PLAB 1 (GMC, international medical graduates) · Psychiatry

Mood, anxiety and self-harm

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

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

All 7 questions

  1. A 34-year-old woman has had low mood, poor sleep, anhedonia and reduced appetite for 8 weeks. Her PHQ-9 score is 17 and she has no suicidal ideas. She prefers medication. What is the most appropriate…
  2. A 30-year-old man takes sertraline and tramadol. He develops agitation, sweating, diarrhoea, tremor, hyperreflexia and clonus with a temperature of 39 degrees Celsius. What is the likely diagnosis and…
  3. A 45-year-old man with bipolar disorder on lithium for 5 years has tremor, vomiting, ataxia and confusion. His lithium level is 2.1 mmol/L. Which is the most appropriate action?
  4. At what time after the last dose should a serum lithium level be taken in a patient on a regular lithium preparation?
  5. A 19-year-old attends the emergency department after taking an overdose of paracetamol following a row with a partner. She is medically fit. What should happen before discharge?
  6. A 35-year-old woman has persistent worry about many things, muscle tension and poor sleep for 8 months. What is the NICE-recommended first-line approach?
  7. A 28-year-old soldier has flashbacks, nightmares, hypervigilance and avoidance six months after a roadside bomb. What is the recommended treatment?

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