The question asks to identify the disorder characterized by escape behaviour with paroxysmal occurrence.
Obsessive Compulsive Disorder Symptoms
Obsessive compulsive disorder (OCD) is a mental health condition where individuals experience recurring, unwanted thoughts, ideas, or sensations (obsessions) that make them feel driven to do something repetitive (compulsions). These compulsions are performed to try and reduce the distress caused by the obsessions or to prevent some feared event.
Paroxysmal Nature in OCD
The paroxysmal occurrence refers to the sudden, intense, and often unexpected onset of obsessions or the severe anxiety associated with them. These intrusive thoughts or urges can feel overwhelming and appear suddenly, causing significant distress.
Escape Behaviour in OCD
Escape behaviour in OCD primarily manifests as the performance of compulsions. Individuals engage in these ritualistic behaviours to escape or neutralize the intense anxiety, fear, or discomfort triggered by their obsessions. This can also involve avoiding situations or triggers that provoke obsessions.
Therefore, the combination of sudden, intense anxiety spikes (paroxysmal occurrence) related to obsessions and the subsequent actions taken to alleviate this distress (escape behaviour via compulsions) is characteristic of Obsessive Compulsive Disorder.
Important Questions from Adrenal Disorders
- Which one of the following is a cause of Secondary Hyperaldosteronism?
Which of the following are correct regarding Cortisol?
1. Levels are highest in the morning on waking.
2. Cortisol falls dramatically during an illness.
3. More than 95% circulating cortisol is protein bound.
4. It is the major glucocorticoid in humans and can also activate mineralocorticoid receptors.
Select the answer using the code given below :
- A 50-year lady, who is a known case of rheumatoid arthritis, presents with obesity, moon facies, abdominal striae and hypertension. Overnight dexamethasone suppression test shows serum cortisol is greater than 50 nmol/L, serum ACTH is less than 1.1 pmol/L. The adrenal imaging and brain CT/MRI imaging studies are unremarkable. The likely diagnosis is
- Hirsutism is seen in which of the following ?
1. Polycystic ovarian syndrome
2. Congenital adrenal hyperplasia
3. Hypothyroidism
4. Ovarian tumour
Select the correct answer using the code given below: - A patient presents with circulatory shock, nausea, vomiting and diarrhoea. A diagnosis of acute adrenal crisis is considered. A blood sample is stored for measurement of serum cortisol and treatment started without delay. Which of the following are appropriate interventions?
1. IV normal saline
2. IV hydrocortisone 100 mg stat
3. IV 10% glucose
4. IV KCl as infusion
Select the correct answer using the code given below:
