2014 October Flashcards
A student of BSc diagnosed as a case of borderline personality disorder presented in emergency after attempting self-harm following a quarrel with boyfriend. a) What signs symptoms require urgent medical treatment? b) What care should be taken in managing this patient in ward c) What psycho social support you will activate d) Give instructions on discharge regarding follow-ups.
work on it
What are the various points that differentiate between the various anxiety disorders in term of their prevalence and clinical features?
work on it
A 39 years old female is diagnosed as a case of severe depression years after death of her husband. She is suicidal and has active suicidal ideations and symptoms of psychosis and is not responding to treatment with antidepressants. Psychiatrist plans ECT on this patient. a) What are the other indications to start ECT in severe depressive disorder b) What are the indications for ECT other than severe depression c) Enlist the therapeutic interventions that cannot be advised by physician according to Mental Health Act 2001.
work on it
A 16 years old girl had gone to spend her summer vacations at uncle’s house to the other city. One day, about 15 days back, her uncle’s son show her some porn videos and seduced her to have sexual relations with him. On refusal she was abused sexually. When she returned home, she had complaints of nightmares, jumping in bed on opening of door, persistent dull lower abdominal pain, irrelevant talks, over familiarity, grandiosity, hyperactivity, distractibility, disinhibition with decreased sleep. a) What 7 psychiatric sequelae can be expected in sexually abused childhood/adolescence? b) What 3 differential diagnoses can be made considering the scenario? c) What non-pharmacological options are there to manage the later on an individual who has been subjected to sexual abuse and with the aim of these non pharmacological treatments?
work on it
Mr. Y is an admitted case in Jail ward of psychiatry the undergoing treatment as a patient in pursuance of an order authority. Two days back parents of patient met the consultant and requested for discharge on urgent basis as they symptom free. a) What section of Mental Health Act 2001 is concerned with such a patient? b) What does that particular section say in detail? c) What are the sections concerned with the admission for and treatment according to Mental Health Act 2001?
work on it
A 65 years old retired businessman has been brought in an emergency in a wheel chair with two days history of drowsiness, generalized rigidity of the body marked tremors and irrelevant talking. He has history of bipolar mood disorder for 12 years. Due to his increasing’s agitated behavior, his lithium dose was increased from 800 mg to 1200 mg per day, haloperidol from 7.5 mg to 15 mg per day and lorazepam from 1 mg to 3 mg per da day. He had diarrhea four days ago which lasted for 2 days. On examination he was disorientated 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. a) Discuss the differential diagnosis. b) What further investigations will you carry out? Give justification of each c) What initial and long term management would you advise?
work on it
A 38 years old lady is brought to psychiatric outdoor clinic in a state of stupor a) What possibilities will you consider in differential diagnosis? b) What investigations would you like to ask for? c) How will you manage her?
work on it
In its 65” assembly, World Health Organization adopted a resolution of the need for a comprehensive and coordinated response from health and social sectors in the form of mental health action plan. a) What are the objectives of this plan? b) Highlight 5 specific ways to promote mental health in the community
work on it
There is serious concern about the long term use of benzodiazepine among older persons owing to adverse outcomes. However the prevalence of benzodiazepines use in older people remain high. In light of recent advances: a) enumerate the adverse effects of benzodiazepines in elderly. b) Enumerate the possible reasons. c) What are the evidence based interventions for withdrawal in elderly population according to recent advances.
work on it
What points will you keep in mind while delivering lecture on these topics: a) indication for behavior therapy. b) Indications for family therapy. c) Role of therapist in psychoanalytic psychotherapy. d) Non specific factors in psychotherapy. e) Complications of psychotherapy.
work on it
There has been substantial uncertainty regarding the incidence of children and adolescents exposed to trauma. A recent meta-analysis evaluated this issue in detail. a) With reference to recent advances, what is the overall rate of children and adolescents exposed to trauma? b) Enlist the potential moderating factors in development of children and adolescents. c) What are other mental health consequences in children and ad exposed to traumatic events?
work on it
A 22 years old female patient presented to psychiatric e patient presented to psychiatric OPD with the complaints of weight loss more than 20%, and Body mass index. On her mental state examination it was revealed that she has a real fatness, therefore she avoids food and shows a behavior aimed to lose weight by vomiting. purging excessive exercise and use of appetite suppressants and diuretics. She also complains of absence menstruation for the last few months.a) Enlist 10 specific questions that you would ask this patient for assessment of eating disorder?
b) Considering the above scenario what is your provisional diagnosis?
c) How will you manage this case?
work on it
A man is brought to psychiatric emergency. His pulse is 100/min, BP is 170/95 mmHg and he is profusely sweating. He is shaky and has difficulty in giving his history. He has had difficulty falling asleep for two nights and sees spiders walking on the walls. He has been a drinker for 10 years, but has had no drink for the last 3 days.
a) What is the most likely diagnosis?
b) Name three psychometric scales that are used for alcohol dependence or withdrawal?
c) Mention ten social hazards that can result from chronic alcohol abuse?
work on it
What possible strategies you could employ to treat the sexual side effects in a 30 year old male receiving treatment with an SSRI.
work on it
A 34 year old woman who had been married for some time is pregnant for the first time. 4 weeks after delivery she appears to be agitated. In this state she drowned the child in the bath and slashed her wrists.
a) What is the most likely differential diagnosis?
b) How would you manage this case?
c) What medico-legal issues are likely to be involved here?
work on it
