Mixed SBA for 3rd Year Quiz 2 (56 Questions)

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0 [{"id":498342,"quiz_id":"25644","answer_id":null,"answerType_id":"0","created_at":"2018-07-11 11:32:04","updated_at":"2018-07-11 14:58:07","questionName":"The wife of a usually cheerful 30 year old man has found that over the past few days, with no particular trigger, he has become very snappy and agitated with family and friends. He has been sleeping for 2 hours a night, and has reported feeling extra productive at work and expressed ideas of buying a new sports car this week \u201cto treat himself\u201d. Which of the following is most likely?","questionTimeSeconds":"0","questionTimeMinutes":"3","questionImagePath":null,"position":20,"explanation":"Key symptoms for hypomania include: Increased activity\/physical restlessness; Increased talkativeness; Difficulty concentrating\/distractibility; Decreased need for sleep; Increased sexual energy; Mild spending sprees\/other types of reckless\/irresponsible behaviour; Increased sociability; Overfamiliarity; Some functioning impairment. None of these can be due to psychoactive substance\/organic\r\n","question_score_id":null,"lang":"","questionAudioPath":null},{"id":498348,"quiz_id":"25644","answer_id":null,"answerType_id":"0","created_at":"2018-07-11 11:44:29","updated_at":"2018-07-11 14:58:07","questionName":"Barbara is a 21 year old woman who has presented to A&E after taking an overdose. This is the third overdose that she has taken this year, and they have all been impulsive acts. This overdose was as a result of a breakdown in a relationship with her partner, who left her as they were constantly arguing. She feels empty, and is now threatening to leave the department. What is the likely diagnosis?","questionTimeSeconds":"0","questionTimeMinutes":"3","questionImagePath":null,"position":26,"explanation":"Impulsive type - The general criteria for personality disorder must be met. At least three of the following must be present, one of which must be (2): Marked tendency to act unexpectedly and without consideration of the consequences; Marked tendency to quarrelsome behaviour and to conflicts with others, especially when impulsive acts are thwarted or criticised; Liability to outbursts of anger or violence, with inability to control the resulting behavioural explosions; Difficulty in maintaining any course of action that offers no immediate reward; Unstable and capricious mood.\r\n\r\nBorderline type - The general criteria for personality disorder must be met. At least three of the symptoms mentioned in criterion B for F60.30 (Impulsive type) must be present, with at least two of the following in addition: Disturbances in and uncertainty about self-image, aims and internal preferences (including sexual); Liability to become involved in intense and unstable relationships, often leading to emotional crises; Excessive efforts to avoid abandonment; Recurrent threats or acts of self-harm; Chronic feelings of emptiness.\r\n","question_score_id":null,"lang":"","questionAudioPath":null},{"id":498345,"quiz_id":"25644","answer_id":null,"answerType_id":"0","created_at":"2018-07-11 11:38:15","updated_at":"2018-07-11 14:58:07","questionName":"A GP is called to the house of a 72 year old man after his sister expressed concerns that she hadn't been able to contact him for 3 months. His house was very untidy and unclean. He had a blank expression, took a long time to answer questions, and said very little, speaking slowly with a monotonous tone. Which of the following is LEAST likely to be the cause of these symptoms?","questionTimeSeconds":"0","questionTimeMinutes":"3","questionImagePath":null,"position":23,"explanation":"","question_score_id":null,"lang":"","questionAudioPath":null},{"id":498336,"quiz_id":"25644","answer_id":null,"answerType_id":"0","created_at":"2018-07-11 11:20:42","updated_at":"2018-07-11 14:58:07","questionName":"A 34 year old man is found lying on the roadside. At the time he had a GCS of 13\/15. He is sent by ambulance to hospital where he then has a tonic-clonic seizure, becoming restless, sweaty and slightly tremulous thereafter. He has a history of type 2 diabetes. He has no history of epilepsy. He seems to have an ataxic gait. When in hospital, he becomes aggressive because he sees blood all over the walls. What is the most likely diagnosis? ","questionTimeSeconds":"0","questionTimeMinutes":"3","questionImagePath":null,"position":16,"explanation":"","question_score_id":null,"lang":"","questionAudioPath":null},{"id":498346,"quiz_id":"25644","answer_id":null,"answerType_id":"0","created_at":"2018-07-11 11:39:21","updated_at":"2018-07-11 14:58:07","questionName":"A confused, middle-aged woman, with a long-standing history of alcohol misuse is brought into A&E by her brother. He tells you that she's been shaky and sweaty for the last two days, and has been terrified of dogs attacking her in her bedroom. He states that there are no dogs in the house. Which of the options below is MOST LIKELY to have triggered her symptoms?","questionTimeSeconds":"0","questionTimeMinutes":"3","questionImagePath":null,"position":24,"explanation":"","question_score_id":null,"lang":"","questionAudioPath":null},{"id":498344,"quiz_id":"25644","answer_id":null,"answerType_id":"0","created_at":"2018-07-11 11:36:57","updated_at":"2018-07-11 14:58:07","questionName":"Which of the following is predictive of poor prognosis in schizophrenia?","questionTimeSeconds":"0","questionTimeMinutes":"3","questionImagePath":null,"position":22,"explanation":"","question_score_id":null,"lang":"","questionAudioPath":null},{"id":498349,"quiz_id":"25644","answer_id":null,"answerType_id":"0","created_at":"2018-07-11 11:50:04","updated_at":"2018-07-11 14:58:07","questionName":"James is a 65 year old man who recently lost his wife to a short illness. Less than a month after she died, he started to experience some low mood, felt short of breath and felt like he was choking whenever he left the house and so stopped seeing his friends, and on certain occasions he would experience blurred vision and lose his sight for a couple of minutes. What would your immediate worry be?","questionTimeSeconds":"0","questionTimeMinutes":"3","questionImagePath":null,"position":27,"explanation":"","question_score_id":null,"lang":"","questionAudioPath":null},{"id":498350,"quiz_id":"25644","answer_id":null,"answerType_id":"0","created_at":"2018-07-11 11:53:26","updated_at":"2018-07-11 14:58:07","questionName":"Suzie is a 17 year old girl who, for the past 6 months, has been terrified of going to school. Her heart starts racing and she starts to feel dizzy and faint every time the teacher asks her a question. One day, at lunchtime, she was not able to sit with her friends to eat for fear of vomiting, and had to leave the cafeteria. What is her likely diagnosis?","questionTimeSeconds":"0","questionTimeMinutes":"3","questionImagePath":null,"position":28,"explanation":"Social Phobia - (A) Either of the following must be present: 1) Marked fear of being the focus of attention, or fear of behaving in a way that will be embarrassing or humiliating; 2) Marked avoidance of being the focus of attention, or of situations in which there is fear of behaving in an embarrassing or humiliating way. These fears are manifested in social situations, such as eating or speaking in public, encountering known individuals in public, or entering small group situations (e.g. parties, meetings, classrooms)\r\n(B) at least two of the symptoms of anxiety in the feared situation must have been manifest at some time since the onset of the disorder, together with at least one of the following symptoms: 1) Blushing or shaking; 2) Fear of vomiting; 3) Urgency or fear of micturition or defection.\r\n(C) Significant emotional distress is caused by the symptoms or by the avoidance, and the individual recognises that these are excessive or unreasonable.\r\n(D) Symptoms are restricted to, or predominate in, the feared situations or contemplation of the feared situations.\r\n","question_score_id":null,"lang":"","questionAudioPath":null},{"id":498335,"quiz_id":"25644","answer_id":null,"answerType_id":"0","created_at":"2018-07-11 11:18:54","updated_at":"2018-07-11 14:58:07","questionName":"A concerned wife brings her 72 year old husband to clinic. She complains that he has recently started reacting to objects that don\u2019t exist. A year ago, she noticed that his attention would fluctuate wildly, sometimes several times within an hour. This problem has steadily deteriorated over time. Around the same time, she also noticed that he had difficulty standing and initiating any sort of movement. His past medical history includes hypertension and 2 strokes. On examination, you notice a right sided resting tremor and his hands. What is the most likely diagnosis? ","questionTimeSeconds":"0","questionTimeMinutes":"3","questionImagePath":null,"position":15,"explanation":"People with dementia with Lewy bodies may have: problems with understanding, thinking, memory and judgement \u2013 this is similar to Alzheimer's disease, although memory may be less affected in people with dementia with Lewy bodies; periods of fluctuating alertness alternating with periods of confusion or sleepiness \u2013 this can change over hours or days; slow movement, stiff limbs and tremors (uncontrollable shaking); hallucinations (usually seeing or sometimes hearing things that aren't there); disturbed sleep, often with violent movements and shouting out; fainting spells, unsteadiness and falls. These problems can make daily activities increasingly difficult and someone with the condition may eventually be unable to look after themselves.","question_score_id":null,"lang":"","questionAudioPath":null},{"id":498339,"quiz_id":"25644","answer_id":null,"answerType_id":"0","created_at":"2018-07-11 11:25:48","updated_at":"2018-07-11 14:58:07","questionName":"The friends of a 20 year old student at university contact the Student Welfare Services as they are worried about his behaviour over the past week. This includes standing up in lectures and delivering intense rambling speeches in response to questions, making uncharacteristic sexual\/suggestive comments to seminar leaders, and erratic spending of his student loan (and overdraft) on lottery tickets as he feels that \u201cGod has given him the secret to winning it all\u201d. Which of the following is most likely?","questionTimeSeconds":"0","questionTimeMinutes":"3","questionImagePath":null,"position":19,"explanation":"Mania - Key symptoms; Excessively elevated\/irritable mood; Prominent\/sustained. 3+ of (1 week\/requiring admission):\u00a0Talkativeness, Loss of social inhibitions, Needing less Sleep, FLIGHT OF IDEAS\/THOUGHTS (a rapid flow of\u00a0thought, manifested by accelerated speech with abrupt changes from topic to topic), Grandiosity, Restless\/Distractibility, Foolhardy\/reckless , Sexual energy\/indiscretions, With\/without psychosis, Severe impairment not due to psychoactive substance\/organic.\r\n\r\nFor interest: Cyclothymia -- or cyclothymic disorder -- is a relatively mild mood disorder. In cyclothymic disorder, moods swing between short periods of mild depression and hypomania, an elevated mood. The low and high mood swings never reach the severity or duration of major depressive or full mania episodes.","question_score_id":null,"lang":"","questionAudioPath":null},{"id":498347,"quiz_id":"25644","answer_id":null,"answerType_id":"0","created_at":"2018-07-11 11:41:32","updated_at":"2018-07-11 14:58:07","questionName":"Mrs. Williams is a 33 year old woman who is only able to leave her home if she has her mobile phone. This is so that she can call the emergency services if necessary. She has had panic attacks in the past when going out so feels the need to carry her phone with her. Even so, she avoids crowded places such as banks and shopping centres where her escape might be blocked. What is her likely diagnosis?","questionTimeSeconds":"0","questionTimeMinutes":"3","questionImagePath":null,"position":25,"explanation":"There is marked and consistently manifest fear in, or avoidance of, at least two of the following situations: Crowds, Public places, Travelling alone, Travelling away from home\r\nAt least two symptoms of anxiety in the feared situation must have been present together, on at least one occasion since the onset of the disorder.\r\nSignificant emotional distress is caused by the avoidance or by the anxiety symptoms and the individual recognises that these are excessive or unreasonable.\r\nSymptoms are restricted to, or predominate in, the feared situations or contemplation of the feared situations.","question_score_id":null,"lang":"","questionAudioPath":null},{"id":498351,"quiz_id":"25644","answer_id":null,"answerType_id":"0","created_at":"2018-07-11 11:55:39","updated_at":"2018-07-11 14:58:07","questionName":"Dennis is a 14 year old boy who has attended A&E due to a panic attack he had whilst playing football. This came on suddenly, \u201cout of the blue\u201d, but he was feeling quite nervous just before the match. He has had these attacks in the past, where they just come on suddenly. He has been feeling short of breath with chest pain for the past hour. What would be the best course of action?","questionTimeSeconds":"0","questionTimeMinutes":"3","questionImagePath":null,"position":29,"explanation":"Panic Disorder - (A) The individual experiences recurrent panic attacks that are not consistently associated with a specific situation or object, and which often occur spontaneously. The panic attacks are not associated with marked exertion or with exposure to dangerous or life-threatening situations.\r\n(B) A panic attack is characterised by all of the following: 1) It is a discrete episode of intense fear of discomfort; 2) It starts abruptly; 3) It reaches a maximum within a few minutes and lasts at least some minutes; 4) At least four symptoms, one of which must be: a) Palpitations; b) Sweating; c)Trembling\/shaking; d) Dry mouth.","question_score_id":null,"lang":"","questionAudioPath":null},{"id":498337,"quiz_id":"25644","answer_id":null,"answerType_id":"0","created_at":"2018-07-11 11:22:20","updated_at":"2018-07-11 14:58:07","questionName":"After 14 months of Fluoxetine treatment and cognitive behavioural therapy, an 18 year old man describes that he is feeling\u201cback to normal, levelled and really quite at peace\u201d. Which mental state is he describing?","questionTimeSeconds":"0","questionTimeMinutes":"3","questionImagePath":null,"position":17,"explanation":"Euthymia - is defined as \u201ca normal, tranquil mental state or mood\u2026. The goal of psychological interventions\u201d?","question_score_id":null,"lang":"","questionAudioPath":null},{"id":498343,"quiz_id":"25644","answer_id":null,"answerType_id":"0","created_at":"2018-07-11 11:35:28","updated_at":"2018-07-11 14:58:07","questionName":"A 28 year old woman attends her GP reporting a loss of appetite, hopelessness and feelings of wanting to end her life. She is particularly confused as to why this has happened as last week she had been feeling incredible! She had quit her job with plans of traveling to the Amazon as she had a vision that the cure to cancer lay there. Now she was struggling to get out of bed. Which of the following is most likely?","questionTimeSeconds":"0","questionTimeMinutes":"3","questionImagePath":null,"position":21,"explanation":"Bipolar - Key symptoms: 2+ episodes of significantly disturbed mood\/activity levels. TYPE 1 = Mania + Depression. TYPE 2 = Hypomania + Depression\r\n\r\n","question_score_id":null,"lang":"","questionAudioPath":null},{"id":498338,"quiz_id":"25644","answer_id":null,"answerType_id":"0","created_at":"2018-07-11 11:23:34","updated_at":"2018-07-11 14:58:07","questionName":"A 63 year old female presents to her GP with low mood, poor memory, constant tiredness, and no interest in any of her hobbies for the past 6 weeks. She has visibly unwashed hair and unkempt dress, and on assessment her mini mental state score is 25\/30. FBC and TFT blood tests come back normal. Which of the following is most likely?","questionTimeSeconds":"0","questionTimeMinutes":"3","questionImagePath":null,"position":18,"explanation":"","question_score_id":null,"lang":"","questionAudioPath":null}]
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The wife of a usually cheerful 30 year old man has found that over the past few days, with no particular trigger, he has become very snappy and agitated with family and friends. He has been sleeping for 2 hours a night, and has reported feeling extra productive at work and expressed ideas of buying a new sports car this week “to treat himself”. Which of the following is most likely?

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