Transcript for:
Psychiatry Lecture - Notes from 1st July Session

good morning everyone I hope I am Audible okay so I hope uh you people are reading well and uh making best use of the time and we have done with the five subjects one short revision till now just give me yeah so we have done five subjects one short revision till now all right so before we start with the Psychiatry onot revision today and today is 1st of July and I wish all young doctors a very very happy doctor's day and I hope uh you all all are aware that why doctor's day is celebrated on 1st of July and it is basically to give honor to a very renowned Medical Community doctor doctor and Professor BC Roy and who was born on this particular day and he served as chief minister of West Bengal and he's one of very very few doctors who have received the highest award highest civilian award in India which is Bharat ratn in fact there are only two doctors who have received bhat ratn till now Professor Dr BC Roy and Dr mg ramachandran MGR but the interesting part about both of them is that both of them served as Chief Ministers of their own States so I believe that um they got Nobel priz because of the political life that they served SO waiting for some of you to reach to that highest level so that you get to such positions from the medical community and um just to give honor to Professor Roy this is celebrated on 1st of July all right so now today we will be doing Psychiatry but before I go there are few points that I wanted to tell you there is a message that I'm getting from lot of students and they are need uh they are 2018 batch and now um and that's that's a usual part that they ask me K sir do you think U that we should completely focus on the npg 2024 exam or do you think that we should focus on E pg25 exam now we have some time or so my suggestion is very very simple for those people that if you are scoring 140 150 correct in the GT you can definitely take a chance to appear for the N pg24 exam and prepare accordingly however if you're scoring 100 correct 90 correct 110 correct 120 correct do not waste your time and do not unnecessarily spoil your preparation there is no magic that can happen rather focus and do the discipline study for the N PG 2025 exam it is much more likely to give you a far far better result than a half hearted preparation all right uh for the student who are dedicatedly preparing for the N pg24 exam my sincere request is that if you have not come back to the track please it's a right time to come back on the track do not wait for any announcements anything that is happening rather study and you have to study and I have realized it that one shot is literally helping a lot of students to be on track and a lot of students are saying that sir it is not possible to cover medicine in one day agreed but at least you have covered The major portion of that that is commonly asked in the exam so today let us discuss that what should be an ideal day in in your preparation now so an ideal day in your preparation according to me if I would have been at your place I would have gotten up at around 8:00 and from that 8 to 8:45 I would have just got myself ready from 8:45 to 99: I would have attended this session at 9:00 I would have opened up my YouTube and would have started watching One Shot sometime it will be for 3 hours sometimes 4 hours sometimes 5 hours sometimes 6 hours so whenever it ends when it ends I will take a break if I have not had my lunch I will have my lunch and then immediately I will attempt the test related to that all right I will take around 40 minutes to 50 minutes or maybe 60 Minutes to attend the test and then I will take a break I'll take a break for half an hour to 1 hour at that time after that I would have analyzed that what are the areas where we did wrong in the GT and what are the scope of improvement in that and then I would have worked and improved on those and so that is that is how my ideal day in the preparation should have been at this stage um in these test do not aim for scoring 100% marks obviously you can aim but don't get disappointed if you do not get 100% of marks if you're scoring 70% and more I feel that it's a decent score more important than that identify that what kind of silly mistakes that you have done in the test for for every question it is about silly mistakes that you're doing in the test right and work on those silly mistake whose birthday is today okay gri wish you a very very happy birthday dear maybe in years to come I will pray that this day is named by you also and people remember this day by your name also and so wish you a very very happy birthday and may God bless you all right so um I mean this is my point um so I was sick since 3 days yeah that's I mean I know that's unfortunate part but as I always believe that anything that is not under your control is think is is do not think too much about it and if you're thinking just think that that something something is going to develop in a way that it is going to be compensated and if God has given you sorrow God is given give you is going to give you the reason to Joy also so that's that's a philosophy with which I have always lived so maybe if you have lost some time uh you might get it compensated in the exam sleep I feel I have spoken a lot about it I feel that a 7 hour of the sleep you should keep at this age also I still keep a sleep of around 7 hours and that is how my biological clock is also being set up um you can decrease it by half an hour 6 to 7 hour you should keep at your age and a lot of time people say divide your day into 8 88 and know eight hour of work eight hour for yourself and eight are for sleep yeah that's also can be done but for a productive life for a professional life I feel that you should keep it to 7 hours that's how I have always um uh learned it okay so uh if you are sleeping more than that try to decrease it by 15 minutes in a day and decrease it by 15 minutes a day and that is how I am very very hopeful that the announcement should come today uh ideally it should have been come on Friday but I I feel that there might be some signing issues and because of which it has not come but in all probability it should come today and so that is Uh I that is my take on this how many hours to study oh what is the answer you only will tell me what you should do nowadays you should only three things what are the three things eat sleep read repeat that's all eat sleep read repeat there should not be any fourth thing in your life at this stage till the time your exam happens eat sleep read repeat and so automatically whatever time that is left out after eating and sleeping should go to reading okay but if I have to put a number to it I believe that you have to clock it and the minimum clocking has to be 10 hours minimum clocking has to be 10 hours but that does not mean like we have to follow three principle eat sleep read repeat whenever you think that you have reached to the peak of your preparation today read half an hour extra for me and and this this half an hour extra you can as I told you not necessarily for me you can read it for anybody you read it half an hour for God you the person who cares for you the person who is praying for you that this person is working more than his capacity so he should get a rank more than what he deserves and it's as simple as that so um try to do this but if you're studying honestly I'm telling you you will get a rank you will get an honest rank it will happen you know trust it's very very rare that I have seen that the student have worked very very sincerely and they have not got what they wanted it is definitely definitely going to happen trust this process trust this process this is how the world is moving you know and the the rules the rules of the world are going to remain same so that's how it should be all right so today is U Psychiatry and um Psychiatry is a short subject there are straightforward questions that are asked um um we were um we were doing a very interesting session yesterday me um Dr Prine Dr Ashani um um Dr Nasir and Dr ad and we all five uh were together and we were doing some Round Table about how to um how what is an ideal preparation should be what are the various challenges that a student faces in the preparation time and what are the various kind of students that they group and um how they prepare so everybody was saying only one thing and that statement was that focus and the discipline is the only thing that is needed to get a great rank in the paper okay but then there was another thing that was coming up and that was related to the short subjects now short subjects are very very scoring subjects and the accuracy level of the short subject can be close to 100% but the problem with the short subject is if you have not read them well then your accuracy level will be close to zero so it's an allnone phenomena and there are standard topics that are asked from the short subject if you think that you are not scoring more than 60% in the Psychiatry or more than for that matter yeah 60% then do watch this one shot and I'm telling you your score you will see a remarkable Improvement in your accuracy level of the Psychiatry and every day lot of time people say that is it worth to spend 4 hours or five hours on on on on on one subject at this stage I say 100% imagine you have attended five session just ask yourself with every session do you think there is an improvement of at least one extra correct question or two extra correct question in your total score just ask yourself if the answer is yes five days 10 questions five to eight questions extra correct now what else do you want and by the time you're going to go you're going to complete 19 subject you are getting 30 extra question correct 35 extra question correct and that is what is needed but just follow a timable which timetable you are following I don't care but I care that you're following a timetable because the timetable will bring discipline and focus in your life and that is what is needed to crack the exam all right okay very important news sorry I forgot to tell you yes so today I will add one GT I will add one GT in your preparation and I have uh created it by 200 questions new pattern 40 questions 42 minutes but it can only be given on a laptop it can't be given on the mobile so you have to log in to laptop the steps to attend the GT I will put it on the group as well as on the um discussion um of the video right uh it can only be given on a laptop please remember that right how you have to do this and this will be compliment for everyone so even if you have not subscribed to the E you can still write this particular test all right so that's all from my side for the day uh please go to the onot please do attend the Psychiatry and I'm telling you it is definitely going to add five to 10 marks extra in your preparation all right so take care and read with the smile today please make sure that once you are going to the you can say that you did your best all right so take care and once again wish you all happy doctors welcome you all for this one shot of Psychiatry so I hope the one shot trision is all going as plant now what are we going to do in this one shot Psychiatry is that we are going to finish the whole subject of Psychiatry okay in given like uh two hours or 3 hours or four hours whatever the time as the flow goes we'll decide on it how is it different from any other regular courses that I made sure that we are going to give importance only to the very very very very most important points questions that have been asked in the previous year questions and the topics related to it because you know that as I always say in every class please concentrate on the concepts concentrate on the on liners and very very important thing pyts previous year topics yes yes yes and very important uh uh for you Pa and also to everybody do not write anything do not take any notes the PDF which I am going to write will be provided to you in this telegram group itself and also to the tech team so you need not worry your one work is to spend your time and energy to concentrate on the important points we'll start first and the foremost misinterpretation of a stimulus is called as very good Mis interpretation of stimulus is called as illusion what is perception without a stimulus there is no stimulus but I'm perceiving something what is this called as fine very good that is called as hallucination yes yes now tell me now tell me what is the most common cause for auditory hallucination uh in this in this PP in the the the PDF that I'm going to share please concentrate that whenever there is a yellow marker lellow marker okay I'll be sharing it to you okay whenever there is a yellow marker like this it means that they are very important important points okay whenever there's a star like this it has been asked previously the recent five years okay so please concentrate auditory hallucinations is seen in schizophrenia if they ask you which of the following symptoms such as functional or psychiatric cause again it is auditory hallucination functional or psychiatric CS you should not forget this functional or psychiatric CS yes yes yes everybody has given it schizophrenia but importantly functional or psychiatric which of the following symptoms suggest psychiatric cause which of the following symptoms suggest functional cause then also you have to go for auditory hallucinations yes next we have something called as visual hallucinations most common cause for visual hallucinations visual Hallucination is seen in there's again a question that has been asked I want anybody to answer this yes seems to be very simple but very important visual hallucinations is seen in very good very good monkey Dy delirium tens seen an alcohol withdrawal very good I will give it to Priyanka wonderful Priyanka organic cause or neurological cause I give it to very good very good very good please concentrate again this is a star okay I'm putting a star here please concentrate where is the red I'm putting a star here because they will ask you which of the following symptoms suggest an organic or neurological cause and if there's visual Al naations go for visualisations which of the following symptoms such as psychiatric or functional cause there is a symptom of artery alation go for ucation yes yes yes among psychiatric conditions which is the presentation which presents as visual Elations which I see day in and day out is delium trens which is in alcohol withdrawal very good now now what what is the most common cause for tactile hallucination tactile hallucinations anybody where where do you see tactile hallucinations where do you see tactile hallucinations wonderful wonderful I'm giving to Monkey Dy again again it's a very important star question cocaine box also called as asked which year they asked you this question anybody who gave I CMA to 2023 formation or magnet yes again this is a star this is a star question again it's a star question yes formation also also called as cocaine box yes what is the most common cause for all Factory and gustatory hallucinations all Factory and gust alation very good wonderful Monkey D again temporal L epilepsy temporal L epilep temporal yes is this clear yes next we have something called as delution what is called as a delution delution is nothing but delution is nothing but what is delution anybody anybody what is delution 3 FS what is delution what is delusion good very good I'll give it to sidat parik because it's false fix it form belief with the subjective certainty outside one social cultural background please please please look into this if they say that a person is having a false fixed firm belief that people are planning to kill them when nobody is in the society or culture doesn't believe him what is this called as it is again called as delusion yes yes very good very good very good uh wonderful wonderful ran now this delusion is of multiple types okay first and foremost is delution of reference and delusion of persecution delution of persecution means what as I told you know this yellow color marking means important people are are are are see it's it's it's Ulta okay people are plotting against me or people are doing harm to me or trying to kill me is called as persecution people are talking about me is called as reference yes yes that is called as delution of persecution reference delution of persecution and reference is seen in yes yes very good very good studiopia delution of persecution and reference is seen in deltion of persecution reference is seen in very important question very important question very good Mony schizophrenia I want you to concentrate here I want you to concentrate here because they will ask you a 30 years old male comes to the OPD with auditory hallucination delusion of persecution delusion of reference what is the possible diagnosis what would be the answer what would be the answer because tion of persecution reference is seen in schizophrenia or also seen in schizophrenia so answer is answer is schizo yes friends yes yes this is another question that was asked okay nihilism where I don't exist the question that was asked in in me okay the question that was asked in May 2023 was a person doesn't eat food because he feels that his head doesn't exist he's going to die the whole world is going to die what is this delusion called as Dr KK subject to certainty means I'm very sure of what I'm saying that is subjective certainty subjective means me certain means I'm very certain about yeah so tell me to this point I don't exist my head head doesn't exist I'm going to die the whole world is going to die what is this called as what is this called as no my my question is very simple what is this delusion called as oh no I'm not accepting any of the answers what is this very good very good nihilistic delusion this is what the question was n they ask you what is the delusion called as go for nistic delusion what is a syndrome called as what is a syndrome called as if they ask you what is the syndrome called as then you will say it as then you will say it as Kat syndrome very good Zoro Kat syndrome Kat syndrome yes very good now what in which psychiatric disorder do you see this in which psychiatric condition do you see this in which psychiatric condition do you see this nistic delusion wonderful I give it to Monkey deia again depression with psychosis okay because the person is having severe depression and also with psychotic symptom that the body doesn't exist so depression with psychosis and the treatment for the above mentioned patient is treatment for the above mentioned patient is treatment for the above mentioned patient is treatment for the above mentioned patient is concentrate concentrate wonderful wonderful Comal and Maria there is both depression and psychosis so we should give anti-depressant with the anti psychot yes I wanted to concentrate here because the question was very clear that the person feels that his said doesn't exist he is going to die the whole world is going to die what is the delusion called as and the choice at both nistic delusion and Kat syndrome many of them who actually were to super smart got it wrong be simple okay have a have a calm mind you need not be super smart okay what is this delusion called as what is the answer what is this delusion called as what is a delution called as never ever make a mistake what is this delution called as keep it simple neis very good delusion what is a syndrome called as what is a syndrome called as what is a syndrome called as very good KL cotat syndrome in which psychiatric condition are you seeing this in which psychiatric condition are going to see this depression with psychosis and the treatment for the above mentioned patient is anti-depressant with antic psychotic next we have delusion called as as question would be like this a person who comes and says that he's having extraordinary powers he's having extraordinary contacts as as he feels that he's very richest person on the earth and he has extraordinary powers what is this likely Condition it's nothing but what is a delusion actually when nobody's believing that he's having extra Powers he's saying that thank you thank you shakshi Dr shakshi wonderful yes very good delusion of grandar or grandiosity grand delusion of grandar or delus of grity seen in what psychiatric disorder wonderful Vishnu Mania with psychosis okay we are not kindergarten students so they will not ask you delusion of grand seen Dash or NE delusion is seen in dash they will give you a clinical scenario if you understand the concept you'll be able to answer when people are plotting against me when people are talking about me when people are going to kill me I am having delusion of persecution reference it implies that I having delus of persecution reference so I'm having what disorder I'm having what disorder I love what disorder I'm having what disorder you'll definitely get S huh we have what disorder people are talking about me people are making fun of me people are referring about me people are following me schizophrenia yes yes yes very good very good sahana people I I feel that I I should die the whole world is going to die I've done a very big sin I'm not going to eat anything everybody is going to disappear from this Earth what in what is a psychiatric condition you see this what is the psychatric condition you see this psychiatric condition please understand the question what is the psychiatric condition in which you see this wonderful monkey Dey depression with psychosis I am having I am a friend of shuk Khan Amani try tries to get my appointment and meets me every week to get business ideas as I am super rich and nobody's believing it what is this in which psychiatric condition do you see this which psychatric condition do you see this Wonder wonderful that's all that's all that's all very good tooro Mania with psychos now we'll go to delusional disorder I want you to concentrate here I want you to concentrate here please concentrate whenever again this is a star question I'm putting it as a star question whenever the question says that a person is having a delusion yeah the question will have a delusion people are plotting against me people are talking about me something and there is the question will end with saying no hallucinations no allation but functionality functionally is very normal other than the delusion okay other than the delusion if you talk with the patient is very much normal functionally is normal other than the the delusion is way interaction is all normal what is this called as if they ask you a question which says that there is a delusion there is no hallucination and other than the delusion is functionality is very much normal then the diagnosis is more likely to be wonderful do one persistent delution disorders or be famously called as delusional disorders now there is once you get into the delution disorders there is something called as Walo syndrome yes Walo syndrome what are the other names for Walo syndrome do not write anything I will as soon as I finish the class I will share it in the telegram group and also in the with the tech team okay so try to concentrate here only what is the syndrome very good very good very good go morbid jealousy yes then pathological jealousy then maral infidelity very good very good and what is the substance do you in which you see this somebody has answered it before itself and answer is alcohol yes what is oo syndrome can anybody just kill me me what is oo syndrome I'm going to give any explanation just somebody tell me what is ool syndrome what is this pathological jealousy or morbid jealousy or marital infertility is seen in alcoholic meales where a person who having chronic alcohol start suspecting his wife yes wife's fidil okay he feels that she's having extal Affair when we yeah when they provide with evidence also they will not accept it okay against the thought they will not accept it what is De clarol syndrome de clarol syndrome is nothing but de clarol syndrome is nothing but delution of LA or delution of aatto mania or psychosis passionate what is this anybody can tell me wonderful somebody has given me Maggie thank you Maggie that is a person who's is very super celebrity okay he's a very Superstar is a person who is in love with this female it's more common in females okay that is nothing but illusion of Love or erotomania or psychosis passionale very good and very importantly these people what they will do is the problem is they become stalkers what do you mean by stalkers what do you mean by stalkers what do you mean by stalkers what do you mean by stalkers yeah sh Khan loves me wonderful the stalkers is nothing but they follow the person wherever they go they keep on disturbing them and very importantly when people come and explain them no man you're thinking that which is is not truth or when they try to put some sense in their mind they they have there is a risk of violence very good very good very now this I think I explained this okay the the star question cotat syndrome okay Kat Syndrome has what delusion Kat syndrome as what delusion Pat syndrome as what delusion very good very good very good you're like a fire I'm very happy syndrome is very good nistic delusion now tell me what is EEG bomb syndrome anybody can tell me what is egg bomb syndrome anybody can tell me what is egg bomb syndrome egg bomb syndrome is nothing but very good very good false see it's very clear it's very clear please concentrate everybody please concentrate when I perceive that there are insects crawling on my skin when I perceive that there are insects crawling on my skin okay but there is no insects but I'm perceiving perception without a stimulus you call it as you call it as concentrate concentrate when I'm perceiving something I I'm perceiving something okay when I'm perceiving something I like insects crawling on my skin but there is no insects there's no stimulus what is this called as that is called as that is called as we have explained tacal aluc naations but when I hold a false fixed firm belief the subjective cty that are insects living inside my body insects lives inside my body that is called as that is called as delusional infestation also called as delusional parasite why I call this delusion because it's a false question will say that the person is holding a false fixed firm belief when it touches the belief you call it as as as as as as a bomb syndrome if they say that the person is perceiving something perceiving without stimulus then you call it as taac hallucination yes I hope I hope I'm able to put some sense yes yes friends give a thumbs up if you're able to get a Clarity on this difference it's very important yes yes a thumbs up if you're able to get this Dr KK it is nothing but will egg bomb disease this is not egg bomb syndrome it is Willies egg bomb disease is Will Will okay remember that Circle of Willis right Willis egg bomb disease is called as restless leg syndrome very good so I'll I'll explain again see if a person has a is perceiving something okay without a stimulus I'm perceiving that there are insects calling on my SC then it means that perception without stimulus there is tacti Alin naations which is seen in cocaine bugs or formication or magnet syndrome but I hold a belief F delusion false fixed firm belief with the subjective certainity outside one social cultural background then it is egg bom syndrome thank you thank you am man now this is very very important that is called as delusion of doubles okay delusion of doubles or delusion misidentification where we have some syndrome called as does cap grass and frol syndrome I always tell to students read one Capgras because you get confused when you read both okay so that's nothing but cap grass and freoli syndrome what is capg grass capg grass is nothing but familiar person is replaced by a non-familiar person or familiar person is replaced by a ghost or a familiar person is replaced by a impost yes yes familiar person is replaced by nonf person famili person is replaced by ghost person is replaced by imp all the three definition implies only capg grass I'm telling you friends they will ask mostly they have asked only capg grass syndrome don't read both okay don't have this fear of missing out for more okay I want to read this I want to read that I want to read this also no read one capg grass have it by heart you'll be able to answer okay rely on me yes so tell me what is a scra syndrome person is replaced by non-familiar person familiar person is replaced by ghost or familiar person is replaced by impostor called as Cass androme Cass and foli is called as Del of doubles or deltion mis yes friends yes friends how will be the question my mother will be sitting in front of me but I say that though this woman externally looks like my mother this is not my mother okay okay my mother is somewhere in Delhi there the person who's looking exactly like my mother but this is not my mother yes that is nothing but delution of of of of double that is nothing but grass Sy that is nothing but cap grass syndrome yes yes friends yes is this clear yes yes next we have something called as schizophrenia next we have something called as schizophrenia very good next what are the questions that they have asked in schizophrenia usually we we concentrate more on the history but I think I should not bombard you with the history but this is very very important which you should not forget yes which is the schizophrenia which has the best prognosis I want you to con here which is a schizophrenia which is the best prognosis I want everybody to answer here I Gojo don't worry Gojo the PDF will be given to you don't worry very good comml Catatonia best prognosis is nothing but Catatonia what is the which is a better prognosis what is theop which is a better prognosis very good very good what is schop which has a better prognosis very good Nikita paranoid what is the schizophrenia which has a good prognosis what is which is a good prognosis what is which is a good prognosis nobody should make a mistake here yes very good very good undifferentiated what is schop which is a bad prognosis epiphrenic also called as disorganized schizophrenia what is schop which is a worst prognosis it is nothing but simple schizophr yes yes now there are certain things that they will ask in Catatonia alone so I thought I'll explain alone katonia and AIC so first and foremost I'm talking I'm going to talk about katonia tell me what are the symptoms that you see in katonia anybody anybody can tell me can tell me what is what is the symptoms of katonia very importantly you should concentrate on this mutism mutism very good stup very good yes go on go on black axi flexibility very good then Echo wonderful this is again a question what is eolia they will ask you what is eolia what is eolia I want everybody type what is eolia what is eolia what is eolia repetition of examiners word wonderful charita repetition of repetition of examiners words that is the textbook definition examiners now apart from that they will also ask one thing that is nothing but katonia will have k k k Dash K Dash K Dash very good very good KL cpsy I want you to concentrate here I've always told you if you have attended to the my my class in my the regular batch I already told you many times whenever there's a question on catalepsy Catatonia Arpy there's one line that should run in your mind what is the line that should run in your mind what is the line that should run in your mind what is the line that should run in your mind what is the line that should run in your mind I want you to write tell because this has been asked in the exam it's a star question I always used to say there's one line that's wonderful wonderful VI Ley will not go with lepi repeat lepi will not go with Lei I want everybody to typ lepi will not go with lepi I'm going to say three times lepi will not go with lepi lepi will not go with lepi LEP c will not go with lepi why because because in Catatonia in Catatonia you will have catalepsy what is catalepsy you told me it is abnormal posture Against Gravity yes yes whereas in narpy narpy we have data data what does that mean person will be standing suddenly there's a loss of tone and he goes to sleep okay that is called as cataplex please please have this by heart okay you feel that sir I've understood this I I've read it 100 times you will make a mistake you will make a mistake that's why we should have some clue in your mind Le c will not go with lepi Lei will not go with lepi lepi will not go with lepi in Ary you will have cataplexy whereas in katonia you have k k k yes Prince yes is this difference clear is this difference clear friends yes is this clear friends yes give a thumbs up if this difference is clear give a thumbs up if this difference is clear yes yes wonderful next we have something called as next we have something called as what is the treatment for katonia just tell me this okay I'm not going to talk much about other things what is the treatment for katonia there is a question which was says that a person is having mutism stup he's having vac flexibility what is the treatment of choice what is the treatment of choice very good loras pum loras pum it was a ionic or a neat question Lam okay lauram is a treatment of choice if the lauram is not in Choice then the answer is the L is not in Choice the answer is you will search for what wonderful studiopia e now how will you diagnose a person as epiphrenic or disiz schizophrenia epiphrenic or disor schoph how will you diagnose a person what are the CL now we told that Super V flexibility equia catalepsy means katonia what are the symptoms that suggest a person is having apophenic or disorganized schizophrenia can anybody tell me some catchy symptoms or catchy words that you can see in question anybody I'm really happy that seeing that you are all interacting this much this it gives me a lot of happy wibes positive vibes thank you tell me what is epiphrenic or disorganized schizophrenia what are the catchy words see basically there are something called as they will have very good very good wonderful wonderful wonderful talking to self laughing to self not very good not clean not shaven and very importantly the catchy words that you would say is neoism anybody can tell me what is neologism who's going to say this what is neologism and loosening of Association what is neologism forming new words excellent excellent it that's it yes that is nothing but epic or dis now uh can you tell me what is this this slide this what is it talking about what is this talking about this is the most repeated question on the prognostic factors see previously I was telling you what is the type of schizophrenia which is best prognosis best is catonia better is paranoid good is undifferentiated bad is EP or dis wor is simple now we are saying about prognos tic factors favorable prognos which of the following is having a favorable prognostic factor which of the following is the nonfavorable prognostic factors I'm not going to say anything I'm not going to say anything you are going to answer yes yes yes tell me which gender has a favorable prognosis tell me f means favorable okay which gender has favorable prognosis I'm not going to say anything I want to see whether you have all understood the concepts very good female female gender as a favorable prognos yes yes tell me what age of onset as favorable prognos again I'm saying key word is f means favorable NF means non I've given a key okay in the PDF okay so that you for you revising it would be easy yes yes late age of answer late age of answer very good what is a type of onset which is favorable type there is something called as acute onset chronic onset which is the type of onset which is favorable wonderful satarug Gojo acute onet very good very good acute or abrupt onet Anar Insidious is nothing but which is like a chronic okay so go for acute or abrupt onset with stress are with stress there is a stress and the person has developed schizophrenia what is the prognosis anybody yes there's a stress it's a favorable propose because you just remove the stress and give a load of medicine they will improve with the family history of psychos I'm a person with schizophrenia I'm a person with schizophrenia and I have uncle aunt and my mother is having schizophrenia I have a family history of schizophrenia or psychosis what will be my prognosis what will be my prognosis very good nonfavorable problem yes I am having schizophrenia but I have Aunt having Mania and I'm having a sister having depression what will be the prognosis what will be the prognosis what will be the prognosis no CH please concentrate because family history of psychosis will have non favorable family of mood disorder will have a favorable Pros next there is something called as positive symptoms what do you mean by positive symptoms anybody can tell me I'm I'm a first day I'm listening to psychiatric class I don't know what is positive negative and all tell me what is positive symptoms let me see who's going to answer this what is positive symptom what is positive symptoms very good Nikita see positive is nothing but imagine that you all normal people so-call normal people consider that you socaled normal people when compared to you I am a person with schizophrenia I have something extra I have something more I have something positive that is called as positive symptoms and the symptoms are delusion hallucination when I have delusion and hallucination it is a favorable prognosis what is the negative symptom negative symptom is nothing but when compared to you so-called normal Crow you're all normal people I'm a person with schizophrenia when compared to you I have something devoid of something I have something negative that is nothing but ation that is you have no drive a loia I don't speak okay a everything starts with a there a nonfavorable non affective symptoms you are a person with i a person with schizophrenia somewhere I say have this manic flavor or depressive symptoms okay when I have effective symptoms what is the prognosis let me see who's going to answer this what is the prognosis very good favorable tell me when the duration of untreated psychosis is less the duration of untreated psychosis is less for example I have a symptoms started on March 15th and they have brought me for treatment on April 15th yeah so what will be the prognosis favorable PR yeah when the person is having a good treatment complaints when there is a good response to treatment all will be the prognosis again favorable prognos what are the developing countries of the world in which they have researched in this schizophrenia when the develop when the person is born in developing country developing country is nothing but India Sri Lanka Africa okay so they all favorable prognose and there is a good emotional support what will the prognose favorable yes I want you just have this Crystal Clear pictured in your mind pictured in your mind because why am I saying this because I thought in the whole schizophrenia chapter I have included only two tables if you have looked into it one is that prognosis because they have asked and Katon they they have recently asked and the second thing that I wanted to say about this prognostic factors because there are a number of factors so examiners feel that okay the students will get confused let me ask this question so I'm going to spend another three minutes of your time okay with this okay developing is good developing is always good India is a developing country we have a better prognosis Dr Danish yes yes Dr Danish is it clear yes very good now I'll tell me I'll tell you the factors you I'll ask you the question you going to type okay everybody should be into the telegram now yes which gender has favorable prognosis which gender has favorable prognosis I don't want even to make a single person to make a mistake in this okay very good very good Danish tell me what is the gender which has a faval prognosis very good very good very good very good very good very good female uh what is the type of onset what is the type of onset which is favorable prognosis I want only favorable what is the type of onset which has favorable prognosis what is the type of onset which has favorable prognosis very good very good Zoro acute on what is the age of onset which has favorable prognosis what is the age of onet which has favorable prognosis don't look into the screen just look into the telegram what is the age of answer very good late age of answer very good when there is what is the type of symptoms which has favorable prognosis what are the symptoms which has Nega non faal prognosis type of symptoms positive negative affective symptoms there are three symptoms tell me which of the symptoms which have favor prognosis which are the symptoms which have non favorable prognosis very good very good nikul Mur positive is good negative is bad okay affective is also good okay remember that very good thank you candidate what is the name Candis very good what is the when there's a family history of psychosis what is a prognosis when there is a family history of psychosis what is a prognosis there's a family of psychosis what is the prognosis and there's a family of psychosis non prognosis and there's a family of mood disorder it's a favorable prognosis developing Danish Danish for you only this is developing country what is the prognosis I want Danish to answer developing countries like India Africa and Sri Lanka are all are having FAL prognosis so B is positive symptoms delusions and hallucinations are called as positive symptoms negative symptoms is all starts with a AIA Evolution anonia a sociality aathy and and affective Sy is nothing but mood like symptoms kindly answer the Mania with psychosis moonl Moon night it is delus Mania with psychosis grandio delusions delusion is a characteristic feature of psychosis so you'll always go for Mania with psychosis because sometimes we'll have Mania symptoms without psychos also yeah yes yes so as I told you positive symptoms is nothing but when I have what when compare to the normal Crow what I have something extra delusions and hallucinations negative symptom is nothing but what when compared to normal crowd I'm devoid of something a social evolution in anonia yes yes effective symptoms effective always mood disorders have a favorable prognosis when compared to psychosis so when there is a mood symptom in SK there will be favorable wonderful now we are going to go to the very very important chapter called as mood disorders is is it all favor is it all I'll fine is this one shot revision as of now is favorable for your long-term goal give a thumbs up if it is favorable you feel sir I you are confusing me a lot give me a thumbs down give me a thumbs up if it is favorable a very good so it's a favorable prognos yes thank you thank you thank you for the concern next we have something called as mood disorders okay now I want you to concentrate on the duration criteria duration criteria is very very very very important duration criteria is very very important for depression okay now tell me tell me what is the what is the duration criteria for depression tell me what is the duration criteria of depression 14 days what is be stard this they have asked what do you mean by b stard what do you mean by be Tri this very very very very important very good very good negative view of of oneself negative view of others negative view of future is called as birthless L Plus tell me what is the treatment of choice for melancholic depression anybody what is the treatment of choice for melancholic depression melancholic important one word what is the treatment for melancholic depression by this time you should all all have this in by heart yes very good sirisha Patel yes sir s RS yes what is the treatment for atypical depression what is the treatment for atypical depression wonderful Comm monoamine oxidase a inabit ice what is the treatment for winter depression what is the treatment for winter depression what is the treatment for winter depression let me see who's going to answer this winter depression Dr Mohammad you're right but fine I'll give it to you so basically anti-depressants light very good very good s sh light therapy plus anti-depressants plus counsel these are all most often repeated exam questions please concentrate now there's a question which was asked in your exam a person is having low mood he's having worries and he's very much uh very much dull and the person uh the psychiatrist has diagnosed him having mild depression what is the treatment of choice what is the treatment of choice mild depression if they ask you a person is having mild depression always go go for counseling or CBT what is CBT cognitive behavioral therapy yes because it's what guid line says now they will say you a person is diagnosed to have severe depression with psychosis what is a treatment of choice what is a treatment of choice what is the treatment anti-depressant with anticho yes a person with severe depression with suicide ideas he's coming with severe depression with suicide ideas what is the treatment of choice what is the treatment of choice very good eect what is ECT what do you mean by ECT what is ECT Electro conver yes yes friends yes very good now there is one question that was asked in need 2019 okay the characteristic future of depression depression will have low mood but there is intense misery along with that other symptoms is also important which is early morning Awakening as this is asked I'm going to be spending some time here early morning Awakening early morning worsening of symptoms increased guilt increased tiredness what is this type of depression what is this type of depression want everybody to type has been asked melancholic melancholic yes yes and this is again very very very very very important question what are the neurotransmitters that is this is a researched as a cause eological cause for depression what are the neurotransmitters serotonin and norepinephrine because in one of the question that there was both serotonin and norrine in the choice yes what are the psychological model for depression there's a model called as learned helplessness model is given by a person called as Mar selling helplessness this was learned from previous experience yes post Bottom Blues I mentioned in two areas here and also in the after the Eating Disorders please concentrate postpartum Blues what is the most common postpartum psychiatric disorder is it postpartum Blu or postpartum depression I want everybody to type I want everybody to type what is the most common postpartum psychiatric disorder what is the most common postpartum psychiatric disorder postpartum Blues very good now the question this is a question that they have been asked in the exam person person is having unwanted tearfulness irritability and worries the treatment of choices you need not see a psychiatrist you need not give counseling you need not give anti-depressant the one treatment of choice one treatment of choice one treatment of choice is is is only treatment of choices what is the only treatment of choice emotional support very good Maria emotional support and sleep regulation emotional support and sleep regulation tional support and sleep regulation very very important yes now there is a question that was asked in me 2021 which says that they will just give you the symptoms of mania okay they'll say that a person exactly opposite to depression they'll have increased mood or elated mood they'll have a increased involvement in the pleasurable activities and very importantly they'll have of over familiarity pressure of speech and flight of ideas what is this diagnosis called as what is the diagnosis called as what is the diagnosis called as what is the diagnosis called as now they give a clinical scenario like this it's it's very very important they have that there is Grand delusions in it you will say it as Mania with psychosis to one of the friends who ask a question is Mania with psychosis yes now I finished about I've asked you something about I finished some topics on what are the topics that we have finished so far just tell me what are the topics that they have finished so far the topics that they have finished so far serotonin and noradrenaline serotonin is always the first now the reason Advance is noradrenaline so go with serotonin nadrin Joy do for you a thumbs up you're getting it serotonin and nin if both is there go for serin nin if only serin is there in the choice go for seron alone yes do for you now I have finished about delusions schizophrenia and mood disorders now we are going to step into Neurosis which is very very important and very importantly I have spent more time on OCD see Niha postpartum blues will be less than 14 days it will not meet the criteria for depression it will not be more than 14 days post bottom depression will be 14 days okay so mainly The Twist will be that they will be saying that the person is having tearfulness worries and all that and what is the diagnosis just four days of four part time 5 days of postart time having 3 days symptoms of four days symptoms of so they will not meet the criter of depression whenever it is more than 14 days the duration criter has met that all the criteria you should have known by this time the criteria of depression then you'll have it as postpartum depression Niha this is for you ram Kumar so basically what happens if they have give you some catch words like prolixity and uh need for admission psychotic symptoms yeah so when there is light of ideas need for admission psychotic symptoms it is Mania yes fine is it clear no don't change J serotonin is a neurotransmitter for depression along with it add ad adrenaline also yes yes friends yes very good now we are going to step into what is called as OCD yes yes now what is you should know about OCD is that OCD is a disorder of thought Dash this is a question they will ask disorder of thought Dash OCD is a disorder of thought Dash very good com question what is the most common Obsession anybody what is the most common obsession this is a question they have asked two times what is the most common Obsession contamination please go with contamination if there is not in Choice there is not that is not in Choice well out somebody has told meical yes very good n Dr n contamination if contamination is not in choice go for pathological doubt there are two questions one question which says that most common obsession is contamination second question they asked you most common Obsession there was no contamination then go for pathological most common compulsion what is the most common compulsion I want everybody to type please please come to telegram notes will be given to you whatever I'm discussing will be reaching you don't worry about it what is the most common compulsion most common compulsion very good very good stethoscope checking what is the neuroanatomy that is related with OCD what is the neuro Anatomy that is related with OCD neuron anatomical structure that is related with OCD mark question can be asked in inct my favorite question I'm not wrong they asked it in 200 something water peral CeX C anding what is a comorbidity OCD is mostly associated with what comorbidity what comorbid disorder again asked in in May 2022 most common cability of OCD is OCD is very good very good very good s sator goja depression prevalence of OCD what is the prevalence of OCD again as in in May 2022 prevalence of OCD prevalence means what old plus new cases right that is called prevalence yes yes 2 to3 percentage very good anoscope OCD is disorder of thought possession yes yes very good pharmacological treatment what is a pharmacological treatment for OCD if they ask you a person is having a fear of that his hand is dirty keeps on washing his s again and again what is the pharmacological treatment you will offer for this patient very good satarug goo SSR again another question that was asked in inct June 2021 a star question a person is again having a thought that his hand is dirty keeps on washing his hands again and again what is the treatment that you will offer non-pharmacological treatment what is a non-pharmacological treatment very good exposure response prevention thy Yes yes again again I asked in in June 2021 what do you mean by ocrd anybody can tell me what is the full form of ocrd anybody can help me with this ocrd what is ocrd what do you mean by OC erpt will be the first answer CBT will be the second or third answer erpt will be the first answer no confusion very good very good Sato obsessive compulsive Related Disorders they thought that let me Club into all the disorders which sounds like Obsession into one group of disorder that is called as OC Rd what are the disorders that comes there are OCD hoing disorder what do you mean by holding disorder holding disorder is nothing but they have a difficulty to get rid of things they collect things unwant things they will not be able to get rid of these unwanted things and this is the one which has least improvement with exposure response prion therapy again a question that was asked in the exam okay trenia trenia is what do you mean by trenia anybody what is the new name for this air ping disorder yes what is excoriation disorder skin pecking disorder what is body dysmorphic disorder it's also called as this yes yes friends I'm going to add some important points here please concentrate disorder of thought possession don't get confused sir in that platform I read this sir in that YouTube channel I read this sir in that textbook of Psychiatry I read this sir nothing only one answer disorder of thought possession is Obsession yes disorder of thought content is disorder of thought content is delution yes yes yes and very importantly very importantly ego distonic ego distonic seen in OCD what is ego distonic I'm a very clean person my ego my personality is that I'm very clean person but the thought that comes to me is my hand is dirty my table is dirty everything is dirty so that is doesn't match with my personality ego distonic is seen in OCD yes whereas ego syonic senen me see who's going to answer this OS syonic wonderful wonderful wonderful soru Gojo now I'm going to go to the next topic yes give a thumbs up give a give a thumbs up if you fine with this four things is this clear there should be no confusion of this star giving you four stars here this clear yes yes friends now KN 2023 question a person 40 years old female comes with palpitation breathlessness sting G feeling of impending doom what is the diagnosis what is the diagnosis what is the diagnos obsessive compulsive personality disorder dear very good panic attack is nothing but panic attack yes yes now what is a substance intoxication which can present like panic attack again this is a question that was as in fmg so anytime they will ask to you also so what is a substance intoxication which will present like panic attack a person having palpitation butless sweating Gess increased BP increased heart rate increased tardia yeah yeah yeah what is a substance intoxication cocaine if that is cocane is not in Choice go for amphetamine if amphetamine is also not in Choice go for cannabies coming to phobias okay phobia what do you mean by phobias what do you mean by phobias fear and also avoidance yes yes now what is this is phobias is nothing but they have asked you one question what is nicop phobia what is nicop phobia what is niop phobia what is niop phobia very good Darkness I want you to tell me what is agoraphobia and acrophobia agoraphobia and acrophobia what is this what is agoraphobia concentrated what is the agoraphobia very good very good sing Agora means P of open Play are Market place or crowded place what is acrophobia very good very good Dr PD very good Dr Patel Prof a star question then they will ask you this is a question that was C November 2022 where a question says that a 23 years or 40 years old female who's having a free floating anxiety free floating anxiet means what anxiety for everything yeah anxiety for everything they have excessive worries and the question which says that she's worried that her parents would die someday some years later there is no OCD there's no fear that his hand is dirty dirty or not something there's no fear of going to Heights or fear of any open place or Marketplace there is no any fear of getting a heart attack what ises a diagnosis Gad what is Gad generalized anxiety disorder generalized anxiety disorder is this clear friends yes I don't want anybody to make a mistake usually inic type patterns they will try to because they know that by this time you would have read a lot about OCD and panic ATT and phobia so they might ask questions on Gad if they don't have a clearcut OCD or panic attack of phobia but there is a fear which is fear for everything free floating anxiety Then it is a generalized anxiety s very good wonderful pradep Prasad Raja puni ru you should take Psychiatry wonderful thank you thank Dr KK ocpd means obsessive compulsive personality disorder which I'll be dealing it in personality disorder but just have as a one liner OS syntonic means ocpd it's very important next this is another important topic conversion disorder what do you mean by conversion disorder conversion disorder is nothing but conversion of a psychological pain to of functional neurological symptom there was a question that was asked okay there is is a question that was asked okay which says that it is more common in males or females it is more common in male or females male or female very good females again this was a question that was asked please concentrate see the conversion disorder is nothing but it's a psychological pain it's it's a inner guilt or inner trauma this is presented as a neurological symptom okay so they will not have like a classical neurological illness it doesn't have this anatomical or the normal clinical presentation will not be there that's what they mean in the in November 2022 question and I would expect you to please have a concentrating on this word law Bly indifference I want everybody to type what is law indifference La Bell indifference anybody I want everybody to type this when I was doing this I C like what is it pre byq discussion I randomly we thought that we'll say a word about building difference what is law building difference ah see though the person is having a guilt or there's a psychological trauma that's why they converting neurological symptom so they will have no worry imagine that tomorrow morning you feel that you don't you're not able to walk you'll be very anxious right but these people will not be anxious apparent in concern towards one SW illness which is nothing but lail Defence the word that was coined by Sigman fright Sigman frud gave conversion disorder Sigman Freud was a person who coed the term law Bly indifference okay apparent in concern towards once W and what is the sign that is seen there over sign please remember these are all on liners and what is a gate that is seen aasia abasia aasia abasia yes yes aasia abasia is nothing but walk as if you're going to fall as if you're going to fall but you will not fall U sign is nothing but muscle tension the socalled are the presenting paralyzed you're presenting as paralyzed leg but there will be a muscle tension yeah that is nothing but Hub sign yes yes friends this is clear yes La inference is nothing but when you are talking about this illness you'll not be very much concerned you'll be not worried about your neurological illness you not anxious effective flaing is a characteristic feure of schizophrenia so is this clear yes yes friends now I'm going to go to what is called as adjustment disorder which is a question which was asked in I I November 2020 usually they will prefer clinical related questions I'll give you the clinical related question you tell me the answer I am a 22 years old boy after studying mbbs for final year I failed my final year I'm very much sad worried depressed I'm tearful but my friends motivate me to come to party or our movies I go and enjoy with them with I talk with them nicely I party with them wonderfully but again when I come back to my hostel room I think about my my failed result and I'm feeling very much dull I I I feel that I should be build my energy to and build courage to prepare and get and and get a pass Mark what is the diagnosis is it depression post-traumatic disorder adjustment disorder or it is generalized anxiety disorder adjustment disorder why it is adjustment disorder tell me AR chat you tell me why does adjustment disorder tell me tell me why it is adjustment disorder very good hope is present but that's not the only thing very characteristic future I gave you wonderful explanation wonderful thank you nucleus ambigious very good yes wonderful wonderful it's please concentrate the person the person when there is a change of environment the person becomes himself not when he's alone he's depressed when when he's with friends he's happy so that is what is called as adjustment is now there's again a question which is asked PTSD what is the full form of PTSD friends what is a full form of PTSD what is the full form of PTSD very good dri wonderful wonderful tasai happy that you have understood the concepts what is PTSD wonderful post traumatic stress disorder what are the characteristic features of post-traumatic stress disorder it will be again a question which says that a boy a person was facing a very big road traffic accident in which he has lost his sibling and also his aunt and uncle in front of his eyes as as he's having the flashback of the incident again and again and again whenever he thinks about it he's having autonomic hyperal he becomes hyperactive is is is having an increased palpitation breathlessness he avoids going into the road in which the accident has happened and he's feeling very dull hey Dr PD and Dr I already byhe hearted Psychiatry or what man very good very happy the diagnosis is the diagnosis is very good Monkey D answer is PT what is the treatment for PTSD treatment is EMDR what is EMDR tell me Monkey D Luffy Luffy or Luffy tell me what is EMDR what are the symptoms of atypical depression dear you have increased appetite increased sleep interpersonal rejection and paralysis nothing is there right so it is adjustment result okay friend good tell me what is EMDR I movement desensitization and wonderful wonderful Wonder next we have this is a very very very very very important on liners please have this by heart okay this is this is very very important please concentrate now what is what is what is somatization disorder what is somatization disorder I want everybody to concentrate what is somatization disorder what is somatization disorder I want a catchy word it's also called they come with multiple very good Maria wonderful multiple eggs and pains they will come with a multiple eggs and pains they will ask you for treatment yes yes what is hypoc contri what is the other name for hypochondria is nothing but illness anxiety disorder as a name denotes they come with a fear of seriousness usually it will be like I have here that I have a covid or I have uh AIDS or I have cancer they of a serious illness and they ask for investigations to rule out the diagnosis very good are you able to find the difference yes yes please read the question you will have this words yes friends can I proceed yes next there is a question called as manasan syndrome what do you mean by Manas syndrome manin syndrome is that they will produce symptoms on themselves they will produce symptoms on themselves why do they do it sroll they want to be treated like a patient manasin syndrome they produce symptoms okay and the word will be sroll produce they produce symptoms and they will be sroll characteristic word that you can also see is can tell me what is what is the type of up ah very good very good am multiple surgeries they will go for extensive surgeries please see the image multiple surgeries multiple scars will be there gridon abdomen okay what is manasan by proxy what is Manas very good sik debik de tell me what is manasan by proxy what is manasan by proxy what is manasan by proxy producing symptoms on the loved ones to get a synchr very good what is mingering what is mingering mingering we all have done right what is it money benefits are Exempted from due during a school you would have told right I'm having abdominal pain when there's a Max test yes so it's nothing but Milling in where they produce symptoms to get Exempted from Duty or when they have have have money benefits yes they produce symptoms where they have some insurance coverage or they have have a medical leave or they get Exempted from the duty yes what is gcer syndrome gcer syndrome is nothing but somebody was asking something called as gcer syndrome what is gcer syndrome where it is for most common in prison inmates where they got will get Exempted from the court proceedings yeah prison menate acts as if he is having mental illness yeah very good very good very now let me go into eat sleep sex and personality disorders yes can I proceed friends give a thumbs up if you're all fine we have finished majority of like psychosis and Neurosis now we have the very important eat sleeping disorder sexual disorders and personal give a thumbs up give a thumbs up don't give a thumbs up give a smiley give us smile if you're all okay yes thank you thank you now we'll go to what is called as eating disorders this is very very very important to concentrate here anorexia noasa anorexia noasa yes now what is this anexia noasa tell me friends both both Dr Niha Niha Niha both conversion disorder is nothing but they will produce neurological symptoms somatization aches and pains aches and pain wonderful satar see is nothing but it's a person who have lean they'll have body image disturbance okay now I ask a question I am also in doing dating every month I'll do dieting for two days okay you will also be people will be dating for two days why not we are also we want to be lean why we are not having a diagnosis of anorexia Norva yes tell me tell me Maria tell me ABI tell me cavia tell me charita we are all doing dating we are all doing dating which will last for two days or 3 days strict diting but still why we are not diagnosing ourself s wonderful wonderful Sunny I'm very happy because the BMI is already low they are already lean yes they are already lean see we are all fat we are like sweet potatoes yes but what happens is that we try to reduce our fat is okay these people are already lean their BM is less than 17.5 but still but still they will try to sell to reduce their weight or they have body Mage disturbance that they should reduce a food intake and very importantly previously previously in dsm5 there is amoria was once a criteria it has been removed and very importantly very importantly what is the thing I was I was I just used to ask the question to the students okay when a person is admitt with anorexia NOA can I order bucket Biryani for the patient and ask them to feed bucket Biryani R you will get it don't worry don't worry as we proceed I'll be giving you recent advances okay can I order bucket Biryani no why wonderful D Mony that is nothing but refeeding syndrome because they are or the body will be was getting adjust to the amount of nutrients so suddenly if you increase amount of nutrients it will cause more harm now there's a question that was asked in the one of your recent exam when a person is admitted with anorexia noasa you are seeing a person with anorexia NOA you're giving all treatment possible treatment that t can be given but after one month there is no improvement in the weight what is the extra step you will take in the management for this patient what is the extra step you will take in the management of this patient ah lock the toilet restrict the patient from using the washroom for 2 hours after after meals to avoid self-induced what are the blood parameters that is elevated in anex anexa they will be lean like this right now what happens is that what does the blood parameters which will be actually increased in anorexia nerva it's some out of the box question right usually we expect that they'll have anemia they'll have thrombocytopenia and all that but certain blood parameters will be elevated what are the blood parameters would be elevated thank you thank you PD the answer cortisol act CR then blood uon nitrogen also wonderful wonderful next bulimia NOA bulimia NOA is nothing but again a question that was asked in inct November 2022 which says that a person who of normal weight I want you to concentrate here they are of normal weight they'll be like this okay they'll be normal weight and they will have Bing eating okay okay impulsively they eat and they have purging Behavior self-induced vomiting that is called as bulimia noasa because of this self-induced vomiting what are the electrolyte abnormalities that you will look for in bulimia noasa normal very good normal weight that is a very characteristic future what are the electro abnormalities keep on warm it what will be lost C Is Lost very good hypo Helia hypo choria Al what is the what is a sign that is seen in Bulan NOA what is a sign that is seen in bulima who sign I was telling it in um very good Knuckles they will be be having Kos that is called as Russell sign yes yes where do you see about who sign who sign you were dealing with somewhere right who sign is seen in who sign who sign very good very good Calin wow what is the name man Calin very good next uh what is the other important things that you have parotitis and dental Anam because of too much of of of of vomiting now this is a question that was asked in inct May 2023 scoff questioner can anybody tell me what is the full form of scoff questioner can anybody tell me what is the full form of scof questioner right right right do you make yourself sick because as as you want to lose weight have you thought that could you lost control of foood have you lost one stone that is 6.5 K have you ever thought that food dominates your life have you felt that you're fat when you're when the people around you say that you are lean yes there is nothing but scar okay wonderful Wonder so they will not ask you what is yes and all they just say scof questioner is used for eating disorders yes friends yes next Bing eating disorder Bing eating disord is nothing but where a person says that he eats too much eating fast eat more what we usually do right Whenever there is a friend's treat somebody's giving you treat okay what will you do you will skip your breakfast you will skip your lunch and you will eat only dinner and you will eat too much that the whole portal becomes empty yes that is nothing but Bing eating disorder you eat fast you eat more you eat until you're uncomfortably full yes yes that is ging eating disorder some some of my friends was asking me question regarding what is the difference between um are asking me what is the difference between um postpartum lose and postpartum depression yes so please please concentrate for that friend okay tearfulness mood swings okay yes is nothing but postpartum BLS and when they say it is 14 these are the indicators of postpartum depression please concentrate 14 days depression full criteria is met sual ideas is there then it means it's postpartum depression okay now what is the treatment for postpartum do you know told it is emotional support and culation postpartum depression will be obviously anti-depressant for Deepa I remember I'm not if I'm not wrong the person who told me give me some recent advances sir the recent advances for postpartum depression anybody can tell me what is the recent FDA approved drugs for postpartum depression is there any reason FD approved drugs for postpartum depression recent brixon alone and Zoran alone go for brixon alone and run alone other the reason FD approv drugs for postpartum yes yes Friends next we have something called as as sexual faces okay this is very very very very important yes give a thumbs up so far so good so far so good give a thumbs up wonderful friend now what you're going to do is in the sexual phas okay in the sexual faces okay sexual response cycle we have four phases what are the four phases desire phase excitement or aive phase orgasm phase or resolution in desire phase what happens the person will have decreased desire okay I will have decreased I am having decreased desire towards my partner what are the two things you will rule out before diagnosing hyperactive sexual desire partner I'm a married person I'm having a wife but I don't have a drive desire towards my wife why why why don't I have a drive towards my wife sexual drive towards my wife why I why I I don't like her yeah wonderful wonderful thank you monkey Dey for making life easy so basically when the two things that you will rule out before diagnosing iactor rule out rule out before diagnosing hyperactive sexual Des disorder because it's nothing but homosexuality see a lot of clients day in and day out with homosexuality or married because of societal pressure have sexual don't have any drive towards the partners also marital conflict there is a marital conflict naturally nothing will happen inside the bedroom yes the treatment for the Ia sexual desire disorders bupropion I want to spend some time here Pion is an ND what is ND anybody can tell me what is ND what is ND n adrenaline dopamine reuptake inar yes and very good very good it is also called as zyban used for smoking sensation yes the problem is that this drug can cause seizures at high doses that's why you should not use it in one eating disorder avoid one eating disorder which is bulimia NOA why anybody can tell me why I should not WR bulimia NOA drug which has least sexual side effect wonderful satar goj elect abnormalties already this will have elect abnormalities they will have CES so there will be a added problem very good what is excitement phase AR Rosal pH the erectile dysfunction is due to what phase of sexual cycle this will be asked uoon is a very very very favorite drug which we use it day in and day out Dear the banin can also be given tell me what is Aros pH Aros phas of sexual cycle AOS s phas of sexual cycle excitement or AOS s phas what premature ejaculation is because of the problem with which sexual phase of sexual response cycle premature ejaculation is because of very good orgasm yes yes is considered to be the shortest phase of the sexual response cycle see usually what happens is that usually people don't give importance to this phase which is very very important that is resolution phase yeah that is after the sexual orgasm what happens is that the ejaculation there is something called as resolution phase in which there will be people presenting with postal dysphoria postal dysphoria okay now these are the questions these are the star questions that I'm going to discuss now as I already told you ereal dysfunction is because of face of AR roal cycle or exitement phase what is a pharmacological treatment for ereal dysfunction what what is the pharmacological treatment for ereal dysfunction what is a pharmacological treatment for Aral dysfunction phosphor Diest inhabitance by what is a non-pharmacological treatment or the psychological treatment was a non-pharmacological psychological treat master and Johnson technique also called as dual six therapy also called as Insight Focus now only I discussed you the phase of sexual cycle in which premature ejaculation Falls is orgasm phase what is a pharmacological treatment for this anybody what is the pharmacological treatment for premature ejaculation what is the pharmacological treat for premature ejaculation what is the pharmacological treatment for premature ulation yes deoxit deoxit which SSRI for what is the psychological treatment again this was a question that was asked in your neat 2023 what are the psychological treatment squeeze technique is used for premature ejaculation the technique is SE education start stop technique yes squeeze technique is used for what pych what treatment very good very good an takar very good aneli somraj squeeze technique next we have a lot of Paras they will ask okay on parapa they'll be often asked in exams is um see in my news in the Instagram Channel that I uh not sure whether the student who have answered I I usually ask questions clinical related questions and pyq questions in uh the in the Instagram Channel where I asked one question which is asked in the me 2021 the question is very simple a person stands Ned in front of unexpected Stranges in a public place what is this parapa called as yeah and what would be the answer what would be the answer this is just common sense it's just it's just just plain you not no psych to answer this exhibitionism okay okay so I wanted I thought I should mention it very very important there are some important paraphilia that they will ask only three parhas you should know exhibitionism which is also called as where the person is is is standing nude in front of others in a public place what is yism what is warm what is Waris wonderful wonderful Sunny bism is also called as peeping Tom or scopophilia what is is prism what is fism think they would have also discussed this in FM so what is fism very good rubbing genitals on unexpected Stranges rubbing genitals on unexpected strains a public the question uh a child knows its own gender by child knows its own gender by what is the age of the child will know its own gender in what age 3s what is gender identity disorder gender identity disorder also called as gender dysphoria what do you mean by this again I have the the Instagram i' I've asked one question I'm a male I'm sexually attracted towards other males I'm okay with being a male I'm okay with the society treating me like a male what is this called as very good Monkey D homosexuality please make it very clear I a male okay I'm a male I'm okay with being a male I'm okay with the society Trea me like a male but within four walls I dress like a female what is this called as is what one of our friend abilash has answered it what is it called as transvestism very good transvestism wonderful I I I was born with I I was born as a male okay very good mean I'm I'm I'm born with male genitals I'm born as a male but I I I feel that I am a female please concentrate the word I'm a female trapped inside the male body I want to get rid of my male genitals I want to do a surgery and get a female genitals I want the society to treat me like a female that's all that's called as gender ident disorder and the new is gender dysphoria to one of the friend who asked one question sensate Focus technique is nothing but master and Johnson technique where they work on the anxiety that prevents them to have the erection so that is nothing but Sensi Focus technique also called as Master Johnson technique also called as dual Sex Therapy squeeze technique is where the chronal ridge of the glands is given a tight squeeze to prevent the ejaculation that is a treatment for pre e e e e e e e e e e e e e e e e e e e e e e e now we are going to step into what is called as sleeping disorders yeah now we should be very much uh uh concentrating on the various parts of sleep disorders this is a image based question that was asked in ICT May 2022 yeah hope it is visible now what is this short red line denotes this is a type of this is EEG Electro flam what is a SM short red line denotes what good say REM SLE why how do you say that it is REM sleep Dr HHH and Nikita Angeli somaj I'm a person who doesn't know you recording at all but still I can say that it is sleep very good very good very good electrogram in the image you find that Electro ocram is this one which is is active yeah electrogram the ELR muss are active in which type of sleep which type of sleep during REM sleep again this is a very favorite question that I ask for students okay what is this image denotes it's nothing but I this in my social Media Group they told me it is like what sonogram okay of the student has answered it is actually hypnogram okay what is hypnogram it's nothing but you'll check whether from the awakeness you will go into first as nonr sleep stage one stage three stage four then you will go from 4 3 2 1 then you'll get REM sleep as the dream as as the Sleep intensifies and the later parts of sleep R sleep will be more initial parts will be more of non-rm sleep yes just know the name image hogr and this is nothing but EEG uog and EMG yes friends yes yes now what is the difference between non-rm sleep and REM sleep non-rm sleep muscle tone is present or absent non-rm sleep muscle tone is present or absent sleep muscle tone is present or absent B sleep muscle tone is present or absent present very good there is absent in REM sleep non sleep be as I told initial part of sleep REM sleep will the late part of sleep so nism occurs in onim sleep and night terrors whereas Rim sleep will have nightmare what is the difference between night terror and Nightmare anybody what is the difference between night terror and Nightmare what the difference between night terror and night difference between night terror and night very good night error in night error you will not be able to you in the middle of the night you wake up and and you're not able to recollect what was the dream in Nightmare you'll be able to recollect the and this is very very important as I've already told you what is narcolepsy what are the symptoms of narcolepsy what are the symptoms of narcolepsy as I told you cataplex no no pomp hallucination sleep paralysis sleep attacks or drop attacks now what do this cataplexy means what do you mean by cataplexy anybody can tell me what is cataplexy what do you mean by cataplexy clex by cataplexy very good loss of tone patient goes to sleep it's called as cataplexy what does mean by cat lepsy what do you mean by catalepsy the cataly post what is the deficiency that causes narpy what is the deficiency that causes narpy what is the deficiency that causes n they will mention it as EEG EMG and EOG dear Danish don't worry what is the deficiency that causes very good hypocretins and oraxin very good what is the treatment for narcolepsy what is the treatment for narpy what is the treatment for Arpy treatment foral psychos someone was asking about restless leg syndrome what is the recent FDA approved drug what is the recent FDA approv drug forless leg syndrome till last year I was teaching about pry pixel and droll this year we have started preaching about Gaba Penton prabin roon yes Gaba Penton Gaba Penton yes friends yes very good very good Sato good now coming to the personality questions cluster a cluster B and cluster C which of the following is cluster a which of the following is cluster B of the following is cluster C cluster a paranoids schizoid kot typal cluster B is hisonic narcissistic antisocial and borderline clust C is anxious avoidant dependent and an acostic yes please type please type what is cluster a what is cluster a cluster a sh but what are the various personalities C cluster yes very good very good very formal paranoids kidpal cluster B cluster B cluster B chanic narcissistic antisocial is anxious dependent anxious dependent and antic now when you know that as you all know paranoid uh is nothing but they'll be keep on doubting you they'll be keep on suspicious judgmental skid was asked in question ases 2018 the question will be they always like to be alone they emotionally cold they always prefer activities where they can be alone is schizoid personality what is schizotypal what typle they have addressing addressing OD Behavior OD thoughts EXO what is hisonic personality hisonic personality is more common in females where they always crave for ion appreciation and affection they they dress in a very seductive way they want to be always Center of stage they're extra dramatic they have multiple superficial relation narcistic then antisocial are people where they are no guilt no shame involved in lot of criminal activities borderline they'll be asking what is borderline borderline is they are emotionally unstable what is upd emotionally unstable because their emotions are not stable they are impulsive there's a lot of social atoms what is this splitting and black and white thinking anybody can tell me what is the splitting and black and white thinking anybody can tell me what is the splitting in black and white what is a splitting and black and white the splitting in black and white black and white means it's like they are they treat people as as extremes either you're my best friend or you're my worst enemy there is nothing called as a gray in between okay for some doctors for some some part of the treating they'll be like they're very very true genuine they are 100 Down to Earth for some people they be acting too much of bossy and too much having too much of attitude yeah so that is nothing but splitting splitting means divide people or divide things into two black or white there's nothing called as as in between okay now what is this cluster C cluster C's have anxious avoidant dependent and anac costic personality yes yes yes friends thank you thank you monkey Dy answer next we have something called as substance used disorders yeah among the substance used disorders which is the most commonly asked substance you have read pyts you would by this time you know what is the most commonly asked substance among the substance used dis is the most commonly asked substance alcohol is the most commonly asked question so we'll step into that so first and foremost what are the questions that they have asked see we can see that the page is having multiple Stars yes this is very very important so I want you to just concentr straight that now what is the the very classical question they'll be asking in exam please capit very clear after 72 hours after last drink the person is having altered sensorium clouding of Consciousness disorientation time place and person is's having visual hallucinations what is the diagnosis I've seen this question nearly four to five times the the recent 5 years itself what is the answer what is the answer what is the answer what is the answer delirium yes delirium yes next they'll have something called as a person who doesn't eat properly okay don't don't take take regular feeds because of alcohol use he's presenting with Global confusion ool PL and attack yeah Goa what is the diagnosis what is the diagnos this was the last neat question on March 2023 this is called as very good very good charita Niki enlo which is 100% reversible with which is nothing but V when a person is not treated properly with B they will land up in ccope psychosis which they will have with anade amnesia with confabulation what do you mean by confabulation what do you mean by confabulation by conf they'll have a memory gap which they will fill with things which they already know this is again very favorite question that I'm seeing in the recent years n c November 2022 also there was a question the first step when a person comes and says that my wife is folding me I want to stop alcohol the first treatment that you will offer is detoxification or de addiction first thing you will do is detoxification or de addiction very good very good very very good satar detoxification among the detoxification agent which you agent you will use will you use Chlor dioxide or loras what will make you to go for chloroxide or loros what additional point in the question you will search to look whether you will treat it with chloroxide or lurus spum when the lft is normal you go for choras box the lft is abnormal you will go foros when you know that lft is abnormal do you know that the lft is abnormal the left is abnormal very good SG sgpd levels of more than 200 then you that this up once the deto is over then you'll go for D addiction okay now what is the D addiction agents you use n Tru on prate and there is a separate question on dlra N November 202 what is the starting dose of of of of of DLR what is the dose you will give 250 mg does it have any anti- craving property doesn't have any anticraving property what is the enzyme that it blocks AAL dehyrogenase and it actually causes allergic reaction causes allergic yes Dr doron it is four times the normal level what is the enzyme that is blocked again they will ask you AET alide again then there is something called as nicotin nitin they'll be using nitin treatment replacement therapies like gums and lengers and inhalers among this gums is very favorite but when you take I'm can I take coffee yeah hot coffee along with gums ntin gums why why Angeli you're not advising me not to take this absorption among drugs there are two drugs baric and bupropion please read the question clearly if they ask you what is the drug of choice for nicotin sensation among the various pharmacological agents go for vness which is Alpha 4 beta 2 partialness but if they ask you what is the drug which has both anti-depressant property and also smoking sensation property it is be are you able to to get it they ask you what is a drug of choice if you ask you what is a drug of choice or treatment of Cho is both propine and Vin is given go for Alpha 4 beta 2 partial agist yes but if they ask you what is anti drug which has both anti-depressant also anti saving property Pro yes are you able to identify the two parts drug of choice means baronin both anti-depressive property and anticraving properties propon give a thumbs up if you're able to understand this part yes coming to opioids okay opioids we have something called as heroin and Morphin there's a question that was asked in the recent uh question person comes with pinpoint pupil and respiratory depression what is the substance intoxication whenever there's a question says that pinpoint pupil and respirate depression the answer should be pinpoint pupil and respirat depression the answer should be answer should be what answer should be what opioid intoxication with IV oxone opioid with Roy is all orifices bleed from from the eyes you'll have this what is called as tears and you'll have roria vomiting diarrhea sweating and all orifices bleed and Midas that is nothing but opioid withrawal so you should be able toate between intoxication withdrawal cocaine cocaine is a drug which is used by what technique what is the technique what is the technique by which you use cocaine anybody sting very good sting panic attack I told you know substance intox presence like panic attack is again aamine if that is not in Choice canab stack I told youb formication magnet syndrome next coming to the very important topic if you ask me sir I I I hate Psychiatry sir please please give me two topics which I should I which I will concentrate in the whole Psychiatry I would offer you one is substance use disorders specifically alcohol then psychopharmacology yes in psychopharmacology first we'll finish off antic psychotics then we'll go for anti-depressants then the stabiliz yes first and foremost the antic psychotics okay what is the antic psychotic which has maximum weight gain maximum weight gain I remember again asking this question what is a drug which has maximum weight gain banine and Clos the P what is the drug which has least weight gain for obesity yes least weight anybody just least to wait I repeat so and there's question what is the treatment for TRS what do you mean by TRS anybody what is the treatment for TRS what is for even with TRS resistant shita G treatment resistance schizophrenia of choice for treatment resistance schizophrenia is close the fine now there are a lot of questions that there are asked on the side effects of of the antic psychotic so I thought I'll just spend some time here first and foremost dystonia or carolis where they will present with altered tone where they will have this they will have ocul risis or suddenly the muscle will be a contraction either the upper Lim muscles or there will be a neck muscles contraction where you will give injection prasin or benen prophylactically you will give thp what is thp trixy Fen Yes again again very very important yes next we have something called as akathesia what do you mean by akathesia what do you mean by akathesia restlessness when the question says that a person is not able to stand still just keep on pacing in and out when asked about what why is he doing it he says that he's not able to sit in the bed he's feeling restless after starting the drug what is the treatment of choice what is the treatment of choice very good very good Calin I'm sorry very good doctor bet blocker this is nothing but prop yeah next we have something called as as EPS what is EPS they present with Parkinson symptoms of brri and Tremor and one of the question that was asked in the recent exam was what is the prophylactic treatment or treatment for a person with having extra symptoms is th what is TPX padal yes disia what do you mean by discinesia they have sudden cor form Ms the peroral or in the peripheries because of the super sens of the treat receptors what is the see please conate the question if they ask you for the again the Doctor Who asked me for some recent drugs or FD approved drugs Tetra benzin and wall benzin are the recent FD approv drugs for tardio discinesia they ask you what is antic psychotic you will give when the person is having disia go for closer P if they ask you we just recent FD approved drug for dis here go for Tetra Benin or W Benin yes yes able to find the difference yesen can be safely used in tanesia but if they ask you what is the drug of choice for T and if there is please go for yes yes friends yes next we have something called as a psychiatric emergency I'm sorry psychiatric emergency which is neuroptic malignant syndrome where the person will present with temperature of more than 106° f CP cation myoglobin liver function test abnormalties with Delia what is the first thing you will do a person comes with neuroleptic maligant syndrome what is the first best thing you will do when you see a patient with neuroleptic malignant syndrome yes the medicine pgs will call the psychiatric PG what is the first thing you will do what is as a psychiatric PG what will you do first best thing you will do first best thing you will do after starting ancho is's having neurotic M syndrome so first best thing you will do is wonderful Doctor P stop the offending yes second thing you will do is will you treat the patient in Psychiatry W out patient triage what medical ICU the patient to the ICU then cooling blankets then dant trolin sodium and very important importantly goopa and Broc Crypton if Works go for eect okay next we have something called as anti-depressants the anti-depressants as you all know penisin and pile promin are the monine oxid which we are using in one type of depression what is the type of depression I told you what is the type of depression wonderful wonder what is the type of depression where you use monoo oxidase in a a typical depression the problem is cheese reaction TCS tricy depress you have and chamine and very importantly there was a question that was recently asked see this I can you see that there's a lot of stars here and yellow because it's the most important topic that's why I told you very very important topic is psychopharmacology please concentrate when you discharge a patient on triy antidepressent what is the extra precaution or what is the thing that you'll look for or you'll be very careful when you discharge the patient this was a question I'm discharging a patient on tricell antidepressent and discharging the patient what will I give importance to when I discharge the patient what will I look for what will I always expect in the patient or as a risk factor suicidal yes was one question they asked in the exam okay another question was what are the side effects of tricell and depress okay usually what happens is that it causes ariia and causes hypotension and very importantly what happens is that it will C uh dryness of skin and hyperthermia this was a question that was asked in inct November 20123 yeah does it cause hypothermia or hypothermia does it cause hypothermia or hypothermia yes does it cause hypothermia or hyperia very important hpo or hyper don't think that this very simple Point sir they have asked in exam so hpo or hyper very good paper next the heart it causes what is called as arithm changes what is antidote you will give sodium by yes now what is the question that they will ask is in ssris coming to ssris there are drugs like peroxin and tootin okay uh what is the problem that it will cause is what is a SSRI which causes viid dreams which was a question asked in ases 2018 anybody what does SSR SSR is a drug which causes we dreams but specifically what SSR can cause viid dreams anybody can tell me that question if you have read the pyqs have known that thank you danush Shu Shu very good very good I'll explain Dr sandip next slide I had that's why I skipped that part what is the anti-depressant among the SSR cause a lot of viid Dreams anybody yes now what are the for a developing child okay what are the problems that it will have pregnant mother takes ssris it can cause low upar score okay ADHD like symptoms or delayed mild stones or persistent pulmonary hyper again asked in in November 2000 there is another one small important Point called as paradoxical suicide can anybody tell me what is this paradoxical suicide and paradoxical suicide can tell me what is paradoxical suicide why why why again this was a question that was asked in the exam what do you mean by paradoxical suicide why that's what I'm asking why the patient given an anti-depressant why do there is a suicid thoughts why the patient starts to to recover patient is having suicid thoughts and ideas they act on it why wonderful wonderful wonderful Power Puff Girl see basically what happens is that the mood will be low but they will have increased energy and restlessness okay which will make them to have they act on the the social ideas so that's why we always give the anti-press only for three days and We'll Be watchful we'll give all suicide precautions and supervis medications and all that this was a question again asked okay next we have something called as when axin and desan faxin and dulotin comes under SNR and what is the side effect is diastolic hypertension they asked you what in on as 2018 what when I suddenly stop this drug the drug will cause discontinuation syndrome what is the drug bin and Des fa and Des yes B and Des yes yes now V already have told you so the drug which has least sexual side effects it can cause seizures it is used for smoking sensation they ask you what is the ideal drug for smoking sensation what is the drug you will give what is the ideal drug for smoking sensation what will you do what is the ideal drug which was used for smoking sensation wonderful Vin they ask you what is anti-depressant along with the the um smoking s property then you'll go for vpro next again you should know about sari that is certain Anon that is ridone and neone what is the drug which causes prism which is a question that was asked in in May 2020 what is a sari which causes priapism priapism priapism is nothing but painful action of because C made 2020 very good tardon trone I I think I've told you many times even when I take class I remember reading thone causing prism in 2012 When I Was preparing for all India PG but they asked this in May 202 okay name one SPI that is sat and list reom it's nothing but veladone the treatment where do you use it it's used in both for mixed andiy also for difference yes friends yesah very good next the this is these are the questions that they have been asked in 2020 patient is on anti-depressant patient is on anti-depressant is having depression yeah you have started the patient on anti-depressant and after having anti depress the patient has developed Mania symptoms what is the first best thing you will do this is called This is called manix which somebody was asking me nav I think very bad at Nam still this is called as manix switch here so what is the first best thing you will do if the patient came with antidepression you gave anti-depressant after anti-depressant the person has developed Mania okay what is the first best thing you will do wonderful R stop the anti yes yes that's why what happens is that whenever there's a patient with depression and there is a past history of [Music] mania we will not can I give antidepressent here no because it causes M it causes switch so I'll give a stabiliz yes yes friends yes next next we'll have go to mood stabilizers among the mood stabilizers see what happened was in the inct November 2023 was the most partiality paper okay the we have Psychiatry can ask any number of questions in Psychiatry but they have asked nearly four questions from psychopharmacology out of which three questions were from mood stabilizers okay so it's very very important yes yes what what what is the thing that you will give us mood stabilizers very very important lithium lithium is friendly to which organ I want everybody to answer when it comes to lithium please please please be very careful lithium is friendly too lithium is friendly too lithium is eliminated by lithium is eliminated byy lithium is a drug which has narrow therapeutic index what is this narrow therapeutic range what is this narrow therapeutic range everybody to type point 8 1.2 per liter okay that is not a choice you can go to 1.5 Plus orus in this range of8 to 1.2 what is the type of tras you will see p tras Co tras resting tras internal this r of point8 to 1.2 what is the type of tras you will see fine now I want the patient Cesar fineas is Char pleas concentrate at the range of8 1.8 will be only fine TR I tell the patient uh like when this fine tummers becom scor tummers and you have some G symptoms it means that there is toxicity and as soon as the patient comes to me what is investigation that I will ask for again this was a question that was asked in need 2020 a patient comes with cor Tremor and G symptoms on lithium what is the investigation you will ask for very good lithium as ass next what is the teratogenic potential or teratogenic this a side effect that is seen in the developing features what is anomal very common very common very commonly asked question very good Angeli Li STS anomal a young female is coming to me with the mum Mania I'm planning to start on lithium what are the pre lithium workups that I should concentrate on what are the pre lithium workups that I should concentrate everything everything is a question very good very good Amit very good rft EFT one more very good Mac see what are the drug interactions that I should be very careful when I start on lithium what the drug interactions that I should be very much careful when I start on lithium should not use these drugs when I give lithium because it causes lithium toxicity diuretics dtic then acas this is a very question tricky question that was asked in the inic November 2023 when a pregnant woman comes to the on lithium in the first trimester what will you do first trimester what you will do stop why we are stopping it because of the teratogenic potential yes but if the pregnant woman comes in the third trimester first time you're seeing on lithium third trimester doing good what is the first best thing you will do what is the best can be done very good Jane continue the but if that is not it was not given the choice in the November 2023 in the best option was decrease the dosage because if you become iper and you increase a dose there's a chance of delirium that can be caused by lithium decrease the dose was the second best answer but in clinical practice I what we do is continue don't touch the patient is doing yeah next valate was another question very very favorite question okay what is the side effects of Val rate causes obesity also cause tras what does it cause to the liver Li fa hyper Ammon what happens to the pancreas pancreatitis what happens to the platelets romboy what happens to the developing fi tube what happens in the young start Onis now next is uh again I've asked this in this in my Instagram question I gave the answer I asked a question I'm not sure but I think it was most of the would have got it because the repeat question when you mix carbin and valporate carbin and valporate are given together what is the organ that will get damaged what is the organ that will get damaged hello everything is green here what is the organ that will get damaged liver this was as 2018 question and again they will ask you uh when compar see carbon has a lot of side effects like it causes c c pallet and G hypoplasia and all that and Steven Johnson's reaction that is toxic Idis when compared to carbonin Ox carbin is safe except one side effect is more common Ox carpin which is which was asked in this November I anybody what is the side effect there is more in Ox Carin compared to carbon spin hpo now uh there is a question called as what is called as modified ECT what is called as modified ECT is called as modify d good with the ga with anesthesia anesthesia if you give it is called as modified ECT and as per the mental health care act okay is a recent mental health care act it says that all people should be given only modified ECT and there is a question which was asked in as 2020 which says that a person is planned for ECT is given Centon or methol and sual Colin what is the use of this methol and colon there's nothing but a muscle relaxing so that there be no any violent dislocations or anything accent we'll go to Pediatric disorders yes you a fire image when you are able to understand all this fire image thank you charita have to cover within an hour dear take too much of your time no 10 10 I'll set youe don't scold me with what are the various pediatric disorders first and foremost there was a question that was asked in need 2018 which says that what is the new name for mental retardation what is the new name for mental retardation what is the new name for mental very intellectual disability and or intellectual development disorder and very importantly adaptive skills are given more importance when compared to just I yes please don't read ICD and DSM definitions of all diseases even my Psychiatry pgs don't do that don't spend your time and energy into that do very good next we then then what what is that ADHD what is ADHD ADHD is nothing but it's a Triad of inattention hyperactivity and impulsivity ADHD is nothing but they have inattention hyperactivity and impulsivity this is a very favorite question that they were asked the triod of ADHD is all except intention hyperactivity impulsivity delution what is the answer R of adsd is all except in attention hyperactivity impulsivity delusion wonderful uh they will ask you a question what are the stimulant medications you will use for ADHD what are the stimulant medications you will use for ADHD what are the stimulant medications you will use for ADHD again very very very very important question what is the stimulant medication you use for ADHD what are the stimulant medications you'll use for ADHD fate and also dexr what are the non stimulant you will use for ADHD what are the non stimulant you will use for ADHD non medications you'll use for ADHD atom otin and clonin good now this is very very very very very very very very very very very important question what is the new name for autism or pervasive development disorders anybody can tell me what is the new name for autism or pervasive development disorders anybody can tell me what is the new name for autism or pervasive Dalal dise can tell me autism spectrum disorders please concentrate what is the symptoms of autism the Spectrum disorders is verbal and nonverbal communication deficits social interaction and RBA can anybody tell me what is RBA can anybody tell me what is RBA what is rrbi what is rrbi yeah IQ will be normal very good what is rrbi anybody what is rrbi restricted range of behav interest because they'll be keep on concentrating on one thing okay that is as as they have only single toy or single activities they cannot change their routine now this is a very very very very important question R syndrome where they'll have it's it's more commonly in females along with the decrease veral and non communication decree social interaction RBI they have they more common females with deceleration and very importantly they have mcpg mutations along with they will have what is called as seizures they'll have scoliosis they have taxia they have irregular respiration respiration they have midline MS very goodine M and what what is the this is this is a very Benchmark okay a lot of our pharmacology teachers and psychiatric teachers we taken a back when this question was released in in May 2023 which was what is the recent FD approved drug for red syndrome because the drug released in March 2023 and they asked in May 2023 is an FD approved drug for red syndrome is stti yes trenti I want you to concentrate here trenti some of our one of our friend was asking about Reon advances this is one of the very important reason advance I want to just uh go into the one important uh part of pediatric disorders which all ends with Mania I thought I'll discuss it here itself what is this klepto Mania what is CP ADHD slide one yes yeah what do you mean by kleptomania take objects without paying that is called as kleptomania yes kleptomania is more common in females yes what do you mean by Pyromania what do you mean by Pyromania dock next door we have something called as amphetamine amphetamine is a stimulant right so deine you give that is called nonim is nothing butoxy and pronin very good setting things on fire it is more common in males yes okay this is all that you should know but I thought like as there are sound similar sounding words what do you mean by nymphomania anybody what do you mean by nymphomania I usually write it as a table lymphomania on sasis rigidity lymphomania ah my God the answer is already it's nothing but increase sexual addiction in females yes what is dajinism and cerasis very good Sunny increase sexual addiction or sexual desire and seen me what is frigidity frigidity means what anybody rigidity rigidity means what rigidity means what very good in Medico triple1 41 degree sexual desire in females okay now what is dipsomania what is dipsomania anybody can tell me what is dipsomania lipo ah very good they'll have this irresistible binge to drink okay the impulse to drink alcohol CER to alcohol what is onomia what is onom Mania let me see who's going to answer this on maniaa very good compulsive buying yes what is Tri lomia what is Tri lomia what is stenia pulling out of air very good when you pull out the air more common site for trimania is more common site for trimania is or common side for tri scalp or the eyebrows okay first is scalp second is eyebrows when you just pull the air and you put it down it is called as trialo inia if you pull the air and you eat it it is called as what is called as what you pull the air and you eat it is called as what ropia you pull the air and you eat it and this is going to cause you intestinal obstruction it's called as what trio sir again this is one wonderful question that was asked in your exam a person is having abdal pain he goes to surgery department and the surgery department and the people operate him and they find a tough like hair okay what is a cartoon character which is a very big air like from the from her where she will put the air down and she will bring the hero to the top floor what is that character called as renzel renel syndrome now they ask the question a patient comes to the surgery Department with abdal pain they open and they see a TR of air and they operated the postsurgical complications all taken care of post surgically the patient is fine before discharge the patient will be referred to which specialist before discharge the patient will be referred to which specialist which specialist common sense question psychiatrist because trimania is one which caused this you should read the ramania apart from that you should also know something about a child knows its own gender by what years you told me the answer yes what is the years what is the years child knows its own gender by what is years very good 3 years enosis can be diagnosed mosis can be diagnosed by what here yes pooses can be diagnosed by what yes Co rosis can be diagnosed by what yes very good anur yes enuresis can be diagnosed by what years thank you Gojo it's 5 years what is the non-pharmacological treatment for neurosis what is the pharmacological treat for what is a non-pharmacological treatment foris and pharmacological treatment it's very good B and Pad technique what is the pharmacological treatment wonderful sik deso it works like V also a four and a half years old child was brought by software engineer parents were very much concerned about the child having a bed bitting Behavior they are not uh uh comfortable taking the child for the outing where the child they are very assistant whether the child will f urine in the when the when they were going for outing with the other colleagues they very much concerned what is the treatment that you'll offer very good very good anur excellent reassurance why why anur is saying reassurance why not Bill and P technique or desmo prison or Iman anybody wow everybody has got it right man oh my God you're too smart very good tell me because the diagnosis the age of the child is 4 and a half years you should not diagnose until Neurosis until is 5 years some of them asked what is encos incos nothing but passing stools in the dress itself that is enosis passing feces okay next we'll go to psychology wonderful charita this is again very very important Sigman FR is a very favorite person okay they'll be asking a lot of questions on that so tell me what is uh what the contributions of Sigman FR he was a father of was a father of psychoanalysis what do you mean by psycho analysis something but making the patient um before sigment FR times it was only this um uh magical religious treatments and pration all that so they were use the first person to introduce that sit and talk with the patient to understand the patient better was Sig the psycho analysis and very importantly he was a person who gave the psychosexual stages of development totally how many stages of development are there anybody can tell me what is what are the five stages of the psychosexual stage of development anybody can just tell me what are the five stages wow monkey Dy I'm very happy what are the five stages what are the five stages wonderful wonderful Mina and anur oral anal pic patent and genitor next they will ask you what do you mean by free association you know most of the psychiatrist okay have seen like a number of psychiatrist before you could have seen a you aware of a lot of psychiatrist you know usually psychiatrist will have a long beard they have wonderful beard you know why because we identify ourselves with Sigman yeah we our hero we have a we are very much identify ourselves with Sigman frud he's a very famous thinker he gave wonderful concept called as free association that is make the patient lie on a couch okay couch is nothing but like a sofa and he will make the patient lie on the sofa and what will he do he will not lie on the patient what will he do he will just sit and ask the patient to say whatever that comes to the patient whatever that comes to a patient mind and when the patient speaks he knows what is happening in the conscious that is called as that is called as as as as as a free association that is called as free asso and very importantly there was a recent question that was asked what is called as AB reaction can anybody tell me what is AB reaction very good very good sidat parik tell me what is AB reaction there was a question question that was I saw a recent question says that what is AB reaction AB reaction see basically what happens is that what happens is that the emotions which they have uh the past incidents or past things that happened in the past like 10 years before or 5 years before it will be all in the unconscious right they will have repress repress is putting into the unconscious now what happens is that they bring back okay they bring back those things okay they ask them to just visualize things or talk about these things so relieving emotional relieving of that and because of which there's the emotional release okay of the repressed emotions that is called as up reaction there is again one is topographical theory of Mind another is structural theory of mind what is topographical theory of mind what is topographical theory of M anybody what is topographical the preconscious unconscious and unconscious preconscious conscious and unconscious structural theory of mind is nothing but id ego and super ego so emotional release of relieving of experience what is this again there is a very favorite question on interpretation of Dreams what is this interpretation of Dreams what are the defense mechanisms for the interpretation of Dreams or what are the defense me what are the mechanisms of dream dreams what are the interpret what is happening in the dreams anybody need 2018 question yes wonderful ABI yes wonderful condensation symbolization displacement secondary operation wonderful charita wonderful brilliant it's nothing but condensation symbolization displacement condensation is nothing but um you know my father I hate my father my father is always beating me so I symbolize my father in my dream as a my father is dark okay so I symbolize my father as a black dog I don't like my father and also I don't my Max teacher so both of them I will symbolize them as one thing that is condensation as a black dog I cannot beat my father or my Max teacher because I a very person with was brought from restrict upbringing but I can beat a dog so displacement the emotion is displaced that is displacement again a question in NE 2021 what is called as counter okay what is called as counter transference what is called as counter transference what is called as counter transference anybody C says is the umbrella term G for all things you'll use CES AB reaction is emotional relieving of the experience C is like School of Psychology okay in that one is called a CBT right similarly catas is a very umbrella term one thing is AB reaction uh yes see this is very very important I wanted to concentrate here they will ask you there is a this is a therapist and this is a patient okay when a patient has an unconscious standardization of emotions from the patient towards therapist is called as this is a therapist a patient this trans whereas from the therapist towards patient is called as counter yes direction direction is very important from therapist towards patient is is as counter transference whereas patient towards therapist is transference yes friends yes is this clear yeah see previously they used to ask only about psychon and is this psychosexual St of development five stages but nowadays there are questions mostly on transference and counter transference so keep it very clear yes direction is very important yes uh uh this is like out of the box they asked questions it's like more of a common sense question what do you mean by stress anybody can Define what is stress what is stress this was a question which was asked in i c November 2022 what do you mean by stress what is stress stress is nothing but see anything see for example an exam is a stress marriage is a stress divorce is a stress okay a celebration is a stress and and promotion is a stress anything which needs you have to be more attentive towards it or you have to act towards it cause a lot of emotional or physical or strain called as stress this is again an in July 2021 it was very very very very brilliant question that they asked okay it's it's you need not know psych to answer this yes what is suicide okay they asked it's more common and and and when there's a relationship problems or substance use and common women's physician depression is difficult to diagnose because of physicians's Pride okay see we we feel that we are are superheroes okay super smart people okay you you you do not understand yourself Al better so basically what happens it's difficult to diagnose because they feel that you're Invincible you're the great person so when you have depression it's it's very you know doctors are worst patients okay that's what is there okay and very importantly uh not women's physician women Physicians okay burnout this is very very important what is the difference between burnout and overworking what is the difference between burnout and overwork see when you are when when when they ask you to when you they give you two to three extra patients or two to extra beds and two to three extra duties you'll be keep on lamenting worrying stressed and then you'll be be feeling that this very toxic environment toxic PG toxic Sr toxic consultant but once the everything is gone out once you outside the hospital you lament with your friend you you talk with your friend you go for a party everything is fine that is overworking okay yes feeling goes away once you finish your shift or your work burnout is something which happens when there is a physical or emotional exhaustion I I always use it for medical oncologist okay where you get out at MD then you get a DM then you try to get a call job and after you getting the job you find that people dying in front of you you feel that your hands are tied okay so it is nothing but burnout physical and emotional exhaustion feel that you're not doing anything meaningful burn out yeah this was this this is something which is a very out of the box question which was asked in July 20 now this is coming to the defense mechanism somebody was asking me about defense mechanisms uh uh what is what is U what do you mean by psychotic or narcisstic defense [Laughter] mechanisms G I will finish the class early GD not give you too much of overworking stress and all what is a psychotic or narcistic defense mechanisms yes psychotic or narcistic def very important DDP denial Distortion and projection what are mature defense mechanisms the anticipation altruism aism sublimation suppression and tumor yes yes so what is psychotic or narcisstic defense mechanisms is DDP please please concentrate DDP denial Distortion projections mature defense mechanisms they will ask you which of the following is mature which of the following is psychotic from which you know a is anticipation anticipation what you're doing now even if 9:15 the night without seeing any Series without watching any match without any watching any any YouTube videos you're sitting here to listen for the class that is nothing but anticipation you plan altruism socially you do a lot of Social Service aism spirituality I'm a small smack I'm just dust yeah sublimation socially unacceptable is converted to socially acceptable suppression my wife called me now iut cutter call but I will handle it as soon as I finish this class that is nothing but suppress it but you handle it dat humor taking a lighter sense of faor yes there's all certain things they'll be asking as onliners or clinical scenarios just understand the concepts what is rationalization anybody can tell me what is rationalization what is rationalization what is rationalization rationalization is nothing but you give an explanation yeah so that you don't feel bad yeah for example a person says that why did you take Psychiatry okay why did you say Psychiatry didn't you have any other branch of medicine no man other branch of medicine is like uh you don't you are like you don't have a ra with the patient you don't enjoy the talking with the patient I want to talk with the patient I want to understand the patient I want to play with the emotions of the patient you give an explanation give an explanation so so that you don't feel bad this called as rationalization what is reaction formation that's very important reaction is nothing but exact opposite I am a I am a married person but I I have gay Tendencies I have homosexual tendencies but what happens is that in my mind my super say it's wrong how can you have homosexual tend you're a married person now what I do is is as I exactly act oppositely what happens is that I will preach against LGBT community I say that this gay things and all should be banned they're destroying the society I'm a person who feels that I have very urge or impulse for new D and pornography okay but what happens is that my super egoo is having a fight so what happens is that I preach against it for example I say that all the pawn videos should be so it is something but exact opposite yeah yeah very good very good now what you should now what you should go is uh you should go for what is called as displacement displacement is my father's defense mechanism okay my father will get nicely from my boss from from his boss okay now father comes and schools my mother my mother will scold the firstborn dog in the house that is my sister the firstborn dog will scold the midle born dog is my brother that middle born dog will scold me is the last born dog in the house that is nothing but displacement yes yes just randomly they will ask yes uh this is again a question which was asked uh what is called as U what do you called as a spikes protocol what do you mean by spikes protocol what do you mean by spikes protocol what happening ah very good very good the breaking the bad news breaking bad news how do you break bad news it's nothing but spikes protocol spikes protocol what we say is setting okay you know what what happens in this maab mbbs Shankar D mbbs Raj mbbs will have be diagnosed with cancer and they openly say that you have cancer no it's not the way you should talk okay you you make sure that a setting is made there understand the perception how what do they understand what is the amount of information that they need what the knowledge that you give should be non-medical terms empathy and arrange for followup okay next uh what is this headass uh criteria or Hadas protocol anybody can tell me what is Adas home education activities drugs sex self har and safety what do you mean by this where do you use it anybody can tell me if you tell me this I will recommend you to get niman MD psych seat wonderful my God how many of you will get a MD secretary man wow super this assessment in adolesence okay ass assessment delirium and dimension yeah wow we are going to finish don't worry uh when coming to dementia the very important thing that you should know is cortical dementia and subcortical dementia what are the various components of cortical dimensia is amnesia araxia agnosia and exec dysfunction Amnesia is loss of memory araxia is loss of movement formulas agnosia is not able to identify known things and execute disfunction not able to plan see when you see a lot of your questions will be on subcortical dementias why because subcortical demena is a dementia where you have movement disorders and also psychiatric symptoms so we psychiatrist are very much concerned about subcortical demens what are the examples of cortical dementias it was I think it was a question that was asked in in November 2020 name some examples of cortical dementias partical Dimension is nothing but the cortex is involved name some examples of cortical dimens some examples of cortical ala's dementia very good Tonto temporal dementia also called as pix dementia and cjd for jackob disease what are the examples of suboral demia anything which has movement disorders like Wilson Parkinson Huntington dementia Loui bodies subcortical yes yes yes now what are the reversible cause of dementia this is again a very important question theyve asked what are the name some reversible cause of dementias nutrition deficiency like vitamin B1 B12 and nasin deficiency what is this nasin deficiency four DS of nasin deficiency what are the four DS of nasin deficiency friends what are the four DS of nasin deficiency the 4 DS I'm asking about the symptoms 4ds yeah right dermatitis diarrhea pentia and death normal PR please tell me what is the Triad of normal PR again the question that was asked in your expected to be asked in your need and what is a Triad of normal PR what are the reversible cause of diens it's asked in as 20209 and now they have asked in I hope it was asked in not wrong in May 2020 what is the Triad of normal pric anybody wonderful dementia attan and also hypothyroidism now this is again a question which was asked in your exam confusion as cam means what anybody can tell me what is c confusion assessment cam we called as cam as the pgs have you done cam confusion method where they will ask on on acute onset in attention disness thinking altered level of of Consciousness which is used as his Delia whereas mini mental state examination MMC is used for dementia to my friend who has asked me see normally what happens is that I'll just send some 2 minutes of the time delirium is can be due to a number of reasons delirium can be due to a number of reasons a person with cerebral malaria okay can have alter sensorium that is nothing but delirium the person is having a append disectomy can have Al sensor delirium a person is having a femur fracture can have Al sensorium that but delirium yes a person having a cardiac failure can also have altered sensorium this called as as delium but only when it is due to only when it is due to 72 hours after last drink then you will have Al alter sensorium fromers with 7 hours after last drink you call as delirium yes now I'll ask a question do all people who stop alcohol after 3 days will they get delirium will they get delium you all people after stopping alcohol do they get delirium no then why only few people dependent basically there is there are certain precipitating factors abrupt onset okay when you slowly stop it will not happen abrupt onset will abrupt stoppage was take the risk second there is infection along with electrolyte abom yes now what are the reent FD approv for the friend one of the friend who has asked about recent updates tell me what are the recent FD approv drugs for dementia what are the reason FD approved drugs for dementia yes yes wonderful aduu AB recent recent I'm asking about recent monocon antibody neurological illness alzer's dementia brex prol for aggression or personality change in Al Di now there in the recent inac November 2023 they asked a question which says that a person is on dementi is is having dementia but not uh interested in taking oral drugs is there any skin patch medicines that is available anybody skin patch tell me one wonderful wonderful anur Ras Stig mind T pel also has okay but both Don PR andas go foras next we have something called as forensic and Community Psychiatry you should know okay what is this Mental Health Care Act Health Care Act okay what is this mental health care actors does do is uh see basically what happens is that they prevent any person from getting admitted any psychiatric patient admitted only in a psychiatric hospital and the name for the psychiatric hospital we have it as MHC what is MH mental health establishment Health establishment yes very good next what happens is that you should uh what is the next thing they will do is for see if I don't have mental health establishment I don't have have not registered as a mental health establishment can I admit a patient for emergency treatment can I admit a patient for emergency treatment yes can I admit a patient for emergency treatment yes or no I don't have I have a very small Clinic yes but within 72 hours you have to have to to find M and you should Shi the patient now this is very very important which was asked in am 2019 what is Advanced Directive I again asked this in the Instagram question what a person who decid see I'm having I'm this is this is what month this is April in in April I have a Mania episode in May or June I'll be fine with medicines but June my S doctor sits with me and and writes agreement saying that if I get subsequent episodes what is the treatment that I would like to be given I should not be given yeah so that is nothing but Advanced Directive and nominate representative is nothing but a legal guard and there was again a question which was asked for fmg students uh medical termination of pregnancy is planned for a mentally ill person uh the consent will be given by whom patient herself doctor husband legal guardian who gets a maximum power the person who is a nominate represent or legal guardian will decide for the patient or the patient has more power when compared to the any other members in the house or in the family yes legal guard voluntary admission maximum you'll admit for how many days that's a question that was asked in your recent exam so answer is 30 days okay modified ECT did I say something about modified ECT modified ECT is nothing but I don't ECT plus anesthesia as for the mental health care act you can give one ECT with the anesthesia decriminalization of suicide previously what happened was 39 Penal Code Indian Penal Code which says that if you attempt suicide they will go for this mlc and er entry and all that and they will be treat will be like there will be a lot of police interrogation now they have considered that decriminalization of suicide because they no need poce interrogation they need a psychologist interv and what is the legal limit of drunkenness when you be called for drunkenness driving for drunkenness driving what is the level India yeah yes 30 migr for cat uh one small point this what is moton's Rule what is McDon rule section 84 of deals with deals with sanity yes next very important thing is that important thing that is magnon rule was created with formula called as men Ria plus actus Ria anybody can tell me what is this I think your fm expert should have definitely Sol this what is this menia and actus Ria this men and act very good very good shb should become a for psychiatrist very good makaka what is menia what is act menri is nothing but a guilty mind act as is nothing but act both only will be liable to punishment last part okay so what we are going to do is we are going to have something called as mental status examination yes uh this is very very important I I I I concentrate only mainly on the thoughts because it is has been asked yeah name the various thought form disorders thought form disorders I remember it as farmer who is also a doctor who wants to buy tractor will get a loan farmer who is also a doctor who wants to buy tractor will get loan you mean by that derailment very good good tangentiality loening of Association what is this derailment derailment is nothing but if I want the patient to talk about this they take a new track they start talk a new track and they go in a new TR tangentiality is like tangent is nothing but talk unwanted things touch the topic again talk unwanted losing ofation is random thoughts okay it's not connect NE lism as this was asked in need 2020 yeah don't say that sir in Sims I read this in fish I read this and all that okay don't tell me all that because this is a question that will be asked in MD psychiatry PG third year WBA for you if you know just the farm disorders is so and so what is it farmer who a doctor who wants to buy tractor will get loan similarly what is a flight what is a stream stream you concentrate on flight of ideas which is seen in jumps from one thought to another goal is not reached which is seen in minia circumstantiality circumstantiality is you add unwanted information before reaching the goal that is nothing but circumstantiality the goal is reached that is circumstance perseveration again this is very very important persistence Beyond point of relevance what is your name Vian where are you from viand are you understanding my question Vian did you eat in the morning Vian what is the type of coffee you like VI so basically the first question and the first answer will be relevant but after you change your question they still persist towards the same point that is persistence beyond the point of again I told you posession disorder of thought possession is Obsession disorder of thought content is yes yes yes Friends next Insight grade one again asked in ases 2019 okay denial of illness means what denial of illness means what what is the grade of inside when the person is having complete denial lawfulness I don't have any problem sir why they have brought me to the psychiatric hospital I think you should have a problem why are you asking me these questions who is it grade one the complete denial of next we have something called as emotions emotions is nothing but they'll have something called as lebile effect what do you mean by leile effect rapid fluctuations and emotions then which is seen in Mania suddenly you talk with the patient with Mania they'll be talking about their without any external markers they'll be just sing of emotion I'm a very gifted person sir my mother like I'm really gifted to have her as my mother for next seven lives I should have her yes mother I'm I'm really indepted to be a son to her I will be always as a trustworthy to her so basically what happens that they'll be talking in a very wonderful positive Jo suddenly they'll be changing of emotion there is nothing but label effect okay and this I think they asked so I thought I'll put it here okay and the ion C jully 2021 what is twilite State anybody can tell me what is twilite I always as remember T light as a tube light yeah like okay sensor will be there then again altered sensor will be there again it will be altered sensor will be there again it will be altered so two light is two remember Tu light as tube light onid means dream okay oo means what what is poly rasas means less less subnormal subnormal one small thing okay what they will ask you is they will ask you about what is the test for attention what is the test for attention these are all on liners very good digit forward what is the test for concentration a test for concentration very good Anor serial subtract what is a test for abstract thinking what is it just for abstract thinking abstract similarities very good very good very good anur my God you have taken already Psychiatry or what man similarities and proverb explanation you should be able to explain for example all that LS Is Not Gold you should not say there is covering jeels you should say that uh like appearances are deceptive that is nothing but problem yeah next there's a lar question that they asked what is the test judgment what is test judgment what will you do when there is a house on fire or letter on r so when there's house on fire what you will do is you will um will do when there's house on fire you will pour water letter on road you will post it in the post box so it is nothing but test judge thank you all the best take care bye all right guys so I hope this one shot program was very very useful for you H so can I say that the ENT entire subject was revised in a very very quick amount of time but as I told you earlier this is not the end now what you have to do is you have to attempt the test and how will you attempt the test you have to download the igurukul app if you have not done it and in this urul app go to the test section in the test section go to the QR test and in this QR test you will see the test of this subject click on that test gallery or camera they will ask for a QR code and here is the QR code scan this QR code or download it and put it into your gallery whichever option that you want and you are good to go please make sure that you are not finishing your day without attempting the test I wish you all the best for the test as well as happy reading and I'm sure that you will reach to the success in the exam head take care and Godless see what