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ECT-psy

Total questions: 50

Worksheet time: 25mins

Name
Class
Date
1.

ECT works by inducing:

a)

Sedation

b)

Controlled seizure

c)

Brain suppression

d)

Deep sleep

2.

ECT is administered under:

a)

Local anaesthesia

b)

No anaesthesia

c)

General anaesthesia

d)

Conscious sedation

3.

The seizure in ECT is:

a)

Spontaneous

b)

Uncontrolled

c)

Therapeutic and controlled

d)

Epileptic

4.

First-line indication for ECT in psychiatry:

a)

Mild depression

b)

Severe major depression with suicidality

c)

General anxiety disorder

d)

Personality disorder

5.

ECT is indicated when:

a)

Medication is effective

b)

Rapid response is required

c)

Symptoms are mild

d)

Patient is stable

6.

Which condition responds best to ECT?

a)

OCD

b)

Catatonia

c)

PTSD

d)

Phobia

7.

In bipolar disorder, ECT is used for:

a)

Maintenance only

b)

Severe mania or depression

c)

Hypomania

d)

Cyclothymia

8.

ECT in schizophrenia is mainly for:

a)

Negative symptoms only

b)

Treatment-resistant psychosis

c)

Personality change

d)

Anxiety symptoms

9.

According to KKM, ECT has:

a)

Absolute contraindications

b)

Relative contraindications

c)

No contraindications

d)

Legal restrictions only

10.

Which condition requires special caution?

a)

Controlled asthma

b)

Raised intracranial pressure

c)

Mild anaemia

d)

Corrected vision

11.

Pre-ECT assessment must include:

a)

Mental status only

b)

Physical and cardiovascular assessment

c)

Family interview only

d)

Psychological testing

12.

Informed consent for ECT must be:

a)

Verbal

b)

Written

c)

Implied

d)

Optional

13.

Mental Health Act governing ECT in Malaysia:

a)

Medical Act

b)

Mental Health Act 2001

c)

Penal Code

d)

Nursing Act

14.

If patient lacks capacity, consent is obtained from:

a)

Any doctor

b)

Nurse in charge

c)

Legal guardian / next of kin

d)

Police

15.

ECT should be done in:

a)

General ward

b)

Psychiatric clinic

c)

Dedicated ECT suite / OT

d)

Emergency department

16.

Essential team members include:

a)

Psychiatrist only

b)

Anaesthetist only

c)

Psychiatrist + anaesthetist

d)

Nurse only

17.

Monitoring during ECT includes:

a)

BP only

b)

ECG and SpO₂

c)

Temperature only

d)

Weight

18.

Common induction agent for ECT:

a)

Diazepam

b)

Propofol

c)

Haloperidol

d)

Lithium

19.

Muscle relaxant used in ECT:

a)

Rocuronium

b)

Suxamethonium

c)

Baclofen

d)

Diazepam

20.

Purpose of muscle relaxant:

a)

Prolong seizure

b)

Prevent fractures

c)

Improve memory

d)

Reduce anxiety

21.

Lithium before ECT should be:

a)

Increased

b)

Continued

c)

Used with caution / withheld

d)

Mandatory

22.

Benzodiazepines may:

a)

Increase seizure duration

b)

Reduce seizure threshold

c)

Shorten seizure duration

d)

Have no effect

23.

Adequate therapeutic seizure duration is usually:

(a)  

24.

EEG monitoring helps to assess:

a)

Mood response

b)

Seizure adequacy

c)

Insight

d)

Orientation

25.

Most common adverse effect of ECT:

a)

Permanent amnesia

b)

Temporary memory loss

c)

Stroke

d)

Seizure disorder

26.

Post-ECT confusion usually resolves within:

a)

Minutes to hours

b)

Weeks

c)

Months

d)

Permanently

27.

Headache post-ECT is treated with:

a)

Antibiotics

b)

Analgesics

c)

Antipsychotics

d)

Steroids

28.

Acute ECT refers to:

a)

One session only

b)

Initial treatment course

c)

Emergency ECT

d)

Maintenance ECT

29.

Continuation ECT is given to:

a)

Start treatment

b)

Prevent relapse after acute phase

c)

Replace medication

d)

New patients only

30.

Maintenance ECT is:

a)

Given to all patients

b)

Long-term relapse prevention

c)

Emergency treatment

d)

Daily treatment

31.

Usual frequency of ECT:

a)

Daily

b)

Once weekly

c)

2–3 times per week

d)

Monthly

32.

Post-ECT priority nursing care:

a)

Feeding patient

b)

Airway and vital signs

c)

Mobilisation

d)

Discharge planning

33.

Oral intake is allowed when:

a)

Patient wakes up

b)

Gag reflex returns

c)

Family arrives

d)

Patient asks

34.

Positioning post-ECT to prevent aspiration:

a)

Supine

b)

Prone

c)

Lateral

d)

Sitting

35.

ECT in pregnancy is:

a)

Absolutely contraindicated

b)

Allowed with caution

c)

Illegal

d)

Ineffective

36.

ECT is preferred in pregnancy when:

a)

Mild depression

b)

Severe depression with suicidality

c)

Anxiety disorder

d)

Insomnia

37.

During COVID-19, ECT should:

a)

Be stopped completely

b)

Follow strict SOP and PPE

c)

Be done without screening

d)

Be done in ward

38.

ECT response rate in severe depression is:

a)

Low

b)

Moderate

c)

High

d)

Unpredictable

39.

ECT is superior to antidepressants in:

a)

Mild depression

b)

Psychotic depression

c)

Adjustment disorder

d)

Dysthymia

40.

ECT causes permanent brain damage:

a)

True

b)

False

41.

ECT documentation must include:

a)

Consent only

b)

Seizure duration and complications

c)

Diagnosis only

d)

Family opinion only

42.

Audit of ECT service is important to:

a)

Increase workload

b)

Maintain quality and safety

c)

Reduce staff

d)

Avoid consent

43.

Best candidate for ECT:

a)

Mild anxiety

b)

Severe depression with poor oral intake

c)

Personality disorder

d)

Adjustment disorder

44.

ECT is considered when antidepressants:

a)

Are effective

b)

Fail or are contraindicated

c)

Are cheap

d)

Are new

45.

Patient education before ECT should include:

a)

Benefits only

b)

Risks only

c)

Benefits, risks, and alternatives

d)

No explanation

46.

Restraint during ECT is:

a)

Routine

b)

Punitive

c)

Not required due to anaesthesia

d)

Mandatory

47.

ECT without consent is allowed only when:

a)

Family agrees

b)

Emergency and legal provisions apply

c)

Patient refuses

d)

Staff decides

48.

ECT combined with medication:

a)

Is not allowed

b)

Improves relapse prevention

c)

Increases side effects only

d)

Is ineffective

49.

ECT is best described as:

a)

Outdated treatment

b)

Inhumane practice

c)

Evidence-based psychiatric treatment

d)

Experimental therapy

50.

According to KKM, ECT should be:

a)

Avoided

b)

Used carefully with proper indication

c)

Used routinely

d)

Used without consent

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