Questions & answers _SPMMS - 2 Flashcards
(45 cards)
Which type of seizures is most likely to increase the risk of developing depression among people with epilepsy?
Complex partial seizures
Complex partial seizures and absence of secondary generalized tonic–clonic seizures are risk factors for depression.
What is the psychiatric condition characterized by an overvalued idea about a specific diagnosis?
Hypochondriasis
In somatisation disorder, patients describe numerous and often changeable physical symptoms.
What percentage of new mothers is thought to suffer from post-natal depression?
10-15%
Rates reduce to <10% after 12 weeks postpartum.
What factor is thought to have contributed most to the decrease in inpatient suicide rates in the UK since 2000?
Removal of potential ligature points
Hanging was the reported method in 77% of inpatient suicides between 1999 and 2007.
What is the most common cognitive impairment in schizophrenia when not experiencing an episode of psychosis?
Impaired planning
Which factor is most likely to support a favorable prognosis in schizophrenia?
Family history of affective disorder
Other positive factors include acute onset and good premorbid functioning.
What are the most common presenting symptoms in puerperal psychosis?
Affective symptoms
This often includes profound anxiety and can be associated with persecutory ideation.
What does assessment for behavioral activation therapy include?
Degree of avoidance
This includes identifying TRAP (Trigger, Response, Avoidance Pattern).
What is the recommended first-line treatment for bipolar depression in individuals not currently receiving medication?
Quetiapine
Olanzapine and Fluoxetine in combination is also an option.
Which medication taken during pregnancy is most likely to contribute to developmental problems in infants?
Sodium valproate
It can lead to a 10% risk of congenital malformations and 40% risk of developmental delay.
What should a patient do if their medication impairs their ability to drive?
Advise the patient to stop driving and report to the DVLA themselves
What is the male to female ratio of reading difficulties defined as 2 standard deviations below the mean?
2 to 1
This ratio increases to 4:1 when defined as 3 standard deviations below the mean.
What is the average age of onset for anorexia nervosa?
15-19 years
Why is it necessary to categorize participants in a focus group methodology?
To allow participants to freely express themselves
This ensures that the groups are homogenous.
What is the term for the bias where treatments may appear related to outcomes due to differences in patient profiles?
Channelling bias
What is a systematic error?
An error in measurement made each time
Bias is one type of systematic error that can lead to incorrect estimates.
What standard of reporting is used for reporting Diagnostic Accuracy studies?
STARD
What is the area under the ROC curve for a diagnostic test with no diagnostic utility?
0.5
Which area of the brain is of most interest to forensic psychiatrists due to its association with impulse control?
Prefrontal cortex
What is the most appropriate venue for treating a chaotic patient with a psychotic illness in prison?
Medium secure psychiatric ward
What case is associated with confidentiality in psychiatric practice?
Taraso
The case involved a psychologist who did not disclose a threat to a patient.
What is the most prevalent mental disorder in the male prison population?
Antisocial personality disorder
True or False: People with mental health problems are more likely to be perpetrators of violent crime than victims.
False
They are more likely to be victims of violent crime.
What is an advanced sign of opioid withdrawal?
Muscle spasm
