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FCPS-2 March 2006 College of Physicians and Surgeons

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FCPS-2 March 2006 College of Physicians and Surgeons 

Q.1 A 55 years old feudal - lord presents with over six weeks' history of inability to ” face the world”, disinterest in sex, suicidal thoughts, and weight loss. He relates his current plight to losing a large sum of money and a part of his fortune in gambling:

  1. What will be the differential diagnosis in this case?
  2. What investigations you should undertake?
  3. Draw a comprehensive management plan for this patient

Q.2 A-pharmaceutical company presents to you a trial of its new antipsychotic published in a journal. The authors claim that the new antipsychotic is as effective as Haloperidol. 

How would you test this claim?

Q.3   Recent recommendations suggest that patients receiving treatment for Schizophrenia require monitoring for diabetes mellitus. 

What are your views?

Q.4   How would you handle a patient who refuses to leave your consultation room?

Q.5   Write short notes on Piaget’s stages of intellectual development

Q.6   A case of bipolar disorder with implanted pace-maker and carrying a history of severe alcohol use has suddenly become markedly suicidal. Explain:

a. Whether ECT can be administered

b. Justification/precautions to be observed in this case

Q.7   Describe the steps involved in the development of a research protocol Q.8   Describe the outlines of Axis V of DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS IV regarding applicability in your psychiatric practice

Q.9 they have asked you to break the news of malignant lymphoma to a patient and his family by your oncology colleague. How will you organize this activity?

Q.10 A 30-year-old male patient receiving Clozapine 300 mg daily complains of voiding urine in bed at night. What are the likely causes and how would you manage this case?

Q.11 A 40-year-old executive director of a bank presents to you with a history of poor sleep for the last 6 months. There is no underlying psychiatric disorder on assessment. List five areas that you would like to assess before starting hypnotics for this patient.

Q.12 Write a brief note on Wilson’s disease

Q.13 Enlist various psychiatric conditions associated with cannabis use.  What is the role of cannabis in the etiology of psychoses?


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