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Psychiatrie Preparation (Pr. Pauv Bunthoeun)

 

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1) Vasanti 45 years, was brought to casualty with abnormal movements which induced persistent deviation of neck to right sid One day before she was prescribed Haloperidol 5mg three times daily from the psychiatry OP She also had an alternation with her husband recently. Which of the following is the most likely cause for her symptoms –

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2) The following is a schizophrenia’s first rank symptoms –

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3) αžαŸ’αž“αžΆαŸ†αžŠαŸ‚αž›αž˜αžΆαž“αžŸαž€αž˜αŸ’αž˜αž—αžΆαž–αž”αŸ’αžšαž†αžΆαŸ†αž„αž“αžΉαž„ Receptor αž“αŸƒ Dopamine (The dopamine receptor antagonists) αž˜αžΆαž“:

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4) Delirium Tremens ( DTs) αž˜αžΆαž“αžšαŸ„αž‚αžŸαž‰αŸ’αž‰αžΆ:

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5) An elderly woman suffering from schizophrenia is on antipsychotic medication. she develops purposeless involuntary facial and limb movements, constant chewing and puffing of cheeks. Which of the following drugs is least likely to be involved in this effect –

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6) αžšαž™αŸˆαž–αŸαž›αžαŸ’αž›αžΈαž”αŸ†αž•αž»αžαž€αŸ’αž“αž»αž„αž€αžΆαžšαžŸαžΆαž€αž›αŸ’αž”αž„αž”αŸ’αžšαžΎαž”αŸ’αžšαžΆαžŸαŸ‹αžαŸ’αž“αžΆαŸ† Antipsychotic αž€αŸ’αž“αž»αž„αž€αžΆαžšαž–αŸ’αž™αžΆαž”αžΆαž›αž‡αŸ†αž„αžΊ Schizophrenia αŸ–

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7) Drug of choice for schizophrenic patient with poor oral absorption is ?

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8) A patient of schizophrenia treated for 5 yrs developed perioral movements.Likely diagnosis is:

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9) Which of the following antidepressants is called selective serotonin reuptake inhibitor ?

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10) αž’αŸ’αž“αž€αžŠαŸ‚αž›αž‰αŸ€αž“αž“αžΉαž„αžαŸ’αž“αžΆαŸ†αž”αŸ’αžšαž—αŸαž‘ Amphetamine, αž”αž“αŸ’αž‘αžΆαž”αŸ‹αž–αžΈαž”αž‰αŸ’αžˆαž”αŸ‹αž€αžΆαžšαž”αŸ’αžšαžΎαž”αŸ’αžšαžΆαžŸαŸ‹ ( Amphetamine withdrawal) αž’αŸ’αž“αž€αž‡αŸ†αž„αžΊαž’αžΆαž…αž˜αžΆαž“αžšαŸ„αž‚αžŸαž‰αŸ’αž‰αžΆ αŸ–

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11) αž‚αŸ„αž›αž”αŸ†αžŽαž„αž“αŸƒαž€αžΆαžšαž’αŸ’αžœαžΎ Tetiary prevention :

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12) αž“αŸ…αž–αŸαž›αž‚αŸαž”αŸ’αžšαžΎαž”αŸ’αžšαžΆαžŸαŸ‹αžαŸ’αž“αžΆαŸ† Antipsychotic ( ឧ, αžαŸ’αž“αžΆαŸ†αž”αŸ’αžšαž—αŸαž‘ Dopamine receptor antagonist) αž˜αž½αž™αž₯αžαž‡αŸ„αž‚αž‡αž™αŸαž€αŸ’αž“αž»αž„αž€αžΆαžšαž–αŸ’αž™αžΆαž”αžΆαž›αž‡αŸ†αž„αžΊβ€‹ Schizophrenia αž‚αŸαž’αžΆαž…αž”αŸ’αžšαžΎαžšαž½αž˜αž•αŸ’αžŸαŸ†αž‡αžΆαž˜αž½αž™αžαŸ’αž“αžΆαŸ†αž•αŸ’αžŸαŸαž„αž‘αŸ€αžαžŠαžΌαž…αž‡αžΆβ€‹ Lithium αž‚αŸ„αž›αž”αŸ†αž“αž„αžŠαžΎαž˜αŸ’αž”αžΈ

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13) Antipsychotic drug with prolonged action –

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14) A 30 year old unmarried women of average socio-economic background believes that her boss is an secretly love with her. She rings him up at odd hours and writes love letter to him despite his serious warning to do so. She holds this belief despite contradiction from family members and his denial. However she is able to manage her daily activities as befor She is most likely to be suffering from –

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15) A patient on antipsychotic for past four weeks is brought to the emergency with complaint of acute onset of fever, excessive sweating confusion, rigidity of limbs and decreased communication. Examination reveals Temperature of 39 Degree C , P/R – 120/min BP – 150/100 with disorientation.What is the most probable diagnosis –

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