2020-06-29
150
# 124
*! A man of 56 years old, works in a managerial position with a high degree of responsibility, but a month ago he went on vacation without maintenance due to the current conflict with his superiors. Complains of insomnia. During a long conversation, he shows growing fatigue, is irritable, which is manifested by a bright vegetative reaction on the face, a tendency to tears, resentment, sharpness in the answers with subsequent apologies.
What treatment is indicated for this patient?
The diagnosis of neurasthenia (100%), treatment with anxiolytics, antidepressants
# 125
*! A man, 50 years old, during the last year suffered a series of psycho-traumatic events (related to dismissal from work, hardly adapted to a new job), after which his mood gradually decreased, his sleep was disturbed, he became tearful. He is constantly worried about the future, sometimes does not find a place for himself, calls his wife several times a day to find out if everything is in her order, he lost 10 kg. At the doctor’s appointment, he expresses thoughts about his low value, considers himself a bad father and husband, since he has ceased to provide materially for his family. Actively seeking help, critical of painful manifestations.
Which of the following re-devices is MOST probable?
Anxiety Depressive Disorder
# 126
*! A 28-year-old man, having been at the wheel, made an accident. During the arrival of the police and ambulance he was excited, rushed about, cried, tore his hair. This condition lasted for several hours. After the investigation, the driver’s fault was not found. But this event continued for a long time (after 8 months) to disturb in the form of obsessive memories, nightmares, blames himself for not being able to avoid an accident.
Which of the following diagnoses is MOST probable?
