TOTW #25 - Psychiatry Start QuizPage 1 of 18 Which mood stabiliser, used as a first line for acute mania, is also associated with a decrease in suicide risk? Carbamazepine Sodium valproate Lithium Lamotrigine Page 2 of 18 Which of the following is false regarding Bipolar I with rapid cycling? Refers to 2 or more mood episodes within 12 months Women are at increased risk for relapse during peripartum Occurs more commonly in females than males Carbamazepine is the pharmacological treatment of choice Page 3 of 18 Bipolar II: Usually presents in the depressive phase Is defined by past or present hypomania and a major depressive episode Presents with more atypical depressive symptoms such as hypersomnia, hyperphagia a-c Page 4 of 18 A patient in the ward known to experience delusions confides in you that they believe that their mother has been replaced by an imposter. What is this delusion named? Folie a deux Capgras delusion Cotard delusion Fregoli delusion Page 5 of 18 Another patient believes he is a walking corpse. This named delusion is: Folie a deux Capgras delusion Cotard delusion Fregoli delusion Page 6 of 18 What is the name of the plant below? Which psychiatric condition has research shown it may be effective in treating? Achyranthes aspera, bipolar I disorder St. John’s Wort, depression Ginkgo biloba, schizophrenia Asian ginseng, depression Page 7 of 18 Which medication is considered first-line treatment for major depressive disorder? Lithium Clozapine Fluoxetine Haloperidol Page 8 of 18 A 25-year-old woman presents with recurrent panic attacks characterized by sudden onset of intense fear, palpitations, sweating, and shortness of breath. She is worried about having future attacks and has begun avoiding places where she previously had attacks. Which of the following is the most appropriate treatment for her condition? Benzodiazepines Cognitive-behavioral therapy (CBT) Electroconvulsive therapy (ECT) Antipsychotics Page 9 of 18 Which is a characteristic feature of schizophrenia? Persistent depressive mood Recurrent episodes of binge eating followed by purging Disorganized speech, behaviour, and hallucinations Excessive worry about multiple events Page 10 of 18 A 7-year-old boy has persistent patterns of inattention and hyperactive behaviour that have been causing significant impairment in school and at home. What is the most likely diagnosis? Autism spectrum disorder Oppositional defiant disorder Attention-deficit/hyperactivity disorder (ADHD) Conduct disorder Page 11 of 18 Which personality disorder is characterized by a pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation? Antisocial personality disorder Borderline personality disorder Avoidant personality disorder Narcissistic personality disorder Page 12 of 18 A 30-year-old woman presents with a history of alternating periods of elevated mood, increased energy, decreased need for sleep, and grandiosity. She also has a history of episodes of deep depression, feelings of worthlessness, and suicidal ideation. What is the most likely diagnosis? Bipolar II Disorder Bipolar I Disorder Schizophrenia Major depressive episode Page 13 of 18 The following are personality assessment tests except: Minnesota Multiphasic Personality Inventory (MMPI) Thematic appreciation test Rorschach test Wechsler Adult Intelligence Scale (WAIS) Page 14 of 18 Delusions are a part of the clinical presentation of the following disorders except: Bipolar, manic episode Schizoid personality disorder Acute amphetamine intoxication Schizophrenia Page 15 of 18 Features of dementia include: Shrinkage of the milleu Fluctuating course Impaired consciousness Acute onset Page 16 of 18 Concrete thinking is a recognized symptom of: Anxiety Autism Seasonal affective disorder Adjustment disorder Page 17 of 18 Which of the following is not considered neurosis? Schizophrenia PTSD OCD Depression Page 18 of 18 A patient is diagnosed with obsessive compulsive personality disorder. On the multiaxial diagnosis, which axis will this be placed in? Axis II Axis I Axis III Axis IV Multiple Authors | WebsiteTOTW #26 - MicrobiologyTOTW #24 - BiochemistryTOTW #23 - HaematologyTOTW #22 - Embryology Previous Post TOTW #24 - Biochemistry Next Post TOTW #26 - Microbiology