A PRIME TOWN
* Anoxia, Autoimmune
* Primary neurodegenerative
* Infections, inflammation
* Toxin, Trauma
* Other causes
* Vasculitides (W)
MRCPsych UK contains free resources to help you with MRCPsych Paper A, B and CASC Exam Preparation.
A 30-year-old man presented with episodes of sudden anxiety, palpitations, chest tightness, and a feeling of impending doom. These episodes occur about 4-5 times per month for the last 7 months and last about 10 minutes on average. They have carried his physical examination and laboratory evaluation out, which is inconclusive about biological causation for his condition.
Oculomotor involvement like that in progressive supranuclear palsy may occur. But the major difference between PSP and corticobasal degeneration is that the latter is with limb coordination problems, and the former is with balance and walking problems.
Q.4 A student of BSc diagnosed with borderline personality disorder presented in an emergency after attempting self-harm following a quarrel with a boyfriend.
Q.5 What are the various points that differentiate between the various anxiety disorders in terms of their prevalence and clinical features?
Q.6 A 39-year-old woman is diagnosed with severe depression years after the death of her husband. She is suicidal and has active suicidal ideations and symptoms of psychosis and is not responding to treatment with antidepressants. The psychiatrist plans ECT on this patient.
7. A 19-year-old girl had gone to spend her summer vacations at her uncle’s house in the other city. One day, about 15 days back, her uncle's son shows her some porn videos and seduced her to have sexual relations with him. On refusal, she was abused sexually. When she returned home, she had complaints of nightmares, jumping in bed on the opening of the door, persistent dull lower abdominal pain, irrelevant talks, over-familiarity, grandiosity, hyperactivity, distractibility, disinhibition with decreased sleep.
Q.10 Mr. Y is an admitted case in the Jail ward of psychiatry de undergoing treatment as a patient in pursuance of an order authority. Two days back, the parents of the patient met the consultant and requested discharge urgently as he is symptom-free.
Q.11 A 65 years old retired business manager has been brought in an emergency in a wheelchair with two days history of drowsiness, generalized rigidity of the body marked tremors, and irrelevant talking. He has a history of bipolar mood disorder for 12 years. Because of his increasing agitated behavior, they increased his lithium dose from 800 mg to 1200 mg per day, haloperidol from 7.5 mg to 15 mg per day, and lorazepam from 1 mg to 3 mg per day. He had diarrhea four days ago, which lasted for 2 days. On examination, he was disorientated and dysarthric with pulse 80/min, BP 160/90 mm, Hg, and temperature 100'F. He was confused and drowsy with diminished tendon jerks and equivocal planters.
Q.12 A 38-year-old lady is brought to the psychiatric outdoor clinic in a state of stupor a) What possibilities will you consider in the differential diagnosis? b) What investigations would you like to ask for? c) How will you manage her?
Q.13 In its 65" assembly, the World Health Organization adopted a resolution of the need for a comprehensive and coordinated response from health and social sectors as the mental health action plan.
Q.14 There is serious concern about the long-term use of benzodiazepine among older persons owing to adverse outcomes. However, the prevalence of benzodiazepine use in older people remains high. Considering recent advances:
Q.15 What points will you keep in mind while delivering a lecture on these topics:
Q.16 There has been substantial uncertainty regarding the incidence of children and adolescents exposed to trauma. A recent meta-analysis evaluated this issue.
Q.17 A 22 years old female patient presented to psychiatric e patient presented to psychiatric OPD with complaints of weight loss over 20%, and Body mass index. On her mental state examination, they revealed it she has real fatness, therefore she avoids food and shows a behavior aimed to lose weight by vomiting. purging excessive exercise and the use of appetite suppressants and diuretics. She also complains of the absence of menstruation for the last few months.
18. A man is brought to a psychiatric emergency. His pulse is 100/min, BP is 170/95 mm Hg, and he is profusely sweating. He is shaky and has difficulty in giving his history. He has had difficulty falling asleep for two nights and sees spiders walking on the walls. He has been a drinker for 10 years but has had no drink for the last 3 days.
Q.19 What strategies you could employ to treat the sexual side effects in a 30-year-old male receiving treatment with an SSRI.
Q.20 A 34-year-old woman who had been married for some time is pregnant for the first time. 4 weeks after delivery, she appears to be agitated. In this state, she drowned the child in the bath and slashed her wrists.
ICD-11 Criteria for Gambling Disorder (6C50) A collection of dice Foundation URI : http://id.who.int/icd/entity/1041487064 6C50 Gambling d...