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Psychiatry · Organic psychiatry: post-concussional syndrome
Sample itemWeeks after a mild head injury with brief loss of consciousness, a man complains of headache, dizziness, irritability, poor concentration and fatigue, with a normal CT. The condition is
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Post-concussional syndrome
Post-concussional syndrome follows head injury with headache, dizziness, fatigue, irritability, poor concentration and memory difficulty, usually with normal imaging. Most cases resolve within weeks to months. Management is education, reassurance and symptomatic treatment.
Option by option
A. Dementia pugilistica
Dementia pugilistica follows repeated head trauma over many years.
B. Post-concussional syndrome (correct)
Correct. This constellation after mild head injury is post-concussional syndrome.
C. Conversion disorder
Conversion disorder shows neurological deficit without organic cause.
D. Korsakoff syndrome
Korsakoff syndrome follows thiamine deficiency.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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