Volume 11 Issues 3 March, 2021
Across
6. 39 year old man, with known history of substance abuse is admitted to the hospital with
depression with suicide ideation. On admission he was withdrawn, hypersomnolent, hyperphagic and dysphoric. What substance withdrawal is he likely suffering from?
7. 36 year old woman, on risperdone for schizoprenia presents with breast tenderness. What classical side effect will this patient also be experiencing due to the medication she is taking?
9. 25 year old male, presents with long standing anxiety. He often worries about day-to-day activities and constantly feels tense. He is diagnosed with a type of anxiety disorder for which this is the class of first line medication.
10. 26 year old woman presents with weight gain, complaining of eating large amounts of junk food. She fasts to make up for it but is unable to lose weight despite exercising 2 hours per day. BMI is normal. Diagnosis
Down
1. 72 year old man, known case of ESRD, who was in the hospital for dialysis suddenly becomes agitated and attempts to remove his dialysis catheter. He is eventually restrained. Shortly after, the patient begins to fall asleep. Wife gives history of some memory disturbances over the last year. Patient appears confused but cooperative with no focal findings. Diagnosis?
2. 13 year old girl, brought by the parents to a child and adolescent psychiatrist due to poor reaction to their divorce. She is sullen and reports saying she is okay but she feels her parents are angry with him. What defense mechanism is the child likely using?
3. Antidepressant monotherapy should be avoided in patients with underlying bipolar disorder as it has the risk of inducing this
4. 11 year old boy, is brought to the OPD, after getting into a fight with another student. He is irritable and moody, and claims that the fight was started when people warned him that his food was being poisoned. There is postural tremor on extension of arms, MMSE – slurred speech, and sad mood. Elevated transaminases are present. What likely finding will be seen in his eyes that will help clinch diagnosis?
5. 40 year old software engineer, denies promotion since she feels she is incapable of leading a team at work. Does not socialize much, lives alone but is very close to her mother. Also fantasizes about getting married. What personality disorder does she suffer from?
8. 30 year old female, brought to the hospital with her complaining that the government was releasing poisonous gas through air vents in the store. She also gives history of hearing voices of two men criticize her actions continuously over a period of time. Increased dopamine activity in this pathway, leads to the disease that the patient suffers from.
ANSWER
Across
6. COCAINE WITHDRAWAL
7. AMENORRHOEA
9. SSRI
10. BULIMIA NERVOSA
Down
1. DELIRIUM
2. PROJECTION
3. MANIA
4. KFRING
5. AVOIDANT PERSONALITY
8. MESOLIMBIC
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