Psychiatry MCQs for AMC Part 1 Exam

Question 5011

A 30-year-old woman, diagnosed with bipolar disorder, is taking sodium valproate as a mood stabilizer. She informs her psychiatrist that she is planning to start a family and is concerned about the impact of her medication on pregnancy. What is the most appropriate advice regarding sodium valproate in pregnancy?

  • A) Increase the dosage of sodium valproate to manage mood swings during pregnancy
  • B) Switch to a different mood stabilizer with a lower risk of teratogenicity
  • C) Continue sodium valproate at the current dosage, as it is safe during pregnancy
  • D) Discontinue sodium valproate without considering an alternative, as it may not be necessary
  • E) Recommend delaying pregnancy indefinitely as she has bipolar disorder

Answer: B) Switch to a different mood stabilizer with a lower risk of teratogenicity

Sodium valproate is associated with an increased risk of congenital malformations and developmental disorders when used during pregnancy. For women with bipolar disorder planning pregnancy, the most appropriate advice is to switch to a different mood stabilizer with a lower risk of teratogenicity before conception. This helps manage the patient’s mental health while minimizing potential harm to the developing fetus.

Question 5012

A 45-year-old woman visits her primary care physician complaining of persistent, exaggerated worry and tension about everyday events, which has been present on most days for more than six months. She reports muscle tension, restlessness, and difficulty falling asleep. The patient also mentions feeling fatigued and having difficulty concentrating. What is the most likely diagnosis?

  • A) Panic Disorder
  • B) Generalized Anxiety Disorder (GAD)
  • C) Obsessive-Compulsive Disorder (OCD)
  • D) Social Anxiety Disorder
  • E) Post-Traumatic Stress Disorder

Answer: B) Generalized Anxiety Disorder (GAD)

Generalized Anxiety Disorder (GAD) is characterized by excessive and uncontrollable worry about various aspects of life, accompanied by physical symptoms such as muscle tension, restlessness, fatigue, and sleep disturbances. The patient’s complaint of persistent, exaggerated worry, along with the described physical symptoms, aligns with the diagnosis of Generalized Anxiety Disorder.

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