Psychiatry

Question 1

Most common reasons of consultation ? 4 Reasons

Answer 1

1.
- Delirium, Dementia, Amnesia and other cognitive disorders 25%
- Affective Disorders primary or secondary to medical conditions 25%
2. Adjustment disorders, maladaptive response to identified stressor, including medical illness 15%
3. Somatoform disorders, anxiety disorders each < 10% (when mental factors cause medical symptoms but where there is no physical disease as chest pain not due to cardiac reasons)
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4. When an opinion is needed regarding patient current psychotropic medication.
5. How to Convey Bad news
6. If the patient asks to see a psychiatrist

Question 2

mention the three important aspects on Approach to consultation.

Answer 2

1. Consultation Style
2. Patient Confidentiality
3. Patient Follow-up

Question 3

Daily follow-up should be considered for which patients ?

Answer 3

• Those in restraints
• Agitated, potentially violent, suicidal
• Delirium
• Acutely ill-patients started on psychoactive medications should be seen daily until they are stabilized.

Question 4

Psychiatric DD in medical setting ?
6 Categories

Answer 4

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Question 5

What is the most common psychological disorder underlying suicidal patient?

Answer 5

Depression