Archives: Medical Student Finals

MSFinals-5530

A 32-year-old man visits his General Practitioner (GP) for an annual mental health review. He was diagnosed with schizophrenia eight years ago. He has been on medication since diagnosis and takes this daily without any side-effects. He has regular contact with the community mental health team. He is working part-time as a shop assistant, which he enjoys. He has a good appetite, sleeps well and exercises regularly.

What is true regarding the treatment of schizophrenia in a 32-year-old man who has been diagnosed with the condition for eight years and is currently on medication without any side-effects, has regular contact with the community mental health team, works part-time, and has good appetite, sleep, and exercise habits?

MSFinals-5531

A 21-year-old student has been diagnosed with schizophrenia.
What is the most frequent type of hallucination experienced in schizophrenia?

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-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-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?