MSFinals-5653
A 50-year-old male with a past of alcohol addiction comes in with ataxia, confusion, and nystagmus. During the examination, a weakness in the sixth cranial nerve is observed.
What is the probable diagnosis?
Med Student Finals Category: Psychiatry
MSFinals-5654
A 26-year-old female smoker comes to your clinic with a complaint of difficulty sleeping for the past 6 months. She often stays awake for hours worrying before finally falling asleep, which is affecting her work concentration. You observe that she seems restless and fidgety during the consultation. Upon reviewing her medical records, you discover that she has recently experienced abdominal pain and palpitations. What is the crucial condition to exclude before diagnosing her with generalized anxiety disorder?
MSFinals-5655
A 35-year-old man is brought to the psychiatric unit due to his abnormal behaviour in a police cell. He claimed that there was a conspiracy against him and started acting irrationally. After 36 hours of admission, the patient complains of visual hallucinations and experiences a grand-mal seizure. What is the probable reason behind the seizure?
MSFinals-5656
A 25-year-old male is brought to the emergency department by his friends who are concerned about his behavior. The patient’s friends report that over the past few days the patient has hardly slept or eaten and is talking non-stop about a new business idea that he believes will make him a millionaire. He has also been spending a lot of money on his credit card and started making impulsive purchases. During the interview, the emergency department doctor observes that the patient is speaking rapidly and is difficult to interrupt. Despite the speed of his speech, the words themselves are coherent and follow a logical, albeit unusual, pattern of thought.
What is the most appropriate term to describe the patient’s abnormal speech pattern?
MSFinals-5657
A 42-year-old woman visits her General Practitioner (GP) on an emergency appointment due to her worsening anxiety state. She reveals to the GP that she has been experiencing this for several years and is now seeking treatment. What is the most effective approach for long-term management?
MSFinals-5658
A 28-year-old woman with a history of depression comes in 2 months postpartum with symptoms of low mood, lack of energy, and loss of pleasure for the past 3 weeks. She is currently breastfeeding. She has previously taken fluoxetine and found it effective but stopped during pregnancy. After a conversation, she has decided to resume her medication.
Which antidepressant would be the best choice to initiate treatment?
MSFinals-5650
A man has been hospitalised for severe psychiatric disease. The patient is unable to form new memories and, as such, is stuck in 1992, believing that the Gulf War is ongoing. He has been hospitalised since 1993. He is unaware of his memory problem and confabulates his story when you try to point out the discrepancies between his stories and reality. He is able to remember everything up until 1992 without any problem.
Which of the following is the most likely aetiology of his disorder?
MSFinals-5651
A 40-year-old Afro-Caribbean male has been diagnosed with schizophrenia for 3 years. To address his history of non-compliance, he has been prescribed a monthly 250 mg depo injection of zuclopenthixol. What is a typical side effect of this type of antipsychotic medication?
MSFinals-5636
A 50-year-old man presented to the outpatient clinic with complaints of involuntary muscle movements of his tongue, fingers and trunk for the past 2 months. He was diagnosed with schizophrenia 20 years ago and has been on haloperidol, with good compliance. On examination, his temperature was 37.7 °C, blood pressure 115/80 mmHg and pulse 92 bpm. Respiratory rate was 14 cycles/min. There was pronounced choreoathetoid movement of his hands and fingers.
What is the most likely diagnosis of this patient?
MSFinals-5652
A 35-year-old male with a history of daily alcohol consumption for the last five years is admitted to the hospital emergency room. He is experiencing acute visual hallucinations, seeing spiders all around him, and is unable to recognize his family members. He is also exhibiting aggressive behavior and tremors. The patient had stopped drinking alcohol for two days prior to admission. On examination, he has a blood pressure of 170/100 mmHg, tremors, increased psychomotor activity, fearful affect, hallucinatory behavior, disorientation, impaired judgment, and insight. What is the most likely diagnosis?