Which one of the following is NOT a poor prognostic factor in OCD?
D. It is observed that about 20–30% of those with OCD show a signifi cant improvement, 40–50% have a moderate improvement, while the rest have a chronic or worsening course. Poor prognostic factors include yielding to compulsions, a childhood onset, bizarre content of compulsions, need for hospitalization, a coexisting major depressive disorder, the presence of overvalued ideas, and the presence of personality disorder (especially schizotypal). A good prognosis is indicated by good premorbid adjustment, the presence of a precipitating event, and episodic nature. The content or theme of obsessions and family history do not relate to the prognosis.
Reference:
Which of the following is the most common method of attempting self harm in UK?
A. The most common method of self harm attempt in the UK is paracetamol overdose. In the UK, self poisoning by drugs accounts for nearly 90% all hospital presentations with self harm. The next most common method of self harm is cutting wrists. The most common method employed in those successfully committing suicide is hanging. In general, violent methods such as hanging or use of firearms are common among male victims of suicide. Self immolation is associated with schizophrenia, south Asian women, and combined suicide–homicides. Presence of mental illness increases the severity of suicide attempt. Tricyclic antidepressant-related death was more common in the past but has reduced following a reduction in prescriptions.
What is the proportion of suicide victims who attended their primary care practitioner within 4 weeks prior to suicide?
C. Sixty-six percent of suicide victims are seen by their general practitioner in the month prior to suicide. Nearly 40% have seen their GP in the week preceding death. One-quarter of suicide victims are on an active psychiatric out-patient list at the time of death. Half of these have seen their psychiatrists in the week preceding death.
A patient has tenacious sense of personal rights, leading on to repeated quarrels with neighbours. A personality disorder to be considered is:
D. Features of paranoid personality disorder include pervasive distrust and suspiciousness, reading hidden self-referential meaning from benign events, bearing grudges persistently, and a tenacious sense of personal rights and suspicion of infringement on those rights leading to quarrelsome and litigious tendency.
Which of the following is feature of schizoid personality disorder?
C. Patients with schizoid personality display a pervasive pattern of detachment from social relationships and a restricted range of emotional expression. They do not desire close relationships and prefer to be solitary with almost absent sexual interest. They lack close confidants and appear indifferent to both praise and criticism by others. Inability to plan ahead is seen in antisocial personality, while borderline and avoidant personalities show sensitivity to rejection. Narcissistic individuals may have a sense of excessive self importance. Impulsivity and lack of self restraint are seen in both antisocial and borderline personality disorders.
Click to expand