Medicine Assessment

20 learning units • 10 questions per unit • 200 explained questions

Module 17 — Psychiatry, Substance Use & Mental-State Assessment

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Question 01 • Single best answer

What distinguishes mood from affect in assessment?

A. Mood is subjectively reported while affect is observed expression B. They are always unrelated C. Affect is only a blood test D. Mood is only an ECG finding

Question 02 • Single best answer

Does sadness alone establish a depressive disorder?

A. Yes B. No C. Yes after any disappointment D. Yes without considering function or duration

Question 03 • Single best answer

Reduced need for sleep with markedly increased activity and elevated mood suggests what assessment?

A. Guaranteed normal sleep variation B. Possible mania C. Isolated anemia only D. A reason to ignore risk

Question 04 • Single best answer

What is a hallucination?

A. Every strongly held opinion B. A memory of a real event only C. A deliberate lie by definition D. A perception without the corresponding external stimulus

Question 05 • Single best answer

New fluctuating inattention with psychotic symptoms should prompt what?

A. Automatic diagnosis of chronic schizophrenia B. No physical examination C. Reassurance based on age D. Medical assessment for delirium and other causes

Question 06 • Single best answer

Can a self-harm risk score replace psychosocial assessment?

A. No B. Yes C. Yes if the score is low D. Yes after a single question

Question 07 • Single best answer

Which approach is appropriate when asking about suicide?

A. Avoid the topic in every case B. Use blame or ridicule C. Direct, respectful questions with support and safety planning D. Promise secrecy regardless of immediate danger

Question 08 • Single best answer

Why assess alcohol withdrawal medically in a dependent person?

A. It is always harmless B. It never affects consciousness C. It can cause serious complications including seizures D. It only changes appetite

Question 09 • Single best answer

Does a psychiatric diagnosis alone prove lack of capacity?

A. Yes B. Yes permanently C. No D. Yes for every decision

Question 10 • Single best answer

What should happen when a psychiatric patient develops hypoxia and fever?

A. Assume anxiety explains both B. Ignore observations C. Delay all care until symptoms are verbally denied D. Investigate and manage physical illness appropriately

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