Chapter 12 Single best answer questions

Organic psychiatry

Quiz Content

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. You are a medical student in urology clinic. A 72 year old man has been referred by his GP due to his increasing symptoms of urinary incontinence. You assist him into the room as he is very unsteady on his feet, with a shuffling gait. He is accompanied by his wife, who gives the history as he has become "very forgetful" recently.
He is referred for a head CT scan. What would you expect this to show?

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. You confirm the diagnosis.
What would be the most appropriate treatment?

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. A 58 year old man, known to be HIV positive, is followed up in clinic. The previous entry in the notes reports him to have been very withdrawn at his last attendance. His friend reports that he has deteriorated, with notable memory impairment, apathy, and poor coordination.
Which of the following is NOT true regarding this form of dementia?

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. It is 5 o'clock in the morning and you are asked to see an 87 year old lady who was admitted earlier in the night with a fractured neck of femur following a fall. Physical examination was otherwise normal. She has a 3 year history of gradually increasing memory impairment. You arrive at the ward to find her shouting for her husband who passed away last year. You note that she is on galantamine.
What is the most appropriate immediate management of this patient?

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. A 63 year old lady who was previously fit and well suffers an ischaemic stroke and is left with some left-sided weakness. She is able to mobilize with a frame and carry out most of her ADLs independently. There is no evidence of cognitive impairment and she has no past psychiatric history.
Which of the following disorders is most likely in the year following the stroke?

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. A 42 year old woman attends the GP practice. Her husband has just been diagnosed with Huntington's chorea aged 40, and she wants some advice and information, since they have a son and she is concerned that he may have inherited the disorder.
Which of the following statements is TRUE?

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