UKMLA Applied Knowledge Test (MSRA-style single best answer) · Neurology, Mental Health, Ophthalmology and ENT

Mental health

15 practice questions, each with the answer and an explanation.

Practise Mental health now

Random questions from this topic, one at a time. You see the answer and the explanation straight after each one.

All 15 questions

  1. A 45-year-old man is started on sertraline after a myocardial infarction for moderate depression. Why is this a reasonable choice?
  2. A patient on lithium develops coarse tremor, vomiting and ataxia after starting ibuprofen for back pain. What is the likely cause?
  3. What routine monitoring is mandatory for clozapine?
  4. A patient on an SSRI and a recently added tramadol becomes agitated with sweating, diarrhoea, hyperreflexia and inducible ankle clonus. Which diagnosis is most likely, as distinct from neuroleptic mal…
  5. A patient admitted informally to a general ward for a medical problem is confused and trying to leave. A doctor judges that a Mental Health Act assessment is needed. Which holding power can the doctor…
  6. Which statement about section 2 of the Mental Health Act 1983 is correct?
  7. Which factor is the strongest single predictor of completed suicide?
  8. A patient reports hearing two voices discussing him in the third person and believes his thoughts are being inserted by others. Which term describes these features?
  9. Which statement describes how a manic episode is defined?
  10. A severely underweight patient with anorexia nervosa is admitted for nutritional rehabilitation. Which electrolyte disturbance is the hallmark of refeeding syndrome?
  11. Which treatment combination is recommended for obsessive-compulsive disorder of moderate severity?
  12. Ten days after delivery a woman is confused, elated and hearing voices telling her the baby is special. What is the most appropriate setting for her care?
  13. What is the maximum recommended duration for prescribing benzodiazepines for anxiety or insomnia in the UK?
  14. A 14-year-old with moderate to severe depression has not responded to psychological therapy. Which antidepressant is licensed and recommended first in this age group?
  15. A man with alcohol dependence has completed detoxification and wants to prevent relapse. Which drug acts as an opioid antagonist to reduce craving?

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