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1. An 18- year- old boy hears voices discussing him in third person. He is suffering from:
a. Schizophrenia b. mania c. Depression d. TLE
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2. Not a classical 4 ‘As’ of bleuler in schizophrenia:
a. Affective blunting b. Automatism c. Autism d. Ambivalence
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3. Not a feature of schizophrenia :
a. Anhedonia b. Autochthonous delusion c. Elated method d. Hallucination
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4. Neologism is a characteristic feature of :
a. OCN b. Mania c. Schizophrenia d. All of the above
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5. Loss of insight occurs in :
a. Somatoform disorder b. OSN c. Schizophrenia d. Hysteria
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6. Not a first order rank symptom of schizophrenia :
- a. Somatic passivity b. Primary delusion
- c. Running commentary d. Depersonalization
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7. Delusions are characteristically seen in which of the following condition :
a. Depression b. Dementia c. Delirium d. Schizophrenia
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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. Acute psychosis b. Mania c. Schizophrenia d. Depression
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9. Ambivalence is associated with which of the following condition:
a. Schizophrenia b. Hysteria c. Depression d. OCN
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10. A 22 year old single unmarried man is suffering from sudden onset of 3rd person hallucinations for the past 2 weeks. He is suspicious of his family members and had decreased sleep and appetite .the diagnosis is :
a. Schizophrenia b. Acute psychosis c. Acute mania d. Delirium
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11. In Schizophrenia, bad prognostic factor is:
a. Presence of depression b. Fat patient c. Family history d. Late onset
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12. Good prognostic factor for Schizophrenia is:
a. Chronic course b. Catatonic features c. Early onset d. Gradual onset
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13. Not a bad prognostic factor of Schizophrenia:
- a. Early onset b. Family history
- c. Presence of precipitating factor d. Insidious onset
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14. Absolute contraindication for ECT is :
a. Heart disease b. Raised ICT c. Very ill patient d. Pregnancy
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15. Most common side effect of modified ECT is :
a. Convulsions b. Body aches c. Amnesia d. Arrhythmia
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16. ECT causes :
- a. Retrograde amnesia b. Anterograde amnesia
- c. Both d. None
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17. ECT is most effective in:
- a. Parkinsonism b. OCN
- c. Paranoid syndrome d. Neurotic depression
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18. ECT is not indicated in :
- a. Catatonic Schizophrenia b. Acute depression
- c. Obsessive compulsive neurosis d. Acute mania
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19. Memory disturbances of ECT recovers after:
- a. Few days- few weeks b. They are permanent
- c. Few weeks- few months d. Few months- few years
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20. ECT is useful in treatment of all of the following except :
- a. Acute psychosis b. Endogenous depression
- c. Chronic Schizophrenia d. Catatonic Schizophrenia
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21. A 36 year old girl has no interest in anything, nihilistic attitude, sad appearance with suicidal ideas and plans. She should be managed with :
a. ECT b. Antidepressants c. behavior therapy d. Haloperidol
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22. Treatment of choice in a patient of depression with suicidal tendency :
a. ECT b. MAO inhibitors c. Tricyclic antidepressant d. Fluoxetine
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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:
- a. Amitryptiline b. Selegiline
- c. Haloperidol+ Chlorpromazine d. ECT
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24. Absolute contraindication for ECT is :
a. Myocardinal disease b. Aortic aneurysm c. Glaucoma d. Brain tumor
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25. Not seen in attention deficit hyperactivity disorder(ADHD) :
- a. Mental retardation b. Impulsivity
- c. Less attention in study d. Hyperactivity
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26. Not seen in hyperkinetic child :
- a. Soft neurological signs b. Left to right disorientation
- c. Decreased attention span d. Aggressive out burst
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27.Not a feature of hyperkinetic child :
- a. Amphetamine is the drug of choice b. Right to left dissociation
- c. Low attention span d. Difficulty in completing tasks
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28. Attention deficiency disorder is seen with which of the following drug:
- a. phenobarbitone b. Amphetamine
- c. Low doses benzodiazepine d. Cocaine
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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. Autism b. Conduct disorder c. Attention deficit hyperactivity disorder d. Conversion
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30. Most common complication of obsessive compulsive disorder is :
- a. Mania b. Dissociation of symptoms
- c. Persecutor delusions d. Depression
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31. False regarding obsessive compulsive neurosis is :
- a. Insight is present b. Ego thoughts
- c. patient tries to resist against ego d. Ego alien
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32. Not a characteristic feature of obsessive compulsive neurosis:
- a. Excessive slowness b. Sexual thoughts
- c. Repeated hand washing d. Elaborate checking
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33. Drug not used in obsessive compulsive neurosis is :
a. Lithium b. Haloperidol c. Fluoxetine d. Clomipramine
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34. Not a feature of obsessive compulsive neurosis :
- a. Persistence b. Resisting the idea
- c. Ego- syntonic d. Irrational thoughts
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35. In obsessive compulsive neurosis, the drug of choice is :
a. Lithium b. Fluphenazine c. Clomipramine d. Chlorpromazine
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36. A woman complains that she feels like abusing god and slap a gentleman. The thoughts persist in spite of her not willing to do so. She is suffering from:
- a. Conversion disorder b. Hypochondriasis
- c. Somatization d. Obsessive compulsive disorder
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37. Delusions are seen in all the following except:
- a. Obsessive compulsive disorder b. Depression
- c. Mania d. Schizophrenia
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38. Best use of lithium is in :
- a. Treatment of Schizophrenia b. Treatment of recurrent depression
- c. Treatment of first depressive episode d. prophylaxis of bipolar mood disorders
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39. In bipolar manic disorder the drug used is :
a. Amitriptyline b. pimozide c. Phenytoin d. Lithium
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40. in manic depressive psychosis, prophylaxis is :
a. Haloperidol b. sodium valproate c. Chlorpromazine d. Lithium carbonate
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41. A woman has a car accident in which she suffered minor injuries but the driver of the car died on spot . six months after this accident she feels afraid of cars and avoids traveling in cars. She is suffering from:
a. Schizophrenia b. Delusion c. Traveling phobia d. post-traumatic stress disorder
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42. Post traumatic stress syndrome is because of :
- a. Vascular accident b. Major life threatening events
- c. Minor stress d. Head injury
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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 refers to sit in a bus. Diagnosis is :
- a. Phobia b. conversion disorder
- c. Post- traumatic stress disorder d. Anxiety neurosis
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44.In delirium tremens, the drug of choice is :
a. Diazepam b. Morphine c. Disulfiram d. Chlordiazepoxide
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45. Not a feature of alcohol withdrawal:
a. Hallucination b. Restlessness c. Epileptic seizure d. Hypersomnolence
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46. A 42 year old alcoholic man has an accident. After that he suddenly stops drinking. 24 hours after this he developed tremors, irritability, poor attention span and inability to identify his family members. Most likely diagnosis is :
- a. Acute psychosis b. alcohol intoxication
- c. Delirium tremens d. Wernicke’s encephalopathy
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47. A known alcoholic stops taking alcohol for 2 days. After which he develops insomnia, altered sensorium, restlessness. The diagnosis is most likely to be:
- a. Delirium tremens b. Korsakoff’s psychosis
- c. Conversion d. Schizophrenia
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48. Not a feature of morphine withdrawal :
- a. Increased nasal secretion b. Constipation
- c. Insomnia d. Piloerection
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49. Not a feature of opioid withdrawal :
a. Miosis b. Rhinorrhea c. Lacrimation d. Diarrhea
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50. Epileptic fits are distinguished from hysterical fits by:
a. Amnesia b. sleep convulsion c. Incontinence d. Injury
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51. Mini mental scale is :
- a. method to investigate common psychiatric problem
- b. 30 questions for cognitive function
- c. To evaluate Schizophrenia
- d. Instrument to measure delirium
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52. All are false regarding Schizophrenia except:
- a. Seen in affluent society b. Seen in old people
- c. Seen in primitive society d. Common in low socioeconomic strata
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53. psychoanalysis was founded by which of the following scientist :
a. Eysenck b. Freud c. Jung d. Adler
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54. In which of the following disorder ‘La belle indifference’ is seen :
- a. Depersonalization disorder b. Obsessive compulsive disorder
- c. Phobia d. Conversion disorder
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55. False regarding conversion reaction is:
- a. Symbolic relationship with stress
- b. patient does not consciously produce sign, symptom
- c. Phobia
- d. Conversion disorder
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56. Déjà vu is seen in:
a. Temporal lobe epilepsy b. Normal person c. psychosis d. All of the above
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57. Unfamiliarity of familiar things is seen in:
a. Déjà vu b. Jamais vu c. Deja entendu d. Deja pence
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58. Methadone is indicated in ;
- a. Opioid overdose b. Opioid dependence
- c. Opioid withdrawal d. Alcohol withdrawal
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59. False regarding opiate withdrawal syndrome :
- a. Characterized by body pain b. Characterized by dilatation of pupils
- c. Treated with naltrexone d. Treated with methadone
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60. True regarding confabulation is :
- a. making stories to fill up gaps in memory loss
- b. Perception in the absence of stimuli
- c. Misinterpretation of stimulus
- d. Conversion with imaginary person
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61. Confabulation is defect of :
a. Concentration b. Attention c. Intelligence d. memory
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62. All are the features of Korsakoff psychosis except :
- a. Confabulation of memory b. Loss of immediate memory
- c. Loss of recent memory d. Normal sensorium
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63. In korsakoff psychosis, the site of lesion is :
a. Cingulate gyrus b. Corpus striatum c. mammillary bodies d. Frontal lobe
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64. In enuresis, most useful drug is :
a. Chlorpromazine b. Trimipramine c. Diazepam d. Haloperidol
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65. A child becomes dry by day and night by the age of 6. before this age which of the following condition is commonly seen :
a. Diurnal diuresis b. Nocturnal diuresis c. both d. None
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66. Lithium is used in treatment of :
a. Acute mania b. Schizophrenia c. Bipolar MDP prophylaxis d. Unipolar MDP prophylaxis
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67. Prophylactic maintenance serum level of lithium is … mEq/L:
a. 2-2.5 b. 1.2 – 2 c. 0.7-1.2 d. 0.5- 1.5
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68. Not a “learning” disability of childhood :
a. Ataxia b. Dyslexia c. Agraphia d. Apraxia
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69. “Flash backs” are seen in which of the following:
a. opiates b. Cocaine c. Amphetamine d. LSD
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70. In alcohol withdrawal, the drug of choice is :
a. Chlordiazepoxide b. LSD c. Lithium d. Haloperidol
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71. Hypochondriasis means:
- a. Abnormal preoccupation with normal body function
- b. Normal preoccupation with normal body function
- c. Normal preoccupation with abnormal body function
- d. Abnormal preoccupation with abnormal body function
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72. Preoccupation with disease is known as:
- a. Conversion reaction b. Hypochondriasis
- c. Obsession d. Somatization
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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. Hi is referred to a psychiatrist, who , after examination of his case comes to a conclusion. The diagnosis is most probably :
- a. Hypochondriasis b. Somatiztion
- c. Somatoform pain disorder d. Obsessive compulsive disorder
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74. Cataplexy is seen in :
- a. Catatonic Schizophrenia b. Narcolepsy
- c. Chronic depressing d. Neuro- malignant syndrome
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75. Lithium is useful in :
- a. Hyperkinetic disorder b. Acute depression
- c. Acute mania d. All of the above
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76. Lithium is not indicated in:
- a. Drug induced leucopenia b. Seizures
- c. prophylaxis in bipolar mood disorder d. Acute mania
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77. The family members of a 58 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. OCN b. Mania c. Impulse control disorder d. Depression
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78. Not seen in mania :
a. Disorientation b. Pressure of speech c. Elation d. Delusions of grandeur
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79. After an earthquake, a person recovered. Then he felt guilty about his survival. This reaction is an example of :
- a. Post traumatic stress disorder b. Schizophrenia
- c. Depression d. Mania
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80. Not an anxiolytic drug :
a. ketazolan b. Diazepam c. Buspirone d. Fluoxetine
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81. Nightmare occur in which of the following stage of sleep:
a. REM b. NREM –I c. NREM-II d. NREM-III & IV
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82. False regarding obsession is :
- a. May be treated with psychosurgery
- v. Obsessive personality
- c. Main treatment is ECT
- d. May remits spontaneously
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83. Simple Schizophrenia is best characterized by :
- a. persistent hallucinations b. Persistent delusions
- c. Formal thought disorder d. Predominant social withdrawal
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84. “Punch drunk” syndrome is seen with :
a. Alcoholism b. Boxing injury c. Encephalitis d. All of the above
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85. Thanatophobia is fear of :
a. Closed spaces b. Flights c. High places d. Death
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86. Claustrophobia means :
a. Fear of heights b. Fear of lizards c. Fear of closed spaces d. Fear of open spaces
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87. Agoraphobia is fear of :
a. Open space b. Closed space c. Flying d. Blood
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88. Not an ego defense mechanism :
a. Transference b. Reaction formation c. Conversion d. Projection
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89. Which of the following Schizophrenia has early onset and poor prognosis ?
a. Schizoaffective b. Hebephrenic c. Paranoid d. Catatonic
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90. All are false regarding Alzheimer’s disease except:
- a. Memory intact b. A form of pre senile dementia
- c. Lewy bodies seen d. Increased incidence in down syndrome
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91. Biochemical etiology of Alzheimer’s disease is related to which of the following :
a. GABA b. Acetylcholine c. Dopamine d. Serotonin
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92. A patient of Schizophrenia was treated for 5 years, and then he developed perioral movements. This is :
- a. Malignant neuroleptic syndrome b. Akathisia
- c. Muscle dystonia d. Tardive dyskinesia
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93. Tardive dyskinesia is not seen with :
a. Clozapine b. Flupenthixol c. Fluoxetine d. Reserpine
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94. Not a side effect of fluoxetine :
a. diarrhea b. Nervousness c. Sweating d. Weight gain
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95. Fluxetine is a :
- a. Serotonin uptake inhibitor b. Benzodiazepines antagonist
- c. Nor adrenaline reuptake inhibitor d. MAO-B inhibitor
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96. All are the features of wernicke’s encephalopathy except:
- a. Ophthalmoplegia b. Normal papillary response
- c. Disorientation d. Retinal hemorrhage
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97. Drug not used in “ akathesia” is :
a. promethazine b. Haloperidol c. Diazepam d. Trihexyphenidyl
-
98. Treatment of choice in akathesia is :
a. Haloperidol b. Fluoxetine c. Lithium d. Propranolol
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99. Akathesia is :
- a. Psychological restlessness b. Cogwheel rigidity
- c. Verbal restlessness d. Motor restlessness
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100. Pavor nocturnus is :
a. Somnambulism b. sleep bruxism c. Sleepp apnea d. Sleep terror
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101. irresistible urge to move about with inner restlessness is known as:
a. Dyskinesia b. Hyperkinesia c. Akinesia d. Akathisia
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102. Kleptomania is :
- a. Irresistible desire to drink b. Irresistible desire to steal things
- c. Irresistible desire to set fire d. Irresistible desire to tell lies
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103. In which of the following tactile hallucinations are seen :
a. pentazocine b. Cocaine c. Heroin d. Alcohol
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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
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105. Not a feature of catatonia :
a. Negativism b. Catalepsy c. Mannerism d. Automatic obedience
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106. “ Jargon aphasia” is seen in :
a. Wernicke’s aphasia b. Broca’s aphasia c. Conduction aphasia d. Motor aphasia
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107. young lady presents with a history of excessive food intake following which she would induce vomiting . the most likely diagnosis is :
a. Binge eating disorder b. Bulimia nervosa c. Anorexia nervosa d. OCD
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108. Characteristic feature of bulimia nervosa is :
- a. Common in middle aged woman
- b. Excessive eating followed by induced vomiting
- c. Excessive dieting
- d. Loss of appetite
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109. All are false regarding anorexia nervosa except:
a. Hyperkalemia b. Amenorrhea c. lassitude and lethargy d. Exclusively in female
-
110. False regarding anorexia nervosa is :
a. Disturbed body image b. loss of appetitive c. Amenorrhea d. loss of weight
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111. Stealing, frequent lying and fire setting assault are :
a. Dissociated disorder b. Manic disorder c. ADHD d. Conduct disorder
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112. Ganser’s syndrome is associated with which of the following :
a. Malinger b. Confabulation c. Approximate answer d. Repeated lying
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113. Identical mental disorder affecting 2 members of a family is :
a. folie a quatre b. Folie de porquoi c. Folie a deux d. Folie a trios
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114. Dissociative phenomenon is :
a. Lack of insight b. Amnesia c. Deafness d. Fugue
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115. A person missing from home, found to be wandering purposefully, well groomed and has some degree of amnesia. This condition is known as:
a. Acute anxiety b. Schizophrenia c. Dissociated amnesia d. Dissociated fugue
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116. Phobia is a ;
a. Psychosis b. Fear of animal c. Anxiety d. Irrational fear
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117. False regarding malingering is :
- a. Not caused by drugs b. Unconsciously doing things
- c. Done for some material gain d. None of the above
-
118. Morbid jealously is seen with which of the following :
a. Amphetamine b. Cannabis c. Alcohol d. Opium
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119. Most common age of depression is :
a. Old female b. Old male c. Adult female d. Adult male
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120. Endogenous depression is :
a. Schizophrenia b. Anxiety c. Hallucination d. Worsening of early morning
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121. Depression is not caused by :
a. oral contraceptives b. methyldopa c. Metyrapone d. Bromocriptine
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122. Depression is not caused by :
a. Clonazepam b. levodopa c. Metronidazole d. Corticosteroid
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123. Autism refers to:
- a. Neuro-development delay b. Condition seen following head injury
- c. Deafness d. Impaired reciprocal social and interpersonal interaction
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124. 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. Hyperkinetic child b. Autistic disorder
- c. Attention deficit disorder d. Schizophrenia
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125. Mature defense mechanism is :
a. Denial b. Anticipation c. projection d. Reaction formation
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126. Cognition means:
a. Feelings b. Thought c. Behavior d. perception
-
127. Tianeptine acts by :
- a. 5HT antagonist b. Norepinephrine reuptake inhibitor
- c. Serotonin reuptake enhancer d. MAO inhibitor
-
128. Most common postpartum psychosis is :
a. Schizophrenia b. Dementia c. Depression d. Mania
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129. Dysthymia is:
- a. Chronic mild depression c. Chronic severe depression
- c. Bipolar disorder d. Personality disorder
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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 about 10-15 minutes after which he became all right. The diagnosis is likely to be:
- a. Panic attack b. Generalized anxiety disorder
- c. phobia d. Personality disorder
-
131. Treatment of panic attack includes:
a. Carbamazepine b. Fluoxetine c. Imipramine d. Diazepam
-
132. Pseudodementia is commonly seen with :
a. Anxiety neurosis b. Mania c. Depression d. Hysteria
-
133. Alexithymia is :
- a. Inability to express one’s own emotion
- b. Motor restlessness
- c. Sensory restlessness
- d. Undue familiarity
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134. Apraxia is a disorder of :
a. Cerebellum b. Sensory system c. motor system d. Initiating and planning movement
-
135. A 50- year- old male complains of slowness of movements, Postural instability, tremor and rigidity. Most likely diagnosis is :
- a. Parkinsonism b. Thyrotoxicosis
- c. Multi-infract dementia d. Alzheimer’s disease
-
136. False perception without external stimulation is known as:
a. Obsession b. Delusion c. Illusion d. Hallucination
-
137. Disulfiram acts by :
- a. Inhibiting aldehyde dehydrogenase b. Inhibiting alcohol dehydrogenase
- c. Both d. None
-
138. In myoclonic seizures the drug of choice is :
a. Valproic acid b. Clonazepam c. Phenobarbitone d. Lithium
-
139. Neuroleptic malignant syndrome is characterized by:
a. Hypotonia b. Hypotherma c. Bradycarnia d. Labile blood pressure
-
140. False redgarding dementia is :
- a. Nootropics have limited role b. Hallucination is not common
- c. Often irreversible d. Clouding of consciousness is common
-
141. Wernickle-Korsakoff syndrome is due to the deficiency of which of the following:
a. Pryidoxine b. Thiamine c. Vitamin B d. Riboflavin
-
142. In schizophrenia, drug of therapeutic benefit is :
a. Doxepin b. Lithium c. Imipramine d. Fluphenazine
-
143. Delusions of nihilism and early morning insomnia are seen in:
a. Personality disorder b. Mania c. Schizophrenia d. Major depression
-
144. In EEG, α wave is seen in :
a. Orthodox sleep b. Paradoxical sleep c. Mental work d. Awake with eye open
-
145. True regarding allodynia is :
- a. Painful stimulus without stimulus
- b. painful stimulus to a normal nonpainful stimulus
- c. Both
- d. None
-
146. Which of the following exclude painful stimuli from awareness:
- a. Reaction formation c. Rationalization
- c. Projection d. Repression
-
147. In hashish the active substance is :
a. Tetrahydrocannabinol b. Mescaline c. LSD d. Morphine
-
148. True about social phobia is :
- a. Fear of closed spaces b. Irrational fear of situation
- c. Irrational fear of activities d. Irrational fear of specified objects
-
149. Schizophrenia like syndrome is seen in drug abusers of :
a. Pentazocine b. Opium c. Cocaine d. Amphetamine
-
150. Lithium therapy may produce which of the following congenital anomaly:
- a. Renal agenesis b. Heart block (CVS malformation)
- c. Anencephaly d. Limb shortening
-
151. A 16-year-old girl was brought to the psychiatric emergency after she slashed her wrists to commit suicide. On enquiry her father revealed that she had made several such attempts of wrists 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. Borderline personality disorder b. Major depression
- c. Historic personality disorder d. Adjustment disorder
-
152.A female presenting with a prior history of slashed wrists and attempted suicide now presents with a similar history. The diagnosis:
- a. Borderline personality b. Obsessive compulsive disorder
- c. Histrionic personality disorder d. Depression
-
153. A 65- year-old male is brought to the outpatient clinic with one year illness characterized by marked forgetfulness, visuals 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:
a. Dementia b. Schizophrenia c. Mania d. Depression
-
154. A 41- year old woman presented with a history of aches and pains all over the body and cannot sleep because of the 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 feelings of sadness. Her likely diagnosis is:
- a. Somatoform pain disorder b. Major depression
- c. Somatization disorder d. Dissociative disorder
-
155. A 41- year old married female presented with headache for the last sis month. She had several consultations. All her investigations were found to be within normal limits. She still insists that there is something wrong in her hear and seeks another consultation. The most likely diagnosis is:
- a. Phobia b. Psychogenic headache
- c. Hypochondriasis d. Depression
-
156. A girl thinks her noise is ugly. Her idea is fixed and is not shared by anyone else. Next step in her management should be :
- a. DO plastic surgery immediately b. Reassure and send home
- c. Refer to psychiatrist d. Investigate and then operate
-
157. 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. Delusional disorder b. Hypochondriasis
- c. Obsessive compulsive disorder d. somatization
-
158. A 15 year old boy feels that the dirt has hung onto him whenever he passes through the dirty street. This repetitive thought causes much distress and anxiety. He knows that there is actually no such things after he has cleaned once but he is not satisfied and is compelled to think so. This has led to social withdrawal. He spends much of his time thinking about the dirt and contamination. This has affected his studies also. The most likely diagnosis is :
- a. Obsessive compulsive disorder b. Conduct disorder
- c. Agoraphobia d. Adjustment disorder
-
159. Confabulation is :
- a. A state of confusion where is not able to describe the details
- b. Purposefully fabricating stories to project a certain image
- c. Filling up of gaps by fabrication to cover lapses memory
- d. Seen in delirium
-
160. Parosmia is :
- a. Normal sense of odor b. Perversion about bad smell
- c. Perversion about sex d. Perceiving bad smell
-
161. False sense of perception without any external objects of stimulus is known as :
a. Illusion b. Impulse c. Hallucination d. Phobia
-
162. All of the following are features of hallucinations, except:
- a. It is independent of the will of the observer
- b. Sensory organs are not involved
- c. It is as vivid as that in a true sense perception
- d. It occurs in the absence of perceptual stimulus
-
163. hallucination which occur at the ‘start’ of sleep is :
- a. Hypnagogic hallucinations b. Hypnopompic hallucinations
- c. jactatio nocturna capitis d. Non- specific hallucination
-
164. A patient presented with one- month history of abnormal hallucination, and delusion. The diagnosis is :
a. Depression b. Paranoia c. Psychosis d. Schizophrenia
-
165. All are true regarding hallucinations except:
- a. It represents a state of inner mind’s spatial orientation
- b. It is independent of the observer
- c. it is under voluntary control
- d. It is the perception which occurs in the absence of stimulus
-
166. Which of the following behavioral problems would suggest an organic brain lesion?
- a. Formal thought disorder b. Auditory hallucinations
- c. Visual hallucinations d. Depression
-
167. In narcolepsy, the most common symptom is :
- a. Catalepsy b. Hypnagogic hallucinations
- c. Sleep paralysis d. Snoring
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168. Sympathy towards captivator by captivated person is known as?
- a. Cowden syndrome b. Stockholm syndrome
- c. Neurosis d. Testamentary capacity
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169. A 10- year- old boy presents with history of restlessness in class and inability to attend. He is quarrelling with classmates and does not take part in games. Which of the following is the most likely diagnosis?
- a. Attention deficit hyperactivity disorder
- b. Conduct disorder
- c. Autism
- d.. Deafness
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170. The treatment of choice in attention deficit hyperactivity disorder is :
a. Haloperidol b. Imipramine c. Methylphenidate d. Alprazolam
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171. Acrophobia is :
- a. Getting caught in places from where escape would be difficult
- b. Fear of heights c. Fear of animals d. Fear of closed spaces
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172. The following is a schneider’s first rank symptom:
- a. persecutory delusion b. Voices commenting on actions
- c. Delusion of guilt d. Incoherence
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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 2 months. There was no history suggestive of delusions or hallucination. He did not suffer from chronic medical illness. There was no family history of psychiatric electrocardiogram did not reveal any abnormality. This patient should be treated with :
a. Haloperidol b. Sertraline c. Alprazolam d. Olanzapine
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174. Middle- aged man presented with pain in back. Lack of interest in recreational activities, low mood, lethargy , decreased sleep and appetite for two months. There was no history suggestive of delusion or hallucinations . he did not suffer from any chronic medical illness. There was no family history of psychiatric illness. Routine investigations including hemogram, renal function tests, liver function tests, Electrocardiogram did not reveal any abnormality. The patient should be treated with:
a. Haloperidol b. Sertraline c. Alprazolam d. Olanzapine
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175. Term catatonia was used by ;
a. J B Watson b. Maxwell jones c. Freud d. Alder
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176. Term catatonia was used by :
a. Karl kahibaum b. Adolf meyer c. Leo Kanner d. Karen Horney
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177. Among persons who successfully commit suicide, two most frequent psychiatric diagnoses are major depression and;
- a. Somatization disorder b. Schizophrenic disorder
- c. Borderline personality disorder d. Alcoholism
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178. Most common cause of suicide is :
- a. Childhood depression b. Depression in evolutional stage
- c. Psychiatric depression d. Reactive depression
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179. yawning is a common feature of :
- a. Alcohol withdrawal b. Cocaine withdrawal
- c. Cannabis withdrawal d. Opioid withdrawal
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180. Flooding is the mode of treatment for which of the following :
a. Anxiety disorder b. Depression c. Fear d. mania
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181. Behavior therapy to change maladaptive using response are reinforcer uses the principles of :
- a. Classical conditioning b. Modeling
- c. Social learning d. Operant conditioning
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182. An alcoholic is brought to the emergency OPD with the complaint of irrelevant taking. He had stopped using alcohol 3 days back. On examination, he is found to be disoriented to time, place and person. He also has visual illusions and hallucinations. There is no history of head injury. The most likely diagnosis:
- a. Dementia praecox b. Delirium tremens
- c. Schizophrenia d. Korsakoff’s psychosis
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183. Delirium tremens is characterized by confusion associated with ;
- a. Autonomic hyperactivity and tremors
- b. Features of intoxication due to alcohol
- c. sixth nerve palsy
- d. Korsakoff psychosis
-
184. False regarding delirium tremens is :
a. Severe depression b. Disorientation c. Excessive anxiety d. Perceptual defect
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185. Delirium tremens is seen in :
- a. Alcohol withdrawal b. Alcohol overdoses
- c. Morphine poisoning d. Atropine poisoning
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186. An alcoholic presents with complaints of loss of memory of recent events, impaired insight, confabulation, and dementia of few months duration. The patient is suffering from:
- a. Wernicke’s encephalopathy b. Korsakoff’s psychosis
- c. Delirium tremens d. Binswanger’s disease
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187. Not seen in Korsakoff’s syndrome :
- a. Clear consciousness b. Inability to lean new things
- c. Hallucinations d. Confabulation
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188. Psychological disorder most commonly associated with myxedema is :
a. Paranoid Feeling b. Phobia c. Depression d. Mania
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189. Depression is a feature of which of the following condition;
- a. Hypopituitarism b. Hyperthyroidism
- c. Hypothyroidism d. Hypoglycemia
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190. Which antipsychotic drug has prolonged action ?
a. Fluphenazine b. penfluridol c. Thioridazine d. Triflupromazine
-
191. Treatment is required in all of the following withdrawal symptoms except:
a. LSD use b. Amphetamine c. Alcohol d. Cannabis
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192. A 70 year old patient was brought to the hospital with a 1 month history of auditory hallucinations with third person hallucinations. He has no history of similar problems previously. The diagnosis is most likely to .
a. Dementia b. Schizophrenia c. Pick’s disease d. multi-infract dementia
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193. A 60 year old male suffering from auditory hallucinations says that people staying upstairs are taking about him and conspiring against him. He dropped a police complaint against them but the allegations were proved to be wrong. The diagnosis is ;
- a. Schizophrenia b. Depression
- c. Dementia d. Delusional disorder
-
194. Not a characteristic feature of endogenous depression :
- a. Loss of self-esteem b. Guilt psychosis
- c. Third person hallucination d. Paranoid feeling
-
195. Most common hallucination in schizophrenia is :
a. Auditory b. Visual c. Olfactory d. Tactile
-
196. False regarding clozapine is :
- a. Extrapyramidal side effect b. Agranulocytosis
- c. Precipitates seizures d. Used in schizophrenia
-
197. all are antidepressants except:
a. Pimozide b. Fluoxetine c. Amitriptyline d. Trazodone
-
198. False regarding REM sleep is :
- a. Dreaming sleep b. Slow eye movements present
- c. Paradoxical sleep d. Alpha waves are seen
-
199. Drug of choice for bipolar mood disorder:
a. Carbamazepine b. Lithium carbonate c. imipramine d. Buspirone
-
200. Neurotransmitter, which is found in increased quantities in schizophrenia , is :
a. Noradrenaline b. Serotonin c. Dopamine d. GABA
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201. A 41 years old woman working as an executive director is convinced that the management has denied her promotion by preparing false reports about her competence and has forged signatures in sensitive documents so as to convict her. She files a complaint in the police station and requests for security. Despite all this she attends to her work and manages the household . she is suffering from:
- a. paranoid schizophrenia b. Late onset psychosis
- c. Persistent delusional disorder d. Obsessive compulsive disorder
-
202. A 2 year old girl child is brought to the out patient with features of hand wringing stereotype movements, impaired language and communication development, breath-holding spells, poor social skills and deceleration head growth after 6 months of age. The most likely diagnosis is :
- a. Asperger’s syndrome b. Rett’s syndrome
- c. Fragile X syndrome d. Cotard syndrome
-
203. A 30 year old male with history of alcohol abuse for 15 years is brought to the hospital emergency with complaints of fearfulness, mis- recognition, talking to self, aggressive behavior, tremulousness and seeing snakes and reptiles that are not visible to others around him. There is a history of drinking alcohol two days prior to the onset of the present complaints. He is most likely suffering from:
- a. Delirium tremens b. Alcoholic hallucinosis
- c. Schizophrenia d. Seizure disorder
-
204. a 16 year old boy does not attend school because of the fear of being harmed by school mates. He thinks that his classmates laugh tat and talk about him. He is even scared of going out to the market. He is most likely suffering from:
- a. Adjustment reaction b. Manic depressive psychosis
- c. Anxiety neurosis d. Schizophrenia
-
205. The non REM (NREM) sleep is commonly associated with :
- a. Frequent dreaming b. Frequent penile erections
- c. Increased blood pressure d. Night terrors
-
206. A 30 year old manic patient was prescribed haloperidol one week back. For last two days he has become restless and kept pacing in the room for a day. One examination he was found to have tremors of hand. He is most likely suffering from:
a. Anhedonia b. Dystonia c. Restless leg syndrome d. Akathisia
-
207. Signs of organic brain damage are evident on:
- a. Bender gestalt test b. Rorschach test
- c. Sentence completion test d. Thematic apperception test
-
208. A 40 year old male, with history of daily alcohol consumption for the last 7 years, is brought to the hospital emergency room with acute onset of seeing snakes all around him in the room, not recognizing family members, violent behavior and tremulousness for few hours. There is history of his having missed the alcohol drink since 2- days. Examination reveals increased blood pressure, tremors, increased psychomotor activity, fearful affect. Hallucinnatory behavior, disorientation, impaired judgment and height. He is most likely to be suffering from:
- a. Alcoholic hallucinosis b. Delirium tremens
- c. Wernickle’s encephalopathy d. Korsakoff’s psychosis
-
209. A 45 year male with a history of alcohol dependence presents with confusion, nystagmus and ataxia. Examination reveals 6th cranial nerve weakness. He is most likely to be suffering from:
- a. Korsakoff’s psychosis b. Wernicke’s encephalopathy
- c. De clearambault syndrome d. Delirium tremens
-
210. A 25 year old female presents with 2 year history of repetitive, irresistible thoughts of contamination with dirt associated with repetitive hand washing. She reports these thoughts to be her own and distressing, but is not able to overcome them along with medications. She is most likely benefit from which of the following therapies?
- a. Exposure and response prevention b. Systematic desensitization
- c. Assertiveness training d. Sensate focusing
-
211. An 18 year old boy came to the psychiatry OPD with a complaint of feeling changed from inside. He described himself as feeling strange as if he is different from his normal self. He was very tense and anxious yet could not point out the precise change in him. This phenomenon is best called as:
- a. Delusional mood b. Depersonalization
- c. Autochthonous delusion d. Over valued idea
-
212. Dry mouth during antidepressant therapy is caused by blockade of:
- a. Muscarinic acetylcholine receptors b. Serotonergic receptors
- c. Dopaminergic receptors d. GABA Receptors
-
213. All of the following are hallucinogens except:
a. LSD b. Phencyclidine c. Mescaline d. Methylphenidate
-
214. Perseveration is :
- a. Persistent and inappropriate repetition of the same thoughts
- b. When a patient feels very distressed about it
- c. Characteristic of schizophrenia
- d. Characteristic of obsessive- compulsive disorder(OCD)
-
215. A 50 year old male presents with a 3 year history of irritability, low mood, lack of interest in surroundings and general dissatisfaction with everything. There is no significant disruption in his sleep or appetite. He is likely to be suffering from:
- a. Major depression b. No psychiatric disorder
- c. Dysthymia d. Chronic fatigue syndrome
-
216. A 25 year old woman complains of intense depressed mood for 6 months with inability to enjoy previously pleasurable activities. This symptom is know as:
a. Anhedonia b. Avolition c. Apathy d. Amotivation
-
217. Which of the following is an alternative to methadone for maintenance treatment of opiate dependence ?
- a. Diazepam b. Chloediazepoxide
- c. Buprenorphine d. Dextropropoxyphene
-
218. A 31 year old man with mood disorder, on 30 mg of haloperidol and 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. Lithium toxicity b. Tardive dyskinesia
- c. Neoruleptic malignant syndrome d. Hypertensive encephalopathy
-
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:
a. Antipsychotics b. Antidepressants c. Anxiolytics d. Hypnosedatives
-
220. A 23 year old engineering student is brought by his 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 from:
a. Delusional disorder b. Depression c. Schizophrenia d. Anxiety disorder
-
221. A 30 year old unmarried woman of average social- economic background believes that her boss is in secretly love with her. She rings him up at odd hours and writes love letters to him despite his serious warnings not to do so. She holds this belief despite contradiction from her family members and his denial. However, she is able to manage her daily activities as before. She is most likely to be suffering from:
a. Depression b. Schizophrenia c. Delusional disorder d. No psychiatric treatment
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