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2nd Quarterly test for post-graduates Psychiatry Unit-2.

Maximum marks 90. All questions have equal marks.

To be submitted back before 23rd November 2011.

Answer on word. 12, verdana. 1.5 spacing.

Q. 1. What are different levels of interplay between psychological and

physical illnesses? Give at least two examples of each.

Q.2. How would you describe each SOMATOFORM DISORDR to a fellow

neuro-surgeon, who is getting confused, among these concepts, so that he

may be able to differentiate each one.

Q.3. Classify following anti-depressants, on the basis of their mechanism of

action. Mentioning the mechanism in detail,

Faverin

Cipralex

Seroxat

Efexor

Remeron

Lantanon

Clomfranil

Prothiaden

Trazodone

Butrin

Xanax

Prozac

Cymbalta

Zoloft

Aurorix

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Q.4. Suppose you have prescribed, each one of these, above mentioned,

medicines to different patients. And each one of them complains of non-

availability or high cost of prescribed medicines. What other alternative

brands would you suggest for each of these, available in Pakistan in cheaper

prices?

Q.5. in the light of contemporary researches, select among these above

mentioned medicines, the ones suitable for Anxiety disorders as well. Enlist

in the order of efficacy (referenced).

Q.6. How would you differentiate between different types of Substance Use

Disorders?

Q.7. Enlist different Substance-Induced Disorders, common to all of the

following. Also point out the Substance-Induced Disorder unique to each of

the following.

Heroin

Alcohol

Benzodiazepines

Cannabis

Nicotine

Q.8. How would you clinically differentiate the withdrawals of Heroin and

Cannabis?

Q.9. Suppose, you have been asked by the ethics committee of you hospital

to outline the principles of prescribing BENZODIAZEPINES for out-patients

and in-patients. How would you do it?

Q.10. A young couple comes to you for consultation about their 2 years first

baby boy, who is mentally backward with history of delayed, early

milestones.

A. What further informations will you gather, and why?

. in HOPC

. in Past History

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. in Personal History

. in Family History

. in physical Examination

. Through labs

B. What and why is/ are there any possibility, that you will administer any

pharmacotherapy or prevention therapy?

C. What are the possible areas for counseling?

D. What is the criterion for classifying such cases?

Q.11. Suppose, W.H.O has asked you to conduct a research on cognitive

impairment caused by Amphetamines.

A. How would you classify different Amphetamines?

B. How would you design the research?

C. What would make you think of PET Studies?

D. How would you calculate the funding, required?

Q.12. To establish a clinic for Schizophrenics, what treatment facilities would

you ask from the authorities, in terms of medicines, personnel, etc?

Q.13. Point out the BEST MATCH

OCD Intolerable attacks of anxiety

PTSD prominent motor symptoms

Panic Disorder mood reactivity

Catatonic Schizophrenia reading carefully the literature of

Medicines, prescribed

Atypical depression Perspiring during interview

Social Anxiety Disorder unbearable trauma

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Q.14. Schizophrenia is a disorder of motor system. Prove with best

contemporary evidences.

Q.15. Justify, scientifically, the use of,

Valproic acid

Lithium

Haloperidol

CBT

Lamotrigine

Propranolol

Family psycho-education

ECT

Hospitalization

In patients with Bipolar Mood Disorder.

BEST OF LUCK