NBME2 BLOCK4 Q25,27, PLEASE HELP

Prep for USMLE Forum

» Log in | Register

Forum

Step 1

Match

Prep4USMLE Forum » USMLE Step 2 CK Forum » Psychiatry & Ethics

NBME2 BLOCK4 Q25,27, PLEASE HELP

Kaplan Test Prep and Admissions (Kaptest.com)

Author

7 Posts

jyn9188
Forum Newbie

Topics: 6
Posts: 11

04/11/08 - 10:11 PM

25) a 29-year-old woman is brought to the physician by her father. She has been working continuously without sleep for 3 days on a project which she claims "Allah and Jesus have told me to do" that will "unify all knowledge in physics and medicine and philosophy". She hears the voice of her dead brother telling her that she will be " the next Virgin Mary". Her father states that she was treated for depression for 1 year at the age of 19 years. Which is the most likely diagnosis?

A) Bipolar disorder
B)Borderline personality disorder
C)Major depression disorder
D)Schizophrenia
E)Substance-induced mood disorder

27)A mentally competent 76-year-old man is in the terminal stage of multiple myeloma. He is unable to move and requires 24-hour nursing care. Increasing doses of narcotics are needed to control severe pain. As a result, when he is pain-free, respiratory function is impaired and consciousness is clouded. The patient says he cannot live with this degree of pain and asks to be given a lethal injection of pain medication. Which of the following is the most appropriate step regarding the pain medication?

A)Reduce the dosage so as not to impair respiration
B)Administer the dosage necessary to control pain despite respiratory impairment
C)Administer the dosage necessary to control pain and add a centrally acting stimulant
D)Appeal to the family to convince the patient to tolerate a bit more pain

I chose D and B but not sure. Please help. Thanks

peter90036
Forum Elite
avatar

Topics: 24
Posts: 219

04/12/08 - 01:32 PM

ab

definition of shizophrenia is not 3 days

jyn9188
Forum Newbie

Topics: 6
Posts: 11

04/12/08 - 11:20 PM

right. Thanks

DrVirgo
Forum Hero
avatar

Topics: 1008
Posts: 3,191

04/13/08 - 09:42 AM

peter90036 wrote:

definition of shizophrenia is not 3 days

I agree, however can biplar have auditory hallucinations?

___________________
Our greatest glory is not in never falling, but in rising every time we fall.

peter90036
Forum Elite
avatar

Topics: 24
Posts: 219

04/13/08 - 10:46 AM

the best answer is not here : brief psychotic ( i call it: "schizo for a day")

75% manic patients have psychotic symptoms - delusions, hallucinations (FA psych clerkship)

jyn9188
Forum Newbie

Topics: 6
Posts: 11

04/13/08 - 06:01 PM

That will fit Bipolar Disorder definition. It says pt typically experiences manic symptoms for at least 1 week. 3 days is close 1 week.

jyn9188
Forum Newbie

Topics: 6
Posts: 11

04/13/08 - 06:01 PM

You don't have permission to post.