia:
a dementia is an uncommon reason for referral to older people liaison services
b dementia is more prevalent in the general hospital than in the community
c people with dementia usually gain personal care skills when admitted to hospital
d people with dementia are twice as likely to develop delirium
e antipsychotic drugs decrease mortality in people with dementia.
7 Delirium:
a is always preventable post-surgery if risk factors are identified prior to operating
b is best treated using benzodiazepines
c always presents with disturbed and aggressive behaviour
d is best detected using the Geriatric Depression Scale
e post-surgery is associated with increased length of hospital stay.
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- Seminars in Liaison Psychiatry , pp. 460 - 484Publisher: Royal College of PsychiatristsFirst published in: 2017