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BOOKLET CODE :012 45. A 21-year-old woman,with no previous history of mental illness, came to a climic complaining hearing of persistent voices commenting all her actions in thelast throe months. Mental status examination revealed that she has frequent derailment of speech and looks apathetic. What is the most likely diagnosis of this patient? (C)disorder (A) Schizophrenia (D) Schizophrenifor disorder (B)disorder 46. A known adult patient with schizophrenia and who is currently on haloperidol 5 mgiday. came for follow up visit. His attendant reports that he was doing well with this medication but started to show returning of symptoms after he resistedto take his medication. No evidence of drug side effect observed. What is the most appropriate drug of choice for this patient? (A)Thioridazine (B)Chloropromizine (C)Eluphemerinedecanoate (D)haloperidol and Carbamazepine 47. A 19-year-old male student reports sleep disturbance, difficulty of concentrating and periods of extreme muscle tension. He is constantly worried about the health of his parents,his university study and many others since joining university eight months ago. He recognizes that his worries are often unfounded, but can't stop worrying. What is the most likely diagnosis of this patient? (C) Separation anxiety disorder (A) Panic disorder (B) Social anxiety disorder (D) Generalized anxiety disorder 48. A 20-year-old university student was brought by the school counselor to an emergency department. He is on mood stabilizer medication for anxiety disorder Currently, he was found sitting in the lift of the residential hall. He claims that he hears a voice talking to him despite no one is around What is the most likely current psychopathology of this student? (A) Thought disturbance (C) Emotional disturbance (B) Cognitive disturbance (D) Perceptual disturbance 49. A 30-year-old male patient came to a psychiatric department with a complaint of persistent low mood and insomnia for the last two weeks. He has feeling of hopelessness worthlessness and suicidal ideation. He has no underlinec medical condition The nurse diagnosis the patient with major depressive disorder. What is the most likelycriterion used to diagnose the patient's problem? (A) Insomnia (C) Hopelessness (B) Low mood (D) suicidal ideation
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45. The most likely diagnosis for the 21-year-old woman with persistent voices commenting on her actions, frequent derailment of speech, and apathy is (A) Schizophrenia. Schizophrenia is characterized by persistent delusions, hallucinations, disorganized speech, and negative symptoms such as apathy.<br /><br />46. The most appropriate drug of choice for the known adult patient with schizophrenia who is currently on haloperidol and is showing a return of symptoms after resisting to take his medication is (D) Couple of haloperidol and Carbamazepine. Carbamazepine can be used as an adjunctive treatment for schizophrenia, especially when patients are non-compliant with their medication.<br /><br />47. The most likely diagnosis for the 19-year-old male student with sleep disturbance, difficulty concentrating, periods of extreme muscle tension, and constant worry about various aspects of his life is (D) Generalized anxiety disorder. Generalized anxiety disorder is characterized by excessive, uncontrollable worry about various aspects of life.<br /><br />48. The most likely current psychopathology of the 20-year-old university student who claims to hear a voice talking to him despite no one being around is (D) Perceptual disturbance. Perceptual disturbances involve experiencing things that are not present in reality, such as hallucinations.<br /><br />49. The most likely criterion used to diagnose the 30-year-old male patient with persistent low mood, insomnia, feelings of hopelessness, worthlessness, and suicidal ideation is (D) suicidal ideation. Suicidal ideation is a significant criterion for diagnosing major depressive disorder, as it indicates a severe level of depression and an immediate risk to the patient's safety.
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