📍 Repeated Question with changing of age in the scenario
A 4-year-old child has enuresis 6 times per week
What is the best advice?
A. Reassure
B. Refer to a pediatric urologist
C. Refer to a behavioral therapist
Answer is A
A 4-year-old child has enuresis 6 times per week
What is the best advice?
A. Reassure
B. Refer to a pediatric urologist
C. Refer to a behavioral therapist
Answer is A
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💡 Nocturnal Enuresis in pediatrics:
<5 years + bedwetting → reassure and education
≥5 years + ≥2 nights/week for ≥3 months → “uncomplicated” -> consider evaluation/treatment for enuresis.
1) 5-6 yo: Education, reassurance, behavioral measures; consider treatment if distressing/frequent
2) ≥6–7 years: Enuresis alarm is usually the preferred active treatment when family/child are motivated
3) ≥7 years / rapid short-term control needed: Desmopressin can be used, especially for sleepovers/camps; also useful when alarm is unsuitable
Fluid restriction to avoid excessive bed wetting and to not cause hyponatremia or water intoxication
4) Older child/adolescent, refractory cases: Reassess for constipation, daytime LUTS, UTI, psychosocial factors, adherence; consider specialist referral/combination therapy
Imipramine if failed other treatments or refractory in older children, not first line, risk of Cardiotoxicity, seizures, overdose toxicity.
<5 years + bedwetting → reassure and education
≥5 years + ≥2 nights/week for ≥3 months → “uncomplicated” -> consider evaluation/treatment for enuresis.
1) 5-6 yo: Education, reassurance, behavioral measures; consider treatment if distressing/frequent
2) ≥6–7 years: Enuresis alarm is usually the preferred active treatment when family/child are motivated
3) ≥7 years / rapid short-term control needed: Desmopressin can be used, especially for sleepovers/camps; also useful when alarm is unsuitable
Fluid restriction to avoid excessive bed wetting and to not cause hyponatremia or water intoxication
4) Older child/adolescent, refractory cases: Reassess for constipation, daytime LUTS, UTI, psychosocial factors, adherence; consider specialist referral/combination therapy
Imipramine if failed other treatments or refractory in older children, not first line, risk of Cardiotoxicity, seizures, overdose toxicity.
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Psych-Smle Channel pinned «💡 Nocturnal Enuresis in pediatrics: <5 years + bedwetting → reassure and education ≥5 years + ≥2 nights/week for ≥3 months → “uncomplicated” -> consider evaluation/treatment for enuresis. 1) 5-6 yo: Education, reassurance, behavioral measures; consider…»
Psych-Smle Channel pinned «📍 Repeated Question with changing of age in the scenario A 4-year-old child has enuresis 6 times per week What is the best advice? A. Reassure B. Refer to a pediatric urologist C. Refer to a behavioral therapist Answer is A»
📍 Repeated question full scenario
A patient went to smoking cessation clinic, the doctor decides to prescribe a medication, which one has higher success rate?
A.Clonidine
B.Escitalopram
C.Bupropion
D.Varenicline
Answer is: D
💡 Most successful rate based on studies:
1) Combination of behavioral therapy with pharmacological therapy
2) Combination NRT (short and long acting)
3) Varenicline
4) Combination varenicline and nicotine patch
5) Bupropion
A patient went to smoking cessation clinic, the doctor decides to prescribe a medication, which one has higher success rate?
A.Clonidine
B.Escitalopram
C.Bupropion
D.Varenicline
Answer is: D
💡 Most successful rate based on studies:
1) Combination of behavioral therapy with pharmacological therapy
2) Combination NRT (short and long acting)
3) Varenicline
4) Combination varenicline and nicotine patch
5) Bupropion
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Psych-Smle Channel pinned «📍 Repeated question full scenario A patient went to smoking cessation clinic, the doctor decides to prescribe a medication, which one has higher success rate? A.Clonidine B.Escitalopram C.Bupropion D.Varenicline Answer is: D 💡 Most successful rate based…»
📍 September Question
72-year-old man is brought to the clinic by his wife due to episodes where he suddenly stops speaking, develops a blank, staring look, and displays repetitive facial grimacing and lip-smacking after which he becomes agatated.
What is the most likely diagnosis?
A- Temporal lobe seizure
B- Typical absence seizure
C- Transient ischemic attack
D- Frontotemporal dementia
Answer is A
72-year-old man is brought to the clinic by his wife due to episodes where he suddenly stops speaking, develops a blank, staring look, and displays repetitive facial grimacing and lip-smacking after which he becomes agatated.
What is the most likely diagnosis?
A- Temporal lobe seizure
B- Typical absence seizure
C- Transient ischemic attack
D- Frontotemporal dementia
Answer is A
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Psych-Smle Channel pinned «📍 September Question 72-year-old man is brought to the clinic by his wife due to episodes where he suddenly stops speaking, develops a blank, staring look, and displays repetitive facial grimacing and lip-smacking after which he becomes agatated. What is…»
📍September Question
Daughter taking care of her, 80 years old mother, who is diagnosed with dementia for 10 years, which is getting worse, she is asking how to deal with her constant questioning (e.g. where am i? 5 times)
A- ignore her
B- Use physical restriction
C- Distract her with activities
D- Answer her questions until she understands
Answer is C
Reassurance , answer questions once or twice and redirect attention to familiar meaningful activity or use distract aids such as photos, a clock, calendar, or familiar objects.
Daughter taking care of her, 80 years old mother, who is diagnosed with dementia for 10 years, which is getting worse, she is asking how to deal with her constant questioning (e.g. where am i? 5 times)
A- ignore her
B- Use physical restriction
C- Distract her with activities
D- Answer her questions until she understands
Answer is C
Reassurance , answer questions once or twice and redirect attention to familiar meaningful activity or use distract aids such as photos, a clock, calendar, or familiar objects.
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Psych-Smle Channel pinned «📍September Question Daughter taking care of her, 80 years old mother, who is diagnosed with dementia for 10 years, which is getting worse, she is asking how to deal with her constant questioning (e.g. where am i? 5 times) A- ignore her B- Use physical restriction…»
Psych-Smle Channel
📍 April question A 20 yo male is diagnosed with schizophrenia presenting with hallucinations and disorganized behavior. Which of the following is the most appropriate first-line management? A. Risperidone then TItrate to a lowest effective dose B. Olanzapine…
A young patient presents with a first episode of schizophrenia characterized by hallucinations, inappropriate speech, poor eye contact, and agitation. (I think he has diabetes mellitus)
Which medication is most appropriate?
A. Haloperidol
B. Clozapine
C. Olanzapine
D. Risperidone
Similar scenario with mentioning of hai g diabetes
So answer is D
Which medication is most appropriate?
A. Haloperidol
B. Clozapine
C. Olanzapine
D. Risperidone
Similar scenario with mentioning of hai g diabetes
So answer is D
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Psych-Smle Channel pinned «A young patient presents with a first episode of schizophrenia characterized by hallucinations, inappropriate speech, poor eye contact, and agitation. (I think he has diabetes mellitus) Which medication is most appropriate? A. Haloperidol B. Clozapine C. Olanzapine…»
Psych-Smle Channel
📍June question Patient on depression medication, c/o perianal pain , and other other urinary tract symptoms, he cannot pass urine for the past 12 hours , A . Prostitis B. BPH C. Neurogenic bladder D. Drug induced Answer is D anticholinergic…
A patient with benign prostatic hyperplasia (BPH) was prescribed amitriptyline for neuropathic pain.
He subsequently developed constipation and dysuria/urinary retention.
What is the most likely mechanism responsible for these adverse effects?
A. Increased sympathetic activity
B. Serotonin syndrome
C. Antimuscarinic effects
Answer is: C
He subsequently developed constipation and dysuria/urinary retention.
What is the most likely mechanism responsible for these adverse effects?
A. Increased sympathetic activity
B. Serotonin syndrome
C. Antimuscarinic effects
Answer is: C
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Psych-Smle Channel pinned «A patient with benign prostatic hyperplasia (BPH) was prescribed amitriptyline for neuropathic pain. He subsequently developed constipation and dysuria/urinary retention. What is the most likely mechanism responsible for these adverse effects? A. Increased…»
📍 September question
72 years old early onset alzhiemer present with worsening memory loss and problems doing daily tasks
O/E his MMSE 24/30
Other is unremarkable
What is the first-line treatment for his condition?
A- Lorazepam
B- Donepizel
C- memantine
D- risperdone
Answer: B
First line for mild - moderate Alzheimer’s disease
72 years old early onset alzhiemer present with worsening memory loss and problems doing daily tasks
O/E his MMSE 24/30
Other is unremarkable
What is the first-line treatment for his condition?
A- Lorazepam
B- Donepizel
C- memantine
D- risperdone
Answer: B
First line for mild - moderate Alzheimer’s disease
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Psych-Smle Channel pinned «📍 September question 72 years old early onset alzhiemer present with worsening memory loss and problems doing daily tasks O/E his MMSE 24/30 Other is unremarkable What is the first-line treatment for his condition? A- Lorazepam B- Donepizel C- memantine…»
📍 October Question
A 70 year old known case of alzahimer her family report progressive behavioral changes, forgetting recent places, and unable to remember names she used to know. Neurological examination shows no Neurological deficit
On MRI:
Hippocumpal atrophy
Which of the following support the presumptive diagnosis? :
A- early onset at 70 years
B- Hippocumpal atrophy
C- progressive cognitive decline
D- behavioral changes
Answer is B
presumptive diagnosis is a working medical judgment made that a patient has a specific illness or condition, based on available clinical signs, physical exams, patient history, or preliminary tests, before a definitive confirmation is completed
A 70 year old known case of alzahimer her family report progressive behavioral changes, forgetting recent places, and unable to remember names she used to know. Neurological examination shows no Neurological deficit
On MRI:
Hippocumpal atrophy
Which of the following support the presumptive diagnosis? :
A- early onset at 70 years
B- Hippocumpal atrophy
C- progressive cognitive decline
D- behavioral changes
Answer is B
presumptive diagnosis is a working medical judgment made that a patient has a specific illness or condition, based on available clinical signs, physical exams, patient history, or preliminary tests, before a definitive confirmation is completed
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Psych-Smle Channel pinned «📍 October Question A 70 year old known case of alzahimer her family report progressive behavioral changes, forgetting recent places, and unable to remember names she used to know. Neurological examination shows no Neurological deficit On MRI: Hippocumpal…»
لارسال أسئلة يونيو - اكتوبر
يرجى ارسال الاسئلة الجديدة الخاصة بالنفسية و الادمان او السيناريوهات المكتملة
على الايميل مع التاكد من عدم تكرار الاسئلة من الملزمة أو الأسئلة المثبتة
على النحو التالي:
اسم الاختبار: SMLE, DHA, MOH-KW, or DHP
الفترة: (الشهر)
السؤال كاملا قدر المستطاع مع الخيارات
Psych.rs.sa2020@gmail.com
شاكرين لكم تعاونكم سلفاً
يرجى ارسال الاسئلة الجديدة الخاصة بالنفسية و الادمان او السيناريوهات المكتملة
على الايميل مع التاكد من عدم تكرار الاسئلة من الملزمة أو الأسئلة المثبتة
على النحو التالي:
اسم الاختبار: SMLE, DHA, MOH-KW, or DHP
الفترة: (الشهر)
السؤال كاملا قدر المستطاع مع الخيارات
Psych.rs.sa2020@gmail.com
شاكرين لكم تعاونكم سلفاً