psych qs 2... - malik1223

[ArchivalUser]

1- A 35-year-old man stumbles into the emergency room. His pulse is
100 beats per minute, his blood pressure is 170/95 mm Hg, and he is
diaphoretic. He is tremulous and has difficulty relating a history. He does
admit to insomnia the past two nights and sees spiders walking on the
walls. He has been a drinker since age 19, but has not had a drink in 3 days.
Which of the following is the most likely diagnosis?
a. Alcohol-induced psychotic disorder
b. Wernicke’s psychosis
c. Alcohol withdrawal delirium
d. Alcohol intoxication
e. Alcohol idiosyncratic intoxication

2-Which of the following is the most appropriate initial treatment for
the patient from the previous vignette?
a. Intramuscular haloperidol
b. Intramuscular chlorpromazine
c. Oral lithium
d. Oral chlordiazepoxide
e. Intravenous naloxone

3-A 28-year-old woman is seen for postpartum blues by the psychiatrist.
She states she is depressed because she “did this to her child.” The infant has
growth retardation, microphthalmia, short palpebral fissures, midface
hypoplasia, a short philtrum, a thin upper lip, and microcephaly. Which is
the most likely diagnosis of the mother (besides the postpartum blues)?
a. Bipolar disorder
b. Major depression
c. Hypochondriasis
d. Alcohol dependence
e. Cocaine dependence

4-A 45-year-old housewife has been drinking in secret for several years.
She started with one or two small glasses of Irish cream per night to help
her sleep, but, over time, her nightly intake has increased to four to five
shots of hard liquor. Now she needs a few glasses of wine in the early afternoon
to prevent shakiness and anxiety. During the past year, she could not
take part in several important family events, including her son’s high school
graduation, because she was too ill or she did not want to risk missing her
nightly drinking. She is ashamed of her secret and has tried to limit her
alcohol intake but without success. Which of the following is the most
likely diagnosis?
a. Alcohol abuse
b. Alcohol addiction
c. Addictive personality disorder
d. Alcohol dependence
e. Alcohol-induced mood disorder

[ArchivalUser]

1--c
2--d
3--d
4--a

[ArchivalUser]

C,D,D,A

[ArchivalUser]

123 cdd..but 4 Ithink its dependance

[ArchivalUser]

1-C
2-D
3-D
4-D.. yes its dependance.. some clues for independence vs abuse are the presence of tolerance and withdrawal..missing some family important events so she can drink at home..

abuse is about the presence of a certain pattern of abusive maladaptive use of the substance, like going out to drink every weekend will result in getting drunk, busted... etc.. but between these two episodes of drinking, the pt basically is functioning normally, without thinking about alcohol all the time!