Nokea
Othello syndrome is often seen as a complication of
- A. Cannabis abuse
- B. Alcohol dependence
- C. Schizophrenia
- D. Severe depression
Correct Answer: B
Rationale: Othello syndrome, characterized by pathological jealousy, is often seen in alcohol dependence.
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A young female presents in casualty with sudden fear, palpitations, breathlessness, tremors, chest pain and a sense of impending doom. The episode lasted for 10-15 minutes. ECG was normal. The most likely diagnosis is
- A. Phobia
- B. Conversion disorder
- C. Generalized anxiety disorder
- D. Panic attacks
Correct Answer: D
Rationale: This acute, intense episode with physical symptoms and impending doom is characteristic of a panic attack.
Dementia Praecox was the earlier name of
- A. Pre senile Dementia
- B. Alcoholic Dementia
- C. Multi Infarct Dementia
- D. Schizophrenia
Correct Answer: D
Rationale: Dementia praecox was an earlier term for schizophrenia.
A 45-year-old woman is referred to the clinic due to bizarre social interactions and inappropriate anger. When the patient called to schedule her appointment with the nurse, she sounded very energetic and jumped from topic to topic. Upon assessment, which of the following signs and symptoms suggest mania?
- A. Exaggerated self-esteem and increased sleep
- B. Interpersonal conflict and irritability in spring and summer
- C. Persistent sad or depressive mood, loss of interest in things that were once pleasurable, and sleep disturbances
- D. Pressured speech, flight of ideas, and intense level of energy
Correct Answer: D
Rationale: Bipolar disorder is a recurrent mood disorder featuring one or more episodes of mania or mixed episodes of mania and depression. Characteristics of mania include inflated self-esteem or grandiosity, decreased need for sleep, pressured speech, flight of ideas, distractibility and increased involvement in goal-directed activity. During an episode of depression, the person experiences a depressed mood or loss of pleasure in nearly all activities. There can also be changes in appetite or sleep, decreased energy, feelings of worthlessness or guilt, persistent sad or depressive mood and loss of interest in things. Seasonal affective disorder is characterized by increased sleep, appetite, interpersonal conflict and irritability beginning in late autumn and abating in spring and summer.
A patient on a psychiatric unit approaches a nurse in the hallway. He is anxious, dizzy, and short of breath. The nurse should
- A. Tell the patient to go to his room.
- B. Guide the patient into the common area so he may talk to other patients.
- C. Administer lorazepam as prescribed immediately.
- D. Guide the patient through a relaxation technique.
Correct Answer: D
Rationale: Using a relaxation exercise will reinforce the use of positive coping skills and promote self-empowerment. The unit hallway is not an appropriate place to assess the patient, and non-pharmacological interventions should be attempted before medication. Getting other patients involved is inappropriate and may breach confidentiality.
The hormone which is used for the treatment of depression
- A. Prolactin
- B. Levothyroxine
- C. Progesterone
- D. Cortisol
Correct Answer: B
Rationale: Levothyroxine can be used as an adjunct in treating refractory depression.