Multiple choice questions

Select the single best option for each question stem

1 Tacrolimus:

1. a causes anxiety, depression, and psychosis

2. b does not cause dizziness, headache and insomnia

3. c is always safe to administer with ziprasidone

4. d decreases sildenafil levels

5. e has no effect on mood.

2 Body dysmorphic disorder:

1. a is usually cured by cosmetic surgery

2. b responds to lithium

3. c is usually easily treated

4. d is nearly always comorbid with other psychiatric diagnoses

5. e is classified as an eating disorder.

3 Psychiatric illness:

1. a is as common on surgical wards as on medical wards

2. b does not affect the availability of NHS funding for a surgical procedure

3. c can predict mortality in some surgical patient groups

4. d has no impact on length of stay in surgical patients

5. e is routinely screened for in surgical patients.

4 Mental disorder is:

1. a a positive predictor of good outcome in patients with physical illness

2. b an independent predictor of outcome in patients with physical illness

3. c more common in the community than in the general hospital

4. d easily detected in the general hospital setting

5. e less prevalent in older people admitted to the general hospital than younger people.

5 The following statement is true in relation to older adults:

1. a The majority of older adults attempting suicide have delirium

2. b self-harm in older people is rarely associated with high suicidal intent

3. c increasing age is a risk factor for suicide

4. d two-thirds of NHS beds are occupied by people under the age of 65

5. e diagnostic case-mix of older people referred to liaison services is similar to younger adults.

6 The following is true in relation to dementia:

1. a dementia is an uncommon reason for referral to older people liaison services

2. b dementia is more prevalent in the general hospital than in the community

3. c people with dementia usually gain personal care skills when admitted to hospital

4. d people with dementia are twice as likely to develop delirium

5. e antipsychotic drugs decrease mortality in people with dementia.

7 Delirium:

1. a is always preventable post-surgery if risk factors are identified prior to operating

2. b is best treated using benzodiazepines

3. c always presents with disturbed and aggressive behaviour

4. d is best detected using the Geriatric Depression Scale

5. e post-surgery is associated with increased length of hospital stay.