Archives: Medical Student Finals

MSFinals-5452

A 25-year-old woman goes to her GP to discuss symptoms she believes are related to a diagnosis of obsessive-compulsive disorder (OCD). She has been struggling with these symptoms for a few years, but they have worsened in recent months since she started working as a janitor. She experiences intrusive and persistent thoughts about germs, which lead her to repeatedly wash her hands, clothes, and clean her home. Her partner is worried about her, and they argue when he tries to encourage her to resist the urge to clean, as this exacerbates her anxiety symptoms. Which medication is approved for treating OCD?

MSFinals-5453

A 28-year-old man visits the police station complaining about his wife. He tells the police she regularly physically beats their 5-year-old daughter with a belt and that she often slaps the girl. The woman is arrested by the police for hitting and brutally beating her 5-year-old daughter. When the woman is asked why she does this, she responds that, ‘This is how my mother treated me, it’s how women should act’.

Which of the following types of learning behaviour in the woman does this represent?

MSFinals-5454

A 42-year-old woman is seen in the clinic after a recent visit to the psychiatrist who recommended an increase in her lithium dose for better symptom control. Her renal function is stable and you prescribe the recommended dose increase. When should her levels be re-checked?

MSFinals-5455

Samantha is a 35-year-old female who is receiving treatment for bipolar disorder on the psychiatric ward. She has been taking lithium for the past 3 weeks and the doctor needs to check if her levels have stabilised by taking bloods. Samantha’s last dose of lithium was at 9am this morning and it is currently 12pm. What is the appropriate time for the doctor to take her bloods?

MSFinals-5456

Electroconvulsive Therapy (ECT) is recommended by NICE for which clinical conditions?

MSFinals-5457

Which statement about the causation and dynamics of schizophrenia is accurate?

MSFinals-5428

A 31-year-old woman presents to her general practitioner 7 days after giving birth to her first child. The patient has been complaining of feeling ‘down’ for the last 4 or 5 days. She also describes being tearful and tired. She denies loss of interest in her hobbies, difficulty concentrating, guilt, change in appetite, sluggishness and suicidal thoughts. She also denies hallucination.
Which of the following statements concerning this patient’s likely condition is most accurate?

MSFinals-5429

A 21-year-old man is brought to the psychiatrist by his father. He expresses concern for his son’s mental health, as he has noticed him talking to himself frequently over the past 6 months. The patient is hesitant to speak with the psychiatrist and insists that his father stay in the room with him. During the psychiatric evaluation, it is revealed that the patient has been hearing a voice in his head for the past year, but denies any thoughts of self-harm or harm to others. The psychiatrist recommends a referral for further treatment, which causes the father to become emotional and question if he did something wrong as a parent. Which factor from the patient’s history is a poor prognostic indicator for his condition?

MSFinals-5430

A 48-year-old woman with a history of manic-depressive psychosis, diagnosed at the age of 23, presents to her General Practitioner with polydipsia and polyuria. Current medication includes lithium and a steroid inhaler for bronchial asthma. Examination reveals a blood pressure (BP) of 110/75 mmHg, with a pulse of 80 bpm and regular. There are normal fasting sugar levels and there is no postural drop on standing.
What are the investigation findings most likely to help diagnose this condition?

MSFinals-5438

Sarah, a 15-year-old girl is brought to the GP by her father as Sarah has not had her first period. She is 1.50m tall and weighs 40 Kg. Her heart rate is 60 beats per minute. Blood pressure is 120/90 mmHg. She has not developed any secondary sexual characteristics. There is a strong family history of eating disorder. You suspect that the delayed puberty may be due to anorexia nervosa.
What evidence supports the diagnosis of anorexia nervosa in Sarah?