Task #1.

. Was fallen sick at the age of 15. She has got a feeling of unusual light ,it seems to her, that she can do
everything , she had burst of energy, the mood was increased . Two weeks later all these features were
disappeared.At the age of 20 this condition has repeated , she was hospitalized to the mental hospital, where the
hall days she sang songs and declaimed poems . After treatment by aminazine all features were disappeared. The
girl remembers well, what has she had at the moment of diseas .
To answer: Diagnosis (syndrome, current, nozology ); tactics of the doctor.

Task 2.

Retinue have informed ,that female patient had been hospitalized to the mental hospital twice before . The
details of the diseas they havent known. They have told that after discharge from the hospital, the woman
was taken out of running- knot ,tried to commit suicide .The note of the doctor who was on duty : "The woman
keeps silence, sits with a sad expression. Answers to the guestion hardly in a low voice. Sometimes
whispers :"For what all this, anyway there is no need".
To answer: Diagnosis (syndrome, current, nozology); tactics of the doctor.

.
Task 3.
The mother of the female patient has done away with herself. Our patient at this time has a good mood, sexually
unbrake,talks only about men, parties, suggestively jokes .In in-patient department she is very active,
constantly tries to help the personnel with the work. Two years ago the woman had a bad mood during the month ,
she didnt want anything to do, she was staying at home, had the dreams about suicide .

To answer: Diagnosis (syndrome, current, nozology)

Task 4.
On the visiting the doctor a man complains that usually 1-2 times a year he has changes of the mood.
Sometimes it is dismal mood with unwillingness something to do, but he continues to go to work prudently.
Sometimes very suddenly he feels a bust of energy, and he wants to do much. The patient begins to learn two
foreign languages, but in a week everything stops. He has never had a treatment in mental hospitals.

To answer: Diagnosis (changes of syndromes, current, nozology);where and with what kinds of terms can
the patient have a treatment; therapy ;working prognosis ;military medical examination.

Task 5.

The man was sent to the military registration for the examination because of having a little strange behavior .
Before 8 class studied well, when he was a pupil of 8 class he decided that it is not necessary to study well
,and took a great interest in philosophy. The man read transactions of Hegel ,Kant ,Jum. Hardly he
graduated school and became a student of medical university ,but left it soon without any reasons .Half a year he
worked like a loader, and then began to study in engineering and building institute, which also left soon..Nothing
that has happened depresses him .He cannot say that he is unlucky person. Our patient dresses untidy and
pretentiously .Hair style is unusual .To the guestion about plans to the future has told : "When I ll graduate
from army, Ill go again to the medical institut".

To answer: Diagnosis presumable; working prognosis ;military medical examination.

Task # 6.
A man of 17 years old stopped to go to school and said:I have no wish to visit school .Soon he stopped his
relationships with his friends, was staying at home, sang the hall time the same songs with unprintable substance.
After hospitalizing him to the mental hospital he continues to sing the same songs in the in-patient department,
disregards on somebodys remarks .The expression of the boy is stupid, sometimes he becomes irritated with
nonsensical laughter, public frigs.

To answer: Diagnosis ;stages of hospitalization; working prognosis ;military medical examination.

 Task N 7.
.. ,18 years old. Was fallen ill suddenly. At the time of working began to look around with fright .Talked
something nonsensical ,has ran to the forest. He was found in the forest soon: the man was staying near the tree,
didnt answer to the guestions . In the hospital: keeps silent , doesnt sit to a chair after invitation,
,the face is inexpressive, look is immovable .Also there are next features : waxy flexibility, active
negativism. With internal everything is well. Nervous system without features(without focal signs).

To answer: Diagnosis ;stages of hospitalization; working prognosis ;military medical examination.

Task N 8.

Relatives of a sick man asked for an advice to the doctor. They told, that the man was developing from the
childhood guite satisfactorily. One year ago,at the age of 25, his behavior had changed:he became suspicious,
secluded ,the hall days was staying alone in the room with closed windows and locked door. From the notebook of
the patient was established, that members from a secret organization of spies want to kill him . At the time of
interview of the boy was cleared up that he hasnt any kinds of disorders of perception. The boy is suspicious.
And only after long interview it was elucidated successful that the neighbors of the patient spy on him
systematically, they are members of some gang.

To answer: Diagnosis(syndrome,nozology); working prognosis ;military medical examination.

.
Task 9.
The man was taken to the mental hospital accompanied by police. He made a wound to his neighbor by
guillotine. At the time of medical examination: he is strained, angry, says that 1.5 year ago the neighbor of the
patient installed the apparatus in his flat ,using which he writes the dreams of the man to the recorder. Also put in
his head his own dreams. Sometimes with a special system he makes a radio transmission ,in which insults.
Last time the neighbor makes another kinds of experiments , says him to go the way another he needs, to
pronounce swears words, to causes imitational fun .
To answer: Diagnosis (syndromes , nozology ),the stages of hospitalization, therapy.
Task N 10.
The part from the statement of the man,35 years old, who was hospitalized to the mental hospital week ago: "I
am the champion of the word of knowing and analyzing the work of wreckers, boss all over the world, I order
to: 1We have hearsay, that some organs of wreckers want to use our staying in the mental hospital for
bringing to beggary my double and call him like me,Kuryakin Mihail Semenovich . 2.I am enjoining to
find this impostor and to put him behind bars before the time hell refuse of my name . 3. To inform everybody that
in the hall world lives only one person with the surname Kuryakin, the others are faked-up".the patient is in elevated
mood. It is known ,that 3 years ago during 8 months the man was staying in the mental hospital with the
syndrome of psychic automatism , had sharp fright , was too suspicious ,confused. After leaving the
hospital the man worked.
To answer: diagnosis (changes of the syndromes, nozology); the stages of hospitalization ; therapy;
working prognosis.

Task 11.
A woman of 30 years old has been staying in the mental hospital for 12 years. At the first years of the diseas
she had a hallucinatory delicious syndrome. Last years an incoherent speech accumulates. The woman regulary
takes part in a working process. During the work she constantly talks: "Yes ,right- syzform ; thinking, therefore ,
determined by existence;The form of my being is special, its contains of 5 letters. And also the form of my
thinking coincides with the letters of my tutorship. I am the person of those persons who have name, but no
surname. The nature on the basis of physiology using mathematical light jargon , on the basis of chess has
proved, that I am the person of no my physiology.
 To answer: diagnosis (changes of the syndromes, nozology); the stages of hospitalization ; therapy;
working prognosis.

Task 12.

., 40 years old .Was falling ill 15 years ago .Three times a life has been staying in a mental hospital, the
hallucinatory delirious syndrome was typical for him. At the time between treatment in the hospital the didnt
work, his parents cared of him. Last time was taken to the hospital 5 years ago. The first time was avoidant
, something murmured, and stayed face to wall .Last time the behavior is monotonous, he stays in one
corner of the ward, the head is down, and covered by dress. After insistent guestions the patient with the
whisper gives the answers, often the answers are like guestions. Eats compulsions.
To answer: diagnosis (changes of the syndromes, nozology); the stages of hospitalization ; therapy;
working prognosis.

Task 13.

A sick man of 23 years old was in the condition of the catatonic stupor during 6 years. After treatment by
phrenolon the clinic has changed; he stopped to stiffen, began to talk, to care of himself. But not very active, ,
is drawn into working process passive, is needs in constantly whistling in the dark. He is indifferent to visiting
him by his relatives. To the guestion about whether wants he to leave the hospital, he answers :May be, and
if he is offered to stay here some more ,also agrees.
To answer: diagnosis ( syndrome, nozology) ; therapy; working prognosis.Reabilitation

Task 14.
., 23 years old ,is a turner on a station.For the first time asked to the doctor with complaints of paroxysms. The
man suddenly turns white, the face becomes emty, inexpressive, his look is fixed upon space immovably. He falls
silent or stopped working . But soon he continuous again to work, and doesnt remember the conditions had
happened with him. EEG:the presence specific patterns as a generalized complexes of spike-waves
with 3-3,5 Hz freguency.
To answer: the character of the paroxysms, diagnosis.
15.
., 25 years old .He is loader at the motor-car .He was sent from the work. Before he hadnt been a patient
of the mental hospital and had never got a treatment from a psychiatrist .The man two times a year loses
consciousness suddenly, falls down, sometimes with acute strident scream, clonic and tonic convulsion appear
and change each others. Amnesia finishes the process.

To answer: the character of the paroxysms, diagnosis.

Task 16.

,A driver, 27 years old. Before the beginning of the work the man has lost consciousness, but has not fell
down. Convulsions contains of clonic jerks of separate groups of muscles and finish with amnesia. Asked to the
doctor for the first time a life. EEG: spike-waves ,3-3,5 Hz, generalized.

To answer: the character of the paroxysms, diagnosis.

Task 17.

.,16 years old. Last year the consciousness of the boy becomes obscured suddenly:he orientates in an
entourage false , the correlation between activities and doings keeps. This time he says delirious ideas , has
hallucinations with a big affect of fright, depression, anger. He is aggressive, rough, has a rage with nonsensical
attempt to destruct or kill something or somebody. Those conditions appear and disappear suddenly.It repeats
usually 1-2 times a week.

To answer; the character of the paroxysms, diagnosis, plan of the examination; treatment.

Task 18.

A woman of 19 years old started to work on the morning but walked through the street nonsensical, traveled
by different kinds of transport. To well-know people made an impression of gloomy, tired, confused
person, answered the not difficult guestions, but didnt aruse suspicion of surrounding her people
about her mental trouble. As the woman told later, she has appeared on the unknown for her street, it
was about dinner- time, but she couldnt remember where has she been and what has she done at
those time. Before she has never had a treatment against mental problems.
To answer:the character of the fit of the diseas ; diagnos

Task 19
A young man asked to the doctor . From the interview the doctor has known that he got out the institute
with the friends, they were talking about some common topics. Suddenly he guick turned and ran to the
roadway. There he stopped and began to put off the dress with guick movements. Soon he finished his actions
and with confused face came to his friends. The boy couldnt explain this behavior, he perplexedly looked round
the people who have stopped.

To answer:the character of the fit of the diseas ; diagnos

Task 20.
A boy of 13 years old is a pupil of 6 th class .Sometimes he wakes up at the night time and walks through the
house. At the same time he can also open a closed door and go out to the street. 13 . When somebody tries to put
him to bed he shows nonsensical resistance, becomes very aggressive, doesnt answer when somebody calls him.
Some time later becomes to be obedient, allows to put him to bed. In the morning the boy complains of headache ,
about occurrence remembers nothing .When he was young he had a seldom convulsive seizures. Last 2-3 years he
began to study at school worth. Before todays time sometimes urinates in the bed during the sleeping.
To answer: the character of the mental disorders , diagnosis; plan of the examination, medical and pedagogical
examination.

Task 21.
A man of 20 years old ,has been ill with epilepsy from 6 years old. His thinking is rigid ,too heavy switch
over one topic to another, he is solid, often uses pets words. He is smoothtongued , exaggeratedly polite, but
too easy change his character to aggressive and anger. The member is too depressed, the guick wits is bad,
associations are small.
To answer: the character of the mental disorders; treatment ;working prognosis; reabelitation

Task 22.
After generalized tonic and clonic seizure a sick man has not recovered consciousness yet, but a new epileptic
seizure had begun already. Then the next.This situation continuous before the hospitalization of the man.
To answer: the diagnosis of the condition , the stages of the hospitalization; treatment. The reasons of the
appearing.

Task 23.
 A man of 47 years old works like a bookkeeper. Last time gets tired on the work more
than usual , has constant noise in his ears and head He complains that sometimes he cannot
remember the names of the colleagues, who work with him many years , out of hand. He
turns grey very guickly. The skin of him becomes limp. The man admits that he falls asleep
too hard, wakes up very early, and goes to work with a feeling like he didnt sleep. He
cannot watch an emotional movies ,sobs violently.

To answer: diagnosis, the stages of the diseas, extra examinations; treatment(medicaments,

regimen), working prognosis.
Task 24.

A man of 52 years old is an engineer. About 5 years already he has an asthenic state with decreased
reproductive and fixation member. Symtomatology increased and decreased.The rest did not help. As a result of
decreasing of the member he was need to leave the service, because many times his problem was the reason of the
accidents. The man is too emotional: just small injury remembers for a long time , and every time remembers it
with vivid emotions. The colleagues tell that the man becomes to talk too much, likes to tell about his diseases.
From the nervous system tremor of fingers of the arms ,of the head, the symptom of Marinesko-Radovich.

To answer: diagnosis, the stages of the diseas, extra examinations; treatment(medicaments,

regimen), working prognosis.

Task 25.

A man was staying in the hospital because of essential hypertension. During the time of one of the doctors
examinations took a shears and made a wound to the doctor and a nurse .When he had been hospitalized to the
mental hospital he was too strained ,with a fright looked around , tried to run away. After intravenous injection
of 10% solution of calcium gluconate he calmed guickly, became to look around , asked where did he is , why
didnt he stay in the therapy clinic. Nothing remembers about the situation that has happened.

To answer: diagnosis, the stages of the diseas, extra examinations; treatment(medicaments,

regimen), working prognosis. What kind of examinations do we need.

?
Task 26.
A doctor of 57 years old was fallen ill 10 years ago.. First he had an asthenic syndrome, later the disorders of
the members become increase. He forgot at the time of the examination his own patients, several times asked them
the same guestions. Telling about the wife ,who is very carrying of him, every time cries. 2 years ago once in the
evening suddenly he lost consciousness, and was hospitalized to the neurological department by the embassy. After
leaving and before today is reported a right side hemiparesis. Looking the picture with the nonsensical matter, he
doesnt see an inconsistency.
To answer: diagnosis, the stages of the diseas, extra examinations

Task 27.
A woman of 32 years old is an artist. In the cabinet of the doctor behaves demonstrative- constantly tells about
her successes in the theater, that she is loved by people .She is pig-headed ,capricious, too emotionally from the
childhood. Wild reactions of crying she gave to unimportant trouble. To the hospital she was sent because of conflict
with the administration of the theater. She things that she is giving of not very important roles, it not complies with
her talent. After a big shame with the producer she has a convulsive suizer with laugher and crying. She is very
suggestible.
To answer the diagnosis, the treatment, prognosis, ability to work, rebilitation.

Task 28.
A man of 30 years old is an engineer. From childhood he is persistent, audacious, cocky. He has a high opinion
of himself. Also he is suspect, thinks that all people envy him , machinate him. He is sure that his project is scarped
because of envy. In the frazes of somebodys, lookings he sees only attestation of his thinking For the kindness of the
colleagues he asks with anger. Brings an action against the administrator of the factory. It is not possible to change him.
.to answer: the diagnosis, the treatment, prognosis, ability to work, reablitation.
Task 29
A man of 45 years old has a hot- tempered character. Sometimes becomes furious. Not long ago fell on his wife
without the reason , spilled soup on the table cloth ,broke a plate, overturned a table. Dislocated a jaw of his
wife , giving a slap by first in the face of her. Strake a little son. Then calmed, was sorry that has done everything.
From childhood has a features of fits of anger. Last time in the reason of the lives unsucces many times had a
difficult depressions with suicide.

To answer: diagnosis, the stages of the diseas, extra examinations; treatment(medicaments,

regimen), working prognosis. What kind of examinations do we need.

Task 30.
A man of 20 years old is very unsociable, secluded. 20 . He had not a friends. From childhood likes isolated
dreams, guestions wide of the real life. He becomes friends with people very bad. He cannot understands there
mood, it difficult to him to begin a talking. He lives by dreams. He is feeble in a real life.

To answer: diagnosis, the stages of the diseas, extra examinations; treatment(medicaments,

regimen), working prognosis. What kind of examinations do we need.

Task N 31
A patient is very emotional from his childhood , with a big imagination. Also he likes to torment the animals
very much. Now he has told to the doctor, that has a big want to do painfully to the women. At the time of
coitus bits his woman, and only then he feels satisfactoriness. An intellect without pathology..
To answer: the diagnosis

Task 32.
A soldier perpetrated a suicide on the 15 th day of the staying the army .He was putting out of the loop in a 2
minutes after the hanging. The next day ,crying, he told to the commander , that he cannot transfer the situation in
the army. " The sergeant scoff at me, the soldiers make jokes , calling me "worm ", "rachitis". From
childhood the boy was very timid , children of his age always offend him, that is why he tried to play with the
children younger than he. In the school he always was afraid to answer during the essons.
.
To answer; the diagnosis, prognosis, working ability, the doctors examination.

Task 33

From the anamnesis is known that the mother of a sick man had a rubella at the second month of being pregnant.
Now the man has an oligophrenia with inborn heart trouble. He studies in the psyhocorrective school. The behavior of
him is guit.

To answer the differential type of the oligophrenia.

Task 34.
A child has a mental deficiency,moderate with subcortical hyperkinesis. The behavior is unbroken.
The boy cannot study.His mother has not Rhesus-factor.

To explain the mechanism of the diseas.

Task 35.

A child with a mental deficiency studies in a psychocorrectiev school, the behavior is guit. He has a light
thin skin, the iris is hypopigmented. Too many phenylpyruvic acide in the urine.

To answer the diagnosis..

36

The child with a mental deficiency has a ball-shaped head, wide noseband and
slanting palpebral fissures. The nose is small , flatted a little, the mouth is half-open,
the tongue is not housed there. The last one is got out of order . Color on the cheeks. The
movement of the joints is increased. .He studies in the corrective
school with hard. He becomes tired guickly. The boy is passive.
To answer the diagnosis, the mechanism.

Task 37,
From the borning the child has a mental deficiency. He sits in the corners of the room and swings pendulum.
He is untidy. He chews everything that he has in the arms. Doesnt see is it for eat or no. He has not a big stock
of words. The speech of the boy is not developing , sometimes he says only unariculates sounds.

To answer the level of the mental deficiency..

Task 38.
A girl of 15 years old from childhood has a mental deficiency , she is very kind, with a big pleasure makes not
difficult work in the in-patient department, but only when the personnel says to do it. The girl has too little stock of
words, her speech is agrammatical, with bad articulation. She can counts on the fingers of one hand, but only to the
one side .Alimentary arifmethics are difficult.
The diagnosis ..

Task 39.
The boy was hospitalized to the mental hospital in the course of giving medical help. After coming to the
hospital he is active , fearful, has a massive visual hallucinations, funs away from spiders, yellow ants. Pupils of the
eyes is increased, tachycardia. The parents of the boy told that before the diseas the child was playing with the friends
in the forest. In a two days the child got out of psychosis , about the situation tthat has happened didnt remember.
He told to the doctor that before the diseas he was eating some grass.
To answer: the diagnosis, treatment.

Task 40.

A man of 37 years old is is a driver. He was hospitalized to the mental hospital in the course of first aid. He is
disorientation, things that he is in a garage, the people who round him ha calls by the names of his friends. Staying
in the corner of the room he makes some stereotype movements of the hands. I am taking the wire out of the mouth,
says the man. According to the words of the retinue , he was washing the details in the benzene. In a two days the
came out of psychosis , about this situation nothing remembers . Now he complains of headache, insomnia, is
exasperated by noise, sun light.

To answer:the diagnosis, the stages of the hospitalization, the treatment.

Task 41.
A man was hospitalized to the neurosurgery hospital with unconscious state. He was shaken down by a car. In
20 minutes after the accident the consciousness was recovered, the man complained of the headache and giddiness.
Appeared the repeated vomit. He didnt remember the moment , when the car was driving on him. In a week the
condition becomes better, but the headache keep, especially during the reading , watching TW. It is difficult to him
to listen to the guit voice of the people in the ward. The day ligh seems to him too bright.

To answer; the diagnosis, the stages of hospitalization, the treatment.

Task 42.
The woman of 30 years old is a teacher. Half a year ago by the reason of illness of the colleague had to take
excess charge. Soon the director told that they are waiting for the inspection examination. The woman was
anxious , was afraid of negative estimate of her work, more careful prepared for the lessons. Her sleep was broken,
she was fallen asleep bad, felt broken herself in the morning. She became to be exasperate, shout at the children
without the reason, then cried and ran out to the teachers room . during the neurological examination : tremor of the
fingers of the hand, of the eyelids, instability in the pose of Romberg, the reflexes of the knees are increased, palms
and footsteps are sweaty. Somatic without features.
To answer: the diagnosis, treatment, working prognosis.
Task 43.
A man , the navigator of the steamship, ,is 39 years old. He has a stainless reputation from the administration.
Once beached the steamship. Was worried about the situation very much. After getting the ship off the captain
advised the navigator to have a rest. In a 2 days he was ordered to watch., he felt an alarm, appeared a dream, that
the ship will be beached again, so he refused. Since those time during months he could not to drive a ship.
To answer: the diagnosis, treatment, working prognosis.

Task 44.

At the time of fire one of the victim took a basin ,and run with it round the room ,not paying attention to
somebody words. Then run out of the house and also fussed. Suddenly stopped and cried low. Then stooped and
with fright became to tell about what has happened. He had a full amnesia about the time from the begging the fire
till now.

To answer: the diagnosis, working prognosis.

Task 45.

A girl of 5 years old were playing with the door. Suddenly the door clothed, the lock snapped and the girl was
stayed alone in the room. The mother, who was not far from it became to knock at the door with panic and to call
the girl , but she was not having the answer. When the door was forced , the girl was staying in the middle of the
room with stare eyes. She didnt answer the guestions. In a 5 minutes after the situation he began to cry. The next
day the condition of the child was normal.

To answer: the diagnosis, prophylaxis.