2008 June Flashcards
A 19 years old single female with 140 cm height, who weighs 55 Kg, decides to lose 15 Kg in the next two months. She goes on a crash-diet programme. a) Name 3 phenomenological changes that you will look for in mental-state examination b) How do you calculate Body Mass Index (BMI)? c) Name the most likely part of brain that is affected in such patients? Why do you say so? d) Enumerate two physical changes each in such patient.
O
A 26 years old lady attends psychiatric outpatient clinic with history of acute abdominal pain, nausea, vomiting, headache and severe constipation. She also complains of weakness, numbness and pain in the limbs. Husband of the patient reports that the patient also has depressed mood, emotional lability, suspiciousness, episodes of restlessness and violent behaviour. a) Discuss your differential diagnosis for this patient? b) What investigations you would like to carry out, giving justification? c) Discuss the management of this case
O
A 38 years old lady presents with history of palpitation, sweating, loss of weight, fine tremors and increased intolerance to heat. She also complains of disturbed sleep, low mood and nervousness. Her serum T3, T4 and 1 levels reveal increased concentration of free and total 14 level and decrease, TSH levels. a) Discuss your differential diagnosis in this case? Also suggest one most possible diagnosis. b) Discuss the management of this patient
O
Enlist 10 therapeutic factors in Group Psychotherapy.
O
Briefly describe WHO clinical criteria for metabolic syndrome. How would you screen patients before prescribing antipsychotics
O
Enlist various neuro-imaging techniques. b) Discuss the advantages & disadvantages of MRI scanning.
O
The court has asked you to submit a psychiatric court report regarding an individual who was examined you. Give an outline of the likely contents of your report
O
A 65-year-old retired businessman has been brought in the psychiatric emergency in a wheelchair with 2 days history of drowsiness, generalize rigidity of the body, coarse tremor and irrelevant talk. He had history of Bipolar Mood Disorder for 12 years and due to increasingly agitated behaviour, his lithium dose was increased from 800mg to 1200mg per day, haloperidol from 7.5mg to 15mg per day and bromazepam from 3mg to 6mg per day. He had diarrhea 4 days ago which lasted for 2 days. On examination he was disoriented and dysarthric with pulse 80/min, BP 160/90 mmHg and Temperature 100°F. He was confused and drowsy with diminished tendon jerks and equivocal planters. onl a) Discuss the differential diagnosis for this patient. b) What urgent and further investigations will you carry out giving justification 1 of each? c) What initial and long term management would you advise?
O
You have been designated as Project Director of a Programme on Promotion nil nc of Mental Health. g/t a) How would you chalk out such a programme? b) Which other disciplines will be involved apart from health department?
O
A 23 years old engineering student had an episode of schizophrenia. He has made good-recovery but he is adamant that he only was upset due to poor performance in exams. The father shares his views. List strategies you can use to prevent relapse in this patient.
O
Briefly describe principles of autosomal recessive heredity b) Enumerate common clinical conditions caused by autosomal recessive transmission
O
Enumerate adverse effects of selective serotonin reuptake inhibitor (SSRIs). b) Briefly describe serotonin syndrome.
O
45 years old widow is brought to you with one day history of stupor. Family siwes history of disturbed sleep, low mood and restlessness for last two There is past history of hospitalization three years ago on account of psychiatric illness after which she had made a attempt. diagnosis Boumerate various possibilities you will consider in your differential What relevant investigations you would like to carry out in this particular patient and give justification? e) How will you manage him? antidepressants?
O
List signs and symptoms which can result from discontinuation of SSRI
O
Family Of 65 years old man suffering from Dementia, consult you regarding availability of latest drugs for Dementia. a) Which drugs will you recommend? What is their mode of action? c) What is the current standing of these drugs as regards their therapeutic efficacy?
O
