mrcpsychb-1950

A client visits the center for a follow-up. She became dependent on opiate drugs a few years ago after being given oxycodone for a backache that resulted from a lumbar puncture. She effectively finished a detoxification program and has been off opiate medication for 7 months now.

At which stage of the stages of change model is she presently?

mrcpsychb-1942

A teenager who has recently dropped out of school has started to abuse drugs. His friend brings him to A&E as he started behaving strangely and appeared to be experiencing hallucinations. As he walks into the cubicle you note a very unsteady gait and further questions reveal a sense of muscle rigidity. Which of the following do you expect he has been using?

mrcpsychb-1948

A newly admitted elderly patient on the ward attends ward round. They are found to have been on lorazepam 4 mg QDS for a number of years. Your consultant asks you to convert this to diazepam so that the patient can be slowly weaned off benzodiazepines. Select the correct equivalent dose of diazepam:

mrcpsychb-1945

A young woman in her twenties presents to the A&E department with complaints of abdominal cramps. Upon examination, you observe goose bumps all over her skin and dilated pupils. Which drug withdrawal is she most likely experiencing?

mrcpsychb-1943

A woman with alcohol dependency and depression attends clinic and informs you that she intends to stop drinking alcohol. She is adamant that she does not want any medication to assist in the detox but is keen to know how long the withdrawal symptoms may last. What would be the accurate estimate of the potential length of the withdrawal?

mrcpsychb-1949

A teenager comes to your office and discloses that they have been using a substance called Khat. Which of the following commonly known illegal drugs is it most comparable to?

mrcpsychb-1941

A woman reporting vivid dreams, increased sleep and an increased appetite, is most likely to be experiencing which of the following?

mrcpsychb-1937

If you observe a man who has been admitted to a psychiatric hospital yawning excessively, appearing restless, and having dilated pupils one day after admission, what do you anticipate?

mrcpsychb-1935

What is the weekly unit intake of a patient who consumes 3 litres of 12% ABV wine per day?

mrcpsychb-1936

A 50-year-old man, who has a past of opioid addiction, is interested in exploring pharmacological maintenance therapy in conjunction with psychosocial interventions. What would be your recommendation for the most suitable choice?