Pleas help me to answer the following questions. Multiple choice.

Items 1 and 2

A 58-year-old female physician is hospitalized with a fractured ankle
following a traffic accident. Four days after this hospital admission,
the notes from the nurse on the chart indicate tachycardia;
restlessness, sweating and actions attributed to fearfulness. During
an interview she reports being bothered by "vague shapes" which she
sees coming out of the walls.



1. Based on this information, a check of the woman's past history is
   
    most likely to show evidence of:



(A) bipolar disorder

(B) schizophrenic episodes /

(C) chronic alcohol abuse

(D) borderline personality disorder

(E) post-traumatic stress disorder 

2. Two weeks later, her acute symptoms have subsided. Although you
have never treated her before, during visits for morning rounds she
speaks with pleasure about the many years, she says, that you have
cared for her and her family, and especially how you once saved the
life of her child. The woman is now manifesting symptoms of:

(A) malingering/"

(B) pathological intoxication

(C) psychogenic fugue

(D) Munchausen's syndrome

(E) Korsakoff s syndrome 

 
3. Epidemiologists investigating an outbreak of salmonella poisoning
at a local restaurant gathered evidence of what patrons had eaten and
who had become ill. The results of their investigation are presented
in the following table:

         (Egg Drop Soup)      (Raw Clams)    (Chicken Speciall)   (Total)

  -Helthy>   24                      12                45             18

  -Sick >    10                      28                11             48
 
  -Total >   34                      40                56             130

Based on this data , what is the attack rate for those persons who ate
raw clams?

(A) 12 /28

(B) 28/ 130

(C) 28/40)

(D) 28 /48

(E) 28 / 12

Dear mashhour-ga;

Thank you for allowing me an opportunity to answer your interesting
question.

1. Post-Traumatic Stress Disorder (PTSD)
http://www.mental-health-matters.com/articles/dw001.php?artID=67

“There are two main stages of PTSD, the re-experiencing or intrusion
phase, and the avoidance phase. In the re-experiencing phase, the
person with PTSD may be hypervigilant, feeling on-edge, and have their
thoughts intruded upon by images such as hallucinations, illusions,
nightmares, and other mental images. They can lose the ability to
concentrate and find that sleep is difficult. They focus a great deal
of the time on the stressor, to the point of compulsivity. Emotional
ups and downs are common, and they are easily startled and upset by
remote reminders of the stressor. The avoidance phase is marked by a
general emotional numbing. The sufferer may minimize the significance
of the stressor, forget the event, lose their interest in life, feel
detached from others, show little in the way of mood changes, and may
abuse drugs and alcohol. Untreated, PTSD may eventually lead to mood,
panic, substance abuse, and phobia disorders.”


2. Korsakoff's Syndrome
http://www.ecureme.com/emyhealth/data/Korsakoff's_Syndrome.asp

“This is a syndrome caused by a deficiency of thiamin (also called
vitamin B1) and abuse of alcohol. It is characterized by amnesia. 
Patients may also confabulate, ramble in their speech, and make up
stories as they go along (about imaginary events).”


3. You only asked for items #1 and #2, but logically I’d have to say
that the answer here is 28/40. 28 patrons out of 40 fell ill, making
the attack radio 28/40.


Below you will find that I have carefully defined my search strategy
for you in the event that you need to search for more information. By
following the same type of searches that I did you may be able to
enhance the research I have provided even further. I hope you find
that that my research exceeds your expectations. If you have any
questions about my research please post a clarification request prior
to rating the answer. Otherwise, I welcome your rating and your final
comments and I look forward to working with you again in the near
future. Thank you for bringing your question to us.

Best regards;
Tutuzdad-ga


INFORMATION SOURCES


Post-Traumatic Stress Disorder (PTSD)
http://www.mental-health-matters.com/articles/dw001.php?artID=67

Korsakoff's Syndrome
http://www.ecureme.com/emyhealth/data/Korsakoff's_Syndrome.asp


SEARCH STRATEGY


SEARCH ENGINE USED:

Google ://www.google.com


SEARCH TERMS USED:

“bipolar disorder“
 
“schizophrenic episodes”
 
“chronic alcohol abuse” 
 
“borderline personality disorder”
 
“post-traumatic stress disorder”  

“malingering”
 
“pathological intoxication”
 
“psychogenic fugue” 
 
“Munchausen's syndrome”
 
“Korsakoff s syndrome”