Male patient 24 years old is dumb and present rigidity during his stance on the

emergency department. Her similar refer he placed the head on the ground, he
began to pray to communicate with god In the last days he had seen
hyperactive. His girlfriend said that he has been speaking weird things, he has
not being sleeping and showed hyper sexuality, He was also making exercise
the most part of the day. And he was very irritable. He has presented this
symptom in the past.
Exploration and physical examination without
neurological pathologic data. Laboratory tests: detection of toxic in urine:
negative.
The most likely diagnosis is:
A. Toxic psychosis
B. Paranoid schizophrenia
C. Bipolar disorder
D. Neuroinfection
E. reactive psychosis

Treatment of first choice is:

A. Antipsychotic and lithium carbonate
Parenteral
B. Anticiotic and solutions
C. antidepressant and anxiolytic
D. antipsychotic and anxiolytic
E. Antibiotic and antipshychotic
Kaplan & Sadock Sinopsis de Psiquiatra Clnica Autor(es):Sadock, Benjamin James - Sadock, Virginia Alcott Grebb, Jack A. - Pataki, Caroly S. - Sussman, Norman Editorial: Wolters Kluwer Edicin:10ma edicin Ao de
Publicacin:2008 Idioma:Espaol Capitulo 10 transtornos del estado de nimo pagina 129.

Female patient 15 years of age, diagnosed with anorexia nervosa. Body weight:
30% below the desired.
Physician must suggest the family:
A. Hospitalized
B. Punish her
C. Force her to eat

D. Negotiate with her.

E. To ignore her

The pharmacological treatment of patients presenting anorexia nervosa is:

A. Contraindicated
B. limitate to appetite stimulants
C. Is considered obsolete
D. Individualized for each patient
E. Indicated in all patients
Kaplan & Sadock Sinopsis de Psiquiatra Clnica Autor(es):Sadock, Benjamin James - Sadock, Virginia Alcott Grebb, Jack A. - Pataki, Caroly S. - Sussman, Norman Editorial: Wolters Kluwer Edicin:10ma edicin Ao de
Publicacin:2008 Idioma:Espaol Capitulo transtornos de la conducta alimentaria pagina 201

Roger has 43 years old His wife left him 5 years before since that time he
reduce his food consume, neglects his people and their work. It has consumed
1 liter daily basis in ron for the last 5 day. By now for the lack of financial
resources he has totally suspend his consumption. For the last 3 days he has
presented trembling in his hands, anxiety and total insomnia. He is confused,
apprehensive, talkative. At the interview he looks dirty and disheveled,
disoriented, anxious, confused, delirious and irritable, prone to aggression.
Diagnosis of this patient is:
A. Depressive disorder
B. Undifferentiated schizophrenia
C. Delirium tremens
D. Alcohol intoxication
E. Chronic alcoholism

Treatment is suitable:

A. parenteral solutions and antidepressant

B. parenteral solutions and benzodiazepines
C. parenteral solutions and anticholinergics
D. protein diet and psychological support
E. parenteral solutions and antipsychotics

Laboratory studies vital for its handling is:

A. Determinate alcohol levels in urine.
B. serum electrolytes
C. blood count
D. Lipid profile
E. Thyroid

Kaplan & Sadock Sinopsis de Psiquiatra Clnica Autor(es):Sadock, Benjamin James - Sadock, Virginia Alcott Grebb, Jack A. - Pataki, Caroly S. - Sussman, Norman Editorial: Wolters Kluwer Edicin:10ma edicin Ao de
Publicacin:2008 Idioma:Espaol Capitulo 7 Transtornos relacionados con el acohol opiacios y otras
sustancias Pag 69