7. Which of the following is not right about depression?
Treatments: CBT, Counselling, Antidepressants
May occur due to a recent traumatic event (e.g. death in the family, redundancy/work stress, low self-esteem/bullying)
Amphetamine (Adderall) can be used for management of depression under strict guidelines and prescription
Feel persistently sad for weeks or months, rather than just a few days
Symptoms: decreased or increased sleep compared to usual, decreased or increased appetite and/or weight, fatigue or loss of energy, agitation or slowing of movements, poor concentration or indecisiveness, feelings of worthlessness or excessive or inappropriate guilt, suicidal thoughts or acts
8. Which of the following changes are not a symptoms to look out for in depression?
Suicide
Appetite
Psychomotor retardation
Guilt
Faints
Sleep
Sexual drive/libido
Concentration
Energy
Anhedonia
9. What is untrue about a paracetamol nomogram?
Paracetamol levels below or on the treatment line requires acetylcysteine to be continued or administered if not already done
Plasma paracetamol concentrations are plotted against time
Detect paracetamol levels after 4hrs ingestion of pills
Paracetamol levels above or on the treatment line requires acetylcysteine administration
10. Mr Jones, 65yrs has pain in his legs (bilaterally) in the calf. It is cramping in nature and gets worse when he walks for 10m but relieved when rested for a few minutes. 7/10 severity. Smokes 1 pack per day for 45yrs and is hypertensive, which is controll
Osteoarthritis
Neurogenic claudication
Venous claudication
PE
Intermittent claudication secondary to chronic peripheral arterial disease
DVT
Cellulitis
11. What is the most important to do in the case of a patient assessed with a moderate to high risk of suicide?
CBT
Admit the patient to hospital
Referral to psychiatry
Medical management (i.e. antidepressants)
12. Why should epileptic patients be mindful of their alcohol consumption when on phenytoin?
The alcohol impacts cause an abnormal spur in brain nerve cell excitability action, causing/worsening seizures
None of the above
Drunkenness makes the brain less aware and therefore it is likely the patient will forget to take their phenytoin medication
There are no contraindications with this particular drug, however, it may be life threatening with Epilim
13. What are not helpful methods of trying to convince a patient to quit drinking alcohol?
Drugs for alcohol dependency
Guilt (life choices/marriage/employment)
Self help groups (AA)
14. Which of the following is untrue about cellulitis?
Symptoms: Red area of skin that tends to expand, swelling, tenderness, pain, warmth, fever, red spots, blisters, skin dimpling
An extreme allergic reaction
The affected area appears swollen and red and is typically painful and warm to the touch
skin infection that's treated with antibiotics. It can be serious if it's not treated quickly
Emergency: Have a red, swollen, tender rash or a rash that's changing rapidly, have a fever
15. Serotonin syndrome is an uncommon, but potentially serious, set of side effects linked to SSRIs. What are not part of the symptoms?
Muscle twitching
Seizures
High temperature of 38C or above
Agitation
Mydriasis
Sweating
Loss of consciousness
Shivering
Diarrhoea
Arrhythmias
Confusion
16. What is not a possible effect of medication for alcohol dependency?
Medication that causes an unpleasant physical reaction when alcohol is consumed
Medication that transforms the negative alcoholic effects into positive ones
Medication that reduces your cravings to alcohol
Nullifying the effects of alcohol (take away that 'buzz')
17. In paracetamol overdose, other than checking paracetamol levels at the appropriate times, which of the options in not part of the management plan?
LFTs
U&E's
Clotting profile
FBC
Urine dipstick
Blood sugar levels
18. Which of the following is not used in the management of clinical depression?
Escitalopram (Lexapro)
Amphetamine (Adderall)
Fluvoxamine (Luvox)
Citalopram (Celexa)
Fluoxetine (Prozac, Sarafem)
Paroxetine (Paxil, Pexeva, Brisdelle)
Sertraline (Zoloft)
19. Which of the following is inaccurate about anorexia nervosa?
Complications: Heart problems/vessel problems, fertility issues, loss of sex drive, osteoporosis, kidney and bowel problems, weakened immune system or anaemia
keep their weight as low as possible by not eating enough food or exercising too much, or both
Often have a distorted image of their bodies, thinking they are fat even when they are underweight
Restricting the amount of food they eat, making themselves vomit and exercising excessively as you have been doing.
Signs and symptoms: Unusually low BMI, missing meals/avoiding meals, abusing certain medication (laxatives, appetite suppressants, diuretics), periods stopping (under menopause age)/periods not starting (younger girls), lightheaded/dizzy, hair loss
20. Which of the following would make you think the patient is low at risk of suicide?
Came to the hospital by themselves for the problem at hand (e.g. taking an overdose)
Feel no remorse/guilt for suicide attempt or still feeling the same after suicide attempt
Planned beforehand their suicide attempt
Leaving a suicide note
Patient feels that the suicide attempt was not a big deal/Positive about the experience