HP4 Lecture 1

1

Which of the following is NOT a recognised advantage of responding to patient psychological issues?


  Improved paitent quality of life

  Reduced reliance on health care services

  Reduced physical signs of illness in the patient

  Improved social and work functioning

  Improved doctor satisfaction with treatment outcome

2

According to Mayou, Sharpe & Carlson (2003), which of the following is NOT one of the common co-existing psychological issues present in 25-30% of medical patients?


  Functional somatic symptoms

  Depression

  Alcohol misuse disorders

  Anxiety

  Incongruities between verbal and non-verbal cues

3

Which of the following is NOT a generally recognised symptom of clinical depression?


  Sensitivity to noise

  Stooped posture

  Psychomotor agitation or retardation

  Recurrent thoughs of death, suicidal ideation or plans

  Early waking

4

Epilepsy patients are known to have an increased risk of psychiatric problems compared with the general population. In the context of prevalence of psychological problems in medical patients, this is an example of:


  Causality

  Correlation

  Comorbidity

  Coincidence

  None of the above

5

For a diagnosis of clinical depression to be made, the a state of sadness must be disruptive to daily life for at least:


  2 days

  2 weeks

  2 months

  2 years

  The diagnosis is not dependent on duration.

6

Which of the following statements about psychological issues in medical patients is CORRECT?


  Patients are often exclusively physically ill or emotionally distressed.

  A tone of voice that fluctuates prosodically is a common indicator of emotional distress.

  Responding to patient psychological issues does not contribute to patient satisfaction with treatment outcome.

  Somatoform disorder refers to the fact that a psychiatric disorder can mimic a physical disease or injury.

  Most patients will preferentially report emotional rather than physical symptoms.