Post-traumatic stress disorder

# 127

*! Woman, 35 years old, married, two sons (10 years and 14 months). He works as a nurse, takes orders for sewing clothes at home, fulfilling orders at night. Husband works as a rotational mead in another city. Hires a nanny for the daytime, basically she does all the housework herself. Complains of fatigue, lethargy, headache, irritability, intolerance to loud noise, decreased concentration of attention and appetite, tearfulness, and superficial sleep.

Which of the following mental disorders is MOST likely, what treatment is indicated for this patient?

Neurasthenic syndrome, anxiolytics, antidepressants

# 128

*! A man of 30 years, a soldier. Repeatedly participated in military operations. Once the unit was ambushed, many died. He received a gunshot wound to the hand, was being treated in a medical battalion. Since that time, bouts of palpitations and suffocation, insomnia, nightly fears, nightmares in the form of a battle picture began to disturb.

Which of the following mental disorders is MOST likely, what treatment is indicated for this patient?

Post-traumatic stress disorder, psychotherapy, pharmacotherapy: antidepressants from IOS, antipsychotics-risperidone, tranquilizers

# 129

*! A 65-year-old man with angina pectoris worries about his health. Violent fear comes to the fore that "the heart may stop." At the same time, he understands the groundlessness, even the absurdity of his experiences, but he is not able to suppress fears with an effort of will.

Which of the following mental disorders is MOST likely, what treatment is indicated for this patient?

Obsessive-phobic syndrome, psychotherapy, antidepressants, antipsychotics, electroconvulsive therapy

# 130

*! A woman, 60 years old, over the past 2 years suffered a series of psycho-traumatic events (robbery of an apartment, my husband’s heart attack, retirement). After which the mood gradually decreased, sleep was disturbed, she became tearful, constantly worried about the future, sometimes she couldn’t find a place, she called adult children several times a day to find out if everything was in order, she lost 10 kg. At the reception, he expresses thoughts about his low value, considers himself a bad wife and mother, since she has ceased to cope with household chores. Actively seeking help, critical for painful manifestations.

Which of the following mental disorders is MOST likely, what treatment is indicated for this patient?

Anxiety and depressive disorder, antidepressants, anxiolytics

# 131

*! A man of 35 years old, a sports coach. The patient's father at the age of 40 suffered a myocardial infarction. An anxiety for one’s health and an obsessive fear that “the heart can stop” comes to the fore. At the same time, he understands the groundlessness, even the absurdity of his experiences, since he has good health since childhood, he is engaged in sports, but he is not able to suppress fears with an effort of will.

Which of the following mental disorders is MOST likely, what treatment is indicated for this patient?

Obsessive-phobic disorder, psychotherapy, antidepressants, antipsychotics, electroconvulsive therapy

# 132

*! Woman, 71 years old. After the death of her husband, she has not left the house for a month, does not care for herself, does not clean the apartment, does not cook food. Cries for days on end, blames himself for the death of her husband, considers herself a bad wife, not worthy to continue living.

Which of the following mental disorders is MOST likely, what treatment is indicated for this patient?

Depressive Syndrome, amitriptyline

# 133

*! A woman of 27 years old, went to the doctor with complaints of a lump in her throat, unpleasant tingling sensations during swallowing, fear of cancer. She got sick a week after the scandal with her husband and the subsequent threat of divorce. From the anamnesis it is known that I always felt healthy, but during the excitement there was shortness of breath, a feeling of lack of air. There is no objective data on the oncological process.

Which of the following mental disorders is MOST likely, what treatment is indicated for this patient?

Somatoform disorder, anxiolytics, antidepressants, nootropics, antipsychotics, carbamazepine, psychotherapy

# 134

*! A 35-year-old man expresses a fear of pollution, a fear of smell from the mouth and body. During the day, wash his hands every 15-20 minutes, often brush his teeth, shave the skin of his cheeks, chin and axillary area several times a day. I independently asked for help.

Which of the following mental disorders is MOST likely, what treatment is indicated for this patient?

Obsessive neurosis, psychotherapy, tranquilizers, sedatives, antipsychotics

# 135

*! A man of 30 years old, notes the fear of traveling in the elevator, prefers to walk up the stairs. He understands that there is no real danger, but unsuccessfully tries to overcome his fear.

Which of the following mental disorders is MOST likely, what treatment is indicated for this patient?

Obsessive-compulsive syndrome, psychotherapy, tranquilizers, sedatives, antipsychotics

# 136

*! A patient in a situation of a family conflict with her husband fell on the sofa, she had sweeping convulsive movements in her limbs, while she moaned, she didn’t react to the speech of her relatives. An ambulance team was called.

Which of the following mental disorders is MOST likely, what treatment is indicated for this patient?