Introduction to Psychiatry
Psychiatry · Topic 1
Source: NMC CBME Curriculum 2024 · Volume II · Psychiatry · Topic 1 · combined PDF page 352
Practice questions
- A clinician assessing a person with early psychosis is deciding whether to focus only on psychotic symptoms. Which additional assessment priority is specifically emphasized in the supplied schizophrenia guideline summary?
- A patient with schizophrenia is discussing a care plan. Which approach is explicitly recommended in the supplied guideline summary?
- A guideline panel rates the certainty of evidence as low but still makes a recommendation after considering the clinical context. Which interpretation best reflects the GRADE principle described in the supplied guideline summary?
- Which set of domains is included in the supplied summary of the Australian and New Zealand schizophrenia GRADE guideline?
- A clinician is interpreting a cohort report in which older adults were less likely to complete standardized depression monitoring. What is the most defensible conclusion?
- In the specialty-clinic cohort study, how was depression or anxiety progress monitoring operationally defined?
- A clinic has introduced automated electronic-record workflows for symptom measures, but some patients still have no completed monitoring measure. Which inference best fits the supplied cohort study?
- Which visit-related factors were associated with greater completion of both depression and anxiety monitoring in the specialty-clinic cohort?
- A service sees lower standardized symptom-measure completion among patients with a non-English language preference. Which response is most consistent with the study’s implications?
- Which patient groups were reported as less likely to complete depression or anxiety monitoring in the specialty-clinic cohort?
- Which statement accurately describes the specialty-clinic monitoring study’s design and observation period?
- A clinician reports that a patient has no standardized symptom score on file at a return visit. Based on the study definition, which conclusion is justified?
- A cross-sectional survey of Swedish primary-care physicians asked about their preparation for child and adolescent psychiatry. Which finding was reported?
- In the Swedish primary-care survey, clinicians reported lower self-perceived competence in managing mental ill-health and prescribing psychiatric medication for which age group compared with adolescents aged 13–17 years?
- Which clinical areas were singled out as areas of particularly low self-perceived competence in the Swedish primary-care survey?
- A medical educator is interpreting the Swedish survey’s finding of low self-perceived competence. Which conclusion is methodologically most appropriate?
- Which study design was used to map Swedish primary-care physicians’ self-assessed education and competence in child and adolescent psychiatry?
- A health service notes that cognitive behavioral therapy is formally covered by insurance in Japan, yet reimbursed CBT claims have declined. Which interpretation is most consistent with the supplied review?
- The Japanese review used reimbursed CBT claims to describe service use. What can this type of measure establish most directly?
- Which statement best captures the review’s argument about presenting CBT as a technically neutral psychotherapy?
- The supplied review compares Japan, South Korea, and Taiwan. What purpose does the comparison serve in the review’s argument?
- A psychiatry department is planning support for children and adolescents in primary care. Which group of findings from the Swedish survey most directly supports strengthening education and continuing medical education?
- A clinic’s dashboard reports that 83.6% of eligible adult patients completed depression monitoring at least once. Which interpretation matches the supplied cohort report?
- In the same specialty-clinic cohort, what proportion completed anxiety monitoring at least once?
- A student describes the specialty-clinic monitoring study as proof that virtual visits cause better symptom monitoring. Which correction is most appropriate?
- Which medication principle is included in the supplied summary of the schizophrenia guideline?
- Which non-pharmacological care element does the supplied schizophrenia guideline summary say should be routinely offered?
- According to the supplied guideline summary, during which phase are psychological and psychosocial interventions especially emphasized as essential components of schizophrenia care?
- A person with schizophrenia has a psychiatric comorbidity. Which approach is described in the supplied guideline summary while schizophrenia-specific evidence remains less robust for that comorbidity?
- Which statement about the role of general practitioners in schizophrenia care is included in the supplied Australian and New Zealand guideline summary?
- The Swedish survey included general practitioners and resident physicians from one region. Which statement best limits generalization of its results?
- A clinician sees a high overall symptom-monitoring completion rate and assumes all groups are equally reached. Which finding from the specialty-clinic cohort most directly challenges this assumption?
- Which historical period is specifically discussed in the supplied review of Japanese psychiatry?
- A student argues that standardized symptom monitoring is unnecessary if clinicians already conduct psychiatric assessments. Which response best reflects the supplied monitoring study?