Assessment in Psychiatry MCQs

The BMI of a patient is calculated using the patient weight, height and age (in those younger than 18) to create a ratio. BMIs of less than 19 may be the first indication of ANOREXIA NERVOSA. It is an easy, non-invasive calculation that is done in the office quickly so should be done prior to more invasive, expensive, and time-consuming laboratory studies. Reference: Kaplan and Sadock's Synopsis of Psychiatry, Eleventh edition, Chapter 15.4, Obesity and Metabolic Syndrome, Page no. 523.

MMSE assesses the following five cognitive functions and gives them different weightage. Orientation - 10 points Registration - 3 points Attention and concentration - 5 points Recall - 3 points Language - 9 points Max score = 30 ≤24/30 = indicative of cognitive impairment Reference: Mini Mental Status Examination

Baby blues typically occur 3-6 days following the birth of the baby in 50-60% of mothers. Post-partum depression occurs in approximately 10% of women after parturition . It usually occurs within 6-8 weeks of birth , most often beginning between days 3 and 14 after parturition Adjustment disorder is usually diagnosed within six months of the occurrence of a significant stressor, and usually resolves within six months of the resolution of the stressful situation ( Option B ) An adjustment reaction is a short-lived anxiety response to a stressful situation. ( Option C ) Given the time frame of this presentation, the birth and the prevalence’s, the most likely diagnosis is baby blues. Reference: Synopsis of Psychiatry, Eleventh edition, Chapter 27, page no. 839

Scales for intelligence assessment are Weschler Intelligence scale Bhatia Battery test Binet Kamat Scale Montreal Cognitive Assessment scale is used for assessing cognition and not intelligence. Reference: Kaplan and Saddocks Synopsis of Psychiaitry, 11th Edition, Chapter 31, Page No.: 1115-1116