MSFinals-5547
What is a true statement about obsessive compulsive disorder (obsessional neurosis)?
Med Student Finals Category: Psychiatry
MSFinals-5548
A 25-year-old male is diagnosed with schizophrenia. He lives at home with his mother and two younger siblings. Although the patient has shown no signs of violence so far, his mother is very concerned for her own safety and that of her other two children. She wishes to discuss this with the psychiatry team.
Which of the following statements is true about the relationship between schizophrenia and violence?
MSFinals-5549
A 65-year-old Asian woman presents with sudden onset paranoid thoughts and suicidal ideation. She has a medical history of hypertension, type 2 diabetes mellitus, and hypercholesterolemia. Given her age and first episode of psychosis, what crucial investigation is necessary to rule out other potential underlying causes?
MSFinals-5550
A 32-year-old woman visits her GP for a follow-up on her depression. She is experiencing mild to moderate symptoms of low mood, anhedonia, poor appetite, and poor sleep, despite completing a full course of cognitive behavioural therapy. Her therapist has recommended medication, and the patient is open to this option. What is the appropriate first-line treatment for her depression?
MSFinals-5551
A 60-year-old retiree comes in for his annual diabetes review. He has type II diabetes; the condition seems to be well controlled with metformin, with HbA1c levels in the target range and no signs of end-organ damage.
During the consultation, the nurse asks some routine questions and is alarmed to find that the patient drinks almost 50 units of alcohol a week. The patient insists that he only drinks at the end of the day to relax, and on a Sunday when he goes to the pub with friends. He is adamant that he does not have a drinking problem and that he could stop at any time if he wanted to.
The nurse refers the patient to the doctor to assess for potential signs of alcohol dependency.
Which of the following are indications of alcohol dependency?
MSFinals-5552
A 22-year old woman comes to see her GP, seeking medication for opioid withdrawal. She explains that she has been using heroin for the past six months since losing her job as a store manager. She informs the GP that she has decided to quit using heroin and has not taken any for the past three days. She reports experiencing severe withdrawal symptoms that have been affecting her daily life and asks if there is anything that can be prescribed to alleviate her symptoms.
What are the observable indications of opioid withdrawal?
MSFinals-5553
A 27-year-old woman presents with a 3-day history of inability to use her right arm. She has been staying with her mother for the past 5 days after experiencing domestic abuse from her husband. The patient reports feeling very stressed. She denies any history of trauma. On examination, there is normal tone and reflexes but 0/5 power in all muscle groups of the right upper limb. The affected arm falls to the patient’s side when held above her face and released. What is the probable diagnosis?
MSFinals-5538
A middle-aged couple visits the clinic with concerns about the husband’s behavior. The wife reports that her partner has been acting strangely, constantly checking on their son throughout the day and night, sometimes up to twenty times. When questioned, he reveals that he had a frightening experience with his son last month and cannot stop reliving it in his mind. He avoids going to places where he might lose sight of his son and has trouble sleeping. There is no significant medical or psychiatric history. What is the most probable diagnosis?
MSFinals-5523
A 78-year-old man comes to see you, struggling to cope after his wife passed away suddenly 5 months ago. He appears sad and spends most of the appointment looking down, but answers your questions. He expresses concern that he may be losing his mind because he has started seeing his wife sitting in her old chair and sometimes talks to her when he is alone. He confirms that he can hear her voice responding to him. He says he mostly talks to her while cooking in the kitchen or when he is alone at night. Despite these experiences, he knows that what he sees and hears is not real. He reports occasional memory loss and some abdominal pain due to his irritable bowel syndrome, but is otherwise healthy. He has no history of psychiatric conditions in himself or his family. What is the most likely diagnosis?
MSFinals-5539
A 32-year-old Welsh Guard returning from operational duty overseas has been suffering from nightmares and intrusive memories of his military experiences for the past 6 months. He avoids anything that reminds him of his tour of duty and is emotionally detached. He has trouble sleeping, concentrating, and is easily startled by loud noises. Additionally, he has been abusing alcohol. What is the probable diagnosis?