Volume 11 Issues 4 April, 2021
Across
2. 27 year old man, is hospitalised following a violent attack on his computer screen with a cricket bat. Over the last year, he seems to think someone within his computer is monitoringhim and that videos he was seeing showed people laughing at him. Patient was diagnosed with schizophrenia and started on fluphenazine. Common side effect seen with this drug is?
6. Most common side effect seen in a 40 year old patient who has major depressive disorder, currently on sertaline.
7. 35 year old man with history of bipolar disorder is hospitalised with suspected acute manicepisode. He is treated with anti psychotics causing muscular rigidity, hyperthermia and tachycardia. Which neurotransmitter was dysregulated leading to these symptoms?
8. 46 year old man who consumes more than 4 cans a beer daily is admitted to the hospital for uncontrolled Diabetes. What symptom will appear earliest once patient is hospitalised?
9. 50 year old man was assaulted two months ago and was hit in the head. Following this, patient’s family noted his behavior has changed. The patient is no irritable and rude and makes socially insensitive comments to people when in the past he was kind. Which anatomical region of the brain was likely involved, causing these symptoms?
10. When switching from phenelzine to sertaline, a 60 year old man is asked to wait 2 weeks to start sertaline. This time period allows synthesis of which substance so that sertaline treatment will be safe?
Down
1. 45 year old woman, who is a known case of schizophrenia is identified to be treatment resistant and started on clozapine. This is monitored on follow up.
3. 68 year old man revealed recently that he has increased his intake of beer from 1 beer can daily to 6 due to work stress. He says he acknowledges that consumes more than usual and has scheduled an appointment with a counselor to discuss how he can quit. Stage of behavioral change shown here is?
4. 28 year old female presents with overwhelming stress, which has increased due to a deadline over the last 6 weeks. She gets shaky, nauseous and starts to sweat. She stopped going out because she is afraid this will happen in front of her friends. This disorder is?
5. A resident physician is yelled at by a patient who also belittles him. He is reminded of his father who also belittled his accomplishments. This caused the resident physician to get angry and yell back at the patient and he orders haloperidol for the patient. What response is the resident showing here?
ANSWER
Across
2. MUSCULAR RIGIDITY
6. SEXUAL DYSFUNCTION
7. DOPAMINE
8. TREMOR
9. ORBITOFRONTAL
10. MONOAMINE OXIDASE
Down
1. ABSOLUTE NEUTROPHIL COUNT
3. PREPARATION
4. PANIC DISORDER
5. COUNTERTRANSFERENCE
