Curriculum Quiz: Mental Health

Which of these clinical features are consistent with a diagnosis of ABD? (Select all that apply)

What personnel should you have available to you in the ED when managing a patient with ABD? (Select all that apply)

What should be the key management priorities for a patient presenting with ABD? (Select all that apply)

Which of the following are potential complications of ABD? (Select all that apply)

Which of the following should be a feature of the interview room for assessing a disturbed patient?

What is the correct definition of delirium?

A 33-year-old male comes to the department in an intoxicated state. He reports suicidal ideation and has taken an overdose of paracetamol. He lives alone and is unemployed. He regularly drinks 2 litres of cider a day. Paracetamol levels come back as below the treatment line at 4 hours.

How would you manage this patient?

Which one of the following is NOT a component of the mental state examination?

Which of the following does NOT increase the risk of violence in a disturbed patient?

A patient with a swollen and painful right hand is in the waiting room, demanding to be seen immediately. He is clearly drunk, using foul language and threatening the reception staff. You are asked to intervene. The best approach is…

A 20-year-old man is brought to the department by police. He is handcuffed and has suffered a slash wound to his face. The wound needs careful suturing. Police advise you that he is drunk and has assaulted a number of people in a bar fight. The patient is compliant, polite and engages you in coherent conversation. He is respectful to you but clearly unhappy with the police. He demands to be released from the handcuffs and insists that he be treated without the police in attendance.

You decide to:

You are alone in a treatment room with a 19-year-old man, he has reluctantly consented to your suturing a wound on his chest which he sustained climbing a fence. He has been angry and quite a handful with the nursing staff. He raises his voice, has a red, angry face, he is gesticulating wildly and from time to time engages in prolonged eye contact with you.

You should:

Imbalance of which pair of neuortransmitters is responsible for alcohol withdrawal syndrome (AWS)?

A patient was admitted to the ED three days ago following an intoxicated head injury. She has been treated for AWS with symptom triggered diazepam. She has ongoing confusion and bruises of varying ages over her arms, trunk and head.

What is the next appropriate investigation?

A patient is admitted with Alcohol Withdrawal Syndrome (AWS) under the medical team. Initially they make good progress but on their second day post admission they develop AF with fast ventricular response.  They are found to have profound electrolyte abnormalities with low potassium, magnesium and phosphate.

What is the likely diagnosis?

Which of the following might be a result of FII?

A 3-year-old boy comes into the department feeling unwell. A serum [Na+] of 170 mmol/L is discovered. Salt poisoning is suspected but which of the following is the most likely differential diagnosis?

A 6-year-old boy comes into the ED following a seizure in the home. The episode was witnessed by his mother who accompanies him. She describes a generalised tonic clonic seizure lasting 15 minutes. On arrival he is alert and keen to play with the toys in the waiting area. This is his 5th such presentation. He had an electroencephalogram (EEG) done as an out-patient which showed no abnormality. He is developmentally normal. His maternal uncle suffered fits as a child.

Which of the following statements are true?

An 8-year-old boy is seen with reported syncopal episodes for the past year. He has had a normal CT scan and blood tests. A diagnosis of Fabricated Illness is eventually made. His mother admits to being ‘over-anxious’ as her sister had died of a brain tumour.

Which of the following statements regarding the outcome for the child is correct?

Which of the following are barriers to healthcare for inclusion health groups?

In relation to difficult behaviour in the ED, which of the following is true?

Which of these is not a risk factor for eating disorders?

Which eating disorder is characterized by sensory based avoidance of food?

Which of these is a particular complication of purging behaviours?

Which of these would be a high-risk factor requiring medical admission?

Which of these electrolytes are affected in water loading?

What legislation can be considered if patients are refusing intervention?

In which context is pelvic examination after sexual assault or rape indicated to be completed in the ED?

Which of the following are defined as rape?

Which of the following cannot be offered at a Sexual Assault Referral Centre (SARC)?