Practice Revision Questions

Practice Revision Questions

These questions have been designed to test your knowledge on the learning resources provided. It is advisable that you look at the resources that cover the 10 competencies before you attempt these questions.

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PRACTICE QUESTIONS

Click on the subject which you would like to be tested

on!

Dementia

Delirium psychosis capacity

alcohol depression

amts

Personal history

Social historysuicide

Mental state examination

Cognitive assessment

Dementia – Question 1

• A) An acquired global impairment of intellect, involving awareness of self and at least one other area of cognition.

• B) The process of losing vital brain processes.

• C) The process of losing memory and behaving oddly.

• D) An acquired global impairment of intellect involving memory and at least one other area of cognition.

The correct definition of dementia is:

Dementia – Answer 1

Wrong answer!

The correct answer is:D) An acquired global impairment

of intellect involving memory and at least one other area of cognition.

NEXT question


correct answer!

D) An acquired global impairment of intellect involving memory and at least one other area of cognition.

Well done! You selected the correct answer:

Next question


The most common cause of dementia is:

o A) Vascular

o B) Alzheimer’s

o C) Lewy Body

o D) Fronto-temporal


Wrong answer!

The correct answer is:B) Alzheimer’s

NEXT QUESTION


CORRECT ANSWER


B) Alzheimer’s

Next question


The earliest sign of dementia is:

• A) Wandering• B) The patient being confused about

who they are• C) Incontinence • D) Memory loss


Wrong answer!

The correct answer is:D) Memory loss

Next question


CORRECT ANSWER


D) Memory loss

Next question


• Which of the following statements is false?

• A) Many things can mimic dementia• B) Young patients are much more likely to

have a looser type of dementia• C) CJD causes dementia• D) Dementia is more common in patients

of Asian ethnicity.


Wrong answer!

The correct answer is:D) Dementia is more common in

patients of Asian ethnicity

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CORRECT ANSWER


D) Dementia is more common in patients on Asian ethnicity

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Delirium – Question 1

• The definition of delirium is:

• A) An acute confusional state• B) Being extremely drowsy for no

reason• C) A chronic confusional state• D) An acute confusional state which

occurs only in the elderly

Delirium – Answer 1

Wrong answer!

The correct answer is:A) An acute confusional state

Next question


CORRECT ANSWER


A) An acute confusional state

Next question


• Which of the following is NOT a clinical feature of delirium:

• A) Hallucinations and delusions • B) Being suicidal• C) Cognitive dysfunction• D) Mood changes


Wrong answer!

The correct answer is:B) Being suicidal

Next question


CORRECT ANSWER


B) Being suicidal

Next question


• What percentage of terminally ill patients have delirium?

• A) 20%• B) 80%• C) 50%• D) 10%


Wrong answer!

The correct answer is:C) 50%

Next question


CORRECT ANSWER


C) 50%

NEXT QUESTION


• Delirium is especially common in the elderly because?

• A) They are in hospital more often• B) They often have a high intake of caffeine

from tea• C) They don’t understand what is happening to

them• D) They are more likely to have conditions

which cause delirium and they react in a different way to young people suffering from the same conditions


Wrong answer!

The correct answer is:D) They are more likely to have

conditions which cause delirium and they react in a different way to young people suffering from the same conditions

Next question


CORRECT ANSWER


D) They are more likely to have conditions which cause delirium and they react in a different way to young people suffering from the same conditions

Next question


• How can you tell what the level of confusion is in a delirious patient?

• A) Do a neurological examination• B) Do the AMTS• C) Ask them how confused they are on a

scale of 1-10• D) Ask a family member of the patient to tell

you how different they are to their normal mental state


Wrong answer!

The correct answer is:B) Doing the AMTS

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CORRECT ANSWER


B) Doing the AMTS

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Psychosis – Question 1

• Hallucinations are:

• A) False unshakable beliefs• B) Perceiving things that are not real

through the senses• C) Feeling as if you are in a different world• D) Perceiving things that are not real

through the mind

Psychosis – Answer 1

Wrong answer!

The correct answer is:B) Perceiving things that are not

real through the senses

Next question


CORRECT ANSWER


B) Perceiving things that are not real through the senses

Next question


• Delusions are:

• A) False unshakable beliefs that are produced when organic brain processes over complicate

• B) Perceiving things that are not real through the senses

• C) Lying to others without meaning to• D) False unshakable beliefs not held by others in

the same culture and despite evidence to the contrary


Wrong answer!

The correct answer is:D) False unshakable beliefs not

held by others in the same culture and despite evidence to the contrary

Next question


CORRECT ANSWER


D) False unshakable beliefs not held by others in the same culture and despite evidence to the contrary

Next question


• Which of the following statements are true regarding primary delusions?

• A) They can arise suddenly out of the blue with no connection with previous events in the patient’s life.

• B) Are the first delusions a patient experiences

• C) First occur over a 24 hour time period• D) Are the most important type of delusion


Wrong answer!

The correct answer is:A) They can arise suddenly out of

the blue with no connection with previous events in the patient’s life.

Next question


CORRECT ANSWER


A) They can arise suddenly out of the blue with no connection with previous events in the patient’s life.

Next question


• A secondary delusion is?

• A) The second delusion a patient experiences

• B) The second delusion in a 24 hour period

• C) Influenced by the patient’s background or current situations

• D) Are very rare


Wrong answer!

The correct answer is:C) Influenced by the patient’s

background or current situations

Next question


CORRECT ANSWER


C) Influenced by the patient’s background or current situations

Next question


• Passivity phenomena is when a patient believes they are:

• A) Being controlled by an external agency

• B) Are having passive thoughts• C) Need to make others passive to them

by being controlling• D) An alien


Wrong answer!

The correct answer is:A) Being controlled by an external

agency

Next question


CORRECT ANSWER


A) Being controlled by an external agency

Next question


• Which of the following is NOT a possible cause of psychosis?

• A) An electrolyte imbalance• B) A high level of cortisol• C) Drug withdrawal• D) Severe depression


Wrong answer!

The correct answer is:B) A high level of cortisol

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CORRECT ANSWER


B) A high level of cortisol

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Capacity – Question 1• Mrs Brown does not have capacity

and has already refused a nasogastric feeding tube. Does she also have the capacity to refuse IV medication?

• A) Yes• B) No• C) Maybe

Capacity– Answer 1

Wrong answer!

The correct answer is:C) Maybe, you would have to reassess

the patient’s capacity specifically for having the IV medication, as capacity is decision specific.

Next question


CORRECT ANSWER


C) Maybe, you would have to reassess the patient’s capacity specifically for having the IV medication, as capacity is decision specific.

Next question

Capacity – Question 2• A patient on your ward needs an injection, you go

to consent then for having the injection when you discover they are unable to speak. Does the patient have the capacity to refuse the injection?

• A) Yes• B) No


Wrong answer!

The correct answer is:A) Yes, a patient only has capacity if they can

communicate their decision. However, their ability to communicate must be optimised. Just because the patient can’t talk, it doesn’t man they can’t write their decision down or communicate in another way.

Next question


CORRECT ANSWER


A) Yes, a patient only has capacity if they can communicate their decision. However, their ability to communicate must be optimised. Just because the patient can’t talk, it doesn’t man they can’t write their decision down or communicate in another way.

Next question

Capacity – Question 3• You have a patient who needs surgery. You spoke to him an hour ago

about the surgery, explained the risks and benefits of having it He understood and decided he wanted the surgery. You believed he had capacity to consent. However, he has some memory problems and can no longer remember what you told him. Did he have capacity to consent?

• A) Yes • B) No


Wrong answer!

The correct answer is:A) Yes he does. A patient’s ability to

only retain information for a short period of time does not prevent him from being able to make a decision

Next question


CORRECT ANSWER


A) Yes he does. A patient’s ability to only retain information for a short period of time does not prevent him from being able to make a decision

Next question

Capacity – Question 4

• Which of the following does a patient need to understand to have capacity?

• A) The consequences of deciding one way or another

• B) How much the procedure costs to the NHS

• C) The consequences to the surgeon if they do not have the operation

• D) The consequences of failing to make a decision

• E) What you, the medical student, believes is the best option


• Both A and D

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Alcohol – Question 1

• How long after abstaining from drinking alcohol would a person with alcohol dependency start to suffer from withdrawal symptoms?

• A) 0-24 hours• B) 24-48 hours• C) 48-72 hours• D) 72-96 hours

Alcohol – Answer 1

• B) 24-48 hours

Next question

Alcohol – Question 2• Which of the following are not signs or symptoms

of alcohol withdrawal?

• A) Agitation• B) Elated mood• C) Disorientation in time• D) Hypertension• E) Nausea• F) Sweating• G) Forgetting where you are• H) Forgetting your name


• Both B and H

Next question


• Using the CAGE question, do you ask patients if they:

• A) Think that they have an alcohol problem

• B) Feel guilty about how much they drink

• C) Have changed what they drink


• B

Next question


• Which of the following screen for hazardous drinking?

• A) GACE questionnaire • B) FAST screening tool• C) AUDIT screening tool


• Both B and C

Next question


• Which of the following are signs of alcohol dependency?

• A) Desire to drink• B) Enjoying a pint with your mates• C) Reinstatement • D) Having a glass of wine on your own• E) Drinking 0 pints in one night• F) Tolerance


• A, C, F

Next question

Alcohol – Question 6• Which of the following are given to patients

suffering from alcohol withdrawal?

• A) Atenolol• B) Spirinolactone • C) Chlordiazepoxide• D) Phenytoin• E) Enoxaparin• F) Ranitidine• G) Cephradine


• C

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Depression – Question 1

• Is loss of interest a:

• A) Core• B) Psychological• C) Physiological

……symptom of depression?

Depression – Answer 1

• A) Core

Next question


• Which of the following types of hallucinations would you expect someone with severe depression to experience?

• A) Gustatory• B) Auditory• C) Tactile


• B) Auditory

Next question


• Which area of cognition is particularly affected in depression?

• A) Orientation in time and place• B) Concentration • C) Language


• B) Concentration

Next question


• What would a score of 14 suggest on a PHQ – 9 questionnaire suggest?

• A) Not depressed • B) Having a bad day• C) Definitely severely depressed• D) Definitely moderately depressed• E) Possibly moderately depressed• F) Possibly mildly depressed


• E

Next question


• Which of the following can cause fatal food reactions?

• A) MAOI’S• B) SSRI’S• C) TRICYCLICS


• A) MAOI’S

NEXT QUESTION


• Which if the following has the least toxicity and causes the least side effects?

• A) MAOI’S• B) SSRI’S• C) TRICYCLICS


• B) SSRI’S

NEXT QUESTION


• Who benefits from supportive therapy?

• A) All patients with depression• B) Mildly depressed patients • C) Severely depressed patients• D) No one – it doesn’t work


• A) All patients with depression

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Personal History – Question 1

• Which of the following categories are specifically relevant to a personal history?

• A) Deaths • B) Children• C) Pet names• D) Medications• E) Birth• F) Childhood• G) Typical day• H) Social service input

Personal History – Answer 1

• A, B, E, F

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Social History – Question 1

• Which of the following are NOT relevant questions to ask when taking a social history?

• A) Do you manage getting up and down the stairs?

• B) Do you get help with the cooking?• C) Does you chest pain spread into your arm?• D) Do you have any family history of strokes?• E) Do you have any pets?• F) Are you a religious person?• G) Any problems with your waterworks?

Social History – Answer 1

• C, D, G

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AMTS – Question 1

• When conducting an AMTS on a patient, which of the following questions do you NOT ask the patient?

• A) What is you date of birth?• B) Who is the current monarch?• C) Where were you born?• D) How old are you?

AMTS – Answer 1

• C) Where were you born

Next question

AMTS – Question 2

• Which of the following is/are not assessed which conducting an AMTS?

• A) Memory• B) Understanding• C) Registration• D) Attention• E) Orientation• F) Perception

AMTS – Answer 2

• B and F

Next question

AMTS – Question 3• Which of the following would score 1 point on the AMTS

scoring system?

• A) Answering their full date of birth• B) Knowing what day their birthday is on this year

and what month it is in• C) Knowing the date and month of their birthday• D) Saying the time is 3.15pm, when the actual ti

me is 2.30pm• E) Saying the time is 1.20pm, when the actual tim

e is 2.30pm.• F) Knowing that you are in a hospital• G) Saying the date of the end of world war 1 whe

n asked for the start date

AMTS – Answer 3

• A, C, D, G

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Suicide – Question 1

• In which age group is suicide the second most common cause of death?

• A) 11-15 years• B) 15 – 24 years• C) 24-38 years• D) 68-80 years

Suicide – Answer 1

• B

Next question

Suicide – Question 2

• Which of these are risk factors for suicide?

• A) Suffering from depression• B) Taking MDMA at the weekends• C) Being infertile • D) Being aged between 60-80 years old• E) Being unemployed • F) Recently becoming a widow• G) Drinking caffeine


• A, B ,E ,F

• However, it is important to remember that although being infertile will not directly increase your likelihood of committing suicide, it can lead to depression, and depression is a risk factor for suicide.

Next question

Suicide – Question 3• When screening a patient for suicidal thoughts, which

of the following should NOT be asked?

• A) Have you ever thought life is not worth living?• B) Do you sometimes feel really tired because you

think about committing suicide a lot?• C) Do you get angry when people interrupt your

suicidal thoughts?• Do you ever feel like not getting out if bed in the

morning?• Do you have any plans to commit suicide now?


• B and C

• When assessing a patient for potential suicide risk, it is important that you approach the situation with sensitivity, yet it is important that questions are not avoided for the fear of asking them. Answers B and C could very well be asked if the situation suggested so, however when asking general screening questions for suicide, these questions are not relevant.Back to main menu

Cognitive Assessment – Question 1

• Can an AMTS be used to diagnose a 70 year old lady with dementia?

•A) Yes•B) No•C) Maybe

Cognitive Assessment – Answer 1

• B) No. An AMTS is a screening test for cognitive function. It cannot be solely used to diagnose a mental health disorder.

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