PLAB 1 (GMC, international medical graduates) · Psychiatry

Psychosis, organic and emergencies

10 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 10 questions

  1. A 22-year-old man has been hearing voices commenting on his actions, believes the television sends him messages and has withdrawn for 8 months. He lacks insight. Which first-line treatment does NICE r…
  2. A patient on haloperidol develops fever, severe muscle rigidity, confusion and a creatine kinase of 12 000 U/L. What is the diagnosis and first step?
  3. A patient is started on clozapine. Which monitoring is essential?
  4. An agitated and violent patient on an acute ward needs rapid tranquillisation after de-escalation has failed. He is not antipsychotic-naive. Which is a NICE-recommended option?
  5. An 80-year-old woman admitted with pneumonia becomes acutely confused, fluctuating, with visual hallucinations and drowsiness during the day. What is the most likely diagnosis?
  6. A 76-year-old man has a 2-year history of progressive forgetfulness, getting lost in familiar places and difficulty with money. He has mild-moderate Alzheimer disease. Which medicine class does NICE r…
  7. A 50-year-old man who drinks heavily was admitted 36 hours ago and now has tremor, sweating, agitation and visual hallucinations. What is the appropriate treatment?
  8. A 35-year-old man is brought by police under section 136 of the Mental Health Act. Where may he be taken?
  9. A hospital inpatient who is voluntary attempts to leave and is judged a risk to himself. Which short-term power can a doctor use to hold him on the ward?
  10. A woman detained under section 3 of the Mental Health Act is ready for discharge. What entitlement does she have?

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