Psychiatry

  1. 1. An 18 year old boy hears voices discussing him in third person. He is suffering from:




    B.
  2. 2. Not a classical 4 'As' of Bleuler in Schizophrenia:



    D.
  3. 3. Not a feature of Schizophrenia:



    D.
  4. 4.Neologism is a characteristic feature of:



    C.
  5. 5. Loss of insight occurs in:



    B.
  6. 6. Not a first order tank symptom of schizophrenia:



    A.
  7. 7. Delusions are characteristically seen in which of the following condition:



    A.
  8. 8. A 25 year old man who lives alone has developed suspicious behavior towards his neighbor. He also has “auditory hallucinations” and lodges a FIR which he himself was not able to prove. Symptoms are present for last two years. Most likely diagnosis is:



    A.
  9. 9. Ambivalence is associated with which of the following condition:



    A.
  10. 10. A 22 year old single unmarried man is suffering from sudden onset of 3rd person hallucinations for the past 2weeks. He is suspicious of his family members and had decreased sleep and appetite. The diagnosis is:



    D.
  11. 11. In schizophrenia, bad prognostic factor is:



    B.
  12. 12. Good prognostic factor for schizophrenia is:



    D.
  13. 13. Not a bad prognostic factor of schizophrenia:



    C.
  14. 14. Absolute contradiction for ECT is:



    B.
  15. 15.most common side effect of modified ECT is:



    A.
  16. 16. ECT causes:



    D.
  17. 17.ECT is most effective in:



    D.
  18. 18.ECT is nit indicated in:



    B.
  19. 19. Memory disturbance of ECT recovers after:



    A.
  20. 20. ECT is useful in treatment of all of the following except:



    A.
  21. 21. A 26 year old girl has no interest in anything, nihilistic attitude,sad appearance with suicidal ideas and plans. She should be managed with:



    D.
  22. 22. Treatment of choice in a patient of depression with suicidal tendency:



    A.
  23. 23. A 26 year old female diagnosed to be suffering from depression,now for the past 2 days had suicidal tendencies, thoughts and ideas. The best treatment is: 



    B.
  24. 24. Absolute contradiction for ECT is:



    D.
  25. 25. Not seen in attention deficit hyperactivity disorder (ADHD):



    C.
  26. 26. Not seen in hyperkinetic child:



    A.
  27. 27. Not a feature of hyperkinetic child:



    D.
  28. 28. Attention deficiency is seen with which of the following drug:



    A.
  29. 29. An 11 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 the day 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.
  30. 30. Most common complications of obsessive compulsive disorder is:



    C.
  31. 31. False regarding obsessive compulsive neurosis is:



    B.
  32. 32. Not a characteristic feature of obsessive compulsive neurosis:



    C.
  33. 33. Drug not used in obsessive compulsive neurosis is:



    A.
  34. 34. Not a feature of obsessive compulsive neurosis:



    C.
  35. 35. In obsessive compulsive neurosis, the drug of choice is:



    D.
  36. 36. A women complains that she feels like abusgod and slap a gentleman. The thoughts persist in spite of her not willing to do so. She is suffering from: 



    A.
  37. 37. Delusions are seen in all the following except:



    D.
  38. 38. Best use of lithium is in:



    D.
  39. 39. In bipolar manic disorder, the drug used is:



    D.
  40. 40. In manic depressive psychosis, prophylaxis is:



    A.
  41. 41. A woman has a car accident in which she suffered minor injuries but the driver of the car died in spot. Six months after this accident she still feels afraid of cars and avoids traveling in cars. She is suffering from:



    A.
  42. 42. Post traumatic stress syndrome is because of:



    C.
  43. 43. A 40 year old woman had an accident while traveling in a bus. She has a fracture of pelvis and remained in the hospital for a long time. Now she refuses to sit in a bus. Diagnosis is:



    A.
  44. 44. In delirium tremens. The drug of choice is:



    C.
  45. 45. Not a feature of alcohol withdrawal:



    C.
  46. 46. A 42 year old alcoholic man has an accident. After that he suddenly stops drinking. 24hrs after this he developed tremors, irritability, poor attention span and inability to identify his family members. Most likely diagnosis is:



    C.
  47. 47. A known alcoholic stops taking alcohol for 2days . After which he develops insomnia, altered sensorium, restlessness. The diagnosis is most likely to be:



    C.
  48. 48. Not a feature of morphine withdrawal:



    B.
  49. 49. Not a feature of opioid withdrawal:



    D.
  50. 50. Epileptic fits are distinguished from hysterical fits by:



    C.
  51. 51. Mini mental scale is:



    D.
  52. 52. All are false regarding schizophrenia except:



    A.
  53. 53. Psychoanalysis was founded by which of the following scientist:



    D.
  54. 54. In which of the following disorder ‘la belle indifference’ is seen:



    C.
  55. 55. False regarding conversion reaction is:



    A.
  56. 56. Deja vu is seen in:



    D.
  57. 56. Unfamiliarity of familiar things is seen in:



    C.
  58. 58. Methadone is indicated in:



    B.
  59. 59. False regarding opiate withdrawal syndrome:



    B.
  60. 60. True regarding confabulation is:



    C.
  61. 61. Confabulation is a defect of:



    B.
  62. 62. All are the features of korsakoff psychosis except:



    A.
  63. 63. In korsakoff psychosis, the site of lesion is:



    B.
  64. 64. In enuresis, most useful drug is:



    C.
  65. 66. A child becomydey by day and night by the age of 6. Before this age which of the following condition is commonly seen:



    D.
  66. 66. Lithium is usin treatment of:



    A.
  67. 67. Prophylactic maintenance serum level of lithium is....... mEq/L:



    C.
  68. 68. Not a “learning” disability of childhood:



    B.
  69. “Flash back” are seen in which of the following:



    C.
  70. 70. In alcohol withdrawal, the drug of choice is:



    A.
  71. 71. Hypochondriasis means:



    D.
  72. 72. Preoccupation with disease is known as:



    D.
  73. 73. 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 is sure 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 diagnosis is most probably:



    A.
  74. 74. Cataplexy is seen in:



    B.
  75. Lithium is useful in:



    C.
  76. Lithium is not indicated w:



    B.
  77. 77. The family members  of a 56 year old man reported that he has become increasingly irritable, decreased sleep and has started spending large amount of money. Most likely diagnosis is:



    A.
  78. 78. Not seen in mania:



    B.
  79. 79. After an earthquake, a person recovered. Then he felt guilty about his survival. This reaction is an example of:



    B.
  80. 80. Not an anxiolytic drug:



    D.
  81. 81. Nightmares occur in which of the following stage of sleep:



    D.
  82. 82. False regarding obsession is:
    a. May be treated with psychosurgery b. Obsessive personality 
    c. Main treatment is ECT 
    d. May remits spontaneously
    C
  83. 83. Simple schizophrenia is best characterized by:



    A.
  84. 84. “Punch drunk” syndrome is seen with:



    B.
  85. 85. Thanatophobia is fear of:



    C.
  86. 86. Claustrophobia means:



    D.
  87. 87. Agoraphobia is fear of:



    D.
  88. 88. Not an ego defence mechanism:



    D.
  89. 89. Which of the following schizophrenia has early onset and poor prognosis?



    B.
  90. 90. All are false regarding Alzheimer’s disease except:



    B.
  91. 91. Biochemical etiology of Alzheimer’s disease is related to which of the following:



    A.
  92. 92. A patient of schizophrenia was treated for 5 years, and then he developed perioral movements. This is:



    C.
  93. 93. Tardive dyskinesia is not seen with:



    D.
  94. 94. Not a side effect of fluoxetine:



    A.
  95. 95. Fluoxetine is a:



    D.
  96. 96. All are the features of wernicke’s encephalopathy except:



    D.
  97. 97. Drug not used in “akathesia” is :



    A.
  98. 98. Treatment of choice in akathesia is:



    B.
  99. 99. Akathesia is:



    A.
  100. 100. Pavor nocturnus is:



    A.
  101. 101.
    d
  102. 102. Kleptomania is:

    A. Irresistible desire to drink

    C. Irresistible desire to set fire

    B. Irresistible desire to steal things

    D. Irresistible desire to tell lies
    b
  103. 103. Hallucinations are seen:



    D.
  104. 104. A 45-year-old man presented with waxy flexibility, negativism and decreased motor behavior. Most likely diagnosis is:

    A. Simple schizophrenia

    B. Paranoid schizophrenia

    C. Catatonic schizophrenia

    D. Hebephrenic schizophrenia
    c
  105. 105. Not a feature of catatonia:

    A. Negativism

    B. Catalepsy

    C. Mannerism

    D. Automatic obedience
    b
  106. 106. "Jargon aphasia" is seen in:



    C.
  107. 107. Young lady present with the history of excessive food intake following which she would induce vomiting. The most likely diagnosis is :



    A.
  108. 108. Characteristics feature of bulimia nervosa is:



    C.
  109. 109. All are false Regarding anorexia nervosa except:



    B.
  110. 110. False regarding anorexia nervosa is :



    B.
  111. 111. Stealing, frequent lying and fire setting assault are:



    C.
  112. 112. Ganser's syndrome is associated with which of the following:
    A. Malinger
    B. Confabulation
    c. Approximate answer
    D. Repeatedlying
    c
  113. 113. Identical mental disorder affecting 2 members of a family 'is:



    A.
  114. 114. Dissociative phenomenon is:



    C.
  115. 115. A person missing from home , found to be purposefully wandering, well groomed and has some degree of amnesia. This condition is known as:



    B.
  116. 116. Phobia is a:



    A.
  117. 117. False regarding malingering is:



    B.
  118. 118. Morbid jealousy is seen with which of the following:



    C.
  119. 119. Most common age of depression is:



    C.
  120. 120. Endogenous depression is:



    B.
  121. 121. Depression is not cause by:



    D.
  122. 122. Depression is not caused by:



    C.
  123. 123. Autism refers to:



    B.
  124. 124. A 3 year old boy keeps alone, doesn’t mingle with others and is not attracted to toys. He gets irritable whenever he is slightly disturbed. The diagnosis is:



    C.
  125. 125. Mature defence mechanism is:



    A.
  126. 126. Cognition means:



    B.
  127. 127. Tianeptine acts by:



    B.
  128. 128. Most common postpartum psychosis is;



    B.
  129. 129. Dysthymia is:
    a. Chronic mild depression 
    b, chronic severe depression 
    c. Bipolar disorder 
    d. Personality disorder
    a
  130. 130. A patient presented to the casualty with a history of sudden palpitations, sensation of impending doom, and constriction in his chest. This lasted for 10-15mins after which he became all right. The diagnosis is likely to be:
    a
  131. 131. Treatments of panic attack includes:



    C.
  132. 132. Pseudo dementia is commonly seen with:



    A.
  133. 133. Alexithymia is:



    D.
  134. 134. Apraxia is a disorder of:



    B.
  135. 135. A 50 year old male complains of slowness of movement, postural instability, tremo and rigidity. Most likely diagnosis is:



    A.
  136. 136. False perception without external stimulation is known as:



    A.
  137. 137. Disulfiram acts by:



    A.
  138. 138. In myoclonic seizures the drug if choice is:



    C.
  139. 139. Neuroleptic malignant syndrome is characterized by:



    B.
  140. 140. False regarding dementia is:



    D.
  141. 141. Wernicke’s korsakoff syndrome is due to the deficiency of which of the following:



    B.
  142. 142. In schizophrenia, drug of therapeutic benefits is:



    B.
  143. 143. Delusions of nihilism and early morning insomnia are seen in:



    D.
  144. 144. In ECG, alpha wave is seen in:



    B.
  145. 145. True regarding allodynia is:



    A.
  146. 146. Which of the following excludes painful stimuli from awareness:



    B.
  147. 147. In hashish the active substance is:



    D.
  148. 148. True about social phobia is:



    D.
  149. 149. Schizophrenia like syndrome is seen in drug abusers of:



    B.
  150. 150. Lithium therapy may produce which of the following congenital anomaly:



    B.
  151. 151. A 16 year old girl was brought to the psychiatric emergency after she slashed he wrist 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 relationships. The most probable diagnosis is:



    C.
  152. 152. A female presenting with a prior history of slashed wrist and attempted suicide present with a similar history. Te diagnosis is:



    B.
  153. 153. A 65 year old male is brought to the outpatient clinic with one year illness characterized by marked forgetfulness, 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:



    D.
  154. 154. A 41 year old women presented with a history of aches and pains all over the body and cannot sleep because of illness and has lost her appetite as well. She has lack of interest in work and doesn’t like to meet friends and relatives. She denies feeling of sadness. Her most likely diagnosis is:



    C.
  155. 155. A 41 year old married female presented with headaches for the last six months. She had several consultations. All her investigation were found to be within normal limits. She still insists that there is something wrong in her head and seeks another consultation. The most likely diagnosis is:
    c
  156. 156.
    c
  157. 157.
    b
  158. 158.
    a
  159. 159.
    c
  160. 160.
    d
  161. 161.
    c
  162. 162.
    b
  163. 163.
    a
  164. 164.
    c
  165. 165.
    c
  166. 166.
    c
  167. 167.
    a
  168. 168.
    b
  169. 169.
    a
  170. 170.
    c
  171. 171.
    b
  172. 172. The following is a Schneider’s first rank symptom:



    C.
  173. 173. A 50 year old man has presented with pain in back, lack of interest in recreational activities, low mood , lethargy, decreased sleep and appetite for 2months. There was no history suggestive of delusions or hallucinations. Routinely investigations including hemogram, renal function tests, liver function tests, electro cardio gram didn’t reveal any abnormalities. This patient should be treated with:



    A.
  174. 174. Same as 173
    b
  175. 175. Which of the following scientists propagated ‘ therapeutic community’ concept:



    D.
  176. 176. Term Catatonia was used by:



    B.
  177. 177. Among persons who successfully commit suicide, two most frequent psychiatric diagnoses are major depression and:



    A.
  178. 178. Most common of suicide is:



    B.
  179. 179. Yawning is a common feature of:



    C.
  180. 180.
    c
  181. 181.
    d
  182. 182.
    b
  183. 183.
    a
  184. 184.
    a
  185. 185.
    a
  186. 186.
    b
  187. 187.
    c
  188. 188.
    c
  189. 189.
    c
  190. 190.
    a
  191. 191.
    a
  192. 192.
    b
  193. 193.
    a
  194. 194.
    c
  195. 195.
    a
  196. 196.
    a
  197. 197.
    a
  198. 198.
    b
  199. 199.
    b
  200. 200.
    c
  201. 201.
    a
  202. 202.
    b
  203. 203.
    a
  204. 204.
    a
  205. 205.
    d
  206. 206.
    d
  207. 207.
    a
  208. 208.
    b
  209. 209.
    b
  210. 210.
    a
  211. 211.
    b
  212. 212.
    a
  213. 213.
    d
  214. 214.
    a
  215. 215.
    c
  216. 216. 25-year-old woman cofnp\ains intense depressed mood for 6 months with inability to enjoy previously

    n a. Anhedonia C. Apathy     D. A[notivatjen
    a
  217. 217. Which of the following is an alternative to methadone•for maintenance treatment of opiate dependénqe?



       D. Dextropropoxyphene
    A.
  218. 218. A 31 -year-old man with mood disorder,.on 30 mg of haloperidoland 1000 mg of lithium, is brought, to the hospital emergency room with history of acute onset Of fever, excessive sweating, confusion, rigidity of limbs and decreased communication for a day. Examination reveals tachycardia and labile blood pressure and investigations reveal increased CPK enzyme levels and leukocytosis. He is likely to have developed:



    A.
  219. 219. A 34-year-old housewife reports a 3-month history of feeling low, lack of interest in activities, lethargy, multiple body aches, ideas of worthlessness, decreased appetite and disturbed sleep with early morning awakening. She is likely to benefit from:



    C.
  220. 220. A 23-year-old engineering student is brought thiS family to the hospital with a history of gradual onset of suspiciousness, muttering and smiling without clear reason, decreased socialization, violent outbursts and lack of interest in studies for 8 months. Mental status examination.revealed a blunt affect, thought broadcast, a relatively preserved cognition, impaired judgment and insight. He is most likely to be suffering
    c
  221. 221.
    c
Author
itsdannimenez
ID
354705
Card Set
Psychiatry
Description
Sharad Chandra
Updated