5th Rotation from Psychiatry

5th rotation : From Psych  MCQ 1) which of the following is characteristic for unipolar depression : Anhedonia 2) paranoid delusions are found in all of the following except : 3) 4) 5) 6)  Depression  Schizophrenia  OCD * (Paranoid Delusions are not found in OCD)  Dementia  Substance abuse Thought Echo is:  A form of thought broadcasting *  Abnormal thought content  An illusion  Idea of reference  A hallucinatory experience which of the following drugs causes dryness of mouth the most:  Respiridone  Fluoxitine  Chlorpiramine * (antihistamine) which of the following statements is true regarding Dr-Pt relationship:  It doesn’t effect he course of the health problem  Med schools should nurture patient centered medicine *  In the relationship the pt has no active role to play  Should concentrate on the disease not the patients emotions unlikely feature of neuroleptic malignant syndrome” Leucopenia (true is leukocytosis) 7) 8) which of the following disturbances is associated with highest risk of suicide  Paranoid schizophrenia  Dissociative disorder  Major depression * (Bipolar is also high)  Dementia all of the following are impulse control disorders except” conversion disorder (not impulse control disorder) 9) 10) 11) 12) 13) unconscious mechanisms play a role in all of the following except :  Somatization  Dissociative  Hypochondriasis  Munchhausen syndrome  Malingering * which of the following is a feature of schizoid personality  Desire to mix with others  Anxiety  Acceptance of abnormal traits  Self Importance  Dependency a pt came to the ER saying that for the last few months he has been hearing voices talking to him, when he was asked if he was sure, he said 100%, this shows which psychopathology:  Derealization  Disorder of thought content  Disorder of perception diagnosis of all of the following occurs in childhood or adolescents except  Separation anxiety  Conduct disorder  ODD  Personality disorder (only occurs after adulthood) CBT effective in all except :  Panic disorder  PTSD  Social anxiety  Depression  Antisocial PD * 14) 15) which of the following is associated with repeated overdose  Munchhausen syndrome  OCD  Paranoid personality disorder  Borderline PD * which of the following drugs associated with highest mortality among users:  16) which of the following is a sign of seriousness in a suicidal attempt:  17) 18) 19) 20) 21) Heroin suicidal note which is true of depression :  Physical symptoms are a common presentation *  Affects 2% of the general population  5% commit suicide which of the following is true regarding Bipolar disorder:  Only presents in middle age  No genetic component  Treated by lithium* which of the following is a reversible dementia  Alzheimers  Picks disease  CJD  Alcohol induced * which of the following alerts the doctor for the possibility of alcohol dependence when examining a patient :  High blood pressure  Excessive cigarette smoking  Peripheral neuropathy * abnormality of which system mostly associated with schizophrenia  Dopamenirgic 22) 23) 24) 25) which is a sleep disorder  Night Vision  Panic disorder  Cataplexy  Kleinn Levin disorder *  Cautard syndrome which of the following is associated with anorexia nervosa  Amonerrhea *  Normal body image WRONG  Low blood pressure WRONG  Body weight 20% above normal WRONG most imp in Delirium management:  V fluids  Search for the underlying cause *  Low light in the room a schizophrenic mother wants to get pregnant and asks about the possibility if having a schizophrenic child:  26) 27) 28) 29) 12% (risk of schizophrenic offspring for schizophrenic mother) an example of behavioral therapy:  Gestalt therapy  Hypnosis  Modeling *  Psychoanalysis which is true regarding psychotherapy :  Has no significant effect on brain neurotransmitters  Aims to improve client functioning *  Not suitable for children below 12 yrs characteristic for paranoid PD :  Reckless behavior  Magical thinking  Mistrust* characteristic of REM sleep  loss of muscle tone * 30) patient RTA, wakes up later confused, agitated and thinks he is home:  31) patient with depressive symptoms prescribed antidepressants, 3 weeks later presents with agitation, lack of sleep, ( manic features), what did the doctor miss:  32) 33)  High blood pressure  Peripheral neuropathy*  Confusion  Auditory hallucination a pt presents to the ER with Resp Depression, pinpoint pupils, and needle marks with Tattoo, most likely drug an impulse to set fires gender identity is established at what ages?   Heroin pyromania is:  35) Bipolar disorder increase suspicion to organic cause of acute psychosis:  34) Delirium 36 months Essay Questions: 1) Good prognostic factors of schizophrenia 2) Describe the clinical features of a panic attack 3) Discuss briefly the management of depression