2011 october Flashcards
Long duration of untreated psychosis (DUP) is common and associated with poor outcomes. List interventions in first-episode psychosis to deal with DUP in light of the current evidence.
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Differentiate between somatization disorder conversion hypochondriasis and psychosomatic disorder. Give an example of each in patient’s language (verbatim) to highlight the difference between the conditions
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A 30 year old lady presents in her eighteenth week of pregnancy with weeping spells, low mood which is worse in the mornings. She savs nio get an urge to hit my tummy with an iron rod but I don’t do it, because might hurt the foetus. I know it is stupid to hit one’s own self. She cannot resist eating tissue papers, nutmeg and dry mud, but tends to vomit them after a few minutes. She sleeps easily but wakes up early morning with an inability to go back to sleep. She also complains of deformed nails, easy fatigability and getting breathless after walking for twenty five yards. a) What is the most likely psychiatric and medical diagnosis? b) Name three psychiatric disorders that you would consider in the differential diagnosis. c) In the light of an internationally accepted management guideline, what interventions would you prescribe for the most likely psychiatric and medical diagnosis in this case?
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You are asked to deliver a lecture to medical students about antidepressant response. What factors will keep in mind while preparing for this presentation 2
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A mother brings her bright child on recommendation of school teacher as he is recently showing poor academic performance. There are bruid fearfulness on examination of this case. and a) What would be your probable diagnosis? b) What signs and symptoms you will check to confirm your diagnosis?
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A boy of 13 years age is brought to you by his father with over a year history of argumentativeness, deliberately annoying people, irritability and vindictive nature. a) What is the most probable diagnosis? b) What are the essential features of this disorder? c) How would you clarify the parent-child interaction to his family?
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In a meeting of physicians, you are requested to deliver a lecture on different clinical syndromes, of dementia, general management and principles of dementia. What will be your content of presentation?
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a) What is informed consent? b) What 5 areas of informed consent should be covered considering the literacy level of Pakistan?
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A 65 years old retired civil servant is admitted in your ward after being brought by his wife with history of failing memory for the last six months. a) Name six laboratory and three radiological investigations that you will you undertake in this case. What changes in these tests would suggest a diagnosis of dementia b) List four psychometric tests that you would request to rule out organicity in this case.
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A 25 years old man was arrested while attempting to rob a shop. This man carries a diagnosis of bipolar disorder for the last 2-3 years. You have been asked by the court to do a psychiatric assessment of this man What issues you will keep in mind while preparing a report?
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a) What do you know about the epidemiology of various eating disorders? b) What are the physical manifestation among them?
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A 25 years old female diagnosed as case of bipolar affective disorder in on lithium. What points you will keep in mind while emphasizing prophylactic treatment? Which psychotropic medications cause hepatic enzyme induction and what is the consequence of that? b) Which psychotropics cause inhibition of cytochrome P450 system? c) How are the blood levels of Fluoxetine and imipramine affected by their simultaneous administration and how will you make the used in combination?
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You have been asked to run a workshop for your physician colleagues on the subject of depression in medical settings. ar a) Which non-infective medical disorders would you like to focus on a on and - Wny? i b) Name five drugs used in the management of these medical conditions that can interact with SSRIs. Identify the interaction.
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Opioid abuse has become an area of increasing interest in of Prevention and treatment a) What does that statistics say about prevalence of opioid and intravenous drug users (IDUS) worldwide and nationwide! b) What are the neurobiological aspects of opioid dependence? c) List psychosocial interventions as proposed by guidelines for nes for treatment of opioid dependence.
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For the past many years Pakistan is facing traumas, disasters and emergencies in the forms of earthquakes, floods, terrorism especially suicide bombings. A National Workshop on development of a National Strategy for Mental Health and Psychosocial Support (MHPSS) in such emergencies is being held to increase preparedness for such situations. What sectors would you like to involve and what areas would you keep in mind while developing the mental health guidelines for the community and survivors of such disasters? 14 hil nc ng
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