Nokea
A 30 year old lady has been diagnosed to be suffering from major depression. However, for the past 4 days, she has been expressing suicidal ideas. In addition, she was also found writing a suicide note. The best line of management in this case would be
- A. Increasing the dose of antidepressant
- B. Psychotherapy
- C. Add an antipsychotic
- D. Admit and consider ECTs
Correct Answer: D
Rationale: Acute suicidal risk requires hospitalization and rapid intervention like ECT, especially if antidepressants haven't yet taken effect.
You may also like to solve these questions
Agora in Agoraphobia means
- A. Open place
- B. Closed place
- C. Market place
- D. None of the above
Correct Answer: C
Rationale: Agora' historically refers to a marketplace.
Apotemnophilia refers to what?
- A. Fear of heights
- B. Desire to amputate a healthy limb
- C. Obsession with cleanliness
- D. Fear of enclosed spaces
Correct Answer: B
Rationale: Apotemnophilia is a condition where an individual has a strong desire to amputate a healthy limb, often linked to body integrity dysphoria.
Which of the following is considered a main treatment option for Major Depressive Disorder (MDD)?
- A. Herbal supplements
- B. Physical exercise
- C. Electroconvulsive therapy (ECT)
- D. Mindfulness-based cognitive therapy (MBCT)
Correct Answer: C
Rationale: Herbal supplements are not considered main treatment options for MDD according to established clinical guidelines due to lack of rigorous scientific evidence. Physical exercise has a positive impact on mood but is typically a complementary approach, not a standalone main treatment. Electroconvulsive therapy (ECT) is a main treatment option for MDD, particularly in severe cases unresponsive to other treatments, involving electric currents to induce controlled seizures. Mindfulness-based cognitive therapy (MBCT) is usually an adjunct to other main treatments like pharmacological interventions, not a primary standalone option.
All are true about Gestaut-Geschwind Syndrome, except
- A. Personality changes are seen
- B. Intense interest in moral, religious, philosophical issues
- C. Temporal and limbic structures are affected
- D. Not associated with complex partial seizures
Correct Answer: D
Rationale: Gestaut-Geschwind syndrome is associated with complex partial seizures.
A 5-year-old child was referred by his schoolteacher saying that he is naughty and troublesome in the class. She states that he often gets into fights with other children and finds it hard to wait for his turn when doing something. His mother reports that he has otherwise normal milestones and is generally a very bright kid. He also does very well in his academics although it is difficult to get him to concentrate on anything. He is generally underweight and does not eat well. Suggest the best possible drug treatment for him.
- A. Methylphenidate
- B. Atomoxetine
- C. Dexamphetamine
- D. Olanzapine
Correct Answer: A
Rationale: Methylphenidate is the first-line treatment for ADHD, which matches the child's symptoms of inattention, impulsivity, and hyperactivity, supported by its efficacy in improving focus and behavior in children.