Spring O5 questions with answers

[qualitytime 0]

Here's some questions from the last exam that I 'm pretty sure about the answers.

Some are easy. I've some harder questions that I'm looking for answers to post in another thread.

Answers for these to follow.

1. Depression in elderly is a risk factor for dementia

2. GP’s overdiagnose depression in the elderly

3. There is a Blunted TSH/TRH response in depression

4. Rapid cycling mood disorder is more commonly seen in women

5. Self harm in elderly is less common than teenagers

6. Suicide is commoner in 75 year old men than 30 year old men

7. Homicide followed by suicide is more likely than not to be associated with a mental illness.

8. Sleepwalking can be provoked by alcohol

9. In BN cognitive therapy and interpersonal therapy are equally effective

10. Mothers who kill their child within 24 hrs after delivery usually would have had denial or dissociation for the pregnancy

[qualitytime 0]

1. Depression in elderly is a risk factor for dementia

False - “Despite the poor outlook for depressive disorder in the elderly, only a small number of the patients develop dementia”

Ox. text book of psychiatry - page 630

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2. GP’s overdiagnose depression in the elderly

False - Rates in elderly are as follows

Community 0.4-1.4%

Medical out Patients 5-10%

Medical; in Patients 10-15%

Nursing home patients 15-20%

“it seems that many depressive disorders in elderly patients are not frequently detected by their GPs”

Ox. text book of psychiatry - page 629

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3. There is a Blunted TSH/TRH response in depression

TRUE - “About a third of depressed in patients have a blunted TSH response to intravenous thyrotrophin releasing hormone (TRH); this abnormality is not specific to depression as it is also found in alcoholism and panic disorder.'

Ox. text book of psychiatry - page 299

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4. Rapid cycling mood disorder is more commonly seen in women

True - “Rapid cycling disorders occurs more frequently in women”

Ox. text book of psychiatry - page 282

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5. Self harm in elderly is less common than teenagers

True - “DSH is more common among younger people, with the rates declining sharply in middle age”

Ox.text book of psychiatry - page 521

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6. Suicide is commoner in 75 year old men than 30 year old men

True - “in most countries the highest rate of suicide is in people aged over 75 years”

Ox.text book of psychiatry - page 513

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7. Homicide followed by suicide is more likely than not to be associated with a mental illness.

True - 'Half of homicides followed by suicide are ‘abnormal’ homicides and in most of those cases the offender was severely depressed at the time of the offence. In most ‘normal’ homicides the killers appeared to have been driven to suicide by illness or distressing circumstances.”

Ox. text book of psychiatry - page 909

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8. Sleepwalking can be provoked by alcohol

True - “Adults with sleepwalking should be given advice about safety, avoidance of sleep deprivation and any other circumstance that might make them excessively sleepy, e.g. alcohol.'

Ox.text book of psychiatry - page 441

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9. In BN cognitive therapy and interpersonal therapy are equally effective

True “There is evidence that interpersonal therapy, which is a short term focal psychotherapy is equally effective but much slower to act”

Ox.text book of psychiatry - page 453

Note that NICE guidelines reportedly state CBT is preferable and IPT to be offered if CBT is not available.

[qualitytime 0]

10. Mothers who kill their child within 24 hrs after delivery usually would have had denial or dissociation for the pregnancy

False - “When the killing occurred within the first 24 hours after birth, in most cases the child was unwanted and the mother was young and unequipped to care for the child but not psychiatrically unwell”

Ox.text book of psychiatry - page 909

While this doesn't rule out denial, I expect it would be referred to if it was a major factor

[Guest goob94]

Thanks for that qualitytime...

Thats really helpful, and I've made a start on the other string with the ones that I knew about

[Guest seven]

Good Job Qualitytime

Thank you

Seven

[sukky 13]

quality ime your ref for question nos 10 seems to be suggesting denial, making the answer to be true rather than false