SBAs and EMQs in Psychiatry for Medical Students

Neel Sharma

• Publisher: CRC Press
• Year: 2019
• eBook ISBN: 9780429533570
• Edition: 1
• Topic: Medicine
• Subtopic: Psychiatry & Mental Health

'If you're looking for a structured and comprehensive framework to enable you to review the complete ins and outs of psychiatry then this book is most definitely for you.' Tiago Villanueva in his Foreword. Undergraduate medical students often struggle with at least some of the specialty elements of their studies. Some face a further challenge with the advent of the Medical Schools Council Assessment Alliance (MSC-AA, formerly known as UMAP), with a move away from testing specific clinical facts to an assessment focused on preparing to be a foundation doctor and the knowledge such a trainee needs on a daily basis. Neel Sharma has written three self-assessment books - on psychiatry, obstetrics and gynaecology, and paediatrics - designed to help students tackle both the new form of assessment as well as the traditional style of examination. Questions covering all common presentations are included in SBA and EMQ formats with relevant, concise explanations as answers.

Questions

Single best answer

1 The following are all features of Schneider’s first rank symptoms EXCEPT:

a Thought broadcast

b Auditory hallucinations

c Delusional perception

d Weight gain

e Somatic passivity

2 Paranoid schizophrenia is characterised by the following symptoms EXCEPT:

a Delusions of persecution

b Delusions of reference

c Incoherent speech

d Auditory hallucinations of a threatening nature

e Delusions of bodily change

3 A 25-year-old cannabis misuser presents to A&E stating that Hulk Hogan has been following her. She is noted to be grimacing excessively and clicks her fingers constantly during the consultation. What is the most likely diagnosis?

a Paranoid schizophrenia

b Catatonic schizophrenia

c Bipolar affective disorder

d Residual schizophrenia

e Depression

4 The following are all risk factors associated with the development of schizophrenia EXCEPT:

a Spring births

b Winter births

c Drug misuse

d Life events

e Alcohol misuse

5 A middle-aged woman presents to A&E stating that the Mafia want to kill her and that she can hear voices stating that people want to set her bedroom on fire. The following are all likely to be true EXCEPT:

a She is of a lower socioeconomic class

b She is not married

c She is likely to be misusing illicit drugs

d She is 65 years or over

e She may have suffered a recent life event

6 A middle-aged woman presents to A&E with her mother stating that she has been physically assaulted by her neighbour. On consultation with her mother you are informed that this is in fact not true. Her mother states that her daughter has been verbally abusive to her neighbour for many months. She also explains that her daughter has been using the internet recently to learn more about the devil and keeps bags of salt in her bath to help cleanse her soul. What is the next most appropriate step in management?

a Citalopram

b Sodium valproate

c Olanzapine

d Fluoxetine

e Lithium

7 A 45-year-old woman with a background history of paranoid schizophrenia is referred to A&E by her general practitioner (GP). Her GP notes that she has been non-compliant with her oral risperidone 4 mg at night for the past two months. During the consultation, the patient discusses her concerns about the rapid advancement of technology and states that technology in her home may destroy buildings and people. On further consultation the patient states that she feels the medication is of no use. Which management plan would you instigate first?

a Electroconvulsive therapy (ECT)

b Cognitive behavioural therapy

c Fluoxetine

d Restart oral risperidone

e Commence risperidone depot

8 A 25-year-old woman with a known history of cannabis misuse presents to A&E stating that David Beckham is madly in love with her and wants to marry her. What is the most likely diagnosis?

a Capgras’s syndrome

b Cotard’s syndrome

c Erotomania

d Fregoli’s syndrome

e Depression

9 The following are all factors associated with suicide EXCEPT:

a An age greater than 40 years

b Male gender

c The winter season

d Social class V

e A recent life event such as divorce

10 The following are all factors associated with deliberate self-harm EXCEPT:

a An age greater than 45 years

b A recent life event such as divorce

c Lower socioeconomic class

d Unemployment

e Female gender

11 A middle-aged gentleman presents to A&E following a recent overdose of 30 tablets of paracetamol. He states that he has been feeling low ever since he split up from his girlfriend. He comments that he has no reason to live and feels worthless. He is reviewed by the psychiatric doctor on call who admits him. He agrees to stay informally. While on the ward he becomes very restless and agitated and threatens to leave the hospital. With regard to the 1983 Mental Health Act what is the next most appropriate step in management?

a Section 136

b Section 2

c Section 3

d Section 5(2)

e Section 135

12 ...

Table of contents

• Cover
• Half Title
• Title Page
• Copyright Page
• Dedication
• Table of Contents
• Foreword
• Preface
• Useful references
• Questions
• Answers
• Index