A 31 year old woman attends her GP as she cant stop worrying about most things in her life. She is worried about her job as she cannot concentrate and thinks she will be fired soon. She feels low in mood, cannot sleep well and hasnt been socialising for at least 9 months. What is the likely diagnosis?
1.Agoraphobia
2.Generalised anxiety disorder
3.Social anxiety disorder
4.Depression
5.Panic disorder
Which of the following suggests a good prognosis for anorexia?
1.Adult onset
2.They do not exercise excessively
3.Short duration
4.Weight loss has not been severe
5.No history of psychological problems
Which of the following supports a diagnosis of alcohol dependence syndrome?
1.Continued drinking despite physical harm
2.Drinking despite criminal convinctions related to drink
3.History of falls
4.Morbid jealousy
5.Drinking a variety of alcohol types
Which of the following is common secondarily to alcohol abuse?
1.Morbid jealousy
2.Agorophobia
3.Depression
4.Lower levels of bipolar syndrome
5.Increased creativity
Which of the following gives the strongest indication that a suicide attempt was serious and not a cry for help?
1.Drug addiction
2.Taking excessive amounts of paracetamol as the method
3.Phoned the samaritans during the act
4.Did not make any final plans such as making a will or leaving a note
5.Timed so that intervention is highly unlikely and takes measures to prevent discovery or intervention
Which of the following is a contraindication to ECT?
1.Raised intracranial pressure
2.Epilepsy
3.Pregnancy
4.Cardiac pacemaker
5.Immunocompromised
A patient with a 6 month history of low mood and some suicidal thoughts is discussing her treatment options. Which of the following is the best pharmacological treatment?
1.Amitriptyline
2.Haloperidol
3.Lorazepam
4.Selegiline
5.Fluoxetine
You have been asked to see a 41 year old patient with pain in their left eye. She has long standing depression and has recently been changed from fluoxetine to imipramine. What is the next best step?
1.Stop the imipramine, restart fluoxetine and refer back to their psychiatrist
2.Urgent opthalmological review
3.Analgesia
4.Consider the pain in psychological terms and explore a diagnosis of malingering
5.CT head.
Which of the following would suggest delirium rather than dementia?
1.Confused more about the present than the past
2.Fluctuating level of consciousness
3.Shouting
4.Low MMSE score
5.No tearfulness
A 28 year old female attends her GP with her mother due to anxiety. Her mother states her daughter is worried that her mother will leave. She is unemployed and does not have any hobbies. She hates confrontation. She moves from one relationship to the other very rapidly as she does not like to on her own for any length of time. She is indecisive and her mother states she is always requiring reassurance. Which of the following is the most likely diagnosis?
1.Anxiety Disorder
2.Obsessive Compulsive Disorder
3.Avoidant Personality Disorder
4.Borderline Personality Disorder
5.Dependent Personality Disorder
A 29 year old woman complains of headaches, upset stomach, jaw pain, sore muscles and difficulty sleeping. Full examination reveals no medical issues. She doesnt accept that nothing was found during the investigations and seeks a second opinion. What is the diagnosis?
1.Somatisation disorder
2.Hypochondriac
3.Conversion disorder
4.Psychosis
5.Personality disorder
Which of the following is more suggestive of vascular dementia than other dementias?
1.Slow onset
2.Increased creativity
3.Early loss of insight
4.Sleep wake cycle disturbance
5.Seizures
A 45 year old male was brought to A+E. He was found wandering the streets of a city and was unsure of where he was or who he was. He could not recall anything from his past. Which of the following is the most likely diagnosis?
1.Fugue state
2.Transient Global amnesia
3.Transient Ischaemic Attack
4.Malingering
5.Multiple personality