Q-1. A state of Mutism and akinesis where patient is aware of his surroundings and somewhat alert is:
a) Delirium state
b) Stupor
c) Twilight state
d) Oneiroid state
Answer: Stupor
Explanation:
A state of Mutism and akinesis; where patient aware of his surroundings and somewhat alert is stupor.
Important point:
Akinetic mutism- Severe reduction of speech (Mutism) and movement (Akinesia)
Q-2. Which of these is a mood stabilizer with an anti suicidal effect?
a) Lithium
b) Carbamazepine
c) Valproate
d) Lamotrigine
Answer: Lithium
Explanation:
Lithium is the drug of choice for bipolar disorders as it is mood stabilizer and has anti-suicidal effect.
Drugs with an anti-suicidal effect:
Clozapine
Lithium
Paroxetine
Quetiapine
Q-3. A young epileptic female has thoughts of cutting her wrists but never actually dose it. She-tries not to do it, which gives her stress that is relieved by a seizure or subsides automatically on its own. She is unable to control the thoughts. What is the probable diagnosis?
a) Thought insertion
b) Obsession
c) Forced thinking
d) Thought crowding
Answer: Forced thinking
Explanation:
Forced thinking is a rare type of aura that refers to recurrent intrusive thoughts, ideas, or crowding of thoughts.
Important point:
Forced thinking is a rare epileptic phenomenon which is usually seen in patients with frontal lobe epilepsy.