Psych-Smle Channel

Psych-Smle Channel
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October Question A 70 year old known case of alzahimer her family report progressive behavioral changes, forgetting recent places, and unable to remember names she used to know. Neurological examination shows no Neurological deficit On MRI: Hippocumpal…
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October Question
A 70 year old known case of alzahimer her family report progressive behavioral changes, forgetting recent places, and unable to remember names she used to know. Neurological examination shows no Neurological deficit
On MRI:
Hippocumpal atrophy
Which of the following support the
presumptive
diagnosis? :
A- early onset at 70 years
B- Hippocumpal atrophy
C- progressive cognitive decline
D- behavioral changes
Answer is B
presumptive diagnosis
is a working medical judgment made that a patient has a specific illness or condition, based on available clinical signs, physical exams, patient history, or preliminary tests, before a definitive confirmation is completed

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September question 72 years old early onset alzhiemer present with worsening memory loss and problems doing daily tasks O/E his MMSE 24/30 Other is unremarkable What is the first-line treatment for his condition? A- Lorazepam B- Donepizel C- memantine…
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September question
72 years old early onset alzhiemer present with worsening memory loss and problems doing daily tasks
O/E his MMSE 24/30
Other is unremarkable
What is the first-line treatment for his condition?
A- Lorazepam
B- Donepizel
C- memantine
D- risperdone
Answer: B
First line for mild - moderate Alzheimer’s disease

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A patient with benign prostatic hyperplasia (BPH) was prescribed amitriptyline for neuropathic pain. He subsequently developed constipation and dysuria/urinary retention. What is the most likely mechanism responsible for these adverse effects? A. Increased…
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June question Patient on depression medication, c/o perianal pain , and other other urinary tract symptoms, he cannot pass urine for the past 12 hours , A . Prostitis B. BPH C. Neurogenic bladder D. Drug induced Answer is D anticholinergic…

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A young patient presents with a first episode of schizophrenia characterized by hallucinations, inappropriate speech, poor eye contact, and agitation. (I think he has diabetes mellitus) Which medication is most appropriate? A. Haloperidol B. Clozapine C. Olanzapine…
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April question A 20 yo male is diagnosed with schizophrenia presenting with hallucinations and disorganized behavior. Which of the following is the most appropriate first-line management? A. Risperidone then TItrate to a lowest effective dose B. Olanzapine…