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 COLLEGE OF PHYSICIANS & SURGEONS PAKISTAN

27th February 2019

MCPS

UBJECT: PSYCHIATRY


ANSWER ALL QUESTIONS (TOTAL QUESTIONS: 10)


USE SEPARATE ANSWER BOOK FOR EACH QUESTION


PAPER:


TIME ALLOWED


3 HOURS


2.4 A young unmarried male of 25-year was diagnosed as a case of schizophrenia. There is family history of psychiatric illness in the family. He developed the disease acutely with prominent positive features. He taq responded to treatment within two months and was well supported by his family, however, his family is still very cautious, inquisitive and worried excessively as the patient has adopted a lonely lifestyle.


a) What are the factors ointing towards good and bad prognosis in this


patient? b) What are the characteristic features of "high expressed emotions


family?stilette 1481 ellipse, c) What family interventions can be done in patients with schizophrenia?


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Q.5 A 31-year-old male presents with history of episodes of sudden onset of palpitation, trembling of body and fear of losing control which lasts for about 15-30 minutes. а вече стан реаги


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a) What is the most likely diagnosis? b) What is the DSM 5 diagnostic criteria of your likely diagnosis.


(ICD-10) Almost


c) Outline the management of this patient.


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Q.6 A young well-dressed girl of about 23-year presents to your psychiatric OPD with complaints of aphonia and difficulty in swallowing. Relevant examination and investigations do not reveal any significant pathology. On history you detect some major stressors in her life during the period of last 06 months.

a) What is the most probable diagnosis (keeping in view the classifications of ICD-10 and DSM-5)?

b) How is this disorder classified in DSM?

c) Enlist the biological factors implicated in the etiology of this disorder

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