Mnemonicsmed Mcqs part 6

Mnemonicsmed Mcqs

 A 27-year-old man has been maintained on 300mg of clozapine for treatment-refractory schizophrenia. He had responded well to it and had been free of positive symptoms until the last three weeks when he developed the same symptoms again. The patient denies noncompliance and his family confirmed that he has been taking his medication as advised.
Which one of these is the most appropriate immediate step in his management?
A)Obtain clozapine serum levels
B)Enquire about smoking status
C)Add augmentation agent
D)Increase the dose of clozapine
E)Evaluate psychosocial stressors

ANS: A

Q.A 21-year-old girl presents with inability to produce voice. She developed this after a fight with her in-laws and husband. There is no indication of head injury and collateral information obtained is consistent with this. Physical and neurological examination is within normal limit.
What test is best at this stage to ascertain whether the loss of speech is due to neurological injury or functional neurological symptom disorder?
A)Magnetic resonance imaging
B)Electromyography
C)Request a cough
D)Nerve conduction studies
E)Head-up-tilt test

ANS: C

Q.A ladypresented to emergency with altered sensorium and hypotension. She is taking antidepressant medications. ECG shows wide QRS complex and right axis deviation. What should be given for management of this patient?
A)I.V sodium bicarbonate 
B)Wait and watch 
C)Physostigmine 
D)Antiarrhythmic

ANS: A

Q.3 yr old girl has delayed developmental milestone, delayed speech, difficultyin concentrating on studies, plays with herself & does not make friends. Diagnosis is
A)Autism 
B)ADHD
C)Specific learning disorder 
D)Mental retardation

ANS: A

Q.Naltrexone is used in opioid dependence to
A)Prevent respiratory depression 
B)Prevent relapse
C)Treat withdrawal symptoms
D)Detoxification of opioid overdose

ANS: D

Q.A 6-year-old boy presented with a history of not making friends with other children. Further history revealed that he was also not attached to his parents, he was interested in playing with himself only. In addition, he shows repetitive head banging, and hand wringing. It is also noted he gets agitated if his routine is changed. There is history of birth asphyxia. The most possible diagnosis is
A)Rett's syndrome 
B)Autistic disorder 
C)Conduct disorder 
D)Schizophrenia

ANS: B

Q. A patient after starting on treatment with haloperidol presents with hyperthermia,confusion and sweating. Examination shows labile blood pressure and increased muscle tone. The most appropriate investigations to be done here are
A)CT brain and hemogram 
B)Hb%, Serum electrolytes. 
C)ECG, chest X-ray and Hb% 
D)Hemogram, CPK and renal function tests

ANS: D

Q.Confabulation means
A)Misinterpretation of stimulus by one of the special sense organs
B)Perception in absence of a stimulus
C)Making stories to fill in the gaps caused by memory loss
D)None of the above

ANS: C

Q.A married female patient aged 24 years presents to the emergency with history of short lasting episode of behavioral changes and unresponsiveness in which she is agitated, accompanied by smacking of the lips, and thrashing movements
of the limbs. On recovery the patient is not able to recall the episode. Further history does not reveal any stressors. The most likely diagnosis is
A)Chorea gravidarum 
B)Temporal lobe epilepsy
C)Panic attacks 
D)Dissociative disorder

ANS: B

Q.A patient after starting on treatment with haloperidol presents with hyperthermia,confusion and sweating. Examination shows labile blood pressure and increased muscle tone. The most appropriate investigations to be done here are
A)CT brain and hemogram 
B)Hb%, Serum electrolytes.
C)ECG, chest X-ray and Hb% 
D)Hemogram, CPK and renal function tests

ANS: D


Q.A 35 year old male was found by the police wandering in a city. He was unable to give information on his home address or other family members. He appeared to be well groomed, and would be able to converse with others. On examination, there was no medical illness or presence of psychotic symptoms.

Urine screening revealed negative for any psychoactive substances. Most likely diagnosis is
A)Dissociative fugue 
B)Dissociative amnesia
C)Schizophrenia 
D)Dementia

ANS. : A

Q.Anaesthesia for ECT was previously induced with 
_, a short-acting barbiturate. However, this agent became increasingly difficult to obtain, and _is the most widely used alternative. This injection can be painful, and it can also decrease seizure length and delay or abolish convulsions.  may be preferred in patients in whom it is difficult to induce a seizure.

ANS: methohexital/propofol/ketamine