Psych KM Session

Multiple Choice

What is the diagnosis?

Alejandro was a 20-year-old man who was brought to the emergency room by the police. A professor, from the college he was suspended from several months ago, had called and reported that Alejandro had walked into his classroom, accused him of taking his tuition money and refused to leave. Although Alejandro had much academic success as a teenager, his behavior had become increasingly odd during the past year. He quit seeing his friends and no longer seemed to care about his appearance or social pursuits. He began wearing the same clothes each day and seldom bathed. He lived with several family members but rarely spoke to any of them. When he did talk to them, he said he had found clues that his college was just a front for an organized crime operation. He had been suspended from college because of missing many classes.

• Delusional disorder

• Schizoaffective disorder

• Schizophrenia

• Schizophreniform disorder

Multiple Choice

Which of the following medications will provide the best therapeutic benefit?

Alejandro was a 20-year-old man who was brought to the emergency room by the police. A professor, from the college he was suspended from several months ago, had called and reported that Alejandro had walked into his classroom, accused him of taking his tuition money and refused to leave. Although Alejandro had much academic success as a teenager, his behavior had become increasingly odd during the past year. He quit seeing his friends and no longer seemed to care about his appearance or social pursuits. He began wearing the same clothes each day and seldom bathed. He lived with several family members but rarely spoke to any of them. When he did talk to them, he said he had found clues that his college was just a front for an organized crime operation. He had been suspended from college because of missing many classes.

• Serotonin norepinephrine reuptake inhibitor

• Dopamine receptor antagonists

• Serotonin-dopamine antagonists

• Reversible inhibitor of MAO-A

Multiple Choice

What is the likely diagnosis?

An 19 year old occupational therapy intern was placed in isolation 5 days ago after handling a positive COVID-19 patient without wearing the proper PPE. She feels sad and guilty as she may have infected her co-interns. She refuses to communicate with her family and friends and has neglected her personal hygiene. She feels anxious awaiting the result of the NPS RT-PCR. Her appetite and sleep are not affected.

• Adjustment disorder

• Major depressive disorder

• Short-duration depressive episode

• Depressive disorder due to another medical condition

Multiple Choice

What is the treatment of choice?

An 19 year old occupational therapy intern was placed in isolation 5 days ago after handling a positive COVID-19 patient without wearing the proper PPE. She feels sad and guilty as she may have infected her co-interns. She refuses to communicate with her family and friends and has neglected her personal hygiene. She feels anxious awaiting the result of the NPS RT-PCR. Her appetite and sleep are not affected.

• Antidepressant

• Cognitive behavioral therapy

• Mood stabilizer

• Psychoanalysis

Multiple Choice

What is the diagnosis?

A 53-year-old female had been home bound for the last 10 years with a fear that something bad will happen if she goes out. She stays mostly in bed and will not allow her husband to leave home.

• Agoraphobia

• Dependent personality disorder

• Separation anxiety disorder

• Social phobia

Multiple Choice

Which of the following is TRUE regarding this condition?

A 53-year-old female had been home bound for the last 10 years with a fear that something bad will happen if she goes out. She stays mostly in bed and will not allow her husband to leave home.

• Avoids situations where escape might be difficult

• Fear is due to apathy, loss of energy and low self-esteem

• Fear of being negatively evaluated by others

• Worries about losing major attachment figures

Multiple Choice

Based on the history, what is the probable diagnosis?

A 20-year-old medical student was staying in his dormitory since the start of the community quarantine. Seven days prior, he learned that his father was hospitalized due to COVID-19. For the past 5 days, his roommate noted that he was more talkative than usual, hyperactive with elevated mood. He is still able to accomplish his daily academic requirements though noted to be distractible. There was no previous psychiatric problem.

• Bipolar I disorder

• Bipolar II disorder

• Hypomanic episode without prior major depressive episode

• Short-duration hypomanic episode

Multiple Choice

Which of the following medications is appropriate?

A 20-year-old medical student was staying in his dormitory since the start of the community quarantine. Seven days prior, he learned that his father was hospitalized due to COVID-19. For the past 5 days, his roommate noted that he was more talkative than usual, hyperactive with elevated mood. He is still able to accomplish his daily academic requirements though noted to be distractible. There was no previous psychiatric problem.

• Alprazolam

• Haloperidol

• Methylphenidate

• Valproic acid

Multiple Choice

Which is most consistent with his story?

A 22-year-old man is brought to his family physician by his parents for worrisome behaviors. He wakes up at 6:03 AM every morning and spends more than 40 minutes making his bed so that “the lines on his cover align perfectly.” He then spends more than 2 hours in the shower, and his skin has multiple abrasions on it where he has scrubbed repeatedly. Because of his morning routine, he has repeatedly been late to work, and his boss has threatened to terminate his employment.

• Body dysmorphic disorder

• Delusional disorder

• Generalized anxiety disorder

• Obsessive compulsive disorder

Multiple Choice

What is the treatment of choice?

A 22-year-old man is brought to his family physician by his parents for worrisome behaviors. He wakes up at 6:03 AM every morning and spends more than 40 minutes making his bed so that “the lines on his cover align perfectly.” He then spends more than 2 hours in the shower, and his skin has multiple abrasions on it where he has scrubbed repeatedly. Because of his morning routine, he has repeatedly been late to work, and his boss has threatened to terminate his employment.

• Antimuscarinic agent

• Benzodiazepine

• Dopamine receptor antagonist

• Selective serotonin reuptake inhibitor

Multiple Choice

What is the most likely diagnosis?

A 21-year-old female with a 1-year history of frequent consumption of large amount of food, consulted for pharyngeal spasms. She has a BMI of 24.5 kg/m2, enlarged parotid glands, dental erosions, and esophageal inflammation.

• Anorexia nervosa

• Binge-eating disorder

• Bulimia nervosa

• Purging disorder

Multiple Choice

A 20-year-old primigravid, on her 1st trimester of unwanted pregnancy, was brought to the emergency room after attempting to hang herself. One month ago, she was noted to be dysphoric, withdrawn, refused to eat and unable to sleep. Later, she was seen mumbling to herself. Three days prior, she attempted suicide by taking several pills. Once admitted, what is the BEST step in the management?

• Electroconvulsive treatment

• Interpersonal psychotherapy

• Tricyclic antidepressant

• Typical antipsychotic