DHA DHA Mental Health & Psychiatry 2

Question 1

A patient with bipolar disorder type I is in an acute manic episode. The MOST appropriate initial pharmacological intervention is:

Accepted Answer

Administer a mood stabiliser such as lithium or valproate

Answer

Start an antidepressant immediately

Answer

Provide psychotherapy alone

Answer

Prescribe a stimulant to regulate sleep

Question 2

Lithium toxicity is MOST likely to develop when a patient:

Accepted Answer

Becomes dehydrated or sodium-depleted

Answer

Increases daily fluid intake

Answer

Eats a sodium-rich diet

Answer

Takes acetaminophen concurrently

Question 3

Which feature is a hallmark characteristic of borderline personality disorder (BPD)?

Accepted Answer

Intense fear of abandonment and unstable interpersonal relationships

Answer

Grandiosity and pervasive lack of empathy

Answer

Odd beliefs and social isolation

Answer

Perfectionism and inflexibility

Question 4

Which psychotherapy has the strongest evidence base as a treatment for borderline personality disorder?

Accepted Answer

Dialectical Behaviour Therapy (DBT)

Answer

Cognitive Behavioural Therapy (CBT)

Answer

Brief psychodynamic therapy

Answer

Electroconvulsive therapy (ECT)

Question 5

Which antipsychotic medication is associated with the HIGHEST risk of metabolic syndrome?

Accepted Answer

Clozapine

Answer

Haloperidol

Answer

Risperidone

Answer

Aripiprazole

Question 6

A patient discloses command hallucinations to harm a specific named individual. The clinician's MOST appropriate response is:

Accepted Answer

Assess duty-to-warn obligations and consider inpatient admission

Answer

Discharge with outpatient psychiatric follow-up

Answer

Initiate outpatient therapy without hospitalisation

Answer

Advise the patient to ignore the voices