Multiple Choice Questions (MCQ)

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Category: Emergency Medicine--->Psychiatric Emergencies
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Question 1# Print Question

Regarding mental state examination (MSE), which ONE of the following statements is INCORRECT?

A. Diagnosis is an important outcome of MSE
B. MSE starts on commencement of the interview with the patient
C. Command hallucinations in a patient indicate serious illness
D. Restricted affect is commonly found in schizophrenia

Question 2# Print Question

A 50-year-old female with no previous psychiatric history presents to the emergency department (ED) with symptoms of depression and some vague suicidal ideation. Further assessment reveals her low mood and a containable suicide risk.

Which ONE of the following is the MOST appropriate evidence-based treatment for this patient?

A. Referral to the psychiatry emergency team for further assessment, diagnosis and treatment
B. Referral to the psychiatry outpatient team, with a letter informing her primary medical practitioner
C. Admission to the psychiatric ward for further treatment
D. Discharge her with a script for a selective serotonin reuptake inhibitor (SSRI) as it is generally a safe medication to initiate from the ED

Question 3# Print Question

A 73-year-old man, whose wife died 6 months previously, presents with foot pain from diabetic neuropathy, poor sleep, lack of energy and increasing frustration about his inability to ‘keep his diabetes under control’. When being examined, he describes lack of interest in his usual activities, low appetite, and some significant weight loss (about 5 kg) over the past three months.

He denies feeling suicidal but feels no desire to continue living, and states that he is better off dead. All of the following statements are correct EXCEPT:

A. Depression in older people is common in women and patients with chronic medical conditions
B. Both depression and grief may present with similar symptoms
C. Older people with clinically significant depression mainly present with associated psychotic symptoms
D. Patients should be assessed by the psychiatry team as inpatients or outpatients mainly present with associated psychotic symptoms

Question 4# Print Question

Which ONE of the following statements regarding risk factors for completed suicide is INCORRECT?

A. Bisexual or homosexual men are more likely to complete suicide
B. Highly intelligent men are more likely to complete suicide than men with low intelligence
C. A diagnosis of schizophrenia is associated with increased risk for completed suicide
D. Terminal illness increases one’s likelihood to complete suicide

Question 5# Print Question

All of the following statements are true regarding suicidal risk assessment in the ED EXCEPT:

A. The SAD PERSONS scale is a helpful guideline to detect or identify high-risk patients
B. Enquiring about current and previous suicidal ideation and plan in the interview will intensify the risk of subsequent suicide attempts
C. One in 10 previous suicide attempters ultimately kill themselves
D. A patient who has made a suicidal attempt of low lethality generally has inadequate coping styles and therefore needs complete assessment and treatment

Category: Emergency Medicine--->Psychiatric Emergencies
Page: 1 of 4