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2037 Psychiatry

A 52-year-old man comes to the physician with the chief complaint of feeling depressed for the past 2 months. He notes that he is not sleeping well, has lost 5 kg in the last 6 weeks, and is having anergia and anhedonia. In addition, in the past 4 weeks he has begun to hear the voice of his dead father telling him that he is a failure and he has begun worrying that his organs are rotting away. Which of the following statements is true?

AThe patient should be staed on an SSRI and an antipsychotic
BThe patient is having an acute schizophrenic episode
CThe patient is likely suffering from a factitious disorder with psychological symptoms
DThe patient is likely abusing alcohol
Psychiatry
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2041 Psychiatry

A 40 yr old female patient present with history of depressed mood, loss of appetite insomnia and no interest in surrounjdings for the past 1 yr. These symptoms followed soon after a business loss 1 yr back. Which of the following statements is true regarding the management of this patient:

ANo treatment is necessary as it is due to business loss
BSSRI is the most efficacious of the available drugs LI
CAntidepressant treatment based on the side effect profile of the drugs
DCombination therapy of 2 antidepressant drugs
Psychiatry
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