MRCPsych Clinical Procedures and Protocols 2

Question 1

When performing a Mental State Examination, which component specifically assesses the patient's awareness of their own illness?

Accepted Answer

Insight

Answer

Insight refers to the patient's awareness and understanding of their mental illness, including whether they believe they are unwell and need treatment.

Question 2

Under the Mental Health Act 1983 (amended 2007), which section allows for a patient's nearest relative to apply for compulsory admission for assessment?

Accepted Answer

Section 2

Answer

Section 2 allows for compulsory admission for assessment for up to 28 days, and the application can be made by an Approved Mental Health Professional or the nearest relative.

Question 3

A patient is commenced on clozapine. According to NICE guidelines, how frequently should full blood count monitoring occur during the first 18 weeks?

Accepted Answer

Weekly

Answer

Weekly FBC monitoring is mandatory for the first 18 weeks of clozapine treatment due to the risk of agranulocytosis.

Question 4

Which validated tool is most commonly used to assess suicide risk in clinical psychiatric practice in the UK?

Accepted Answer

Columbia Suicide Severity Rating Scale (C-SSRS)

Answer

The Columbia Suicide Severity Rating Scale (C-SSRS) is widely recommended and used in the UK for structured suicide risk assessment.

Question 5

During electroconvulsive therapy (ECT), what is the minimum acceptable seizure duration for the treatment to be considered therapeutically effective?

Accepted Answer

25 seconds

Answer

A seizure of at least 25 seconds is generally considered the minimum duration for ECT to be therapeutically effective.

(MRCPsych) Member of the Royal College of Psychiatrists Practice Test

(MRCPsych) Member of the Royal College of Psychiatrists Practice Test

MRCPsych Clinical Procedures and Protocols 2