Psychiatry question , need your opinions please - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 10-22-2013
USMLE Forums Scout
 
Steps History: ---
Posts: 15
Threads: 7
Thanked 2 Times in 2 Posts
Reputation: 12
Default Psychiatry question , need your opinions please

Female patient on the 3rd week postpartum. She says to the physician that the frequently visualizes snakes crawling to her baby’s bed. She knows that it is impossible but she cannot remove the idea from her head. She says she wakes up around 50 times at night to check her baby. This problem prevents her from getting good sleep and it started to affect her marriage. What is this problem she is experiencing?


a) An obsession
b) A hallucination
c) A postpartum psychosis
d) A Delusion
Reply With Quote Quick reply to this message



  #2  
Old 10-22-2013
USMLE Forums Guru
 
Steps History: 1+CK+CS
Posts: 359
Threads: 39
Thanked 228 Times in 135 Posts
Reputation: 238
Default

i think its a ..
its not post partum psychosis cuz she doesnt have any intent to harm d baby and no other features[negative lipstick sign and all]..
not delusion coz delusion is firm false belief in something that is not true...n here she is admitting that its impossible..
here she is obsessed with a thought of a snake harming her baby..she is thinking about it and visualizes it in her mind so yea i think its a..
Reply With Quote Quick reply to this message
The above post was thanked by:
maas (10-22-2013), tamta (10-22-2013)
  #3  
Old 10-22-2013
USMLE Forums Guru
 
Steps History: 1+CK+CS
Posts: 359
Threads: 39
Thanked 228 Times in 135 Posts
Reputation: 238
Default

Obsession...
Recurrent, persistent and intrusive thoughts, impulses or mental images that the individual usually tries to resist, finds unpleasant and recognizes as senseless.
Reply With Quote Quick reply to this message
The above post was thanked by:
maas (10-22-2013), tamta (10-22-2013)
  #4  
Old 10-22-2013
Krazy's Avatar
USMLE Forums Addict
 
Steps History: 1+CK+CS+3
Posts: 137
Threads: 25
Thanked 118 Times in 70 Posts
Reputation: 128
Default

Why not hallucination???
Reply With Quote Quick reply to this message
The above post was thanked by:
maas (10-22-2013)
  #5  
Old 10-22-2013
USMLE Forums Master
 
Steps History: ---
Posts: 956
Threads: 28
Thanked 1,399 Times in 516 Posts
Reputation: 1409
Default

Quote:
Originally Posted by Krazy View Post
Why not hallucination???
Coz she wakes up 50 times to check. Its not that she just had hallucination and saw a snake. obsession definetly
Reply With Quote Quick reply to this message
The above post was thanked by:
drsrb (10-23-2013), Krazy (10-22-2013), maas (10-22-2013)
  #6  
Old 10-22-2013
Krazy's Avatar
USMLE Forums Addict
 
Steps History: 1+CK+CS+3
Posts: 137
Threads: 25
Thanked 118 Times in 70 Posts
Reputation: 128
Default

Quote:
Originally Posted by tamta View Post
Coz she wakes up 50 times to check. Its not that she just had hallucination and saw a snake. obsession definetly
Definitely makes sense!!!! Thanks!!
Reply With Quote Quick reply to this message
The above post was thanked by:
tamta (10-22-2013)
  #7  
Old 10-22-2013
USMLE Forums Scout
 
Steps History: ---
Posts: 15
Threads: 7
Thanked 2 Times in 2 Posts
Reputation: 12
Default

thank you all for your participation
Reply With Quote Quick reply to this message
  #8  
Old 10-22-2013
USMLE Forums Addict
 
Steps History: Step 1 Only
Posts: 177
Threads: 8
Thanked 60 Times in 48 Posts
Reputation: 70
Default

where have u got the question , very interesting.
What is the actual answer,that lady problems start with the hallucination or from worry for the baby,

Has the hallucination started the obsession
Reply With Quote Quick reply to this message



Reply

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Combined neurology psychiatry, psychiatry-child psychiatry programs? anupriyagogne IMG Residency Match Forum 2 07-21-2013 10:17 AM
psychiatry question K06100 USMLE Step 2 CK Forum 4 09-18-2012 03:16 AM
psychiatry question regarding HIV status K06100 USMLE Step 2 CK Forum 4 09-18-2012 03:14 AM
psychiatry question K06100 USMLE Step 2 CK Forum 4 08-27-2012 10:13 PM
psychiatry question K06100 USMLE Step 2 CK Forum 2 08-26-2012 05:44 PM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)