Mental Health
Community Medicine · Topic 15
Source: NMC CBME Curriculum 2024 · Volume II · Community Medicine · Topic 15 · combined PDF page 278
Practice questions
- A community health team is planning counselling on physical activity during pregnancy and postpartum. Which statement is most consistent with the cited practice guideline?
- A primary care team is estimating the potential burden of perinatal mood and anxiety disorders for service planning. Which estimate is reported in the practice guideline?
- A pregnant patient wants to become more physically active but is unsure how to assess safe participation. Which tool is specifically identified as supporting this process?
- Fewer than 15% of perinatal individuals meet activity recommendations. Which set of barriers does the guideline identify as contributing to this gap?
- During a major public health crisis, access to routine antenatal mental health care is disrupted. Which intervention types were represented in the systematic review of psychological interventions for pregnant women during COVID-19?
- A systematic review of psychological interventions during pregnancy in the COVID-19 pandemic found mostly favourable symptom results. Which interpretation best reflects the review's evidence limitations?
- A meta-analysis of interactive tele-mental-health interventions included 23 randomized trials. What was the pooled result for depressive symptoms across the included trials?
- In the same meta-analysis, what was the pooled effect of interactive tele-mental-health interventions on anxiety symptoms?
- The pooled tele-mental-health results for depression and anxiety were statistically significant, but both analyses had I² values above 94%. What is the most appropriate interpretation?
- A clinician asks whether tele-mental-health effects differed by perinatal stage in the cited meta-analysis. Which subgroup finding was reported?
- Besides depressive and anxiety symptoms, which combination of secondary outcomes was reported to improve with interactive tele-mental-health interventions?
- A primary care service wants to improve early recognition of mental health problems during the menopausal transition. Which service-level measure is supported by the FIGO recommendations?
- A woman in the menopausal transition reports mood symptoms. Which approach best reflects the FIGO recommendations?
- A woman with metabolic risk factors seeks treatment for mood swings during the menopausal transition. Which hormonal option is specifically preferred in the FIGO summary for this context?
- A patient with major depressive disorder during menopause also has vasomotor instability. Which medications are specifically noted as effective for depressive symptoms and vasomotor instability in the FIGO summary?
- A community menopause programme wants to reduce stigma and support women experiencing mental health symptoms. Which factor is identified as helpful in the FIGO recommendations?
- A 17-year-old receiving child and adolescent mental health services is approaching the service boundary. Which approach most closely reflects ESCAP transition guidance?
- A health system is adapting European guidance on transitions from child to adult mental health services for local use. What does the guidance recommend about implementation across countries?
- A service is planning accommodation for refugee families with children in a high-income country. Which living arrangement was associated with more favourable mental health outcomes in the systematic review?
- In a systematic review of refugee parents and children in high-income countries, which post-migration factor was consistently associated with negative mental health outcomes?
- A local authority is selecting a modifiable community-level priority to support refugee parents' and children's psychological well-being. Which choice is most consistent with the systematic review's recommendations?
- A systematic review of human studies examined early-life stress, epigenetic mechanisms, and mental health outcomes. Which developmental period was highlighted as a particularly sensitive window?
- A review links early-life stress with epigenetic changes in stress-response systems and later mental health vulnerability. Which interpretation is most scientifically cautious?
- A patient reports depressive symptoms after miscarriage. Which interpretation best reflects the systematic review of mental health after miscarriage?
- A clinician is assessing factors associated with depressive symptoms after miscarriage. Which option lists factors identified as possible correlates in the systematic review?
- Following miscarriage, a patient says that the healthcare interaction felt insensitive and that no one arranged subsequent contact. Which interpretation is most consistent with the systematic review?
- A clinic is revising its response to patients after miscarriage. Which change is supported as a facilitator of mental health care in the systematic review?