docnikki
Forum Guru
Topics: 93
Posts: 680
|
1) A 19-year-old college student comes to student
health services
because of constant worrying since starting his
freshman year 6 months
ago. He attends college several hundred miles away
from his hometown.
He reports feeling constantly scrutinized by other
students and
professors. He feels embarrassed and anxious in class
and is in constant fear
of blushing. He has started to skip his classes
because of his anxiety
and worries that he will not be able to complete the
school year. He
drinks alcohol occasionally because it helps him
overcome his fear of
being embarrassed in front of others. He does not use
illicit drugs.
Physical examination shows no abnormalities. On
mental status
examination, he is mildly anxious. He exhibits fair
eye contact and shifts
uncomfortably in his chair. Laboratory studies are
within normal limits.
Which of the following is the most appropriate
pharmacotherapy for this
patient?
A
) Disulfiram
B
) Donepezil
C
) Fluoxetine
D
) Haloperidol
E
) Methylphenidate
F
) Valproic acid
2) A 70-year-old woman comes to the physician
because of fatigue
and increasing difficulty in her daily functioning
over the past 2
months. During the day, she lies in bed for hours and
cries. She has had a
10.9-kg (24-lb) weight loss over the past 4 weeks,
eats only cookies,
has lost interest in almost everything, and wishes to
kill herself. Her
husband died 4 months ago. Physical examination and
laboratory studies
show normal findings except for decreased serum
albumin and total
protein levels. Which of the following is the most
likely diagnosis?
A
) Adjustment disorder with depressed mood
B
) Bereavement
C
) Bipolar disorder, depressed
D
) Dysthymic disorder
E
) Major depressive disorder
3) A 13-year-old boy is brought to the physician
by his mother
because of frequent headaches over the past 5 weeks.
He describes the
headaches as dull pain across his forehead; they occur
four to five times
weekly. Acetaminophen does not relieve the pain. His
mother states
that occasionally he has nausea without vomiting. He
has schizophrenia
well controlled with risperidone. Physical
examination shows no
abnormalities. An MRI of the brain is most likely to
show which of the
following?
A
) Bilateral increased caudate nuclei
B
) Decreased cerebellar volume
C
) Hippocampal symmetry
D
) Increased lateral ventricle size
E
) Multiple white-matter hyperintensities
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| sera
Forum Senior
Topics: 14
Posts: 141
|
1. C
2. NOT SURE ....E?
3. D
___________________
syra
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| zhoufg
Forum Senior
Topics: 15
Posts: 112
|
1.C
2. I choose A (she has suffered >2wks)
3.D
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| annapareddy
Forum Newbie
Topics: 1
Posts: 22
|
2nd onr is major depressive disorder as she fullfills the criteria and also she is contemplating suicide
___________________
I dont remember how we happened to meet each other.I dont remember who got along with whom first. All I can remember is all of us together...always
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| usmle12
Forum Senior
Topics: 19
Posts: 194
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C E D?
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| smal
Forum Guru
Topics: 140
Posts: 727
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2-A only reason why i choose over E is evidence of a ppt. factor.otherwise duation is .2 weeeks which can be MDE and its appearence is withing a month of event so can be A.
___________________
remedy for weakness is not brooding over it ,but thinking of strength.
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| doc_clotaire
Forum Guru
Topics: 158
Posts: 1,177
|
1 . GAD -----------------------------C
2.E ) Major depressive disorder ( weigt loss, anhedonia , and suicide intention is MDD , Adjustment disorder with depressed mood is not that bad )
3.- D ) Increased lateral ventricle size
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| fafa
Forum Newbie
Topics: 0
Posts: 11
|
for the second one ,,,Iam with MDD
first one absolutely C ,,since SSRIs are the Tx of choice for GAD in long term.
but the last one ,,, why all of u guys chosed d ?? I didnt get what is the problem???
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| lq2006
Forum Elite
Topics: 25
Posts: 355
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C
E
D
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| avesina
Forum Newbie
Topics: 0
Posts: 3
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I think :
C
E
D
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| guangyu
Forum Elite
Topics: 28
Posts: 281
|
For the last question, where is headache coming from?
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| Markus2009
Forum Senior
Topics: 9
Posts: 189
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C
E
D
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