mental health

Practice targeted AMC-style multiple-choice questions on mental health.

A refugee family from Iraq has registered at your clinic, having settled 6 months ago. What is an important consideration for their health assessment in the Australian context?

A. Order a standard battery of tests, including a full range of tropical disease screening for all family members.

B. Focus only on acute medical issues they present with.

C. Assume the father can translate for the whole family to save time.

D. Ensure they are aware of the Medicare rebate available for refugee health checks.

E. Defer a comprehensive health check until they have been settled for at least 12 months.

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A nurse in the psychiatry ward discloses that she is involved in a relationship with an ex-patient. What is the most appropriate action to take?

A. Inform AHPRA immediately.

B. Notify the senior medical director.

C. Take note of the conversation for your records only.

D. Ask the nurse to end the relationship immediately.

E. Report the matter to the nurse supervisor.

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A 35-year-old man with PTSD is experiencing severe nightmares despite being on an SSRI. What medication can be added to target this symptom?

A. Prazosin

B. Gabapentin

C. Quetiapine

D. Clonidine

E. Trazodone

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A patient presents with a non-healing wound, appears to be removing her bandages, has frequent conflicts with colleagues, and recently left her job. Which of the following historical features would most strongly support a diagnosis of Borderline Personality Disorder in this patient?

A. Family history of anxiety disorder

B. Previous suicidal attempts

C. History of a single episode of depression.

D. Presence of delusions

E. Childhood history of specific phobia.

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A 9-year-old, diagnosed with ADHD, struggles with homework completion despite medication. His parents report significant family stress. What's the MOST appropriate next step?

A. Referral for family therapy

B. Increase the current medication dosage

C. Recommend individual cognitive behavioral therapy for the child

D. Implement a strict reward system at home

E. Switch to a different stimulant medication

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A 25-year-old woman with a history of sexual assault presents with intrusive thoughts, avoidance behaviors, and emotional numbness. She is diagnosed with PTSD. What is the first-line pharmacological treatment for this condition?

A. Selective serotonin reuptake inhibitors (SSRIs)

B. Benzodiazepines

C. Beta-blockers

D. Mood stabilizers

E. Antipsychotics

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A 30-year-old veteran presents with recurrent nightmares, flashbacks of combat, and hypervigilance. He avoids crowded places and has difficulty sleeping. His symptoms have persisted for over 6 months and are affecting his daily functioning. What is the most likely diagnosis?

A. Major depressive disorder

B. Post-traumatic stress disorder (PTSD)

C. Generalized anxiety disorder

D. Schizophrenia

E. Bipolar disorder

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A 14-year-old girl living alone presents with a positive urine pregnancy test. She states she was raped 6 months ago and wishes to terminate the pregnancy. What is the next appropriate step?

A. Refer her to a gynaecologist.

B. Inform police.

C. Send her to the women's home.

D. Terminate the pregnancy.

E. Inform child protection services.

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A 20-year-old female medical student arrives late, parties, and is attentive in consultations. What is the next step?

A. Discuss lateness and concerns.

B. Ignore the behavior as she is attentive in consultations.

C. Refer her for mandatory counseling.

D. Advise her to reduce partying.

E. Notify the university regarding suspected alcohol use during placement.

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A 20-year-old female medical student arrives late, parties, but is attentive in consultations. What is the next step?

A. Notify the university regarding suspected alcohol use during placement.

B. Advise her to reduce partying without discussing lateness.

C. Discuss lateness and concerns.

D. Report her directly to the Medical Board.

E. Ignore the behavior as long as she is attentive in consultations.

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A man presents to his GP complaining of insomnia. He has a history of addiction but is currently doing well. His girlfriend recently left him, and he states he will kill her if he sees her again. What is the most appropriate initial management step?

A. Refer him for anger management.

B. Advise him that his feelings are normal and will improve with time.

C. Arrange for immediate psychiatric assessment.

D. Inform the police.

E. Prescribe diazepam for a short duration.

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