What of the following are positive symptoms of Schizophrenia?

Perception Disturbances, Hallucinations

Prehospital management of Tasers does NOT include...

Immediate chemical restraint to manage the agitation

Which of the following is INCORRECT in relation to Panic or Anxiety Attacks?

Links to overactivity in the locus ceruleus & raphe nuclei

Managing the suicidal patient means recognising invitations, which is NOT an example of these?

Weight & sleep changes, health problems & death verification

Cluster C disorders are generally characterised by...

Disorders characterized by anxious and fearfulness

Which of the following is INCORRECT in relation to the pathophysiology of Anxiety?

Decreased "fight or flight" symptoms

Which of the following is NOT correct about General practitioners?

Usually specialise in the mental health field

Which of the following is INCORRECT in relation to Generalised Anxiety Disorder?

Excessive & realistic worry about life situations

Which is the incorrectly matched Fear Circuitry Output:

Afferent Output Neurons = creating overt signs of emotion

What are some characteristics of Histrionic PD...

Need to be centre of attention, Exaggerated emotions

compulsive seeking and taking the drug

Mental illness is better described as a GROUP of illnesses where people may show...

All of the other answers are possible descriptions.

Case management: Which is NOT one of the 3 types of intervention?

Management of non related mental health issue.

Which of the following is INCORRECT in relation to Social Anxiety Disorder?

Marked fear of 2 or more social or performance situations

The most common demographic for users of GHB is?

Male, late 20s, educated/employed, party/festival attendance

Which of the following is INCORRECT in relation to Capsicum Spray?

Considered a controlled weapon in WA & NT

What services are provided by the mental health nurses incentive program?

Montoring medication and reviewing of patient mental state

Treatment of Bulimia generally revolves around the following EXCEPT:

Forcible fed through a nasogastric tube

Which of the following is NOT true about mental health care?

Delivered in only a public setting.

In the mental health patient "Depersonalisation" can be defined as...

The perception of self seems different or unfamiliar

Midaz is a short acting CNS depressant that hyperpolarises & reduces impulses. Ketamine is a...

Rapid dissociative anaesthetic, NMDA receptor antagonist

Which type of patient may require use of the secure/extended care facilities?

Serious mental illness, threatens to run infront of a train, Serious mental illness, threatening to stab anyone closeby

In the mental health patient "Derealisation" can be defined as...

The world they are currently in feels unreal or altered

Which is the correct pairing of the VIC Mental Health Act and it's powers?

351 = police sectioning. 354 = paramedic search & transport

3 phases of the Maudsley-family-based psychological treatment for Anorexia include all EXCEPT?

Cognitive Behavioural Therapy with 50 sessions in 2 years

Hospitalisation for Bulimia/Anorexia is considered because of all of the following EXCEPT...

BMI <13.5, weight loss of 6kgs in 4 weeks

Which team is best used when someone has active suicidal thoughts and has attemped suicide?

Assessment and Crisis intervention team

What are some characteristics of narcissistic PD?

Often symptom free and well functioning

Which of the following is INCORRECT in relation to Obsessive-Compulsive Disorder?

1:1 Male/Female ratio with 80-90% experiencing depression

Which is NOT one of the 3 important aspects of the definition of Drug Abuse?

it is diagnosed after rejection of excessive use

Suicidal pt Mx is based on Connecting then Understanding to Assisting. What are the 3 themes?

All of the others are themes during intervention

In the mental health patient "Illusions" can be defined as...

Misinterpretations of an actual external stimulus

Which of the following is INCORRECT in relation to Alcohol abuse?

Approximately 3500 deaths annually

Characteristics for Antisocial PD?

Lack of remorse and failure to conform to social norms

Which of the following is NOT true relating to the characteristics of Binge Eating Disorders?

3 episodic days per week for 6 months

AV ALS management of agitation with chemical restraints include all except...

Midaz up to 20mg, repeat 10 minutely, max of 40mg, IV

Mobile assertive teams...

Provide intense support to people with severe MI.

What should be taken into consideration when applying the physical restraints?

All of the others should be taken into consideration

All of the following are criteria for when paramedics can apply physical restraints EXCEPT?

Only after Ketamine or Midaz had been administered

Which is NOT part of the "SADPERSONAS" risk assessment?

Illness, Alcohol or drugs & Lack of Sex

Which statement is true?

Stepdown clinics for inpatients moved to staffed share homes

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Mental Health & Illness Final Exam Practice

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Mental Health & Mental Illness Final Exam Revision

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Questions 136

Answers

1
What of the following are positive symptoms of Schizophrenia?
Perception Disturbances
Hot flushes
Lack of feeling
Hallucinations
2
Approximately 2, 500 Australians take their own lives each year...
Nah it's 3,000 ya muppet
Oi wanker it's actually 4,000
Idiot! it's obviously 3,500
Nah brobeans, it's 2,000
3
Prehospital management of Tasers does NOT include...
Mx of seizures and secondary illness post taser deployment
Mx of any electrical burns and bleeding
Immediate chemical restraint to manage the agitation
Mx of secondary injuries due to taser deployment
4
Which of the following restraints used by other services are NOT considered a weapon?
Tasers
Guns
Handcuffs
Capsicum Spray
5
Which of the following is INCORRECT in relation to Panic or Anxiety Attacks?
Decreases serotonin, GABA levels & pre.cortex volume
Panic attacks are brief episodes of unbearable intense fear
Somatic symptoms: tachycardia, palpitations, SOB, flushes
Links to overactivity in the locus ceruleus & raphe nuclei
6
Managing the suicidal patient means recognising invitations, which is NOT an example of these?
Saying things like "I won't be needing this or I just can't"
Feeling of desperation, anger and worthlessness
Giving away things, withdrawal, drug abuse, recklessness
Weight & sleep changes, health problems & death verification
7
Cluster C disorders are generally characterised by...
Disorders characterised by dramatic and erratic behaviour
Disorders characterised by calm & catatonic behaviour
Disorders characterized by anxious and fearfulness
Disorders characterised by unusual or odd behaviour
8
Which is NOT a characteristic of Dependent PD?
Excessivley passive
Unsure of social cues
Subtle controlling of others
Hypersensitive to critisim
9
Which of the following is INCORRECT in relation to the pathophysiology of Anxiety?
Imbalance of serotonin, too much NA & decreased GABA
Increased sympathetic drive
Decreased "fight or flight" symptoms
Cortico-striato-thalamo-corticol loop
10
Which of the following is NOT correct about General practitioners?
Usually the first point of contact for MI
GP can look after on-going MI case management.
Usually specialise in the mental health field
Referals to public or private sectors
11
Which of the following is INCORRECT in relation to Generalised Anxiety Disorder?
S&S: restlessness, fatigue, irritability, poor concentration
Generally chronic but fluctuating
Present for >6 months
Excessive & realistic worry about life situations
12
Which is the incorrectly matched Fear Circuitry Output:
Prefrontal cortex = inhibitory control over limbic system
Amygdala-Hippocampus = enhancement of memories
Striatum (basal ganglia, caudate) = learned avoidance
Afferent Output Neurons = creating overt signs of emotion
13
Which of these is NOT one of the 3 major categories of the MSA?
Observe
Report
Discuss
Listen
14
What are some characteristics of Histrionic PD...
Need to be centre of attention
Extreme agitation
Depression and Impulsive Spending
Exaggerated emotions
15
Drug addiction is:
compulsive seeking and taking the drug
a progression from dependance to social drug taking
only possible in people with a biological predisposition
primarily a disorder of acute drug taking
16
Mental illness is better described as a GROUP of illnesses where people may show...
All of the other answers are possible descriptions.
Abnormal perceptions or thoughts, & disturbed emotions
Inability to relate to others or cope with life events
irrational behaviour, disturbed mood & poor judgement
17
Case management: Which is NOT one of the 3 types of intervention?
Crisis intervention
Treatment for acute mental illness
Ongoing care.
Management of non related mental health issue.
18
Which of the following is INCORRECT in relation to Social Anxiety Disorder?
Marked fear of 2 or more social or performance situations
Excessive fear, avoidance and distress, interferes with life
Increased amygdala & insular activity, pre.cortex response
Tx: with CBT, SSRIs, MAOIs, & Benzos
19
The most common demographic for users of GHB is?
Female early 20s, educated/employed, sports event attendance
Male, early 20s, educated/employed, sports event attendance
Male, late 20s, educated/employed, party/festival attendance
Female late 20s, educated/employed party/festival attendance
20
Which of the following is INCORRECT in relation to Capsicum Spray?
Side effects include skin, eye, nasal & resp irritation
Made from Oleoresin Capsicum
Considered a controlled weapon in WA & NT
Side effects include bronchospasm & burning sensation
21
What services are provided by the mental health nurses incentive program?
Nurse lives in pt's home, rehabilitating pt into society
Montoring medication and reviewing of patient mental state
Case management and art classes
Therapeutic interventions and music lessons
22
Treatment of Bulimia generally revolves around the following EXCEPT:
Interpersonal psychotherapy
CBT focusing on education, distortions & preventing relapse
Antidepressant & SSRI's to decrease binging & purging
Forcible fed through a nasogastric tube
23
Which of the following is NOT true about mental health care?
Incorporates rehabilitation programs
Supports both consumers and families
Embrance recovery orientated framework
Delivered in only a public setting.
24
In the mental health patient "Depersonalisation" can be defined as...
The perception of self seems different or unfamiliar
False sense of perception without an actual external stimuli
The world they are currently in feels unreal or altered
Misinterpretations of an actual external stimulus
25
Midaz is a short acting CNS depressant that hyperpolarises & reduces impulses. Ketamine is a...
Rapid dissociative anaesthetic, NMDA receptor agonist
Rapid dissociative anaesthetic, NMDA receptor antagonist
Long acting dissociative analgesic, NMDA receptor antagonist
Long acting dissociative analgesic, NMDA receptor agonist
26
Which type of patient may require use of the secure/extended care facilities?
Serious mental illness, compliant with medications, calm
Serious mental illness but coping well, non violent
Serious mental illness, threatens to run infront of a train
Serious mental illness, threatening to stab anyone closeby
27
In the mental health patient "Derealisation" can be defined as...
Misinterpretations of an actual external stimulus
The perception of self seems different or unfamiliar
False sense of perception without an actual external stimuli
The world they are currently in feels unreal or altered
28
Which is the correct pairing of the VIC Mental Health Act and it's powers?
354 = police sectioning. 351 = paramedic search & transport
351 = police sectioning. 354 = paramedic search & transport
29
3 phases of the Maudsley-family-based psychological treatment for Anorexia include all EXCEPT?
Re-feeding with observation of family meal to see patterns
Cognitive Behavioural Therapy with 50 sessions in 2 years
Negotiation of new relationship patterns while weight gained
Adolescent issues addressed & healthy relationships with fam
30
Hospitalisation for Bulimia/Anorexia is considered because of all of the following EXCEPT...
BMI <13.5, weight loss of 6kgs in 4 weeks
Cardiac abnormalities, or severe bradycardia
Cystic fibrosis or Crohn's disease
Petechial rash, platelet suppression or dehydration
31
Which team is best used when someone has active suicidal thoughts and has attemped suicide?
Assessment and Crisis intervention team
Community treatment team
GPs
Mobile Assertive team
32
What are some characteristics of narcissistic PD?
OCD and paranoia
Often symptom free and well functioning
Emptiness and abandonment fears
Exaggerated emotions and extreme agitation
33
Which of the following is INCORRECT in relation to Obsessive-Compulsive Disorder?
Intrusive recurrent & persistent thoughts impulses or images
1:1 Male/Female ratio with 80-90% experiencing depression
Impulses or images are not simply excessive worries
Aetiology = genetic, serotonergic dysfunction, autoimmune
34
The 3 major risk factors to review when managing the suicidal patient does NOT include?
Background factors including tipping points
Link to healthcare workers
Prior suicide attempts
Mental Health Illnesses
35
Which is NOT one of your classical Antipsychotics?
Clozapine drugs e.g. Clozaril
Butyrophenone drugs e.g. Haloperidol
Phenothiazine drugs e.g. Chlorpromazine
Thioxanthene drugs e.g. Thiothixene
36
Which is NOT one of the 3 important aspects of the definition of Drug Abuse?
it is a legal definition, implying deviation is illegal
it involves knowing what is the accepted medical practice
abuse is determined by what is accepted in a society
it is diagnosed after rejection of excessive use
37
Suicidal pt Mx is based on Connecting then Understanding to Assisting. What are the 3 themes?
Creating ambivalence
Relationships
Time
All of the others are themes during intervention
38
In the mental health patient "Illusions" can be defined as...
The perception of self seems different or unfamiliar
Misinterpretations of an actual external stimulus
False sense of perception without an actual external stimuli
The world they are currently in feels unreal or altered
39
Which of the following is a NOT a symptom of Grief but is a symptom of major depression?
Capacity for positive emotional experiences
Dysphoria occurs in waves, decreases with time
Dominant affect is feeling of emptiness and loss
Suicidal idealisation
40
ToF - M.I is characterised by a significant disturbance of thought, mood, perception or memory.
False
True
41
Which of the following is INCORRECT in relation to Alcohol abuse?
BAC >0.4 is generally considered fatal but pts have had >0.8
Approximately 90% of the population have had a drink before
Approximately 3500 deaths annually
Males tend to have a slightly riskier drinking patterns
42
Characteristics for Antisocial PD?
Lacks friends and experiences unusual perceptions
Calm, quite and reliable
Lack of remorse and failure to conform to social norms
Paranoid ideation and social anxiety
43
Which of the following is NOT true relating to the characteristics of Binge Eating Disorders?
Eating until uncomfortably full
Eating more rapidly than normal
3 episodic days per week for 6 months
Eating alone because of embarrassment about over eating
44
AV ALS management of agitation with chemical restraints include all except...
Midaz 5-10mg, repeat 10 minutely, max 20mg, IM
Midaz up to 20mg, repeat 10 minutely, max of 40mg, IV
Midaz 2.5-5mg, repeat 10 minutely, max 20mg, IM
Ket at 200, 300 or 400mg depending on pt weight, once, IM
45
Mobile assertive teams...
Are only available over the phone
Provide intense support to people with severe MI.
None of the other answers are correct
Are only available via a private hospial consult
46
5-HT 1 receptor agonists….
Have shown anxiolytic activity
All are correct
reduces the release of 5-HT
Takes days to weeks to reduce anxiety
47
SSRI's are useful in the treatment of both Anorexia & Bulimia to treat lack of serotonin?
True
False
48
What should be taken into consideration when applying the physical restraints?
Police assistance or enough resources to safely apply skill
The safe transport of a pt 2 or from a Mental Health service
Safely secure the pt whilst trying to preserve their dignity
All of the others should be taken into consideration
49
All of the following are criteria for when paramedics can apply physical restraints EXCEPT?
Only after Ketamine or Midaz had been administered
Necessary to prevent serious harm to pt or other people
Considered & tried all less restrictive options
When directed by a chief psychiatrist
50
Which is NOT part of the "SADPERSONAS" risk assessment?
Age, Depression & Previous Attempts
Illness, Alcohol or drugs & Lack of Sex
Lethal Means, No Family & Organised Plan
Lack of Social Support & Loss of Rational Thinking
51
Which statement is true?
Stepup clinics are only for patients with poly-illness
Stepdown clinics for inpatients moved to staffed share homes
Stepdown clinics are a waste of time and money
Stepup clinics are only for cured mental health patients
52
What is the difference between Passive & Active suicide ideation?
Passive is a plan without intent, whilst active is desire
Active is intent and a plan passive is desire without intent
53
Drug abuse: taking drugs in excessive amounts in a way that deviates from social/cultural norms
True
False
54
Psychological drug dependance is characterised by all of the following EXCEPT?
Continued abuse despite personal, social or legal problems
Denial of excessive drug use
Out-of-control cravings for the drugs effects
Intense physical disturbances when administration ceases
55
Bulimia Nervosa is characterised by all of the following except?
Compensatory behaviour such as purging, vomiting & fasting
Repeated episodes of binge eating
Self-worth unduly influenced by weight and skin colour
Generally a normal weight / weight range
56
Which of the following is TRUE in relation to Tasers?
Barbs should be removed immediately to Mx burns & bleeding
Most electrical energy is defused by the skin after 10secs
Metal barbs act to tetanise the skeletal not smooth muscle
Amnesty International: 250 deaths due to taser 2001-2006
57
Which is NOT true of Anorexia Nervosa?
Refusal to maintain weight above >85% of normal
More common in middle/lower class females
Fear of gaining weight or becoming fat
Body dysmorphia, amenorrhea for 3 months in females
58
What is controlled by dopamine?
Cognition and memory, motor function
Behaviour inhibition & memory recall
Arousal, sleep, mood, appetite, temperature reg, hormones
Behaviour, emesis, hormonal release, motor control
59
How do drugs normally affect neruotransmitters?
All are correct
Synthesis of new neuro-transmitters
Re-uptake of neuro-transmitters into nerve terminals
Activation of receptors
60
What is a characteristic of Paranoid PD?
Will have recurrent episodes of compulsive spending
Will run around naked humping cars at 0200 until tasered
Doesn't trust people and projects blame onto others
Will actively want to seek medical help from professionals
61
What are the functions of noradrenaline?
Cognition and memory, motor function
Behaviour, emesis,hormonal release, motor control
Arousal, sleep, mood, appetite, temperature reg, hormones
Behaviour inhibition & memory recall
62
Which of the following is INCORRECT in relation to the pathophysiology of depression?
Hyperactive HPA (Hypo, ant, adren) axis = increased cortisol
Imbalance of serotonin, noradrenaline & dopamine
Increased glucocorticoid receptors in hip.camp & pre.cortex
Structural changes in the hippocampus
63
Which of the following about antidepressants are INCORRECT?
Inhibits neuronal metabolism of NA and Seratonin
SSRIs are the most commonly prescribed
No risk of overdosing, safe drug for suicidal patients
Inhibits the re-uptake of noradrenaline and seratonin
64
In the mental health patient "Hallucinations" can be defined as...
False sense of perception without an actual external stimuli
The perception of self seems different or unfamiliar
The world they are currently in feels unreal or altered
Misinterpretations of an actual external stimulus
65
Which of the following is NOT one of the 3 levels that risk/protective factors exist at?
Social Level
Contextual Level
Spiritual Level
Individual / Personal Level
66
Which of the following is INCORRECT in relation to stimulants?
Two major groups: Amphetamines & Methylxanthines
Act at places like cerebrum, brainstem, hypothalamus, limbic
NA & Adrenaline are the only affected neurotransmitters
Increase effects of catecholamines
67
What is TRUE regarding Orthorexia Nervosa?
It is not recognised in the DSM-5
Excessive exercise for perceived health benefits
All of the other answers are true
Obsession with healthy eating
68
Which of the following are anti anxiety medications?
PPIs
Beta blockers
Benzodiazapines
Immune Suppressants
69
Symptoms of depression include all except:
Sleep disturbances - circadian cycle alteration (cortisol)
Mood changes - emotional centres
Weight Loss/Gain - adrenaline imbalance
Memory & concentration changes - hip.camp & pre.cortex
70
The Reinforcement System involves all of the following areas of the brain EXCEPT?
Prefrontal Cortex
Lateral Hypothalamus
Reticular Activating System
Amygdala/Hippocampus
71
What hormones play apart in emotions and effect memory?
Serotonin
Adrenaline
Testosterone
Cortisol
72
Which of the statements are INCORRECT about Lithium in mania and bipolar disorder?
Prevents moodswings from mania and bipolar
Acute treatment treats bipolar not mania
Takes 3-4 weeks for a benefitial effect
Mimics the role of NA+ in excitable tissues
73
Which of the following are NOT the goals of acute inpatient care?
Maintaining and developing links
Containment
Support and structure
Integrating back into society
74
What is the difference between a Remote & Physical search?
Remote - is asking pt to do it. Physical - is a pat down
Remote - is a pat down. Physical - is asking pt to do it.
75
The most widely used illicit drug in Australia is?
THC
Alcohol
Poppers
Amphetamine
76
Which of the following is NOT a paramedic tool for de-escalation?
Actively listening
Verbal & Body language
Mimicking
Building rapport
77
Which of the following affect the wiring, strengthening and weakening of neural pathways?
Conditioning
Learning and memory
Rewards & reinforcement
Both positive and negative rewards.
78
What are cluster B disorders?
Disorders characterized by Dramatic and Erratic behaviour
Disorders characterized by Unusual or odd behviour
Disorders characterized by calm and catatonic behaviour
Any disorder that does not involve aggression
79
Those suffering with Bulimia/Anorexia Nervosa generally report feeling all EXCEPT?
Loss of 2/3 of body weight
Low energy
Decreased motivation
Loss of interest in others
80
Amphetamines act on:
Glycinergic neurons
Noradrenergic neurons
Serotonergic neurons
Dopaminergic neurons
81
What are some neuroanatomy changes in PD?
Ventricles of the brain enlarge
Amygdala and limbic system variations
Volume increase in cortical structures
Dopamine levels increase significantly
82
What is the correct pathway of the CNS reward pathway?
Nucleus Accumbens> Prefrontal Cortex> Ventral Tegmentum Area
Ventral Tegmentum Area> Nucleus Accumbens> Prefrontal Cortex
Prefrontal Cortex> Nucleus Accumbens> Ventral Tegmentum Area
Ventral Tegmentum Area> Prefrontal Cortex> Nucleus Accumbens
83
Which of the following is correct?
Increase in GABA = increase in anxiety
Increase in serotonin = decrease in anxiety
Increase in acetylcoline = increase anxiety
Increase in noradrenaline = Increase in anxiety
84
What percentage of patients self refer to therapy for Bulimia & Anorexia Nervosa?
Idiot! it's obviously Bulimia = 94% & Anorexia = 17%
Bulimia = 92% & Anorexia = 19% ya muppet
Oi wanker it's Bulimia = 12% & Anorexia = 93%
Brobeans its obviously, Bulimia = 84% & Anorexia = 21%
85
Which groups are NOT considered a special population?
Students
Prisioners
Regional / Remote people (Country Bumpkins)
Children
86
What of the following are Negative symptoms of Schizophrenia?
Blunted emotions
Anhedonia (no pleasure emotions)
Inappropriate emotions
Delusions
87
Which of these is NOT 1 of the exclusion criteria to be able to define someone as having a M.I?
Political Ideals
Lack of access to DSM-5
Sexual Orientation
Religion & consumption of alcohol
88
What is NOT the mechanism of action for Benzodiazapines?
Inhibits re-uptake of noradrenaline and serotonin
Main inhibatory CNS Neuro-transmitter
Enhances chloride channel opening and neuronal inhibition
Neutral hyperpolarisation by attaching GABA to Cl- channels
89
Which of the following is INCORRECT in relation to Post-traumatic Stress Disorder?
Comorbidities include: depression, anxiety & substance abuse
Exposed to traumatic event with severe fear & perceived harm
Increased NA & Cort, hyper activation of pre.cort
S&S: sleep problems, irritability, anger & hyper vigilance
90
Which of the following is TRUE in relation to Body Dysmorphic Disorder?
Is only treated with cosmetic surgery procedures
1 in 25 of the general population are affected
Symptoms do NOT vary due to which part(s) the pt is obsessed
Think about their real / perceived flaws for hours each day.
91
What are some characteristics of Avoidant PD?
Impulsive and Deceitfulness
Avoids activities and relationships
Need to be centre of attention
Paranoid and Aggressive
92
Individuals with this personality disorder will often spend time in jail...
OCD
Boderline PD
Paranoid PD
Antisocial PD
93
What is needed to become a mental health nurse under the incentive program?
Cert 3 in Nursing and Mental Illness, Cert 4 in Counselling
Registered nurse, credentials as a mental health nurse
Cert 3 in Nursing, Cert 4 in Mental Health and Wellbeing
Registered nurse, experience with family mental ilnesses
94
Define Personality trait.
Enduring pattern of perceiving, relating and thinking
Ingrained patterns of relating to other people & situations
95
What are cluster A disorders?
Disorders that directly relate to males
Disorders characterized by normal behaviour with a MD
Disorders characterized by unusual or odd behaviour
Disorders that directly relate to Female
96
What is the definition of Disruptive Mood Dysregulation disorder?
Severe temper bursts, underlying persistent angry/irritable
>1 episodes of depression, may be psychotic, no hx of mania
97
In the MSA "Observe" is broken down into...
Safety, Appearance, Behaviour & Affect
Speech, Thought Process & Cognition
Thought content, Self-harm, Perceptions & Environment
98
What are the cluster C disorders?
Avoidant PD, Dependent PD, Obsessive Compulsive PD
Antisocial PD, Schizoid PD, Paranoid PD
99
What does Consultation Liaison Psychiatry provide?
Assessment & diagnosis exclusively in difficult child cases
Assessment, consultation & referral for general hospital pts
Non of these are correct
Private sector mental health assessment
100
The mesolimbic reward pathway is dopaminergic with addiction being hypo secretion of this tract
True
False
101
What is Synaptic Pruning?
Pruning involves a decrease in Dopamine
Increase in unwanted neural pathways
Remodeling old nerual pathways to form new ones
Removal of unwanted connections and pathways
102
What is the correct pairing for the two subtypes of Anorexia Nervosa?
Restricting does engage in binging/ purging & vice versa
Restricting doesn't engage in binging/ purging & vice versa
103
In the MSA "Listen" is broken down into...
Thought content, Self-harm, Perceptions & Environment
Safety, Appearance, Behaviour & Affect
Speech, Thought Process & Cognition
104
Which of the following is NOT the correct definition:
Vulnerability factors: thing we can and cannot change
Protective Factors: reduce the chance of suicidal behaviour
Risk Factors: increase the likelihood of suicidal behaviours
Protective factors: improve a person's ability to persevere
105
Relating to DSM-5, Diagnosis for schizophrenia is dependant on...
Symptoms = or > 6 months.
Symptoms = or > than 12 months
Symptoms < 6 months
Symptoms < 12 months
106
Which facial glands are enlarged in patients with Bulimia / Anorexia?
Sub-mandibular Gland
Parotid Gland
Superficial Cervical Gland
Sublingual Gland
107
Which is a potential cause of a Personality Disorder?
Genetic Variations
Abuse or Neglect as a child
All the others are potential causes
Instability in the family as a child
108
Which is NOT one of the comorbidities often associated with Bulimia Nervosa?
Anxiety disorders
Substance Abuse especially alcohol
Personality Disorders
Major Depression
109
Which of the following are correct: Schizophrenia is characterised by disturbance of...
Behaviour
Control
Movement
Emotion
110
Which of the following is FALSE in relation to the epidemiology of eating disorders (E.Dis)?
Dieting young girls 20x more likely to develop an E.disorder
20% of Anorexia pt's remain chronically ill long term
Binge eating disorder is more common than anorexia & bulimia
Only 46% of patients fully recover from Anorexia
111
Select the correct pharmaceutical treatment for schizophrenia...
Dopamine Antagonist
Dopamine agonst
Serotonin agonist
Beta 1 and 2 antagonist
112
The nucleus accumbens is an important element in drug addiction with evidence showing?
Eliminating DA projection increases reinforcement
None of the other answers are correct
DA levels decrease during reinforcement
Damage to the Nucleus Accumbens blocks reinforcement
113
The 3 components of the emotional response does NOT include...
None of the others are included in the emotional response
Motor e.g. negative affect like frowning
Cognitve/evaluative e.g decision-making to minimise/downplay
Endocrine/Autonomic e.g. release of cortisol
114
Which of the following are a mental health service?
Non government organisations (i.e charity)
All of the other answers are correct
Hospitals at home
Advocacy groups
115
What are the two main types of antipsychotic drugs?
Atypical and typical
Class A and Class C
MRDA and RRDA
ACH and DOPA
116
What are the 3 Components in an emotional response?
Endocrine & Autonomic, Motor, Cognitive Evaluation
Endocrine, Autonomic, Limbic & Synaptic
Personal, Emotional, & Physical
There are only two components, Endocrine & Cognitive
117
What is a characteristic of Schizotypal PD?
Usually socially outgoing and has no social filter
Impulsive and Deceitfulness
Paranoid ideation and social anxiety
Will be aggressive most of the time
118
Which of the following is NOT true in relation to Anorexia Nervosa mortality?
Mortality causes include starvation, sudden death & suicide
Suicide rate 32x higher than same age population
Overall mortality 5x higher than same age population
2nd highest mortality rate of all psychiatric disorders
119
Which of the following is NOT a theory of Avoidant PD?
Preconceived expectation to not be liked
Avoid getting close to avoid getting rejected.
Hyper-sensitivity due to parental criticism
Don’t understand social cues so they avoid interaction
120
Which of the following Drug Abuses are matched INCORRECTLY?
Ritualistic Abuse : related to religious/ cultural practices
Experimental Abuse : Use in an exploratory way
Recreational Abuse : occurs in a social context e.g. alcohol
Compulsive Abuse : Irresistible Dependance on all drugs
121
What is the main part of the brain that is responsible for memory?
Diencephalon & Thalamus
Amygdala & Hippocampus
Putamen and Medulla
Hypothalamus and Thalamus
122
Which of the following is FALSE in relation to the epidemiology of eating disorders?
3rd most common chronic illness for young females
Highest mortality rate & rate of psychiatric illnesses (12x)
1:4 pts with Anorexia that died early, committed suicide
2nd leading cause of mental disorders in young females
123
Which is NOT one of the comorbidities often associated with Anorexia Nervosa?
Identity & Recovery crises
Depression & OCD
Social Phobias
Anxiety & Substance Abuse
124
What is Neuroleptic malignant syndrome?
Non-life threatening reaction to neuroleptic medications
Reaction to anything non- neuroleptic
Ask Jeeves?
Life threatening reaction to neuroleptic medications
125
Causes of depression can include:
All of the other answers are possible causes
Fluctuation in androgens, multiple chronic illnesses
Genetic, Imbalance of 5HT, NA & Adr
Light deprivation, substance abuse
126
What is obsessive compulsive personality disorder?
PD that is shown to have grey matter deficits in the brain
PD that affects a person's ability to communicate
PD involving perfectionism & indecisiveness
PD involving aggressive social interaction
127
The correct pathway through the Limbic system during the emotional response to stimuli is?
Hypothal> Prefrontal Cort> Hippocam> Amygdala> Cing. Gyrus
Cing. Gyrus, Amygdala> Hippocam> Prefrontal Cort> Hypothal
Hippocam> Amygdala> Hypothal> Prefrontal Cort> Cing. Gyrus
Prefrontal Cort> Hippocam> Amygdala> Cing. Gyrus > Hypothal
128
Which of the following is NOT offered by non government organisations for mental illness?
Employment
Cure to mental illness
Day to day residential programs
Accomodation
129
Which of the following is NOT an unwanted effect of an antipsychotic?
Extrapyramidal effects
Parkinsonian-like effects e.g involuntary movements
Antagonise Dopamine Receptors
Tardive Dyskinesia
130
Which is NOT a type of ward offered in hospital?
Voluntary Ward
Admitted
Step up clinic
Involuntary Ward
131
Cluster B includes which of the following disorders...
Depression and OCD
Antisocial and Schizoid
Boderline and Antisocial
Paranoid and Schizotypal
132
The 4 criteria of manifestable behaviour patterns for Personality Disorders include all except?
Cognition
Impulse
Intra-personal functioning
Affectivity
133
In the MSA "Discuss" is broken down into...
Safety, Appearance, Behaviour & Affect
Thought content, Self-harm, Perceptions & Environment
Speech, Thought Process & Cognition
134
Symptoms of Anxiety include:
Endocrine, autonomic symptoms (increases HR, RR, sweats)
All of the other answers are correct
Cognitive component (awareness of being frightened)
Behavioural components (urge to escape)
135
What does Chlorpromazine achieve in patients?
Can leave patients sedated for up to 24 hours.
Reduces emotions, aggression & delusions
Induces hallucinations & micro aggressions
Causes Altered consciouness
136
The addictive process involves impairment of 3 functional systems. Which is NOT one of them?
Motivation - Reward
Tolerance
Behavioural Inhibition
Regulation of Affect (Mood)

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