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1127 Psychiatry

A first-grade teacher is concerned about a 6-year old girl in her class who has not spoken a single word since school staed. The little girl paicipate appropriately in the class activities and uses gestures and drawings and nods and shakes her head to communicate. The parents repo that the little girl talks only in the home and only in the presence of her closest relatives. Which of the following is the most appropriate diagnosis?

AAutism
BExpressive language disorder
CSchool phobia
DSelective mutism
Psychiatry
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1131 Psychiatry

A 40 year old man presents to casualty with history of regular and heavy use of alcohol for 10 years and morning drinking for 1 year. The last alcohol intake was 3 days back. There is no history of head injury or seizures. On examination, there is no icterus, sign of hepatic encephalopathy or focal neurological sign. The patient had coarse tremors, visual hallucinations and had disorientation to time. Which of the following is the best medicine to be prescribed for such a patient?

ADiazepam & Lithium
BHaloperidol & naltrexone
CDiazepam & thiamine
DNaltrexone & dantrolene
Psychiatry
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1132 Psychiatry

A 26-year-old primary school teacher, presents to you with extreme distress. She says that her life is badly affected and she has intrusive thoughts that she recognises as senseless. She is forced to check the class room lock frequently and and hence leaves the school very late. She worries that she has left something impoant inside. She has similar problems with food checking and checking the envelops before send out any posts. At present she follows a strict set of routines for most routine activities. All of the following are good long term treatment options for Leela, EXCEPT:

AExposure and Response prevention
BClomipramine
CFluoxetine
DDiazepam
Psychiatry
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1134 Psychiatry

A 35 years old male, with pre-morbid anxious traits & heavy smoker, believes that he has been suffering from ‘lung carcinoma’ for a year, No significant clinical finding is detected on examination and relevant investigation. He continues to stick to his belief despite evidence to the contrary. In the process, he has spent a huge amount of money, time and energy in getting himself unduly investigated. He is most likely suffering from:

ACarcinoma lung
BHypochondrical disorder
CDelusional disorder
DMalingering
Psychiatry
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