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1405 Psychiatry

A 40 year old male is admitted with complaints of abdominal pain and headache. General physical examination revealed six scars on the abdomen from previous surgeries. He seems attention from the nurses. He demands multiple diagnostic tests including a liver biopsy. The treating team failed to diagnose any major physical illness in the patient. His mental status examination did not reveal any major psychopathology. One of the treating staff recognized him to have appeared in several other hospitals with abdominal pain and some other vague complaints. He is most likely suffering from:

ASchizophrenia
BMalingering
CSomatization disorder
DFactitious disorder
Psychiatry
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1406 Psychiatry

A 40 year old man presents to casualty with history of regular and heavy use of alcohol for ten years and morning drinking for one year. The last alcohol intake was three 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
BHaloperidol
CImipramine
DNaltrexone
Psychiatry
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