QCM 39

Which ne f the fllwing prpsals is crrect?

Disrientatin: lack f reactin t and unawareness f surrundings.

Cluding f cnsciusness: incmplete clear-mindedness with disturbances in perceptin and attitudes

Stupr: disturbance f rientatin in time, place r persn.

Cma vigil: abnrmal drwsiness.

Smnlence: cma in which the patient appears t be asleep but ready t be araused (als knwn as akinetic mutism).

Which ne f the fllwing prpsals is nt crrect?

Disrientatin: disturbance f rientatin in time, place r persn.

Cluding f cnsciusness: incmplete clear-mindedness with disturbances in perceptin and attitudes.

Stupr: lack f reactin t and unawareness f surrundings.

Cma: superficial degree f uncnsciusness.

Delirium: restless, cnfused, disriented reactin assciated with fear and hallucinatins.

�Inability t cncentrate attentin, attentin drawn t unimprtant r irrelevant external stimuli” is a definitin f

�excessive attentin and fcus n internal and external stimuli, usually secndary t delusin r paranid states” is a definitin f

�fcused attentin, and altered cnsciusness, usually seen in hypnsis, dissciative disrders” is a definitin f

Which ne f the fllwing phrases is nt assciated with Emtin

Cmplex feeling state with psychic smatic

Cmplex feeling state with behaviral cmpnents

Is related t affect

Is related t md.

Cmplex feeling state with psychic smatic, cmplex feeling state with behaviral cmpnents, is related t affect, is related t md are wrng

Which ne f the fllwing phrases is nt assciated with Affect

A pervasive and sustained emtin, subjectively experienced and reprted by the patient

Bserved expressin f emtin

May be incnsistent with patient’s descriptin f emtin.

Apprpriate affect, Inapprpriate affect, Blunted affect

Restricted affect r cnstricted affect, Flat affect, Labile affect

Which ne f the fllwing phrases is nt assciated with Md

A pervasive and sustained emtin

Subjectively experienced and reprted by the patient.

Depressin , elatin, anger.

Bserved expressin f emtin

Labile md, Dysphric md, Expansive md

Definitin f Anxiety:

Feeling f apprehensin caused by anticipatin f danger which may be internal r external

Anxiety caused by cnsciusly recgnized and realistic danger.

Severe anxiety assciated with mtr restlessness.

Increased mtr and psychlgical activity that is unpleaseant.

Acute, episdic, intense attack f anxiety assciated with verwhelming feeling f dread and autnmic discharge.

Definitin f Fear:

Feeling f apprehensin caused by anticipatin f danger which may be internal r external.

Anxiety caused by cnsciusly recgnized and realistic danger

Severe anxiety assciated with mtr restlessness.

Increased mtr and psychlgical activity that is unpleaseant.

Acute, episdic, intense attack f anxiety assciated with verwhelming feeling f dread and autnmic discharge.

Definitin f Agitatin:

Feeling f apprehensin caused by anticipatin f danger which may be internal r external.

Anxiety caused by cnsciusly recgnized and realistic danger.

Severe anxiety assciated with mtr restlessness

Increased mtr and psychlgical activity that is unpleaseant.

Acute, episdic, intense attack f anxiety assciated with verwhelming feeling f dread and autnmic discharge.

Definitin f Tensin in Psychiatry :

Feeling f apprehensin caused by anticipatin f danger which may be internal r external.

Anxiety caused by cnsciusly recgnized and realistic danger.

Severe anxiety assciated with mtr restlessness.

Increased mtr and psychlgical activity that is unpleaseant

Acute, episdic, intense attack f anxiety assciated with verwhelming feeling f dread and autnmic discharge.

Definitin f Panic:

Feeling f apprehensin caused by anticipatin f danger which may be internal r external.

Anxiety caused by cnsciusly recgnized and realistic danger.

Severe anxiety assciated with mtr restlessness.

Increased mtr and psychlgical activity that is unpleaseant.

Acute, episdic, intense attack f anxiety assciated with verwhelming feeling f dread and autnmic discharge

Definitin f Ambivalence:

Severe anxiety assciated with mtr restlessness.

Increased mtr and psychlgical activity that is unpleaseant.

Acute, episdic, intense attack f anxiety assciated with verwhelming feeling f dread and autnmic discharge.

Cexistence f tw ppsing impulses tward the same thing in the same persn at the same time

Emtin secndary t ding what is perceived as wrng.

Definitin f Guilt:

Severe anxiety assciated with mtr restlessness.

Increased mtr and psychlgical activity that is unpleaseant.

Acute, episdic, intense attack f anxiety assciated with verwhelming feeling f dread and autnmic discharge.

Cexistence f tw ppsing impulses tward the same thing in the same persn at the same time.

Emtin secndary t ding what is perceived as wrng

A 32-year-ld patient is being interviewed in his physician’s ffice. He eventually answers each questin, but he gives lng answers with a great deal f tedius and unnecessary detail befre ding s. Which f the fllwing symptms best describe this patient’s presentatin?

A patient with a chrnic psychtic disrder is cnvinced that she has caused a recent earthquake because she was bred and wishing fr smething exciting t ccur. Which f the fllwing symptms mst clsely describes this patient’s thughts?

An 18-year-ld male is brught t hspital by his parents because they have nticed that he has been acting strangely recently. His parents say that the patient has just ‘lst it’ since failing his final examinatins. The patient was nted t be giggling t himself, spending almst all his time in his rm, making unusual gestures with his hands, speech has been incmprehensible and nnsense. What is the mst prbably diagnsis f this patient?

A 30-year-ld female is brught t hspital as she has been vilent and hstile t her neighbrs. Accrding t the patient, her grandfather was a successful writer and she acquired his frtunes recently. Hwever, she believes that her neighbrs have fund ut abut it and claims that she has heard them talking abut stealing her mney.What is the mst prbably diagnsis f this patient?

A 37-year-ld male is brught t hspital by his wife as he has becme increasingly irritable and restless ver the last 2 weeks. His wife reprted that he did nt sleep well and wke up all night planning business ventures and wrte letters t celebrities, claiming that they are his friends. N examinatin, the patient is highly arused with marked pressure f speech and flight f ideas. Select the mst likely diagnsis frm the fllwing statements:

A 22-year-ld male is admitted t hspital fr a psychtic illness and was cmmenced n an antipsychtic medicatin. Few days later, he cmplains f feeling anxius and restless. He is unable t keep his legs frm mving and has been pacing up and dwn the crridrs. He is distressed by his symptms and has been expressing suicidal thughts. His urine drug screen was negative. Select the mst likely diagnsis frm the fllwing answer:

During a clinical interview with a 25 male patient. He said that ‘I dn’t really d the things. I used t be an active persn and enjyed running. I even played tennis cmpetitively and really liked it. but I dn’t get any jy ut f my hbbies nw.’Select the mst apprpriate crrect answer frm the fllwing

Case scenari : During a clinical interview with a 22 female patient. She said that ‘I’m nt eating anymre, and I cnstantly feel guilty fr everything. I feel like I’m in a deep trench and I’m suffering dwn belw. Select the mst apprpriate crrect answer frm the fllwing

A Psychiatric patient wh, althugh cherent, never gets t the pint has a disturbance in the frm f thught called

Steretypy is

Temprary lss f muscle tne and weakness precipitated by a variety f emtinal state

Pathlgical imitatin f mvements f ne persn by anther

Ingrained, habitual invluntary mvement

Repetitive fixed pattern f physical actin r speech

Subjective feeling f muscular tensin and restlessness secndary t antipsychtic

Which f the fllwing drugs is best used t treat acute delirium?

True statements abut Parkinsn’s disease include

It is a prttype f a crtical degenerative disease.

It cannt be distinguished frm parkisnian syndrmes that arise frm a variety f causes.

It is the result f the degeneratin f the substantia nigra, glbus pallidus, pputamen, and caudate.

The nly cells affected ate thse cntaining dpamine.

Dementia is mre cmmn in early-nset disease.

Amnestic disrders

May be diagnsed in the cntext f delirium

May be diagnsed in the cntext f dementia

Are secndary syndrmes caused by primary etilgies

Are mst ften due t nutritinal deficiencies related t chrnic alchl dependence

Nne f the abve

Amnestic disrder

Are invariably persistent, lasting at least a mnth

Are defined by a better memry fr remte events than recent nes.

D nt typically impair the ability t immediately repeat a sequential string f infrmatin (e.g., digit span)

Typically have a gradual nset

Nne f the abve

An 18 year ld by came t the psychiatry PD with a cmplaint f feeling changed frm inside.He described himself as feeling strange as if he is different frm his nrmal self.He was very tense and anxius yet culd nt pint ut the precise change in him.This phenmena is best called as:

Depersnalizatin

Delusinal md.

Ver valued idea.

Autchthnus delusin.

Hallucinatins which ccur at the 'start' f sleep is -

Jactati ncturna capaitis

Nn-spcific hallucinatins

Hypnaggic hallucinatins

Hypnpmpic hallucinatins

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QCM 39

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