Archives: Medical Student Finals

MSFinals-5322

A 72-year-old female visits her GP due to concerns about memory loss. She has been experiencing forgetfulness and absent-mindedness for the past three weeks. She cannot recall conversations that occurred earlier in the day and has forgotten to lock her front door. Additionally, she has been feeling fatigued and has lost interest in her usual activities, such as going out for walks. Living alone, she is worried about the potential risks associated with her memory loss. Although initially appearing cheerful, she becomes emotional and starts crying while discussing her symptoms. The following blood test result is obtained: TSH 2 mU/L. What is the most probable cause of her presentation?

MSFinals-5323

A 22-year-old first-year graduate student presents to the Student Health Clinic because she feels depressed. She describes feeling homesick and is so sad that it is interfering with her ability to focus, work or make new friends. Her sleep, appetite and energy have been unaffected. She denies suicidal ideation or feelings of guilt. She thought it would have gotten better by now, but she said it has already been 2 months since she left home and she is still unhappy. She is worried that she is experiencing major depression.
Which of the following is the most appropriate diagnosis?

MSFinals-5324

Sarah is a 30-year-old teacher who has been referred to the mental health team with suspected bipolar disorder. The psychiatrist has confirmed the diagnosis and prescribed lithium, which has stabilized her condition. They have requested that you take over the monitoring of her medication levels. When you call Sarah to advise her on when to have her lithium levels checked, she cannot recall the specific timing related to her medication. How would you recommend that her medication levels be monitored?

MSFinals-5325

As a healthcare professional, you are asked to evaluate a patient in their early 30s who is experiencing chest pain and is awaiting assessment by the psychiatry team. Upon examination and investigations, no abnormalities are found. However, you observe that the patient is exhibiting unusual behavior, avoiding eye contact and being hesitant to answer questions. After building a rapport with the patient, they reveal that they have never been in a romantic relationship and prefer to be alone to avoid embarrassment. They have no friends and do not communicate with their family due to constant criticism. What type of personality disorder is the patient likely experiencing?

MSFinals-5326

A 25-year-old woman comes to her doctor’s office seeking assistance for her anxiety. She feels overwhelmed by her job, particularly when it comes to communicating with coworkers and superiors, as she is afraid of being criticized. In her personal life, she frequently worries about how her friends perceive her and often avoids socializing with them as a result. She admits to having low self-esteem and a negative self-image. What is the most appropriate diagnosis for her?

MSFinals-5327

A 63-year-old man presents to his general practitioner with stiffness in his muscles, difficulty initiating movements such as getting up from a chair, slow movements and hand shaking, which started 5 weeks ago. He has a medical history of schizophrenia and has had good compliance with his medication for the past 3 months. He is taking haloperidol. On examination, his temperature is 37.5 °C, blood pressure 120/81 mmHg and pulse 98 bpm. On examination, there is decreased facial expression, pill-rolling tremor, cogwheel rigidity and festinating gait.
Which of the following terms describes the symptoms of this patient?

MSFinals-5328

A 72-year-old woman, widowed for 5 years, presents with insomnia, anhedonia, frequent tearfulness when discussing her late husband, and weight loss. She reports experiencing various nonspecific physical symptoms and expresses concerns about the return of breast cancer that was previously treated. She denies any substance abuse and denies having suicidal thoughts but admits that she would feel relieved if she were to pass away. What is the most suitable form of psychotherapy/treatment for this patient?

MSFinals-5329

A 24-year-old medical student presents to the emergency department accompanied by his partner, reporting a 10-hour history of aggression, irritability, and hallucinations. The partner suspects a mental breakdown due to sleep deprivation from studying for exams. Laboratory tests for drugs and infection are negative. The patient is admitted for observation and returns to baseline the following day.
What is the probable diagnosis?

MSFinals-5330

A 20-year-old woman is brought to your clinic by her parents due to concerns about her weight loss (her BMI has dropped from 21 to 18.5 in the past year). You have seen her before and have ruled out any physical causes for her weight loss. When you inquire about purging behaviors, such as self-induced vomiting, she becomes defensive, but you notice that her tooth enamel is eroded. She admits to feeling overweight and has been experiencing low mood for several months, finding little pleasure in anything except for when she indulges in too much chocolate and bread. However, she feels even more disgusted with herself afterwards. What is the most appropriate diagnosis for her condition?

MSFinals-5307

A 28-year-old male with depression is evaluated by his psychiatrist. He expresses his ongoing depressed mood and shares with his psychiatrist that he experiences a sense of detachment from reality.

Which term best describes the abnormality exhibited by the patient?