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Rafi Psychiatry: Questions And Accurate Answers
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Rafi Psychiatry: Questions And Accurate Answers
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Rafi Psychiatry: Questions And Accurate AnswersA 45-year-old female is admitted to hospital after an overdose of paracetamol
of 100 tablets. She did not drink any alcohol. She had taken annual leave from
the steady job in a cafe and had left a note. Her husband had forgotten
something so returned from work earlier than usual and found her semi-
conscious. She tells you that she does not regret the attempt but feels bad that
she has put her children through enough seeing her in hospital. She is not
religious. Her husband is not very supportive of her and thinks she is
'attention-seeking'. She has no other family or friends locally. Which of the
following is a protective factor in this case?
A. Short history of depressive illness
B. She has children at home
C. She is not religious
D. Poor social support
E. Lack of alcohol consumed with the overdose
" Right Ans - B. She has children at home
"
A 35-year-old female presents to the Emergency Department following a
deliberate paracetamol overdose. Which one of the following features is most
indicative of a continuing high risk of suicide?
A. Staggered overdose
B. Mixed overdose involving other drugs
C. Female gender
D. Made efforts to avoid herself being found by friends and family
E. Consumed 50g of paracetamol
" Right Ans - D. made efforts to avoid herself being found by friends and
family
"
A patient with a history of depression presents for review. Which one of the
following suggests an increased risk of suicide?
A. Being 25-years-old
B. History of arm cutting
C. Being married
,D. Female sex
E. Having a busy job
" Right Ans - B. hisotry of arm cutting
"
Which of the following is a relative contraindication for ECT
A. Epilepsy
B. Recent myocardial infarction
C. Pregnancy
D. Pacemakers" Right Ans - B. Recent myocardial infarction
A 37-year-old man is brought to the GP by his wife. She reports that his
behaviour has become increasingly erratic and that he often appears to be
listening to something that she cannot hear. During the consultation, the GP
notices that he keeps standing up and sitting down again. When questioned on
these movements, the patient says, 'I can't help it, my neighbour is controlling
my legs.'
Which of the following symptoms is the patient experiencing?
Grandiose delusion
Passivity
Catatonia
Avolition
Neologism" Right Ans - Passivity
"
A patient with complex mental health problems who is on a variety of
medications comes into the clinic complaining of weight gain. Which of the
following medications is likely to be responsible for this side effect?
Olanzapine
Diazepam
Sodium Valproate
Tramadol
Citalopram" Right Ans - Olanzapine
"
,A 19-year-old woman is being assessed by a psychiatrist due to her eating
habits. She admits to binge eating followed by self-induced vomiting for the
past 6 months. On physical examination, her body mass index (BMI) is 20
kg/m² and she has enamel erosion.
Which of the following acid-base and electrolyte abnormalities is most likely
associated with her eating disorder?
Metabolic alkalosis, hypochloraemia, hyperkalaemia
Metabolic alkalosis, hyperchloraemia, hypokalaemia
Metabolic alkalosis, hypochloraemia, hypokalaemia
Metabolic acidosis, hypochloraemia, hypokalaemia
Metabolic acidosis, hyperchloraemia, hyperkalaemia" Right Ans - Metabolic
alkalosis, hypochloraemia, hypokalaemia
"
A 51-year-old woman presented to her family physician complaining of an
abdominal discomfort that has been present for a long time. The woman
reports that the discomfort is not localized and that she feels a heavy dragging
sensation in her abdomen. Upon further questioning, she says that she has
been having this abdominal discomfort for a few years. Her medical records
show that the woman has undergone imaging studies, upper gastrointestinal
endoscopy, and other investigations, none of which revealed any significant
findings. Recently, a CA-125 was not found to be elevated. The woman has a
history of mild depression for which she takes citalopram. She also complains
of bodily pain at several body locations. Physical examination is
unremarkable. Which of the following is the most likely diagnosis in this lady?
Malingering
Conversion disorder
Somatic symptom disorder
Munchausen syndrome
Hypochondriasis" Right Ans - Somatic symptom disorder
"
A patient has presented to the GP and says that he is feeling great. He is very
talkative, but also easily distracted and using extravagant hand gestures. This
seems to be out of character, and the GP decides to investigate further.
, Which sign/ symptom would be most associated with this diagnosis?
Third person auditory hallucinations
Decreased fatigability
Nihilistic delusions
Impaired social functioning
Paranoia" Right Ans - Decreased fatigability
"
A 19-year-old man is brought in by his family. They tell you he has become
withdrawn and not left the house for several months and has been acting
strangely. They think he is hearing voices and he often refuses to eat as he
claims the food it is poisoned. Given the likely diagnosis, what would be the
most appropriate first-line treatment?
Clozapine
Olanzapine
Sertraline
Sodium Valproate
Pregabalin" Right Ans - Olanzapine
"
A 22-year-old girl comes to clinic visit after finding out that her boyfriend has
been carrying on another relationship with someone else. She expresses rage
and complains of difficulty focusing on her upcoming high school class
routines and upcoming track meet. She also explains that she is channelling
her anger about the situation into training for her track meet.
What kind of defence mechanism she is exhibiting?
Denial
Humor
Reaction formation
Suppression
Sublimation" Right Ans - "Sublimation
Replacing an unacceptable wish with a course of action that is similar to the
wish but does not conflict with one's value system"
"
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