#Psychiatry#USML1#passmedicine.com#QBank

A 70-year-old woman with a history of schizophrenia is prescribed a typical antipsychotic medication. She is concerned about potential risks associated with her medication due to her age. Which of the following adverse effects is she specifically at increased risk of developing as an elderly patient taking antipsychotics?

A 30-year-old man presents to his GP surgery after witnessing a traumatic car accident where several people were injured. He describes the event in great detail but shows no emotional response while recounting the incident. He appears calm and detached. Which defence mechanism is he most likely exhibiting?

A 55-year-old man with a long history of alcohol misuse is brought to the clinic by his family due to concerns about his memory. They report that he often forgets recent events and fills in memory gaps with fabricated stories. On examination, he appears confused but no focal neurological deficits are found. Which area of the brain is most likely affected in this patient?

A 55-year-old man with chronic alcohol dependence presents to the emergency department with tremors, sweating, tachycardia, and anxiety 10 hours after his last drink. He has a known history of liver cirrhosis due to alcoholic liver disease. You decide to initiate pharmacological management for his alcohol withdrawal symptoms. Which benzodiazepine is the most appropriate to administer in this case?

A 25-year-old man was diagnosed with depression 6 months ago. He was started on fluoxetine and the dose has been titrated up to the maximum. Although he noticed an improvement in his mood, he has stopped taking his medication because of the sexual dysfunction side effect which is having an impact on his relationship. The psychiatrist offers an alternative antidepressant which may alleviate his sexual dysfunction. Which of the following medication has been most likely prescribed?

A 17-year-old girl is accompanied by her parents to their family physician. The parents are concerned about their daughter's weight and they are worried that their daughter has been excessively concerned with her weight. However, their primary concern is that their daughter has been of low mood for the past month and has not been going out. The girl admits that she has been watching her weight and exercising because she feels she needs to lose weight. She says that she does not enjoy her hobbies anymore. She wakes up early and is not able to fall asleep again. An assessment in the doctor's clinic reveals a body mass index of 17.8 kg per m². The doctor explains to the girl and her parents that she would like to prescribe an antidepressant to help improve the girl's mood. Which of the following antidepressants is specifically contraindicated in this patient?

A 19-year-old female student is attending a mental health clinic for her anxiety disorder. Upon reviewing her records, the psychiatrist notes a history of sexual assault 6 months ago. On further questioning, the student is unable to recall the events. This is an example of which of the following ego defence mechanisms?

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