1. Which is not a factor in the reduced life expectancy for people with a range of mental illness diagnoses?

1. Suicide
2. Co-morbid physical illnesses
3. Intelligence
4. Accidents

 2. What is not associated with insomnia?

1. Diabetes
2. Cardiovascular disease
3. Weakened immune system
4. Hearing loss

3. Of what magnitude is the rate of smoking for people with serious mental health problems compared to the general population?

1. The same
2. Less
3. Three times as much
4. Twice as much

4. What type of exercise may prevent weight gain and negative metabolic outcomes in the first few months of antipsychotic treatment?

1.  Intense structured exercise programme
2. Regular walking
3.  Playing football for one hour a week
4. Joining a walking group

5. What is not a consequence of stigma and social exclusion?

1. Unemployment
2.  Poverty
3.  Social isolation
4. Good quality housing

6. Which of these statements is not the case about people with serious mental health problems attending primary care appointments?

1. They have longer consultation times
2. They attend more frequently than the general population
3. They are reluctant to discuss physical health
4. These represent about two thirds of all their health contacts

7. What is a major barrier for mental health service users attempting to have their holistic needs met?

1. Fragmentation of services
2. Insufficient scholarly evidence of physical health issues
3. Lack of relevant policy
4. Insufficient knowledge in the system of what could help