RxPG - the perfect Rx for medical Post Graduate entrance blues!
Mobile Edition | Help/Newbie? | 24/7 Support
HOT | PrePG | MCQ | DNB | Careers | Books | Colleges | Dental | DocIndia | PLAB |  USMLE  | Australia | Canada | GLOBAL | OffBeat!
Articles | Forums | MCQ Crammer | Downloads | Mnemonics | Revision Tools | Recent Shouts | All Features


Author: RxPG, Posted on Wednesday, June 30 @ 00:00:00 IST by RxPG  

 FRIEND Add to My Pages   PRINTER Printer Friendly   FRIEND Email Story  FRIEND Download Story  Psychiatry alerts 


A 20- year-old man has presented with increased alcohol consumption and sexual indulgence, irritability, lack of sleep, and not feeling fatigued even on prolonged periods of activity. All these changes have been present for 3 weeks. The most likely diagnosis is:

1. Alcohol dependence.
2. Schizophrenia.
3. Mania.
4. Impulsive control disorder.

3. Mania.

A Short Textbook of Psychiatry by Ahuja 4 ed Page 65




Features of Manic Episodes (at least for 1 week) include
1. Elevated, Expansive or Irritable Mood

Stages Mood
Euphoria Mild Elevation of Mood Psychological Well being Hypomania Stage I
Elation Moderate Elevation of Mood Increased psychomotor activity Classical Mania Stage II
Exaltation Severe Elevation of Mood Intense Elation with Delusion of Grandeur Severe Mania Stage III
Ecstasy Very Severe Elevation of Mood Intense sense of Rapture Delirious or Stuporous Mania Stage IV

2. Psychomotor Activity
a. Overactiveness and Restlessness
b. Activity is Goal Oriented
c. Patient is “on the go”
3. Speech and thought
a. More talkative, Describes thoughts racing in Mind, develops pressure of speech, uses playful language with puning, rhyming, joking and teasing
b. Flight of Ideas
4. Goal – directed Activity
a. Ability to function is better.
b. Many artists and writers contribute significantly
5. Other features
a. Sleep reduced
b. Insight Absent
c. Mood Incongruent psychotics features may be present
6. Absence of Underlying Organic Cause

1. Other than that he takes Alcohol, no other feature supports Alcohol dependence.
2. Schizophrenia rarely presents like this.
3. Mania is the correct diagnosis for this patient. We can see that all the features that are seen in this patient are the ones seen in Mania
4. Impulsive control disorder does not present like this. Please look at the other question for Impulse control disorders

If you cannot match the answer at the first attempt, try exclusion of the other choices. But keep in mind that there are negative marks in these exams !!

Mania and Depression along with Schizophrenia, Delusion, Hallucination, Drug dependence are the common topics from which you will get questions and these question will be answered by the majority and if you leave a question in these topics, you may be left out in the race

Explanation By Dr Bruno, Author of

Author Dr Bruno, Publisher Jaypee

4 (Excellent) 3(Good) 2(Good) 1(Bad)   

Recommended Books for Psychiatry
• Books to read for Psychiatry by RxPG

Related Psychiatry articles
• Syndromes in Psychiatry
• Psychiatric Defence mechanisms - An Overview
• ICD diagnostic criteria in sexual disorders
• Schizophrenia - Overview of this common psychiatric disorder
• Organic mental disorders
• Confusing Features of Hallucinations
• Neurotic and Stress-Related Disorders
• Mental Disorders - An Introduction
• Features of Obsessive Compulsive Neurosis
• Which is the schizophrenia with worst prognosis?
• Suicide - Commonest cause of death among Psychiatric Patients
• Psychiatry Clinical Examination Format with Examples
• Psychotherapy: An Overview
• Mood Disorders (Affective Disorder)
• Defense Mechanisms in Psychodynamic Theory
• Mental Retardation (SYN. Learning Disabilities, Intellectual Impairment)
• Donepezil - centrally acting reversible acetyl cholinesterase inhibitor
• Olanzapine - Thienobenzodiazepine Atypical Antipsychotic
• Risperidone - Most Commonly Used Atypical Antipsychotic
• Clozapine - The First Atypical Antipsychotic

Related Psychiatry Discussions

Other articles by RxPG
• RxPG Interview With Dr Sumit Seth - Civil Services 2005 Top Ranker
• Stroke - Neurology Online Mock Test 235
• Stroke - Neurology Online Mock Test 234
• Stroke - Neurology Online Mock Test 233
• List of Some Bioinformatics Courses in India
• Microbiology and Parasitology Online Mock Test 232
• DNB Online Mock Test 231
• Neurology Online Mock Test 230
• Anatomy Mock MCQ Test 229
• Anatomy Mock MCQ Test 228
• Revisable Quick List of New Drugs for PG Entrance Exams
• Radiology Daily Online Mock Test 228
• Pediatrics Free Online Daily Mock Test 227 - PGI Exam Pattern
• Paediatrics PGIMER PG Entrance Pattern Free Online Mock Test 226
• Paediatrics Free Online PG Entrance Daily Mock Test 225
• Preservatives used while packing catgut suture
• Neurology Free Online Mock Test 223
• Biostatistics Online Mock Test 222
• Neurology Free Online Medical Mock Test 221
• Neurology Free Online Medical Mock Test 220

 Psychiatry FAQ
  Browse all FAQs

Write an Article on Psychiatry
You can share your exam experiences, preparation strategies, books you have read or just any information about Psychiatry on RxPG website and we will publish it under your name.

Article Rating
Average Score: 4.15
Votes: 39

Most Read Article
Psychiatry; Free Online Mock Test 26

Related Links
· RxPG Postal Course
· Psychiatry Books at Amazon.com
· RxPG AIIMS Books
· Discuss Past Papers
· mediMOCK Forum
· RxPG Forums
· MRCPsych Forum


· Psychiatry section
· Articles by RxPG
· Add to my pages
· Printer friendly version
· PDF version
· Email article
· Feedback on this article
· Medical tutorials
· Related forum posts
· Related articles
· Related downloads
· Submit article
· Psychiatry alerts
· Psychiatry books
· Psychiatry past papers

Most read story about Psychiatry:
Psychiatry; Free Online Mock Test 26

Server Status: 250 pages served in last minute. Page generation time: 0.052 seconds

Site Maps: [Books] [News] [Forums] [Reviews] [Mnemonics]

sitemap - top30 - centuries - testimonials

About Us :: Disclaimer :: Contact Us :: Reporting abuse :: Terms of Services :: Privacy Policy

Advertise with RxPG!
Made in India by RxPG Medical Solutions Private Limited

"RxPG" is a Registered Trademark

Chrome Web Store YouTube Twitter LinkedIn Wikipedia Facebook