2007 August Flashcards

1
Q

A 71 years old man presents with complaints of dissatisfaction with his sleep pattern. Give the objective evidence of age-related changes in the sleep cycle. Give the rules of good sleep hygiene.

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2
Q

Enumerate different types of psycho-social therapy. Give a detaied description of any one of these types of therapy.

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3
Q

Should we treat prodromal symptoms of schizophrenia? What are the disadvantages? What are the advantages?

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4
Q

A Young Christian male presents with his wife in your clinic, wife is concerned about patient’s alcohol consumption while the patient denies any such problem. You may use CAGE screen to rule out alcohol abuse. a) What dose CAGE stand for? b) Give characteristics of alcoholic individual who is genetically predisposed to develop alcoholism.

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5
Q

Define impairment. Disability and handicap. Name various behavioural techniques used in rehabilitation.

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6
Q

What is the utility of EEG in cases with episodic behaviour disturbance?

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7
Q

Please outline the plan of management of a Transsexual patient. b) What are factors influencing the outcome of sex reassignment surgery? C) Enumerate the stages of ‘sensate focus’.

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8
Q

A 25 years old man has been taking Alprazolam 2 mg/day for last 2 years. His general practitioner advised him to discontinue the drug immediately. List the possible signs and symptoms you can expect in this patient.

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9
Q

Discuss the possible strategies you could employ to treat a patient of OCD who has not responded to adequate trials of two SSRIs.

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10
Q

The clinicians increasingly asked by relatives of the patients with ALZHEIMER’S DISEASE to advise the relatives on genetic risk of developing Alzheimer’s disease later in life. If you are faced with such a question how will you advise and guide the family.

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11
Q

You are chief psychiatrist of a province. You have been asked by mean ministry to furnish a comprehensive plan for prevention of drug abuse in the community. Give a detailed account of your plan for prevention of drug menace. 

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12
Q

List the five steps which you should follow before administering rapid tranquillisation for an acutely disturbed and violent patient.

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13
Q

Name 5 clinical situations in which ECT may be advantageous over other treatment approaches. Give relative contraindications to ECT. Give medical evaluation before treatment.

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14
Q

What are the cognitive distortions of thinking as describe by BECK? 

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15
Q

List five clinical feature of Turner syndrome. Name the relative investigation. 

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16
Q

Discuss the possible strategies you could employ to treat the sexual side effects in a 30 year old male receiving treatment with an SSRI. 

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17
Q

Draw a list of risk factors for eating disorders (Anorexia Nervosa and Bulimia Nervosa). Describe the role of at least five of the risk factors in the aetiology of anorexia nervosa. What specific radiological and laboratory investigations are required in a case of Anorexia Nervosa. VI 

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18
Q

You have diagnosed an 18 year old recently married girl as suffering from “complex partial seizures”. How would you evaluate the patient before starting treatment? b) What would be your guiding principles in the choice of anticonvulsants. When will you stop the treatment? How would you respond to the issue of pregnancy in the patient?

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19
Q

48 old man is suffering from Bipolar affective disorder for last 18 years an he is an prophylactic Lithium therapy for last 4 years. For last few month he feels that he has become slow and has developed intolerance to cold a) b) What possibly is going wrong with this individual? How will you manage him? 

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20
Q

40 years old man getting treatment from psychiatrist for paranoid schizophrenia, is arrested for murder a) b) How will you assess whether he is fit to plead? What are the essential parts of insanity defense?

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