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The history is suggestive of which psychiatric sign/symptom:
Poll
  •   - A. Thought insertion
  •   - B. Somatic passivity
  •   - C. Delusion of persecution
  •   - D. Obsession
79 votes


A man had a fight with his neighbor. The next day he started feeling that police is following him and his brain is being controlled by radio waves by his neighbor. The history is suggestive of which psychiatric sign/symptom:


Which of the following is the most likely diagnosis?
Poll
  •   - Alzheimer’s disease
  •   - schizophrenia
  •   - major depressive disorder
  •   - metastatic cancer to the brain
  •   - systemic lupus erythematosus
59 votes


A 35-year-old man with no previous psychiatric history is referred by his family physician for psychiatric evaluation. The family physician has been following the man for mild hyperlipidemia, which is currently being successfully treated with dietary changes alone. The man reports that he has been happily married for 10 years and has two children. He has been working as an accountant and has generally enjoyed his job. About 2 months ago, with no obvious precipitating event, he says, the man began to feel very blue, with a drop in his desire to play with his children and to compete in his usual volleyball league games. He reports that he has lost most of his libido and is having difficulty sleeping, with earlymorning wakening. He reports that his appetite has become very poor over the past 2 months, and he estimates that he has lost 10 lbs over that time.


Explanation 👆This woman likely suffers from a major depressive episode. While asking about substance abuse, current medications, medical problems, and a past history of depression are very important in a complete psychiatric evaluation, assessment of suicidality is essential. The risk of suicide in patients with major depressive disorder is about 20 times higher than those without the illness. The estimated lifetime risk of suicide is approximately 15% in those individuals with major depressive disorder. The choice of a specific antidepressant may be influenced by many factors, including prior response in the patient or a family member and comorbid medical problems or substance abuse in the family (and, therefore, potentially the patient). If a patient or family member has a history of manic symptoms or bipolar disorder, consideration should be given to beginning a mood stabilizer prior to initiating antidepressant therapy, as antidepressants can cause a switch into mania in those individuals


Before she leaves the office what is the most important question to ask her?
Poll
  •   - Have you been drinking alcohol or using illicit drugs recently?
  •   - Have you been taking any over-thecounter medications?
  •   - Have you been treated for any medical conditions?”
  •   - Have you ever felt like this before?
  •   - Have you had thought of hurting yourself?
74 votes


A29-year-old woman presents to the primary care clinic complaining of frequent headaches for several months. During the interview she appears tearful and withdrawn, with minimal eye contact and reluctance to answer questions. With further encouragement and support, she is able to describe intense feelings of sadness, along with significant insomnia, poor concentration, fatigue, anhedonia, and little appetite with a 20-lb weight loss.


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23-y- woman complains of depression ,anxiety, she looks dazed. A minute later, she looks around the room slowly, and says, in a heavily accented voice with a different tone, “Where am I?” Which of the following is correct for her presentation
Poll
  •   - adjustment disorder
  •   - catatonia
  •   - dissociative identity disorder
  •   -major depression
  •   - schizophrenia
196 votes


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