MSFinals-5604
According to the Mental Health Act (1983), which section should be used to detain a teenage patient, already in hospital, who is suffering from acute psychosis and is attempting to leave the hospital against medical advice?
Archives: Medical Student Finals
MSFinals-5605
An 81-year-old man is transferred from a nursing home with a change in behaviour, insomnia and fever. Staff in the nursing home state that over the last five days, he has appeared confused and agitated and seems to be having visual hallucinations, as he has been talking and gesturing to people who are not present in the room. He has a past medical history of Lewy body dementia. On clinical examination, he is not orientated to time, place or person. He is mildly agitated. His blood pressure is 112/60 mmHg, pulse 96 bpm and temperature 38.2 °C. Urinalysis is positive for nitrites and leukocytes.
Which of the following management plans should be considered as initial treatment for delirium?
MSFinals-5606
Venlafaxine is an antidepressant that is commonly prescribed for the treatment of major depression, anxiety, and panic disorder. What is the most accurate description of the mechanism of action of this medication?
MSFinals-5607
A 30-year-old man visits his doctor six weeks after being diagnosed with generalised anxiety disorder (GAD). Despite undergoing cognitive behavioural therapy for a few sessions, his symptoms continue to significantly impact his daily routine. He inquires about the possibility of taking medication for his anxiety.
What is the primary drug class used to treat GAD?
MSFinals-5608
A 25-year-old man with type I diabetes mellitus visits his General Practitioner (GP) with concerns about his deteriorating glycaemic control. The GP suspects poor compliance with diet and medication. What is the most effective approach to enhance his compliance during a brief consultation?
MSFinals-5612
A 25-year-old man is worried about several recent incidents related to his sleep. He reports experiencing paralysis upon waking up and occasionally when falling asleep, accompanied by what he describes as ‘hallucinations’ such as seeing another person in the room. These episodes are causing him increasing anxiety. What is the probable diagnosis?
MSFinals-5613
A 40-year-old man with schizophrenia has been taking clozapine for five years and has been stable during that time. During his latest check-up, it was discovered that his clozapine levels were higher than recommended, resulting in a reduction in his dosage.
What is the most probable cause of an increase in clozapine blood levels?
MSFinals-5614
Which of the following interventions is most likely to be beneficial for a patient with early-onset schizophrenia?
MSFinals-5615
A 25-year-old male presents in clinic, insisting that you diagnose his colon issues. He describes experiencing vague sensations of incomplete stool passage and is worried that he may have a tumor causing obstruction. He reports regular bowel movements and denies any episodes of diarrhea or constipation. There is no history of blood in his stool, unintentional weight loss, or loss of appetite. He has no family history of cancer. After discussing your negative findings, he abruptly leaves the office, stating, You’re just like the other four doctors I’ve seen, all incompetent and willing to let me die.
What is the most accurate description of his gastrointestinal (GI) symptoms?
MSFinals-5616
A 19-year-old long-distance runner who is currently preparing for a regional marathon seeks an appointment with the team doctor due to an unusual sensation in her legs. She reports feeling numbness below her knee. During the examination, the doctor observes sensory loss below the left knee in a non-dermatomal distribution. The team doctor suspects a non-organic cause of her symptoms. What type of disorder is this an example of?