Affective shock reaction

Stress response

# 113

*! A man of 20 years old does not work. He complained of an unexpectedly occurring and quickly, within a few minutes, growing complex of autonomic disorders: palpitations, chest tightness, feeling of suffocation, lack of air, sweating, dizziness. The above complaints are combined with a feeling of impending death, fear of loss of consciousness, or loss of control over oneself. Attacks occur suddenly within 2 years, for no apparent reason, last about 20-30 minutes, are repeated weekly, sometimes up to 2 times a day. Which of the following types of anxiety-phobic disorder is MOST probable?

Panic attacks

# 114

*! A man of 25 years old, commits repeated stereotypical acts, sometimes bearing the character of obsessive actions. For example, they often wash their hands during the day, mentally counting up to certain numbers, while washing their hands can drag on for up to an hour if they lose count. Shower or bath is preceded by a tile account, if it gets lost, then the account resumes again. It is burdened by a feeling of inevitability of such behavior and perceives it as alien. Actively seeking help from doctors.

Which of the following diagnoses is MOST probable?

Obsessive-compulsive disorder

# 115

*! 66 years old, a builder, previously had no serious illness. Wife 4 months ago suffered a hip fracture, a complex operation. During the visit, I did not find her in the ward, after which I experienced an acute fear of loss, the death of my wife, accompanied by intense anxiety, palpitations, weakness in her legs. After discharge, the spouse is in a wheelchair, trying to walk on crutches. Since then, the man had a disturbed sleep, decreased mood, became absent-minded, tearfulness, lethargy was noted.

Which of the following mental disorders is MOST likely?

Reactive depression

# 116

*! A man, 63 years old, was admitted to the department due to the fact that he became gloomy, depressed, anxious, uninterested in anything at home for a month after a series of post-traumatic traumatic situations, sometimes crying, worried about the future, decreased appetite, lost weight, becomes stale.

Which of the following mental disorders is MOST likely?

Anxiety Depressive Syndrome

# 117

*! A woman of 35 years old, looks tired, depressed, her expression is sad. Complains of bad mood, headaches, insomnia, weight loss. Lost any interest in intimate life. Concerned that 2 months ago a surgical treatment was performed - hysterectomy. Believes that she has ceased to be a woman. Asks for help.

Which of the following mental disorders is MOST likely?

Depressive adaptation reaction

# 118

*! A 27-year-old woman complains of having thoughts about what she might not resist in order not to throw her child out of the balcony. He tries to distract from such thoughts, understands their incorrectness, loves and cares with dignity for his child. Concerned that these thoughts are visited more often, they began to disturb her, understands their absurdity, and tries to get rid of them.

Which of the following mental disorders is MOST likely?

Obsessive-compulsive disorder

# 119

*! A woman of 35 years old, complains of fear of contracting tuberculosis. For 2 years, obsessed with continuous monitoring of the cleanliness of both the room and his hands. Often he washes his hands, wipes with alcohol, does not open the door without gloves, constantly walks in a medical mask. It became indecisive, slow, spends a lot of time on a ritual to clean hands. He understands the futility of the rituals, considers them a symbolic attempt to prevent danger.

Which of the following mental disorders is MOST likely?

Obsessive-compulsive disorder

# 120

*! A woman of 35 years old, complains of frequent urination, burning, heaviness over the area of ​​the womb, fleeting pains in the bladder, a feeling of bloating, heaviness and fear of urinating, accompanied by anxiety, concern about severe bladder pathology. There was irritability, reduced working capacity, anxiety, anxiety, decreased mood background, disbelief in the doctor’s explanations. Objective data for the pathology of the genitourinary system have not been identified.

Which of the following mental disorders is MOST likely?

Somatoform vegetative dysfunction of the MPS

# 121

*! Male 42 years old, dentist. The disease developed in connection with a minor somatic disease. He began to note low mood, sleep disturbance, anxiety. Thoughts arose about the hopelessness of his condition, about the incurability of the disease. It became difficult to cope with work, constantly thinking about a serious, incurable disease. Sleep only with sleeping pills and tranquilizers.

Which of the following mental disorders is MOST likely?

Hypochondria disorder

# 122

*! Man, 43 years old. He was admitted to the hospital with complaints of pain in the heart, an attack of a heartbeat. He began to listen to sensations in the heart, to protect himself from physical labor. Repeatedly turned to therapists, cardiologists, neuropathologists who did not find any pathology. Changed work closer to home, leaving the house only accompanied by his wife.

Which of the following mental disorders is MOST likely?

Somatoform disorder

# 123

*! A girl, 21 years old, complains of a decrease in appetite and epigastric pain, which are accompanied by a restriction in food intake and a sharp decrease in working capacity, anxiety, anxiety, and a painful feeling of hopelessness. Previously (10 years naz * diagnosed with peptic ulcer, currently in remission. However, complaints arose and intensified after trouble at work.

Which of the following mental disorders is MOST likely?