6. CBLE Community Child

Community Child and Adolescent Psychiatry

 1. A 15-year old girl who is in safe house for her repeated suicidal act since 5 days. At mid night the   warden of the house phones you for her severe agitated and suicidal behaviour, that she finds heard to control her. As an on call child and adolescent psychiatrist:
a) What will be your immediate action over phone? 5
b) List the steps of your afterwards action for this woman. 5

2. A 14-year old girl has suddenly developed episodic attack of persistent cry, incoherence, hyperventilation, convulsion and fit during school period followed by subsequent episodes since 3 days. In this period similar features developed among a good number of her peers. This situation creates marked worries and concerns among teachers and parents and school authority seeks help from your hospital. You are a member of a medical team intending to visit the school to do the needful.
a) What could be possible diagnosis? 4
b) Outline the assessment plan from your part.  6

3. A school bus fall in a horrific road traffic accident with full of students for an excursion trip. Two students died on the spot and many were injured. Later on, teachers observed emotional and behavioral problems among the survivors and school authority seeks consultancy in this regard. You have been sent for the task.
a) Prepare a checklist of your task.  5
b) Outline your intervention plan.  5

4. A school bus falls in a horrific road traffic accident with full of students for an excursion trip. Two students died on the spot and many were injured. Later on, teachers observed emotional and behavioral problems among the survivors and school authority seeks consultancy in this regard. You have been sent for the task.
a) Prepare a checklist of your task. 5
b) Outline your intervention plan. 5

5. A 13-year old girl who has been diagnosed as somatic symptoms disorder with recurrent abdominal pain. It runs in waxing and waning course despite of treatment. Since six month, her condition is worsening more and the girl has been brought by her anxious parents in OPD.
a ) Make a checklist of your assessment. 5
b) Outline your intervention plan.  5

6. You have been assigned to educate teachers of a school as part of an anti-bullying campaign.
a) What information you will provide to the teachers detect possible bully victim? 4
b) List the major steps that need to be taken by school. 6

7. You are assigned as a team leader of child mental health team to support a care home for rape victim girls.
a) Outline your educational contents of psycho-trauma to the carer. 5
b) How will you screen these girls for possible psychiatric disorder? 5

<Child and Adolescent Psychiatry