Maxemo EMREE 26-27
A 25 y/o patient spends hours checking a perceived nose defect in the mirror. During intense anxiety, they report feeling detached from their body. Reality testing remains intact. What is the most likely diagnosis?
💡 EXPLANATION:
Body Dysmorphic Disorder is characterized by preoccupation with perceived physical defects and compulsive behaviors (mirror checking). Dissociative symptoms may occur secondarily to anxiety. Reality testing distinguishes it from somatic delusions.
A 29 y/o F, 2 weeks postpartum, presents with 4 days of severe insomnia, agitation, and delusions that her baby is evil. She exhibits manic behavior and confusion. What is the most likely diagnosis?
Anonymous Quiz
10%
Postpartum blues
17%
Postpartum depression
73%
Postpartum psychosis
0%
Obsessive-compulsive disorder
Maxemo EMREE 26-27
A 29 y/o F, 2 weeks postpartum, presents with 4 days of severe insomnia, agitation, and delusions that her baby is evil. She exhibits manic behavior and confusion. What is the most likely diagnosis?
💡 EXPLANATION:
Postpartum psychosis is a psychiatric emergency typically presenting 2-4 weeks post-delivery with rapid onset of mania, delusions, and hallucinations. 'Blues' are transient/mild; depression involves low mood without manic features or frank psychosis.
❤1
A 23y/o M presents with recurrent, unexpected episodes of palpitations and intense fear. He reports constant worry about future attacks and avoids crowded places. Vital signs and labs are normal. What is the most likely diagnosis?
Anonymous Quiz
41%
Generalized anxiety disorder
17%
Social anxiety disorder
3%
Acute stress disorder
38%
Panic disorder
Maxemo EMREE 26-27
A 23y/o M presents with recurrent, unexpected episodes of palpitations and intense fear. He reports constant worry about future attacks and avoids crowded places. Vital signs and labs are normal. What is the most likely diagnosis?
💡 EXPLANATION:
Panic disorder is characterized by recurrent unexpected panic attacks followed by ≥1 month of persistent concern about additional attacks or maladaptive behavioral changes (avoidance). Normal medical workup rules out organic causes.
A 24 y/o F presents to the ER with palpitations, sweating, and a sense of impending doom starting 20 mins ago. Vitals: HR 115, BP 135/85, RR 22. ECG is normal. Which medication is indicated for immediate symptom relief?
Anonymous Quiz
16%
Fluoxetine
13%
Buspirone
42%
Lorazepam
29%
Propranolol
Maxemo EMREE 26-27
A 24 y/o F presents to the ER with palpitations, sweating, and a sense of impending doom starting 20 mins ago. Vitals: HR 115, BP 135/85, RR 22. ECG is normal. Which medication is indicated for immediate symptom relief?
💡 EXPLANATION:
Benzodiazepines (e.g., Lorazepam) provide rapid anxiolysis via GABAergic inhibition, making them the treatment of choice for acute termination of panic attacks. SSRIs take weeks to work; Beta-blockers treat somatic symptoms but not the acute panic.
A 32 y/o patient presents with excessive worry and tension, confirmed as Generalized Anxiety Disorder (GAD). Long-term pharmacotherapy is indicated. Which medication is the most appropriate first-line agent?
Anonymous Quiz
21%
Alprazolam
50%
Sertraline
14%
Amitriptyline
14%
Quetiapine
Maxemo EMREE 26-27
A 32 y/o patient presents with excessive worry and tension, confirmed as Generalized Anxiety Disorder (GAD). Long-term pharmacotherapy is indicated. Which medication is the most appropriate first-line agent?
💡 EXPLANATION:
SSRIs (e.g., Sertraline) are the first-line treatment for GAD due to their efficacy and safety profile. Benzodiazepines carry risks of dependence and are not for long-term monotherapy. TCAs and antipsychotics are second-line or adjunctive options.
A 20 y/o student presents with a 2-year history of avoiding university lectures and parties. He reports an intense, persistent fear of being scrutinized or negatively judged by others. What is the most likely diagnosis?
Anonymous Quiz
9%
Generalized anxiety disorder
0%
Panic disorder
4%
Agoraphobia
87%
Social anxiety disorder
Maxemo EMREE 26-27
A 20 y/o student presents with a 2-year history of avoiding university lectures and parties. He reports an intense, persistent fear of being scrutinized or negatively judged by others. What is the most likely diagnosis?
💡 EXPLANATION:
Social anxiety disorder is defined by marked fear/anxiety about social situations where the individual is exposed to possible scrutiny. The fear of negative evaluation leads to avoidance or intense distress, distinguishing it from GAD or agoraphobia.
A patient presents with imipramine overdose, BP 85/50 mmHg, and wide QRS (150 ms) on ECG. What is the most critical immediate intervention?
Anonymous Quiz
20%
IV Magnesium sulfate
72%
IV Sodium bicarbonate
8%
IV Amiodarone
0%
IV Physostigmine
Maxemo EMREE 26-27
A patient presents with imipramine overdose, BP 85/50 mmHg, and wide QRS (150 ms) on ECG. What is the most critical immediate intervention?
💡 EXPLANATION:
IV sodium bicarbonate is the specific antidote for TCA cardiotoxicity (QRS >100 ms). It reverses Na+ channel blockade via serum alkalinization and increased extracellular sodium. Physostigmine is contraindicated.
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NEPHROLOGY AND UROLOGY
1. Reyansh Malhotra
2. Rizwan H
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Yesterday's Ranks🏆
NEPHROLOGY AND UROLOGY
1. Reyansh Malhotra
2. Rizwan H
3. Sam
4. Dr. Shukla
5. Samyak99
6. Shruti p
7. Siddharth Sharma
8. Zaffar
9. batool
10. Avantika Pillai
Join channel 👇
https://t.me/studywithmaxemoemree
A patient presents 6 weeks post-MVA with recurrent intrusive memories, nightmares, avoidance of driving, and hyperarousal. What is the most likely diagnosis?
Anonymous Quiz
7%
Acute stress disorder
90%
Post-traumatic stress disorder
3%
Adjustment disorder
0%
Generalized anxiety disorder
Maxemo EMREE 26-27
A patient presents 6 weeks post-MVA with recurrent intrusive memories, nightmares, avoidance of driving, and hyperarousal. What is the most likely diagnosis?
💡 EXPLANATION:
PTSD is diagnosed when symptoms (intrusion, avoidance, arousal) persist >1 month after trauma. Acute stress disorder is diagnosed when symptoms last 3 days to 1 month. The 6-week duration confirms PTSD.
A 24-year-old patient diagnosed with Obsessive-Compulsive Disorder (OCD) is prescribed fluvoxamine. This medication exerts its therapeutic effect primarily by modulating which neurotransmitter system?
Anonymous Quiz
13%
Dopamine
23%
Norepinephrine
13%
GABA
52%
Serotonin
Maxemo EMREE 26-27
A 24-year-old patient diagnosed with Obsessive-Compulsive Disorder (OCD) is prescribed fluvoxamine. This medication exerts its therapeutic effect primarily by modulating which neurotransmitter system?
💡 EXPLANATION:
Fluvoxamine is a Selective Serotonin Reuptake Inhibitor (SSRI). OCD pathophysiology is linked to serotonin dysregulation. SSRIs inhibit the reuptake of serotonin (5-HT), increasing its synaptic availability to reduce symptoms.