COMPILATION OF VARIOUS NEUROTIC DISORDERS
| A | The patient should be started on an SSRI and an antipsychotic | |
| B | The patient is having an acute schizophrenic episode | |
| C | The patient is likely suffering from a factitious disorder with psychological symptoms | |
| D | The patient is likely abusing alcohol |
| A | The patient should be started on an SSRI and an antipsychotic | |
| B | The patient is having an acute schizophrenic episode | |
| C | The patient is likely suffering from a factitious disorder with psychological symptoms | |
| D | The patient is likely abusing alcohol |
Sodium valproate is drug of choice in rapid cycling
A 40-year old male is admitted with complaints of abdominal pain and headache. General physical examination revealed six scars on the abdomen from previous surgeries. He seems to maintain a sick role and seeks attention from the nurses. He demands multiple diagnostic tests including a liver biopsy. The treating team failed to diagnose any major physical illness in the patient. His mental status examination did not reveal any major psychopathology. One of the treating staff recognized him to have appeared in several other hospital with abdominal pain and some other vague complaints. He is most likely suffering from:
| A |
Schizophrenia |
|
| B |
Malingering |
|
| C |
Somatisation disorder |
|
| D |
Factitious disorder |
D i.e. Factitious disorder
Maintaining sick role by any means is a characteristic feature of:
| A |
Hypochondriasis |
|
| B |
Somatization disorder |
|
| C |
Conversion disorder |
|
| D |
Factitious disorder |
D i.e. Factitious disorder
A 28 year old male admitted in the hospital with a history of vague pains. His examination revealed many scars of previous surgeries. He was very curious about knowing his diagnosis and was persistently asking for various diagnostic procedures and biopsy. He gave the past history of gall stone & appendicitis pain diagnosed by previous doctors, but the history regarding this was inappropriate and semed to be manipulative. There were no previous records suggesting this diagnosis. The probable diagnosis is:
| A |
Hypochondriasis |
|
| B |
Somatization disorder |
|
| C |
Conversion disorder |
|
| D |
Factitious disorder |
D i.e. Factitious disorder
Munchausen syndrome by proxy is:
NIMHANS 10
| A |
Factitious disorder |
|
| B |
Malingering |
|
| C |
Hysteria |
|
| D |
Conversion disorder |
Ans. Factitious disorder
Munchausen by proxy includes all, except:
Maharashtra 11
| A |
Admission of abuse by parents |
|
| B |
Illness does not suggest particular disease |
|
| C |
Child becomes ill in presence of the caregiver |
|
| D |
Laboratory and X-ray findings are negative |
Ans. Admission of abuse by parents
