In that schematic anyways, Q4 is a mosfet-rectifer, and the TEA1791 controls and drives the gate, and monitors the current and input voltage. Yeah another thing to check would be R33/C31. They might get pretty hot, and drift or worse.
A lot of PSU's would use a diode, or dual diode, as the output rectifier, but they usually still have some RC snubber circuit like R33/C31 (perhaps to GND tho), and they often take a pounding and get hot, and are only priced/sized to last so long.
Do you have an oscilloscope?