62 MCQs in Psychiatry for NEET PG
Which of the following neurotransmitter systems is primarily dysregulated in alcohol withdrawal syndrome?
What is the typical timeline for the onset of generalized tonic-clonic seizures in alcohol withdrawal?
A 52-year-old man with a 20-year history of alcohol dependence presents to the emergency department 36 hours after his last drink. He is tremulous, diaphoretic, and agitated. His wife reports he has been confused and seeing things that are not there. Vital signs: BP 148/92 mmHg, HR 110 bpm, temperature 38.2°C, RR 22/min. On examination, he is disoriented to time and place. What is the most appropriate immediate pharmacological intervention?
A 48-year-old man with alcohol dependence is admitted for management of alcohol withdrawal. He has a history of cirrhosis (Child-Pugh Class B) and mild hepatic encephalopathy. Which benzodiazepine is most appropriate for this patient?
A 48-year-old man with alcohol dependence is admitted with severe tremor, hallucinations (visual and tactile), autonomic instability (HR 130/min, BP 160/100 mmHg), and fever (38.2°C). He had his last drink 36 hours ago. Serum electrolytes, glucose, and liver function are deranged. What is the most appropriate immediate next step?
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