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Psychiatry for PLAB-1 and AKT: Clinical Scenarios
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Psychiatry for PLAB-1 and AKT: Clinical Scenarios

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Questions and Answers

A 35-year-old woman presents with a 2-year history of recurrent depressive episodes. She has tried multiple antidepressants, but her symptoms have not improved. Which of the following is the most likely diagnosis?

  • Adjustment disorder with depressed mood
  • Major depressive disorder with psychotic features
  • Bipolar disorder
  • Treatment-resistant depression (correct)
  • A 40-year-old man is diagnosed with schizophrenia and is prescribed risperidone. Which of the following is a potential side effect of this medication?

  • Diabetes insipidus
  • Extrapyramidal symptoms (correct)
  • Hypertension
  • Hypothyroidism
  • A 25-year-old woman presents with a 6-month history of insomnia, fatigue, and low mood. She has a history of childhood trauma and reports dissociative symptoms. Which of the following is the most likely diagnosis?

  • Borderline personality disorder
  • Dissociative identity disorder (DID)
  • Complex post-traumatic stress disorder (CPTSD) (correct)
  • Post-traumatic stress disorder (PTSD)
  • A 50-year-old man is diagnosed with obsessive-compulsive disorder (OCD) and is prescribed fluoxetine. Which of the following is a potential mechanism of action of this medication?

    <p>Blocking the reuptake of serotonin in the synaptic cleft</p> Signup and view all the answers

    A 30-year-old woman presents with a 3-month history of anxiety, palpitations, and tremors. She has a history of Graves' disease and is currently euthyroid. Which of the following is the most likely diagnosis?

    <p>Anxiety disorder due to another medical condition</p> Signup and view all the answers

    A 28-year-old man presents with a 6-month history of worsening depressive symptoms, despite being on fluoxetine 20mg daily. He has a family history of bipolar disorder. What is the most likely cause of treatment resistance?

    <p>Bipolar disorder</p> Signup and view all the answers

    A 45-year-old woman with a diagnosis of schizophrenia is prescribed olanzapine. Which of the following is a potential long-term side effect of this medication?

    <p>Hyperglycemia</p> Signup and view all the answers

    A 22-year-old man presents with a 2-week history of sudden onset of psychotic symptoms, including hallucinations and delusions. What is the most likely diagnosis?

    <p>Brief psychotic disorder</p> Signup and view all the answers

    A 35-year-old woman with a diagnosis of obsessive-compulsive disorder (OCD) is prescribed clomipramine. Which of the following is a potential mechanism of action of this medication?

    <p>Inhibition of serotonin reuptake</p> Signup and view all the answers

    A 40-year-old man with a diagnosis of post-traumatic stress disorder (PTSD) is prescribed prazosin. What is the primary indication for this medication?

    <p>Nightmares</p> Signup and view all the answers

    A 32-year-old woman presents with a 4-month history of depressive symptoms, fatigue, and insomnia. She has a family history of bipolar disorder. Her symptoms worsen with antidepressant treatment. What is the most likely diagnosis?

    <p>Bipolar affective disorder</p> Signup and view all the answers

    A 25-year-old man presents with a 2-year history of auditory hallucinations, delusions, and disorganized behavior. He has a history of substance abuse and has been diagnosed with schizophrenia. Which of the following medications is most likely to be prescribed?

    <p>Clozapine</p> Signup and view all the answers

    A 40-year-old woman presents with a 6-month history of anxiety, agitation, and insomnia. She has a history of thyroidectomy and is currently euthyroid. What is the most likely diagnosis?

    <p>Anxiety disorder due to another medical condition</p> Signup and view all the answers

    A 28-year-old man presents with a 3-month history of obsessive thoughts, compulsions, and anxiety. He has a family history of obsessive-compulsive disorder (OCD). Which of the following is a potential mechanism of action of his prescribed medication?

    <p>Selective serotonin reuptake inhibition</p> Signup and view all the answers

    A 35-year-old man presents with a 2-year history of depressive symptoms, fatigue, and sleep disturbances. He has a history of substance abuse and has been diagnosed with major depressive disorder. Which of the following medications is most likely to be prescribed?

    <p>Bupropion</p> Signup and view all the answers

    A 29-year-old woman presents with a 3-month history of worsening depressive symptoms, despite being on fluoxetine 20mg daily. She has a family history of bipolar disorder. Which of the following is the most likely cause of treatment resistance?

    <p>Undiagnosed bipolar disorder</p> Signup and view all the answers

    A 45-year-old man with a diagnosis of schizophrenia is prescribed clozapine. Which of the following is a potential side effect of this medication?

    <p>Agranulocytosis</p> Signup and view all the answers

    A 31-year-old woman presents with a 6-month history of symptoms of anxiety, insomnia, and palpitations. She has a history of hypothyroidism and is currently euthyroid. Which of the following is the most likely diagnosis?

    <p>Anxiety disorder due to a known medical condition (hypothyroidism)</p> Signup and view all the answers

    A 42-year-old man with a diagnosis of obsessive-compulsive disorder (OCD) is prescribed clomipramine. Which of the following is a potential mechanism of action of this medication?

    <p>Inhibition of serotonin reuptake</p> Signup and view all the answers

    A 38-year-old woman presents with a 2-year history of depressive symptoms, fatigue, and sleep disturbances. She has a history of substance abuse and has been diagnosed with major depressive disorder. Which of the following medications is most likely to be prescribed?

    <p>Bupropion</p> Signup and view all the answers

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