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MCQ December 2013

1. Which ONE of the following about complicated grief (CG) is TRUE?

A. CG is the primary complication that will follow bereavement.
B. CG only occurs in isolation from other mood disorders.
C. Patients with unipolar depression have lower risks of developing CG.
D. Patients with bipolar affective disorder have higher risks of developing CG.
E. Patients with strong parental bonding in childhood are more vulnerable to developing CG.

Answer: D.


2. Regarding treatment for CG, which ONE of the following statements is TRUE?

A. Despite the lack of a formalised ICD diagnosis, there have been numerous pharmacological trials looking into CG.
B. Selective serotonin reuptake inhibitors must be used in conjunction with psychotherapy in order to be effective.
C. Interpersonal psychotherapy results in faster response than Complicated Grief Treatment (CGT).
D. Most people experiencing grief will not need treatment, but patient suffering CG needs specific treatment.
E. In CGT, patients should be discouraged from recording of the level of grief experienced.

Answer: D.


3. Which of the following is NOT a diagnostic criterion for Complicated Grief proposed by Shear et al 2011?

A. The person has been bereaved for at least 6 months.
B. Frequent intense feelings of loneliness or like life is empty or meaningless without the person who died.
C. The duration of symptoms and impairment is at least 6 months.
D. Persistent feeling of being shocked, stunned, dazed or emotionally numb since the death.
E. Recurrent feelings of anger or bitterness related to the death.

Answer: C.


4. The following are risk factors for complicated grief EXCEPT:

A. Weak parental bonding in childhood.
B. Patients with a history of mood or anxiety disorders.
C. Insecure attachment in childhood.
D. A history of childhood abuse or neglect.
E. Presence by the side of the deceased just before death.

Answer: E.


5. Which ONE of the following statement(s) concerning children’s physical and mental health in relation to family is the most appropriate?

A. Children’s physical and mental health is closely linked to family.
B. Continuous family assessment may be necessary during the life course of all children.
C. In-depth family assessment may be necessary when children or adolescents are suspected to have some problems.
D. Properly trained family physicians are competent to perform family assessment.
E. All of the above are correct.

Answer: E.


6. Family assessment can be facilitated by all of the followings EXCEPT:

A. A good doctor patient relationship.
B. An extended session of 45 minutes is arranged.
C. The necessary information must be collected in one consultation.
D. Physicians are provided with the necessary training.
E. New funding can be provided by the Government in support of the introduction of this new service.

Answer: C.


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