Med Student Finals Category: Psychiatry

MSFinals-5532

A 35-year-old woman arrives at the emergency department with symptoms of restlessness and confusion that have been present for one day. Upon further examination, she is found to have an elevated heart rate and body temperature. The patient has a history of depression and has been taking sertraline for several years without any changes in dosage or overdose incidents. However, her partner reports that she was recently prescribed a new medication by her general practitioner, which may have interacted with her regular medication. What is the most likely medication responsible for this interaction?

MSFinals-5533

A 50-year-old woman comes to you complaining of experiencing electric shock sensations and dizziness in her arms and legs for the past three days. She has a medical history of chronic pain, depression, and schizophrenia. When you inquire about her medications and drug use, she seems hesitant to provide a clear answer. What could be the probable reason behind her symptoms?

MSFinals-5534

A 47-year-old man is prescribed haloperidol, a first-generation antipsychotic, for an acute psychotic episode. He had previously been on olanzapine, a second-generation antipsychotic, but discontinued it due to adverse reactions. What adverse effect is he more prone to encounter with this new medication in comparison to olanzapine?

MSFinals-5535

A 65-year-old male has been admitted to the in-patient psychiatric unit. Upon review this morning, he appears to be a poor historian, providing minimal answers and insisting that he is deceased and does not belong in a hospital meant for the living. What is the specific name of this delusional disorder and with which condition is it typically linked?

MSFinals-5536

A 35-year-old woman complains that she is unable to leave the house and as a result, her children are missing out and she is a bad mother. She reports feeling anxious most of the time, but when she is in public, she experiences a rapid heartbeat, fast breathing, and believes that everyone is staring at her. These symptoms began approximately three weeks after she lost her job when the company she worked for shut down. Since then, she has been unable to find enjoyment in anything and feels constantly fatigued. What is her diagnosis?

MSFinals-5537

A 28-year-old man comes to see his doctor complaining of feeling down for the past two weeks. He has been having nightmares and difficulty sleeping. These symptoms started after he was violently robbed outside of his workplace. He has been avoiding going to work and often feels disconnected from reality.
What is the most probable diagnosis for this patient?

MSFinals-5522

A 35-year-old woman is seeking help at the Psychiatry Clinic upon referral from her General Practitioner. The patient is experiencing persistent low mood for the past two months and finds it difficult to get out of bed to go to work at times. She used to enjoy playing tennis, but now she does not find pleasure in any sports. Additionally, she has lost interest in food and lacks the motivation to go out and meet her friends. The patient also reports waking up early in the morning and having difficulty falling back asleep. She lives alone and has been divorced for two years. She smokes and drinks moderate amounts of alcohol.
What is the most affected aspect of pleasure in this patient?

MSFinals-5508

A 25-year-old woman visits her GP complaining of feeling down for the past 4 months. She reports having trouble sleeping and losing interest in activities she used to enjoy. Additionally, she has been experiencing excessive worry about the future. The patient has a history of dysmenorrhoea, which is managed with mefenamic acid. The GP recommends cognitive behavioural therapy and prescribes sertraline. What other medication should be considered given the patient’s medical history?

MSFinals-5509

A 35-year-old male has been diagnosed with a personality disorder by his therapist. He has difficulty maintaining relationships as he often feels that his partners are not trustworthy or committed enough. He becomes jealous and possessive, constantly checking their phone and social media accounts. He also struggles with anger management and has been involved in physical altercations in the past.
What personality disorder is he likely to have been diagnosed with?

MSFinals-5510

A 35-year-old teacher presents in a routine GP appointment feeling like everything is falling apart. Despite this, she has never taken a day off work and has no history of mental illness. Her partner has noticed her cleaning the house more than usual and becoming irritated by the apparent lack of cleanliness at home. The patient is also becoming increasingly irritated with others’ inability to perform tasks to her personal standards. She has a long-standing history of perfectionism and never spends her money on frivolous items. What is the probable diagnosis?