2016 Octuber Flashcards
A 30 years old diagnosed case of treatment resistant schizophrenia has developed blood dyscrasia with clozapine. What alternatives would you offer to this patient in the following clinical scenarios? (support your answers with reference and international treatment guidelines) a) Non adherence to treatment b) Libidinal issues, gynaecomastia and raised prolactin levels c) Depressive state d) Negative symptoms and disorganized behaviour
Ok
- A twenty year old single female is admitted in emergency with repeated deliberate self harm in form of cutting her forearm, thighs and abdomen with blades Detailed mental state examination does not show any features of psychosis. She however feels hopeless and low, and repeatedly states that she does not want to live anymore a) What are the key principles that you will adhere to in response to the following challenges: 1. Refusal to stay admitted 2. Refusal to undergo ECT b) Which evidence-based psychotherapeutic interventions would you offer to her? c) Write appropriately 300 words discharge note for the patient (covering all the specific areas that can assist follow-up and future assessments and referrals) Please ensure that your response reflects written communication skills and medical writing principles
Ok
- A middle aged female is anxious and fearful of air travel while going to see her daughter who is settled abroad She also gives history of morbid fear of darkness and closed spaces since childhood a) Identify the type of phobia, this lady is suffering from. b) Enumerate the clinical features of Social Phobia according to ICD 10 r c) Mention the pharmacological treatment of Social Phobia. d) List the non-pharmacological approaches for the treatment of phobias in the light of international guidelines
Ok
Q5 A twenty year old single male has been diagnosed as a case of Borderline Personality disorder: Impulsive type. List ten guiding principles that you will implement in his short and long term management.
Ok
06 A forty five year old female is being treated for depressive episodes severe, for the last three months. After an inadequate response to imipramine (200 mg/day), she is shifted on to paroxetine (25 mg/day). Over the subsequent two weeks patient starts to experience an ever increasing lethargy and nausea that lasts around the clock. Her depressive symptoms show mild improvement a) What is the most likely cause of the lethargy and nausea in this case? How would you confirm your clinical impression? b) List ten cognitive distortions that this patient is expected to have c) List the clinical development which may call for use of ECT in this case
Ok
