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Question 1

Which of the following drugs may be useful in treating


neuroleptic malignant syndrome:
a. Trihexyphenidyl
b. Amantadine
c. Clonidine
d. Bromocriptine +

Question 2
Biochemical etiology of Alzheimer's disease relates to:
a. Acetylcholine +
b. GABA
c. Serotonin
d. Dopamine

Question 3
Auditory hallucinations are not seen in:
a. Mania
b. Schizophrenia
c. Hysteria +
d. Amphetamine toxicity

Question 4
The commonest form of puerperal psychosis is:
a. Organic
b. Affective +
c. Anxiety neurosis
d. Schizophreniform

Question 5
All of the following are selective 5-HT reuptake inhibitors
except:
a. Fluoxetine
b. Fluvoxamine
c. Sertraline
d. Amineptin +

Question 6
Kalloo, a 24-year-old occasional alcoholic, had got a change in
his behaviour. He has become suspicious that people are trying
to conspire against him though his father states that there is not
reason for his fears. He is getting hallucinations of voices
commenting on his actions. What is the most probable
diagnosis:
a. Alcohol induced psychosis
b. Delusional disorder
c. Schizophrenia +
d. Delerium tremens

Question 7
Ambivalence is typically seen in schizophrenia and:
a. Hysteria
b. Dementia
c. Phobia
d. Obsessive compulsive neurosis +

Question 8
What is a lucid dream?
a. A type of nightmare
b. A dream where you know you are dreaming +
c. What Pieron called a "limpid" dream
d. Dream with unusually clear meaning

Question 9
Non-dose-related to side effect of chlorpromazine:
a. Postural hypotension
b. Sedation
c. Extrapyramidal side effects
d. Jaundice +

Question 10
"Sleep apnea" is defined as a temporary pause in breathing
during sleep lasting at least:
a. 20 seconds
b. 30 seconds
c. 40 seconds
d. 10 seconds +

Question 11
Which organs does lithium teratogenecity affect:
a. Limbs
b. Brain
c. Heart +
d. Kidneys

Question 12
Research has shown that people with autism exhibit all of the
following atypicalities EXCEPT which one?
a. Different responses in the superior temporal sulcus to
biological motion
b. Different visual scanpaths when looking at faces to identify
emotions
c. Voices inside head +
d. Different responses in brain area MT to moving objects

Question 13
What is the difference between major depressive disorder and
bipolar disorder?
a. Psychotic features can occur in bipolar disorder but not in
major depressive disorder
b. Bipolar disorder can be treated with medications, but major
depressive disorder cannot.
c. Major depressive disorder involves only depressive
symptoms, but bipolar disorder involves both manic and
depressive symptoms +
d. People with major depressive disorder suffer from intense
anxiety, but those with bipolar disorder do not.

Question 14
Following are features of anorexia nervosa except:
a. Underactivity +
b. Disturbed body image
c. Normal or high height
d. Amenorrhoea

Question 15
Which type of comorbid disorders do nearly one-half of patients
with schizophrenia have?
a. Substance use disorders +
b. Trichotillomania
c. ADHD
d. Hypertension

Question 16
Alcohol dependence is characterized by all except:
a. Ability to control drinking +
b. Social and occupational deterioration
c. Early morning drinking
d. Frequent black out

Question 17
Dysthymia may be treated with all of the following except:
a. Cognitive behavioral therapy
b. Antidepressants
c. Interpersonal therapy
d. ECT +

Question 18
A 3-year old boy keeps alone, does not mingle with others and is
not attracted to toys. He gets irritable whenever he is slightly
disturbed. The diagnosis is:
a. Autistic disorder +
b. Schizophrenia
c. Hyperkinetic child
d. Attention deficit disorder

Question 19
A 25-year-old man with a psychotic illness was treated with
haloperidol 30 mg/day. On the third day he developed pacing,
and inability to sit still at one place. The medication likely to be
helpful is:
a. Propranolol +
b. Methylphenidate
c. Phenytoin
d. Trihexyphenedyl

Question 20
Schizophrenia is characterized by:
a. Visual hallucination
b. Delusion of control +
c. Clouded consciousness
d. Delusion of reference

Question 21
Treatment of choice of acute depression is:
a. Antidepressant drugs +
b. Lithium
c. Psychotherapy
d. Cognitive therapy

Question 22
A 27-year old male patient has been persistently complaining of
pain in the abdomen, back, legs and hands for the past five
years. He also suffers from bloating of abdomen and episodes of
diarrhoea. He has a history of early ejaculation and has suffered
from several episodes of vertigo and giddiness. The most likely
diagnosis is:
a. Factitious illness
b. Hypochondriasis
c. Conversion symptom
d. Somatization disorder +

Question 23
Cognitive therapy is useful in depression and:
a. Mania
b. Anxiety state + ​
c. Hysteria
d. OCD

Question 24
The factors which are related to the risk and prognosis of tardive
dyskinesia include following except:
a. Age
b. Duration of neuroleptics treatment
c. Sex
d. Dosage of neuroleptics +

Question 25
Antipsychotic drug to be avoided especially in I trimester of
pregnancy is:
a. Carbamazepine.
b. Chlorpromazine
c. Lithium +
d. Haloperidol

Question 26
Patient, 45 years, was brought to casualty with abnormal
movements which included persistent deviation of neck to right
side. One day before she was prescribed Haloperidol 5 mg three
times daily from the psychiatry OPD. She also had an
alternation with her husband recently. Which of the following is
the most likely cause for her symptoms:
a. Conversion reaction
b. Acute psychosis
c. Acute drug dystonia +
d. Cerebro vascular accident

Question 27
Match the following: :
Disorder of Ego's defence mechanism:
I. Hysteria (i) Displacement:
II. Obsessional (ii) Idealization:
III. Depression (iii) Isolation:
IV. Phobia self (iv) Turning on the
a. I (iv) II (iii) III (i) IV (ii)
b. I (i) II (ii) III (iv) IV (iii)
c. I (iii) II (iv) III (ii) IV (i)
d. I (ii) II (iii) III (iv) IV (i) +

Question 28
Which best defines dysthymia?
a. A less intense but longer-lasting form of depression +
b. A mood characterized by fast, disconnected thoughts
c. A movement disorder often caused by psychoactive
medication
d. The early phase of a bipolar episode, before symptoms
become severe.

Question 29
Not a contribution of Sigmund Freud:
a. Interpretation of dreams
b. Effects of cocaine
c. Psychosexual stages of development
d. Superiority-Inferiority complex +

Question 30

Direct evidence of alcohol addiction is:


a. Confabulation


b. Withdrawal symptoms +


c. Memory disturbance


d. Cirrhosis

Question 31
What are features of anxiety, except:
a. Excessive seating
b. Palpitations
c. Tremors
d. Loss of consciousness +
Question 32
AH of the following are Non-REM (Stage IV) disorders except:
a. Somnambulism
b. Night terror
c. Nocturnal enuresis
d. Nightmare +

Question 33
ECT is least effective in:
a. Catatonic schizophrenia
b. Depression
c. Mania
d. Chronic schizophrenia +

Question 34
A patient present with waxy flexibility, negativism and rigidity.
The diagnosis is:
a. Catatonic schizophrenia +
b. Hebephrenic schizophrenia
c. Simple schizophrenia
d. Paranoid schizophrenia

Question 35
In legal terms, "Mental competency" is when:
a. The patient is able to carry out certain civil responsibilities +
b. The patient has been made fully responsible for any criminal
act provided by a court of law
c. The person knows the extent of his property
d. The patient is aware of the nature and consequences of his
acts

Question 36

Which of the following is characterized by a long history of


dramatic complaints about faked medical conditions?
a. Facititous disorder +
b. Anxiety Disorder
c. Somatoform Disorder
d. Mood Disorder

Question 37
The most common form of dissociation hysteria is:
a. Fugue
b. Amnesia +
c. Multiple personality
d. Somnambulism
Question 38
Visual hallucinations are most commonly seen (among
following) in:
a. Amphetamine toxicity
b. Delirium +
c. Schizophrenia
d. TLE

Question 39
A 42-year-old man is referred to the office for mental health
evaluation. The patient says he has a long-standing fear of
criticism and rejection. He also has feelings of inadequacy and
refuses to try new activities because of his fear of
embarrassment. The patient has held the same entry level
position at his workplace for the past 14 years despite several
opportunities for promotion. The patient is unmarried and has
only had one intimate relationship, which lasted only a few
weeks. He has few friends other than those in his model airplane
club. Which of the following personality disorders is the most
likely diagnosis?
a. Avoidant +
b. Dependent
c. Schizoid
d. Paranoid

Question 40
Commonest psychiatric illness in India is:
a. Anxiety neurosis
b. Endogenous depression
c. Schizophrenia
d. Neurotic depression +
Question 41

The following are disorders of sleep except:


a. Fugue +


b. Night terrors


c. Nightmares


d. Narcolepsy

Question 42

The word "Schizophrenia" was coined by:


a. Bleuler +


b. Kraeplin


c. Adler


d. Freud

Question 43

The process by which sensory organs transform mechanical,


chemical, or light energy into electrochemical energy or neural
transmission is called


a. psychophysics


b. adaptation


c. perception +


d. transduction

Question 44

A 65-year old male is brought to the outpatient clinic with one


year illness characterized by marked forget-fullness, visual
hallucinations, suspiciousness, personality decline, poor self
care and progressive deterioration in his condition. His Mini
Mental Status Examination (MMSE) Score is 10. His most
likely diagnosis is:


a. Depression


b. Dementia +


c. Mania


d. Schizophrenia

Question 45

A 35-year-old man with bipolar disorder, most recent episode


mixed, comes to the clinic for routine follow-up examination.
His condition has been difficult to control and has required
treatment with multiple medications during the past two years.
The patient says his mood has been stable with his current
regimen, but for the past three months, he has had tremor
primarily affecting his hands. Which of the following
medications is the most likely cause of this patient's tremor?


a. Gabapentin


b. Lamotrigine


c. Lithium carbonate +


d. Carbamazepine

Question 46

A young female with bipolar mood disorder who failed to


respond to adequate lithium therapy should be prescribed:


a. Amitriptyline


b. Carbamazepine +


c. Chlorpromazine


d. Haloperidol

Question 47

Delusions are seen in all the following except:


a. Depression


b. Mania


c. Obsessive compulsive disorder +


d. Schizophrenia

Question 48

All of the following are true about panic disorder except:


a. It affects an estimated 6 million adults in the United States


b. The tendency to develop panic attacks appears to be heritable


c. Twice as many women are affected


d. Panic attacks do not occur during sleep +

Question 49
Which of the following may be used in the treatment of
Resistant depression except:


a. Lithium


b. Propranalol +


c. Low dose of major tranquilizer


d. Thyroxine

Question 50

Which of the following is a consistent good indicator of good


outcome in anorexia nervosa:


a. Psychological adjustment


b. Early age of onset +


c. Weight status


d. Personality

Question 51

The Ego's defence mechanism "Projection" is seen in:


a. Paranoid Schizophrenia +


b. Hysteria


c. Neurotic depression


d. Obsessive compulsive neurosis

Question 52

According to Aaron Beck's cognitive behaviour therapy,


depression is disorder of:


a. Thinking +


b. Insight


c. Affect


d. Perception

Question 53

Which type of schizophrenia has early onset and poor prognosis:


a. Paranoid


b. Simple


c. Catatonic


d. Hebephrenic +

Question 54

Which of the following is the basic disturbance in psychosis:


a. Hallucinations


b. Delusions


c. Loss of reality testing +


d. Personality deterioration

Question 55

An 8-year old child was found to be very restless and


hyperactive in the classroom making it difficult for the other
students in the classroom to concentrate. He runs round the class
all day long and cannot sit at one place for a long time. He gets
very agitated when the toy in his hand is taken away. The most
probable diagnosis is:


a. Attention deficit hyperactivity disorder +


b. Conversion


c. Conduct disorder


d. Autism

Question 56

Schizophrenia is considered to be due to over-activity of which


of the following dopaminergic systems:


a. Nigrostriatal


b. Mesocortical +


c. None of the above


d. Tuberculo infundibular

Question 57

The basic determinant in treating Drug Addicts is:


a. High intelligence


b. Motivation +


c. Behaviour therapy


d. Vitamin complex therapy

Question 58

Thought block is characteristically seen in:


a. Schizophrenia +


b. Mania


c. Delirium


d. Dementia

Question 59

A mechanism characteristic of obsessive neurosis is:


a. Conversion


b. Projection


c. Undoing +


d. Denial

Question 60

Compared to unipolar disorders, bipolar disorders:


a. Have an older age of onset


b. May have an acute episode precipitated by imipramine +


c. Are less likely to benefit prophylactically from lithium
treatment


d. Are more common in women than in men

Question 61

Korsakoffs psychosis is typically associated with following


except:


a. Disorientation in time


b. Confabulation


c. An inability to learn new material


d. Bradycardia +

Question 62

Treatment of obsessive compulsive disorder is:


a. Behavior therapy only


b. Drugs (SSRI)+behavior therapy +


c. SSRI's


d. Anxiolytic drugs

Question 63

Loss of insight occurs in:


a. Anxiety neurosis


b. Psychosomatic disorders


c. Hysteria


d. Schizophrenia +

Question 64

Neurofibrillary tangles with senile plaques are seen in:


a. Alzheimer's disease +


b. Parkinson's disease


c. Tuberous sclerosis


d. Schizophrenia

Question 65

A 28-year-old man comes to the office because he has had


severe restlessness, anxiety, and generalized myalgia during the
past three days. The patient says he has not slept for the past two
days. Physical examination shows dilation of the pupils,
excessive lacrimation, diaphoresis, and piloerection. The most
likely cause of this patient's condition is withdrawal of which of
the following substances?


a. Methamphetamines


b. Opioids +


c. Cannabis


d. Cocaine

Question 66

Sensate focus technique is useful for:


a. Psychosomatic disorders


b. Sleep disorders


c. Personality disorders


d. Sexual disorders +

Question 67

In phobic neurosis, main ego defense used by the patient is:


a. Reaction formation


b. Repression


c. Undoing


d. Avoidance +

Question 68

The treatment of choice in Attention Deficit Hyperactivity


Disorder is:


a. Imipramine.


b. Methylphenidate. +


c. Alprazolam.


d. Haloperidol.

Question 69

A patient comes in stupor condition with the given history of


being continuously sad, and suicidal attempts, not eating and
sleeping most of the time. The best treatment is:


a. Sedatives +


b. Antidepressant


c. ECT


d. Anti psychotic

Question 70

The most important indication of flooding and implosion


therapy is:


a. Somatoform disorder


b. Anxiety neurosis


c. Phobias +


d. Obsessive compulsive neurosis

Question 71

Behaviour therapy to change maladaptive behaviours using


response as reinforcer uses the principles of:


a. Social learning


b. Modeling


c. Operant conditioning +


d. Classical conditioning

Question 72
ECT is most useful in schizophrenia:


a. Hebephrenic


b. Paranoid


c. Simple


d. Catatonic +

Question 73

The probability that if one identical (monozygotic) twin is


diagnosed with schizophrenia, so will the other twin be
diagnosed


a. 90%


b. 1%


c. 50% +


d. 10%

Question 74

The following is a Schneider's first rank symptom:


a. Voices commenting on actions. +


b. Delusion of guilt.


c. Persecutory delusion.


d. Incoherence.

Question 75

AH of the following are true of Rett’s syndrome except:


a. Severe MR


b. X-linked recessive +


c. Near normal early development


d. Reported only in girls

Question 76

Mental retardation is diagnosed if I.Q. (intelligence quotient) is


less than:


a. 90


b. 60


c. 80


d. 70 +

Question 77

What is an example of recognition testing?


a. "What is the capital of Belarus?"


b. "What did you have for breakfast yesterday?"


c. "On the list I showed you earlier, which words began with the
letter "m"?"


d. "Is this one of the words I showed you earlier?" +

Question 78

Extrapyramidal side effects (particularly common in patients on


first-generation antipsychotics), includes:


a. Akathisia


b. Dystonia


c. Parkinsonism


d. All of them +

Question 79

Differentiation of hysterical fits from epileptic fit:


a. Injuries to person


b. Incontinence


c. Occurs when people are watching +


d. Occur in sleep

Question 80

Morbid jealousy is most often seen in patients taking:


a. Amphetamine


b. Alcohol +


c. Cannabis


d. LSD

Question 81

The most useful drug in treatment of obsessive compulsive


disorder is:


a. Fluoxetine +


b. Doxepin


c. Dothiepin


d. Amonxapine

Question 82

An effective intervention for many anxiety disorders is: ---1.


Antipsychotic agents alone


a. ECT and pharmacotherapy


b. Antidepressants alone


c. Behavioral health treatment, especially cognitive behavioral
therapy +

Question 83

Symptom with the best prognosis in Schizophrenia is:


a. Paucity of thought


b. Anhedonia


c. Auditory hallucination +


d. Apathy

Question 84

All of the following biological factors have been proposed to


contribute to premenstrual tension except:


a. Oestrogen excess


b. Hypoglycemia and vitamin deficiency


c. Fluid retention


d. Progesterone excess +

Question 85

How would you describe the condition called dyslexia?


a. Inability to retrieve difficult vocabulary words, on command


b. An impairment of language processing due to minimal brain
damage


c. Specific problems with reading +


d. Any impairment of language processing

Question 86

What is wrong about disorder of thought in schizophrenia:


a. Suggestibility +


b. Overinclusion


c. Circumstantially


d. Incoherence

Question 87

Which part of CNS is involved in Wernicke's encephalopathy:


a. Frontal lobe


b. Mammillary body +


c. Thalamus


d. Arcuate fasciculus

Question 88

The following drugs may be helpful to control the obesity


except:


a. Fluoxetine


b. Chlorpromazine +


c. Fenfluramine


d. Amphetamine

Question 89

All of the following are associated with bipolar disorder except:


a. Manic episodes


b. Functional impairment


c. Frequent spontaneous resolution of all symptoms +


d. Rapid cycling

Question 90

Prevalence of mentally ill patients in India is approximately:


a. 5-10/1000


b. 10-20/1000 +


c. 100-200/1000


d. 1-5/1000

Question 91

What is a key component of schizophrenia treatment


algorithms?


a. Psychotherapy


b. Antipsychotics +


c. Anxiolytics


d. Antidepressants

Question 92

Pappu hits his neighbour, next day he feels police believed him
that his brain is controlled by radio-waves by his neighbour, he
paces up and down in the room, diagnosis is as follows:


a. Depression


b. Passivity feeling +


c. Delusion of persecution


d. Thought insertion

Question 93
Which of the following is least useful in the treatment of
attention deficit disorder:


a. Imipramine


b. Haloperidol


c. Lithium +


d. Magnesium pemoline

Question 94

Which of the following people would probably not be diagnosed


as psychotic?


a. A man who believes space aliens monitor his thoughts.


b. A non-believer who hears “the voice of God” in his head and
believes it to be real


c. A devout church-goer who does not hear “the voice of God” +


d. A man who constantly yells at unfamiliar strangers, believing
that they are plotting to steal his girlfriend.

Question 95

In morbidity obese persons, hypoventilation with consequent


hypercapnia, hypoxia and finally somnolence is known as:


a. Kluver Bucy syndrome


b. Simmond's disease


c. Kleine Levin syndrome


d. Pickwickian syndrome +

Question 96

Which of the following statement about children and


adolescents with bipolar disorder is not true?


a. Treatment generally involves a combination of medication
and behavioral/psychosocial interventions


b. Many have co-occurring disorders such as substance abuse,
suicidality, and psychosocial issues


c. Most require ongoing treatment to prevent relapse and some
require lifelong treatment


d. A significant proportion outgrows the disorder and requires
no further follow-up +

Question 97

The ultimate difference between obsession and delusion is:


a. Associated anxiety


b. Content


c. Presence or absence of insight +


d. Premorbid personality

Question 98

The treatment of choice in post-partum psychosis is:


a. Phenothiazine


b. Antidepressants


c. Electroconvulsive therapy +


d. Psychotherapy

Question 99

Schizophrenia is primarily a disorder of:


a. Thought +


b. Perception


c. Conduct


d. Mood

Question 100

Which one of the following medications may cause hypertensive


crisis?


a. MAO inhibitors +


b. Tricyclic antidepressants


c. Lithium carbonate


d. Pnenothiazines

Question 101

Following are common side effects of clozapin except:


a. Agranulocytosis


b. Seizures


c. Neuroleptic malignant syndrome +


d. Hypotension

Question 102

A patient on antipsychotic treatment developed h/o muscle


rigidity, increased CK & fever, he was on:


a. Haloperidol +


b. Risperidone


c. Clozapine


d. Thioridazine

Question 103

In dementia following is not observed:



a. Deterioration of higher functions


b. Loss of memory


c. Disorientation +


d. Confabulation

Question 104

Obsession is a disorder of which part of thinking:


a. Tempo


b. Continuity and form


c. Content


d. Possession +

Question 105

REM sleep is associated with:


a. Night terror


b. Night mares +


c. Sleepwalking


d. None

Question 106

Following is withdrawal symptom of opiates:


a. Miosis


b. Dry and warm skin


c. Rhinorrhoea +


d. Constipation

Question 107

Which is true about voltage and time used in electroconvulsive


therapy:


a. 40-60 volts, 2 minute


b. 90-120 volts, 0.3 second +


c. 120-150 volts, 3 minutes


d. 80-90 volts, 0.01 second

Question 108

Maniac depressive psychosis (Bipolar) is more common in


personality:


a. Dysthymic


b. Anankastic


c. Cyclothymic +


d. Schizotypal

Question 109

Schizophrenia, mania and obsessive compulsive disorder are a


part of which stream of psychology?


a. Health Psychology


b. Normal Psychology


c. Criminal psychology


d. Abnormal Psychology +

Question 110

A patient who has rage against his wife, but engages in


ritualistic behavior to save her from imagined dangers is using
Ego's defence mechanism:


a. Reaction formation


b. Identification


c. Undoing +


d. Projection

Question 111
Drug that is known to produce manic like syndrome include
following except:


a. Tricyclic antidepressant


b. Amphetamine


c. Corticosteroids


d. Reserpine +

Question 112

The lesion of which part of the brain may present only as long
term (remote) amnesia:


a. Frontal lobe


b. Parietal lobe


c. Hippocampus +


d. Hypothalamus

Question 113

Adaptive physiological changes that occur in response to acute


stress include all of the below EXCEPT


a. Suppression of digestion


b. Suppression of immune system


c. Suppression of growth +


d. Suppression of cardiovascular tone

Question 114

The aim of psychotherapy is:


a. To relieve anxiety


b. To change the personality


c. To lead to understanding, integration and acceptance of self +


d. To modify maladaptive habits

Question 115

Which is associated with narcolepsy:


a. Obesity


b. All are true +


c. Lymphocytosis


d. Sexual impotence

Question 116

A patient presents with a history of continuous headache for the


past 8 years. Repeated examinations had failed to reveal any
lesion. The patient is not convinced and believes that he has a
tumor in his brain. He is referred to a psychiatrist, who, after
examination of his case comes to a conclusion. The most
probable diagnosis is:


a. Obsessive Compulsive Disorder


b. Somatoform pain disorder


c. Somatization


d. Hypochondriasis +

Question 117

In all of the following types of admission to a mental hospital,


medical certification is not -required except:


a. Admission under special circumstances


b. Reception order on application


c. Voluntary +


d. For mentally ill prisoners

Question 118

Concept of "Inferiority Complex" was given by:


a. Alfred Adler +


b. Sigmund Freud


c. Anna Freud


d. Carl Jung

Question 119

The squeeze technique was devised for the treatment of:


a. Secondary impotence


b. Premature ejaculation +


c. Primary impotence


d. Frigidity

Question 120

A boy attempts suicide, brought to private doctor and he


succeeds in cure. Doctor should:


a. Report to magistrate


b. Refer to a psychiatrist


c. Inform police +


d. Not required to inform

Question 121

Dreaded side effect of clozapine is:


a. Tardive dyskinesia


b. Agruanulocytosis +


c. Headache


d. Seizures

Question 122

You have to make a phone call and you ask your friend for the
phone number. Which type of memory can help you remember
the number for a short period?


a. Sensory memory


b. Non of the above


c. Long term memory


d. Short term memory +

Question 123

A chronic alcoholic has now got a change in his behaviour for


the past one year. He complains that his neighbours mock him
and people sneeze on him. He is also suspicious of his wife. He
is well groomed and his speech is normal. The most likely
diagnosis is:


a. Alcohol paranoia +


b. Conversion disorder


c. Paranoid schizophrenia


d. Paranoid personality

Question 124

Hypnosis is a debated treatment technique. What is the popular


opinion about what it involves?


a. Eye fatigue


b. Locus coeruleus


c. Hyper-suggestibility +


d. Synchronization of brain waves

Question 125

Which of the following psychiatric illness is most common after


cardiac surgery:


a. Schizophrenia


b. Compensation neurosis


c. Anxiety neurosis


d. Delirium +

Question 126

The goals of acute treatment for schizophrenia include all


except:

a. Encouraging introspection and reflection +


b. Reducing the severity of psychosis and associated symptoms


c. Eliminating or reducing symptoms such as disturbed behavior


d. Preventing harm

Question 127

A 20-year-old young woman who is a college student comes to


the health services center because she has had symptoms of
depression for the past three months, since she was a victim of
date rape at a party. The patient says she was heavily intoxicated
when the incident occurred and has little memory of the event,
but she was embarrassed and ashamed when she awoke at the
scene and realized what had happened. She did not seek medical
care at that time. The patient says she has not told her friends
about the incident, and she has continued to attend classes and
work part time. However, she says she constantly feels sad and
anxious, has become tearful and withdrawn, and has had
difficulty sleeping because of frightening nightmares. Which of
the following psychiatric conditions does this patient most likely
have?


a. Post-traumatic stress disorder +


b. Generalized anxiety disorder


c. Acute stress disorder


d. Major depressive disorder

Question 128
The difference between neurosis and psychoses is observed in:


a. Insight +


b. Severity


c. Precipitants


d. Clinical features

Question 129

All of the following meet the criteria of insanity according to the


M` Naughten rule except:


a. He does not know that it is wrong


b. Patient does not know the nature of his act


c. He is psychotic, drug addict or epileptic +


d. He does not know the harmfulness (quality) of his act

Question 130

"Operant conditioning" was given by:


a. Adler


b. Freud


c. Skinner +


d. Pavlov

Question 131

Delusion is seen in all except:


a. Anxiety neurosis +


b. Schizophrenia


c. Mania


d. Depression

Question 132

Drug of choice for enuresis in children:


a. Triimipramine


b. Desmopression +


c. Chlorpromazine


d. Mianserin

Question 133

'Flash-back' phenomenon is seen with the use of:


a. LSD


b. All of the above +


c. Cannabis


d. Psilocybin

Question 134

The Klein-Levine syndrome is characterized by all of the


following except:


a. Examination of objects by mouth +


b. Hyperphagia


c. Male predominance


d. Hypersomnia

Question 135

Which of the following component is least important in electro-


convulsive therapy (ECT):


a. Interval or type of therapy


b. Duration of current


c. AC or DC current +


d. Voltage and amperage of current

Question 136
A 41-year old married female presented with headache for the
last 6 months. She had several consultations. All her
investigations were found to be within normal limits. She still
insists that there is something wrong in her head and seeks
another consultation. Most likely diagnosis is:


a. Phobia


b. Hypochondriasis +


c. Depression


d. Psychogenic headache

Question 137

Outpatient detoxification may be contraindicated for all of the


following groups except:


a. Adolescents +


b. Persons whose withdrawal signs and symptoms are
sufficiently severe to require 24-hour inpatient care


c. Persons with a history of delirium tremens or withdrawal
seizures


d. Persons with unstable medical conditions such as diabetes,
hypertension, or pregnancy

Question 138

Which is the most popular definition of psychology as a


science?

a. Psychology is the science of behavior.


b. Psychology is the science of consciousness.


c. Psychology is the science of the mind. +


d. Psychology is the science of philosophy.

Question 139

Which of the following is most common psychiatric diagnosis in


HIV-infected (AIDS) individuals:


a. Adjustment reaction +


b. Dementia


c. Delirium


d. Paranoid psychosis

Question 140

A student did poorly on an examination. The student is afraid


that he will fail in the course. On the next occasion he walks into
the room in which the examination was given. He experiences
fear. This is an example of:


a. Cognitive learning


b. Inhibition learning


c. Fixed schedule learning


d. Classical conditioning learning +

Question 141

What is true about REM sleep:


a. - muscle tone


b. Maximum dreams +


c. Static eyeballs


d. Non-arousal sleep

Question 142

Best response to ECT is seen in:


a. Paranoid schizophrenia


b. Depression with suicidal tendency +


c. Depression without suicidal tendency


d. Simple schizophrenia

Question 143

Symptoms of depression in children and adolescents include all


of the following except:


a. Gregariousness +


b. Anhedonia


c. Persistent depressive or sad mood


d. Irritability

Question 144

Type A personality is associated with following except:


a. Psychosomatic disease


b. Phobic neurosis +


c. Coronary artery disease


d. Excessive competitiveness

Question 145

In differential diagnosis of attacks in hysteria and epilepsy:


a. Video EEG is useful +


b. Criterion of diagnosis is a preceding emotional disturbance


c. All are true


d. Tongue biting may occur in both

Question 146
A 37-year-old man comes to the office after he experienced
what he says was a nervous breakdown. The patient says that
after he recently declared bankruptcy, losing his home and his
business, he became very depressed. During this time, he began
to hear voices telling him that he was useless and should kill
himself. The patient says his symptoms stopped after
approximately one week. He has had no similar episodes.
Medical history includes no psychiatric conditions. Physical
examination shows no abnormalities, and results of laboratory
studies are within normal limits. Which of the following is the
most likely diagnosis?


a. Schizophrenia


b. Brief psychotic disorder +


c. Major depressive disorder with psychotic features


d. Borderline personality disorder

Question 147

The percentage of enzyme which must be inhibited for optimal


antidepressant effect of MAO inhibitors is:


a. 20-30%


b. 30-35%


c. 98-99%


d. 60-80% +

Question 148
Neuroleptic malignant syndrome is characterized by:


a. Hypothermia


b. Labile BP +


c. Hypotonia


d. Bradycardia

Question 149

Which of the following is a poor prognostic factor in obsessive


compulsive neurosis:


a. Absence of distress or anxiety +


b. Absence of obsessive premorbid personality


c. Presence of depression


d. Late age of onset

Question 150

Akathesia is treated with all except:


a. Decreased dose of phenothiazines


b. Benzodiazepines


c. Anticholinergics


d. Haloperidol +

Question 151

Echolalia is a recognized symptom of:


a. Severe mental abnormality


b. Catatonia


c. Dementia


d. All of the above +

Question 152

All are features of Kanner's syndrome except:


a. Preoccupation with inanimate objects


b. Mutism


c. Failure to develop attachment to a parental figure


d. Obsessive demand for a change in the environment +

Question 153

Positive symptoms of schizophrenia include all of the following


except:


a. Auditory and visual hallucinations


b. Increased psychomotor activity


c. Delusions of persecution


d. Affective flattening +

Question 154

Among following, treatment of choice for opiate withdrawal:


a. Clonidine +


b. Amitriptyline


c. Amoxapine


d. Clomipramine

Question 155

By convention, obesity is said to be present when a body weight


exceeds the standard weight listed in the usual height-weight
tables by:


a. 10%


b. 20% +


c. 15%


d. 35%

Question 156

Commonest side effect of neuroleptic drugs is:


a. Postural hypotension


b. Sedation +


c. Extrapyramidal side effects


d. Constipation

Question 157

Obsessive compulsive neurosis is characterized by except:


a. Ambivalence


b. Repeated hand washing


c. Elaborate checking


d. Excessive anxiety +

Question 158

All are features of type A behaviour, proposed by Friedman and


Rosenman except:


a. Hard driving career orientation


b. Ambitiousness


c. Time urgency and impatience


d. Poor job involvement +

Question 159

A person with traits of disciplinarian, punctual, parsimonious,


clean, liking orderliness has personality:


a. Dysthymic


b. Schizotypal


c. Narcissistic


d. Anankastic +

Question 160

Which of the following was not part of Freud’s psychoanalysis?


a. Dream analysis


b. Exposure


c. Hypnosis +


d. Free association

Question 161

Not a feature of hysterical personality:


a. Parsimonious +


b. Manipulative


c. Narcissistic


d. Suggestible

Question 162

Neologism is characteristic for:


a. Depression


b. Schizophrenia +


c. Dysmorphophobia


d. Mania

Question 163

The breakdown of which product of alcohol is blocked by the


disulfiram drug:


a. Acetaldehyde +


b. NAD


c. Alcohol dehydrogenase


d. Acetate

Question 164

Physical dependence is not a feature of using:


a. Cannabis


b. Opiate


c. Amphetamine


d. Cocaine +

Question 165

Not a feature of paradoxical sleep is:


a. Rapid eye movements


b. EEG shows decreased activity +


c. Brain shows increased metabolism


d. Decreased muscle tone

Question 166

The Kleine Levin syndrome is characterized by all of the


following except:


a. Hyprsomnia


b. Male predominance


c. Hyperphagia


d. Examination of objects by mouth +

Question 167

A 30 year old man presented with symptoms of palpitations and


sweating on meeting seniors and on making public
presentations. This made him try to avoid such situations. The
possible diagnosis is:


a. Social phobia +


b. Panic reaction


c. Avoidance personality


d. Adjustment disorder

Question 168

"Pseudocommunity" is seen in:


a. Dementia


b. Drug dependence


c. Paranoid states +


d. Schizotypal personality disorder

Question 169
Behaviour therapy is done for all except:


a. Stuttering


b. OCN


c. Phobia


d. Hysteria +

Question 170

ECT is useful in:


a. Dissociative symptoms


b. Conversion reaction


c. Delusions +


d. Organic brain syndrome

Question 171

Impulsive actions include all except:


a. Kleptomania


b. Pyromania


c. Trichotillomania


d. Dipsomania +

Question 172

Behaviour therapy is aimed at:


a. All of the above


b. Change the personality of the patient


c. Changing symptoms of the patient to adjust to life +


d. Identify the unconscious conflict

Question 173

Which of the following is not seen in schizophrenia:


a. Memory loss +


b. Flat affect


c. Delusion


d. Hallucination

Question 174

Match the following:


I. Hecker (i) Catatonia:
II. Kahlbaum (ii) Process schizophrenia:
III. Morel (iii) Hebephrenia:
IV. Langfeldt (iv) Demence precoce


a. I (iii) II (i) III (iv) IV (ii) +


b. I (iv) II (i) II (iii) IV (ii)


c. I (iii) II (i) III (ii) IV (iv)


d. I (ii) II (i) III (iv) IV (iii)

Question 175

A patient came with complaints of having a deformed nose and


also complained that nobody takes him seriously because of the
deformity of his nose. He has visited several cosmetic surgeons,
but they have sent him back saying that there is nothing wrong
with his nose. He is probably suffering from:


a. Obsessive compulsive disorder


b. Hypochondriasis


c. Somatization


d. Delusional disorder +

Question 176

Differential diagnosis of anxiety neurosis includes the following


except:


a. Caffeinism


b. Alcohol dependence +


c. Thyrotoxicosis


d. Phaeochromocytoma

Question 177

Asperger’s syndrome is:


a. Neuromuscular disease


b. Metabolic disorder


c. Degenerative disorder


d. Developmental delay +

Question 178

Treatment of lithium induced hypothyroidism is:


a. Withdrawal of lithium


b. Iodine


c. Reduction in dosage of lithium


d. Thyroxine +

Question 179

The treatment of choice of lithium induced tremors is:


a. Benzhexol


b. Propranolol +


c. Amantadine


d. Diazepam

Question 180

Treatment of premenstrual syndrome includes all except:


a. Dietary changes and exercise


b. Avoidance of substance use, especially alcohol


c. Diuretics


d. B6 supplementation +

Question 181

Which of the following newer drug is relatively contraindicated


in glaucoma:


a. Trazodone


b. Fluoxetine


c. Tryptophan


d. Dothiepin +

Question 182
"Learned helplessness" is typically seen in:


a. Depression +


b. Dementia


c. Schizophrenia


d. Delirium

Question 183

The congenital abnormality, which may be seen in foetus if


benzodiazepine is given to a pregnant lady in first trimester is:


a. Cleft lip +


b. Respiratory distress syndrome


c. Atrial septal defect


d. Pulmonary stenosis

Question 184

Oedipus complex (given by Sigmund Freud) is seen in:


a. Girls of 1-3 years of age


b. Boys of 3-5 years of age +


c. Girls of 3-5 years of age


d. Boys of 1-3 years of age

Question 185

Hypochondriasis is:


a. Repeated hospitalization with depressive symptoms


b. Fear of fatal diseases


c. Too much concern about one’s own health and
misinterpretation of normal body sensation +


d. Marked mental and physical fatigue

Question 186

The therapeutic levels of Lithium are:


a. 0.6-1.2 mEq/lit +


b. l-2mEq/lit


c. 0.3-0.6mEq/lt


d. 2-3 mEq/lt

Question 187

In a psychopath, following are seen, except:


a. Lesson from past experience +


b. Social non-conformity


c. Does not accept authority


d. Personality disorder

Question 188

Testamentary capacity refers to:


a. Criminal liability


b. Ability to give evidence


c. Right to vote


d. Ability to make a valid will +

Question 189

A 19-year-old young woman who is a college student is brought


to the clinic by her roommate because she has been acting
strangely during the past six months. During the past month, the
patient has been describing how another person's thoughts have
been entering into her mind. The patient's grades have been
slipping, and she does not talk as much as she did previously.
The roommate says that when the patient does talk, she strays
from the topic and is hard to follow. During the interview, the
patient says a television reporter told her that the government
had a special message for her and she should listen to the radio
for further instructions. Which of the following conditions is the
most likely cause of this patient's symptoms?


a. Delusional disorder


b. Schizoaffective disorder


c. Schizophrenia +


d. Acute stress disorder

Question 190

Echolalia is characteristically seen in schizophrenia:


a. Paranoid


b. Catatonic +


c. Simple


d. Hebephrenic

Question 191

A 23-year-old man comes to the office because he has pain in


his right hand. The nurse says the patient was irritable and
reluctant to answer many intake questions, and he refused to put
on Sample Psychiatry Questions & Critiques ©NCCPA. 2011-
2015. All rights reserved. An examination gown. On
questioning, the patient is initially charming and glib, but after
he is assured that the information he shares will not be relayed
to his probation officer, he admits that he was involved in a
fistfight. He says proudly that "the other guy is in a lot worse
shape." Which of the following psychiatric conditions does this
patient most likely have?


a. Conduct disorder


b. Bipolar disorder, most recent episode hypomanic


c. Antisocial personality disorder +


d. Oppositional defiant disorder

Question 192

Naltrexone may be used as pharmacotherapy for which of the


following disorders:


a. Mood disorders


b. Schizoaffective disorder


c. Impulse and Disruptive Behaviors


d. Substance use disorders +

Question 193

A woman suffered during an earthquake and she was


successfully treated. After recovery she has nightmares about
the episodes and she also gets up in the night and fells terrified.
The most probable diagnosis is:


a. Mania


b. Schizophrenia


c. Post-traumatic stress disorder +


d. Major depression

Question 194

Newer non-sedative, non hypnotic anxiolytic is:


a. Lorazepam


b. Diazepam


c. Buspirone +


d. Alprazolam

Question 195

The following symptoms are common in anorexia nervosa


except:


a. Weight loss


b. Menorrhagia +


c. Mood changes


d. Dehydration

Question 196

Less memory disturbance is seen with:


a. Bilateral ECT


b. Modified ECT


c. Direct ECT


d. Unilateral ECT +

Question 197

Which of the following psychiatric illness does the myxedema


madness resemble:


a. Depression


b. Paranoid psychosis +


c. Anxiety neurosis


d. Dementia

Question 198

A 16-year old girl was brought to the psychiatric emergency


after she slashed her wrists in an attempt to commit suicide. On
enquiry her father revealed that she had made several such
attempts of wrist slashing in the past, mostly in response to
trivial fights in her house. Further she had marked fluctuations
in her mood with a pervasive pattern of unstable interpersonal
relationship. The most probable diagnosis is:


a. Major depression


b. Adjustment disorder


c. Histrionic personality disorder


d. Borderline personality disorder +

Question 199

Symptoms of panic disorder may include all of the following


except:


a. Fever and shaking chills +


b. Dizziness and shortness of breath


c. Chest pain and tachycardia


d. Feelings of impending doom

Question 200

In mania, following is not observed:


a. Loosening of association +


b. Flight of ideas


c. Elated mood


d. Pressure of ideas

Question 201

A patient presented to the casualty with a history of sudden


palpitations, sensation of impending doom, and constriction in
his chest. They lasted for about 10-15 minutes after which he
became all right. The diagnosis is likely to be:


a. Phobia


b. Generalized anxiety disorder


c. Personality disorder


d. Panic attack +

Вы зашли под именем Боммадевара Хрудья Комал (Выход)


Психиатрия (5 леч eng)

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