Hysterical seizure, bruzepam

# 137

*! A man, 45 years old, married, married, four children. He works as an engineer and works as a security guard at night. I got a mortgage loan a few years ago, since then I have not been on vacation. The wife is a housewife, raising children.. Over the past year, a man has complained of impaired attention, inability to concentrate, irritability, intolerance to loud sounds, headaches, decreased libido, poor sleep, decreased appetite, fatigue, and bad mood.

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

Neurasthenia, psychotherapy, tranquilizers, antidepressants

# 138

*! A 30-year-old man, an engineer, expresses a fear of contracting a disease, while he understands the groundlessness of his experiences, but cannot get rid of them, during the day he repeatedly washes his hand as often as he does, brushes his teeth.

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

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

# 139

*! A young man of 19 years old, after experiencing a serious illness of his mother for 5 months, complains of episodes of unpleasant skin sensations in the form of burning, numbness, soreness, as well as various unpleasant symptoms - belching, nausea, vomiting, from the gastrointestinal tract. No pathology from the internal organs is detected.

Which of the following mental disorders is MOST likely, which treatment is indicated for this patient.

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

# 140

*! 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

# 141

*! Mental retardation corresponds to less than IQ

Twenty

# 142

*! Etiological factors of oligophrenia depending on exposure time:

Hereditary

Intrauterine

Perinatal and first three years

# 143

*! A boy of 14 does not learn the school curriculum, especially in mathematics. Phrase speech at 4 years old, in kindergarten was difficult to behave, breaking toys. She hardly reads in syllables, cannot solve simple problems, does not reveal the meaning of simple proverbs and sayings, he graduated from only 2 classes of a comprehensive school, is slow. A history of birth injury. What is your diagnosis?

Oligophrenia

# 144

*! When assessing the psychopathological status of a 14-year-old boy, the doctor asked: what is common between a bed and a wardrobe. The child replied: in both objects there are legs.

What mental pathology can one think about?

Mental retardation

# 145

*! A 13-year-old boy with his mother at a GP appointment. In early childhood, nothing remarkable. In preschool age, a lag in mental development was noticed. For 4 years he graduated from only 2 classes of a comprehensive school, after which he was transferred to an auxiliary school, where he copes with studies. He reads by syllables, counts up to 100, but cannot solve the problem according to the program of the 2nd class. Does not understand the figurative meaning of proverbs. At home, brought up in hyper-custody. Vaccinated self-care skills, attached to the mother. Parents describe suggestibility and resilience. Your diagnosis:

Mental retardation due to pedagogical neglect
# 146

*! Boy 7 years old is prone to affective outbreaks and aggressive behavior, grossly built attention (up to apropexia), a peculiar “stickiness” of communion. Examination is annoying, moody, highly excitable by the slightest hassle. Often, afflicting outbreaks arise from him and without any visible external influences, they can be accompanied by both aggression and auto-aggression, destructive actions. Which of the formal lagging differences according to the clinical physiological classification is MOST likely to correspond to the description?

Dysphoric

# 147

*! Patients with this form of mental retardation are characterized by relative uniformity of mental underdevelopment. These children are emotional, sociable, attached to parents and comrades. Characteristic for them is a poor direct capture of visual and verbal material, while, despite the smaller vocabulary, good adaptability in everyday life. Determine the form of mental retardation according to the clinical and physiological classification.

Oligophrenia, stenic
# 148

*! A 6-year-old boy with his parents at a GP reception, complaining, cannot learn basic writing, reading and counting skills, gets up during classes, refuses to complete teacher tasks, attention quickly depletes, it is difficult to absorb material, as he cannot concentrate during the lesson. On examination, irritable, moody, easily excitable for the slightest reason, gives way to a good-natured background and a quick change of mood. Awkward motor skills, difficulties in fine coordination of movements, especially hands. Which of the forms of mental retardation according to the clinical and physiological classification most likely matches this description?

Oligophrenia, asthenic or atonic?

# 149

*! The boy is 7 years old. In the early development of the anhydrous period, on the Apgar scale, 5-6 points. In preschool age, a lag in mental development was noticed. I went to school from the age of 6, duplicated twice the 2nd grade of a comprehensive school, by decision of the Psychological-Medical-Pedagogical Commission, I was transferred to an auxiliary curriculum, where I can hardly cope with school. He reads by syllables, counts to 40, but cannot solve the problem according to the program of the 2nd class. Does not understand the figurative meaning of proverbs. At home, he is brought up in hyper-custody, attached to his mother. Which of the following is most likely to be the case?

Oligophrenia

# 150

*! Teenager M., 13 years old at the doctor’s appointment, from objective data, face flat, oblique section of eyes, open mouth, short nose, flat nose, dysplastic ears. Marked deformation of the chest (keeled) and muscle hypotension. She is studying an auxiliary program in the 5th grade, with difficulty assimilates teaching material, can recognize letters, the score is up to 10 on her fingers, during the conversation is irritable, tearful, very attached to her mother. Follows instructions with the help of a doctor. From the anamnesis, fetal hypoxia due to a long anhydrous period, enuresis. Diagnose and indicate the degree of mental retardation.

Down Syndrome, Imbecility

# 151

The child is 7 years old, the parents complained that the child has difficulties in mastering the school curriculum from the first days: he hardly learns writing and reading skills, cannot solve elementary problems of addition and subtraction. The child has a mechanical memorization of the material passed during the survey can not explain what it was about. B tenie syllables, mozhetnapisatsvoeimya, surname and date of birth. P echoligofazichnaya, primitive. The scattered attention, in the course of conversations is distracted by the smallest sounds and movements. The background of the mood is up. Parents describe suggestibility and resilience. Which of the following is MOST likely to be consistent with this?

?

# 152

*! A 25-year-old woman was brought by an ambulance team due to a worsening condition in the emergency room of a mental health center. According to her sister, the patient repeatedly went for a walk on the street and appeared when it gets dark, does not obey, drinks alcohol, walks with men, does not watch herself at home. No complaints. General condition is satisfactory. Consciousness is clear. Oriented in place, personality. Correctly answers all questions. Disorder of perception and crazy ideas no. Does not understand the figurative meaning of proverbs and sayings, cannot count to 10. Voice is loud. Acute psycho-products in the form of delirium and hallucinations have not been identified. Memory is reduced and intelligence is underdeveloped. The range of interests is limited. Can not explain the wrong behavior at home. Criticism to his condition is formal. Convulsive seizures were not observed during the last year. Sleep, appetite sufficient. From the anamnesis of life: the youngest of 2 children. Since childhood, lagged behind in mental development. I started to go to 1g 6 months, phrasal speech from 3 years. I went to school from the age of 7, graduated from the 9th grade of a secondary school. Disabled person 2 groups. Mother died in 2011. Sister is a guardian. He lives with his sister. Your diagnosis and tactics:
Mild mental retardation with impaired behavior,

# 153

*! Child, 9 years old. Born on time weighing 4500 gr. after stimulation, the first words appeared at 3 years old, phrasal speech at 4,5 years old. In 3,5 years there was a convulsive attack. In kindergarten he could not memorize poetry, for a long time did not distinguish colors, confused the count of fingers, was subjected to ridicule. I went to school from the age of 7, for a long time I could not master the score within 20, counted on the fingers, wrote letters crookedly. Remained in the second year. At the age of 8, he read a primer, counted to 100, carried out simple arithmetic operations, "mechanically" transferred to the second class. At the time of examination - dysplastic, ears low set, large. Speech-language, concrete thinking, is difficult to generalize objects, does not understand the meaning of proverbs. Your diagnosis and tactics: