Neuropsychiatric conditions

32yr old man presents with dyspnoea on exertion and an ankle oedema. You notice he has a short neck, poor muscle tone, and flattened facial features. On cardiac examination, he has mitral regurgitation and ventricular septal defect. What type of major neurocognitive disorder is he most at risk of?

Patient attends the GP due to his worsening asthma. He’s forgotten to attend his last 5 asthma check up appointments. He’s scared to use inhalers because there’s always dragons guarding his medication cupboard. You also notice he is shaking his hand uncontrollably.

A known schizophrenic presents to you with a very frequent postural hypotension. You put this down to her use of haloperidol. You look at her notes and notice she has a history of low neutrophils. What is the most appropriate choice of drug?

Patient has a 3 month history of loss of appetite, sleep disturbances and suicidal thoughts. He tells you that for the past 2 weeks everyone he sees has rainbow coloured teeth, hair and they shout a lot.