2013 october Flashcards
A 21-year old lady with history of chaotic interdependent lady with history of chaotic Interpersonal relationships presented with history of several self-inflicted cut m story of several self-inflicted cut marks on her wrist. Her psychologist describes that she alternates between period describes that she alternates between periods in which she idealizes the therapist and periods of anger when she is convince therapist is unhelpful and the therapeutic work is worthless. a) What is the likely provisional diagnosis?
b) Define the defense mechanisms she is using.
e of psychotherapy is recommended in this case and what are the different modules steps in this particular psychotherapy? What type d’ense merk la diagnosis 2
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A 27 year old female has presented to you with features suggestive of obsessive compulsive disorder.
a) What specific queries would you make in the history as regards the onset and course of her illness?
b) Which features would.contribute towards the good and bad prognosis in this patient?
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A 35 year old mother of three female offspring presents with history of feelings of suffocation, especially while in closed spaces. She gets an impending feeling of death during these episodes that last for upto thirty minutes. She became an orphan at the age of four and was raised as an adopted child by a distant relative.
a) What is the most likely diagnosis?
b) Identify the risk factors in this patient that are likely to predispose her to develop this psychiatric disorder.c) What is the Freud’s explanation of such a presentation?
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A 35 year old man, brought by his 30 year old wife following difficulties their marriage relationship, presents to a psychiatrist on persuasion of the parents. The wife narrates that she finds her husband stubborn, insens with a fragile “ego”. He always tries to find out some hidden meaning in
routine conservation. She says that she is now seriously thinking about divorce as her husband is a very difficult person. Present mental state examination of the husband does not reveal any hallucination or delusion
a) What is the most likely diagnosis? List the differential diagnoses in the case?
b) Name 3 psychometric tests that you will do to support your diagnosis?
c) List the etiologic factors contributing towards your most like diagnosis
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You are undertaking a liaison psychiatry research project with a physician on patients of schizophrenia.
a) What are the various medical conditions that you are likely to focus in your study population?
b) Identify the factors that contribute towards increasing the risk of these
disorders in each of these medical conditions, in patients schizophrenia.
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Give the neuro-developmental hypothesis of schizophrenia and what are the findings that support this hypothesis?
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Mr. Wali, 33 year old was diagnosed to be suffering from a bipolar affective disorder currently mania. He was admitted in a psychiatric ward and is now in remission. He is a government employee and wants to resume his job What section of mental health ordinance 2001 deals with it and what all
the important recommendations in this section that will guide you in you report/opinion?
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A mother of a 12 year old boy came to you. She is worried that he behavior is strange” as he prefers company of females, puts on and cross dresses. She fears that he e Tears that her offspring is a “Eunuch. You as psychiatrist would like to tell her the differences in male and female: Focusing on biological, psychological, psychosexual developmental stages, what specific data would you furnish to this concerned mother?
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A mother of a 15 year old boy brings her son to you. The complaints are
1) Lack of social skills
ii) Dislike for changes in routine
iii) Speaks in a monotonous tone and excessively
iv) Few interests
complaints are
a) What is the most likely diagnosis and differential diagnosis?
b) What are the psychological and social interventions that you can offer?
c) What drugs have a role in the treatment of this case?
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A 70 year old female is brought to outpatient clinic by her relatives with complaints of forgetfulness, which is more for recent events. She has difficulty in finding words and naming objects. On her MRI brain, there is hippocampal atrophy and ventricular enlargement.
a) What is the most likely diagnosis?
b) What are the environmental issues that can lead to this disease?
c) What is the natural course of disease?
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A 21 year lady with the diagnosis of schizophrenia, informs you that will kill her neighbor tomorrow as she has ruined her life. She tells not to disclose this thing to anyone. and what will be
a) What are the ethical issues involved in this case and what will your response?
b) How will you assess the homicidal risk in this patient?
c) What treatment and follow up recommendations will you make in this case?
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A 14 year old girl was referred to you by physician because of physical and mental exhaustion following relentless pursuits to lose 15 kg weight over a month period.a) Enumerate expected hormonal, cardiovascular and biochemical abnormalities in this case.
b) What specific questions will you ask in the mental state examination?
c) Enumerate differential diagnoses in the order of priority that you will consider in this case?
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A 25 year old male had a road traffic accident 2 weeks ago. He direct blow on his head in the frontal region. He is now a) List the specific questions that should be asked from the rescue psychiatry out-patient clinic for assessment member who had brought the patient to the hospital? What clinical signs would you elicit? ) What are the long term psychiatric sequel that you expel patient?
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A 51 year old man was referred to you by casualty medical because of fits associated with impaired consciousness. He is ale diagnosed case of schizophrenia. Details of current treatment immediately available a Enumerate possible differential diagnosis to explain the cause in this case? b What specific information will you look for in this case? c) How will you manage this case?
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Drug abuse and drug misuse are grossly misunderstood terms asked to speak on the subject to an audience of general practitioner clarify following areas a) Difference between the following terms: drug abuse, Si Drug abuse, drug misuse b) Five prescription drugs that have the highest potential for p dependence c) Ten social hazards that can result form chronic alcohol abuse
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