INTRO

Question 1

A patient presents with depressed mood, anxiety and worry. They feel unable to cope and plane ahead and show a degree of disability in performance of daily routine. They had just gone through a significant life change/stressful event. What clinical syndrome is this patient suffering from?

Answer 1

Adjustment reaction

Question 2

A patient presents with persistent and recurrent delusions with occasional hallucinations. What clinical syndrome is this patient suffering from?

Answer 2

Organic delusional disorder

Features suggestive of schizophrenia (bizarre hallucinations + thought disorder may be present)

Question 3

After a suffering from a stroke a patient begins having delusions, hallucinations and is anxious and sad. What is the diagnosis?

Answer 3

Post-stroke psychosis

Unknown treatment

Question 4

What can thyrotoxicosis cause mentally?

Answer 4

Anxiety, mania

Question 5

What can thyroid deficiency cause mentally?

Answer 5

Depression, dementia

Question 6

What can infections cause mentally?

Answer 6

Psychosis

Question 7

What can cushing’s disease cause mentally?

Answer 7

Depression

Question 8

What can parkinson’s disease cause mentally?

Answer 8

Depression, anxiety, dementia

Question 9

What is delirium?

Answer 9

Psychiatric manifestation of a physical illness

Question 10

What are the predisposing factors to delirium?

Answer 10

Advanced age
Dementia
Impaired daily living activities
Immobility
Sensory impairment
Urinary catheterisation
Malnutrition
Alcohol
Depression

Question 11

What is the management of delirium?

Answer 11

Modify risk factors
Treat the causes
Good nursing
Medication
Wait