FREQUENTLY ASK HIGH YIELD POINT FOR PSYCHIATRY 2015

 FREQUENTLY ASK HIGH YIELD POINT FOR PSYCHIATRY 2015

FREQUENTLY ASK HIGH YIELD POINT FOR PSYCHIATRY 2015

 Q.A female of lower socioeconomic status believes that film actor salman khan is in love with her. Whenever she watches his movie, she feels that he is inclined towards her and keep sending love messages. The diagnosis is-

A.De Clerambault syndrome

B.Othello syndrome

C.Erotic behaviour

D.Megalomania

ANS A

Memory-

 Immediate → Last 5-10 min

 Recent (short term memory) → 48-72 hrs-  Loss occurs in ECT, Head injury, Amnestic disorder, Korsakoff psychosis

Q Both immediate and recent memories are converted to long term memories at Hippocampus.

Q  Remote (long term memory) → neocortex (Predominantly formed by frontal lobe)

 Q Head injury- Memory of prognostic importance–> Anterograde amnesia

Dementia-

– Loss of memory

–   Loss of intelligence

–   Loss of personality

–   Loss of learned ability

–   MMSE (Mini Mental State Examination)

–    <24 → Dementia

–     Cut off → 24

–     Max → 30

 Pseudodementia → most common cause → depression

Manchaunsen’s syndrome by proxy- Mimicking illness of others (usually child by mother)

Malingering- Fake production of medical illness for some gain

SYNDROMES IN PSYCIATRY

RABBIT SYNDROME— Extra pyramidal side effect of chronic anti-psychotic treatment. Rapid & regular

perioral tremors like chewing movements, tongue & other body parts not involved.

The Syndromes associated with dementia —–

Alzheimer’s disease

Pick’s disease

Parkinson’s disease

Shy-Drager syndrome (Multisystem degeneration)

Huntington’s chorea

Steel-Richardson syndrome (progressive Supranuclear palsy)

Binswanger’s disease (subcortical arteriosclerotic encephalopathy)

Wilson’s disease

Leigh’s disease

Creutzfeldt-Jacob disease

Gerstmann-Straussler-Scheinker disease

 

The NEUROLEPT MALIGNANT SYNDROME: EPS. Hyperthermia, severe muscular rigidity, autonomic

instability, changes in mental status, increased CPK, liver transaminase, leucocyte function,

myoglobinuria

 

The SEROTONIN SYNDROME: Abdominal pain, Diarrhoea, excessive sweating, fever, tachycardia,

hypertension, alteration of mental status including delirium, myoclonus, increased motor activity,

The Windigo (Wihtigo)–Prevalent in native American Indians.

patient believes that he has been transformed into a wihtigo, a cannibal monster, occurring especially

during times of starvation.

 

The Shinkeishitsu–A defense syndrome, mainly of anxiety but with obsessive features occurring in young Japanese

thrown into a modern industrial society for which they are not equipped. They feel inadequate, lost

& unloved.

 

The Ekbom syndrome (Restless Legs syndrome)

patient experiences extremely uncomfortable feeling in leg muscles during walking.

Association  with insomnia.

 

The Gelineu’s syndrome—Narcolepsy + hypersomnia.

 

Pickwickian syndrome–Sleep apnea commoner in elderly & obese persons, + hypersomnia.

 

Kleine-Levin syndrome    — hypersomnia+ hyperphagia+ hypersexuality

Fregoli’s phenomenon——Delusion that a persecutor is taking on a variety of faces like an actor.

 

Cotard’s syndrome—-

Delusion that one has lost everything- possessions, strength & even bodily organs such as heart.

Seen in severe depression where patient  has extreme nihilistic delusion .

 

Ganser’s syndrome (hysterical pseudodementia)—-

most common  found in prison inmates.

Asperger’s syndrome

Predominantly in boys.

Less severe form of pervasive developmental disorder

Autism without significant delay in language & cognitive development.

schizoid personality

pedantic speech

preoccupation with obscure facts

 

Rett’s syndrome

seen in young female

After an apparently normal early development & normal head circumference at birth, there is

deceleration of head growth b/w age of 5-30 months.

Loss of purposive hand movements & acquired fine motor manipulative skills with subsequent

development of stereotyped hand movements.

Q.A 42 year old man comes to you the C/O that “the men are following me” & C/O of hearing a voice telling him to hurt others. He tells you that the news anchorman gives him some special messages about the state of world every night through the TV. This last belief is an example of which psychiatric findings-

A.A Grandiose delusion

B.Illusion

C.Loose association

D.Idea of reference

ANS D

 Q.A schizophrenic patient says that he sees some one standing behind him when he is looking streaight ahead oe he hears voice talking in Bombay when he knows that he is in Delhi. He is having:

A.Functional hallucination

B.Extracampine H.

C.Reflex hallucination

D.Visual/Auditory hallucination

 ANS B

Q.A person when asked what are similarity between chair and table,he says that both have four legs.This is

A.Concrete thinking

B.Abstract thinking

C.Neologism

D.None

ANS A

 Q.A female of lower socioeconomic status believes that film actor salman khan is in love with her. Whenever she watches his movie, she feels that he is inclined towards her and keep sending love messages. The diagnosis is-

A.De Clerambault syndrome

B.Othello syndrome

C.Erotic behaviour

D.Megalomania

ANS A