Online Training Center

Based on previous entrance exams to medical universities in Russia

Data revision and supervision :

 Dr. Ahmed Hafez

Multiple-choice questions for training in Russian university entrance exams, and their answers are taken from previous years’ exams in most russian universities, These forms are renewed and are constantly updated to cover all the questions asked and possible in the admission tests for students in Russian universities in medical specializations.

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Psychotic Disorders

Psychosis is the misrepresentation of thoughts and perceptions that originate from a patient’s own mind which are experienced as reality. It is a symptom, not a diagnosis in itself and affects about 3% of the population.   Causes: With most psychiatric conditions, the aetiology of psychosis is seen with a biopsychosocial model: Biological: Genetics –> Twin studies have shown schizophrenia has 50% concordance rate in MZ  twins Dopamine–> Antipsychotics block D2 receptors whereas L-Dopa induces psychosis Neurodevelopmental –> Higher in people with low birth weight, developmental delay etc.   Psychological: Prodrome –> Often preceded by patients exhibiting anxiety, depression and ideas of reference –

Stress Reactions

  Acute stress reaction This is an acute reaction which occurs rapidly (minutes to hours) after a sudden and stressful event. – This can include sexual assault, an injury, a near-death experience etc. – This leads to several symptoms in response which usually arise very quickly and terminate within 3 days   Symptoms: – Initial state of being dazed and confused – Purposeless overactivity and withdrawal – Intense brief anxiety – Autonomic arousal –> sweating, dry mouth, vomiting   Management – Help patient to re-orientate with trauma-focussed CBT Prognosis – Most cases resolve rapidly within 3 days. If symptoms persist > 1

Affective Disorders

Affective (mood disorders) are characterised by emotional disturbances resulting in functional impairment.   Causes: The aetiology of affective disorders can be seen using a biopsychosocial model:  Biological: 5-HT–> Low levels of endogenous 5-HT and Na are thought to decrease mood Cortisol –> Overactivation of the HPA axis increases both risk and persistence of low  mood   Psychological: Beck’s triad –> Negative views about the self, the world and the future seen in depression Attributional style –> Higher incidence in people who blame themselves for life events   Social: Stress –> Linked to negative life events, adversity and childhood stress.   Depression This is a mental

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