Sharad Psychiatry

  1. 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
  2. 2. Not a classical 4 ‘As’ of bleuler in schizophrenia:
    a. Affective blunting b. Automatism c. Autism d. Ambivalence
  3. 3. Not a feature of schizophrenia :
    a. Anhedonia b. Autochthonous delusion c. Elated method d. Hallucination
  4. 4. Neologism is a characteristic feature of :
    a. OCN b. Mania c. Schizophrenia d. All of the above
  5. 5. Loss of insight occurs in :
    a. Somatoform disorder b. OSN c. Schizophrenia d. Hysteria
  6. 6. Not a first order rank symptom of schizophrenia :
    • a. Somatic passivity b. Primary delusion
    • c. Running commentary d. Depersonalization
  7. 7. Delusions are characteristically seen in which of the following condition :
    a. Depression b. Dementia c. Delirium d. Schizophrenia
  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. Acute psychosis b. Mania c. Schizophrenia d. Depression
  9. 9. Ambivalence is associated with which of the following condition:
    a. Schizophrenia b. Hysteria c. Depression d. OCN
  10. 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
  11. 11. In Schizophrenia, bad prognostic factor is:
    a. Presence of depression b. Fat patient c. Family history d. Late onset
  12. 12. Good prognostic factor for Schizophrenia is:
    a. Chronic course b. Catatonic features c. Early onset d. Gradual onset
  13. 13. Not a bad prognostic factor of Schizophrenia:
    • a. Early onset b. Family history
    • c. Presence of precipitating factor d. Insidious onset
  14. 14. Absolute contraindication for ECT is :
    a. Heart disease b. Raised ICT c. Very ill patient d. Pregnancy
  15. 15. Most common side effect of modified ECT is :
    a. Convulsions b. Body aches c. Amnesia d. Arrhythmia
  16. 16. ECT causes :
    • a. Retrograde amnesia b. Anterograde amnesia
    • c. Both d. None
  17. 17. ECT is most effective in:
    • a. Parkinsonism b. OCN
    • c. Paranoid syndrome d. Neurotic depression
  18. 18. ECT is not indicated in :
    • a. Catatonic Schizophrenia b. Acute depression
    • c. Obsessive compulsive neurosis d. Acute mania
  19. 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
  20. 20. ECT is useful in treatment of all of the following except :
    • a. Acute psychosis b. Endogenous depression
    • c. Chronic Schizophrenia d. Catatonic Schizophrenia
  21. 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
  22. 22. Treatment of choice in a patient of depression with suicidal tendency :
    a. ECT b. MAO inhibitors c. Tricyclic antidepressant d. Fluoxetine
  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:
    • a. Amitryptiline b. Selegiline
    • c. Haloperidol+ Chlorpromazine d. ECT
  24. 24. Absolute contraindication for ECT is :
    a. Myocardinal disease b. Aortic aneurysm c. Glaucoma d. Brain tumor
  25. 25. Not seen in attention deficit hyperactivity disorder(ADHD) :
    • a. Mental retardation b. Impulsivity
    • c. Less attention in study d. Hyperactivity
  26. 26. Not seen in hyperkinetic child :
    • a. Soft neurological signs b. Left to right disorientation
    • c. Decreased attention span d. Aggressive out burst
  27. 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
  28. 28. Attention deficiency disorder is seen with which of the following drug:
    • a. phenobarbitone b. Amphetamine
    • c. Low doses benzodiazepine d. Cocaine
  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. Autism b. Conduct disorder c. Attention deficit hyperactivity disorder d. Conversion
  30. 30. Most common complication of obsessive compulsive disorder is :
    • a. Mania b. Dissociation of symptoms
    • c. Persecutor delusions d. Depression
  31. 31. False regarding obsessive compulsive neurosis is :
    • a. Insight is present b. Ego thoughts
    • c. patient tries to resist against ego d. Ego alien
  32. 32. Not a characteristic feature of obsessive compulsive neurosis:
    • a. Excessive slowness b. Sexual thoughts
    • c. Repeated hand washing d. Elaborate checking
  33. 33. Drug not used in obsessive compulsive neurosis is :
    a. Lithium b. Haloperidol c. Fluoxetine d. Clomipramine
  34. 34. Not a feature of obsessive compulsive neurosis :
    • a. Persistence b. Resisting the idea
    • c. Ego- syntonic d. Irrational thoughts
  35. 35. In obsessive compulsive neurosis, the drug of choice is :
    a. Lithium b. Fluphenazine c. Clomipramine d. Chlorpromazine
  36. 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
  37. 37. Delusions are seen in all the following except:
    • a. Obsessive compulsive disorder b. Depression
    • c. Mania d. Schizophrenia
  38. 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
  39. 39. In bipolar manic disorder the drug used is :
    a. Amitriptyline b. pimozide c. Phenytoin d. Lithium
  40. 40. in manic depressive psychosis, prophylaxis is :
    a. Haloperidol b. sodium valproate c. Chlorpromazine d. Lithium carbonate
  41. 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
  42. 42. Post traumatic stress syndrome is because of :
    • a. Vascular accident b. Major life threatening events
    • c. Minor stress d. Head injury
  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 refers to sit in a bus. Diagnosis is :
    • a. Phobia b. conversion disorder
    • c. Post- traumatic stress disorder d. Anxiety neurosis
  44. 44.In delirium tremens, the drug of choice is :
    a. Diazepam b. Morphine c. Disulfiram d. Chlordiazepoxide
  45. 45. Not a feature of alcohol withdrawal:
    a. Hallucination b. Restlessness c. Epileptic seizure d. Hypersomnolence
  46. 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
  47. 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
  48. 48. Not a feature of morphine withdrawal :
    • a. Increased nasal secretion b. Constipation
    • c. Insomnia d. Piloerection
  49. 49. Not a feature of opioid withdrawal :
    a. Miosis b. Rhinorrhea c. Lacrimation d. Diarrhea
  50. 50. Epileptic fits are distinguished from hysterical fits by:
    a. Amnesia b. sleep convulsion c. Incontinence d. Injury
  51. 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
  52. 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
  53. 53. psychoanalysis was founded by which of the following scientist :
    a. Eysenck b. Freud c. Jung d. Adler
  54. 54. In which of the following disorder ‘La belle indifference’ is seen :
    • a. Depersonalization disorder b. Obsessive compulsive disorder
    • c. Phobia d. Conversion disorder
  55. 55. False regarding conversion reaction is:
    • a. Symbolic relationship with stress
    • b. patient does not consciously produce sign, symptom
    • c. Phobia
    • d. Conversion disorder
  56. 56. Déjà vu is seen in:
    a. Temporal lobe epilepsy b. Normal person c. psychosis d. All of the above
  57. 57. Unfamiliarity of familiar things is seen in:
    a. Déjà vu b. Jamais vu c. Deja entendu d. Deja pence
  58. 58. Methadone is indicated in ;
    • a. Opioid overdose b. Opioid dependence
    • c. Opioid withdrawal d. Alcohol withdrawal
  59. 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
  60. 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
  61. 61. Confabulation is defect of :
    a. Concentration b. Attention c. Intelligence d. memory
  62. 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
  63. 63. In korsakoff psychosis, the site of lesion is :
    a. Cingulate gyrus b. Corpus striatum c. mammillary bodies d. Frontal lobe
  64. 64. In enuresis, most useful drug is :
    a. Chlorpromazine b. Trimipramine c. Diazepam d. Haloperidol
  65. 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
  66. 66. Lithium is used in treatment of :
    a. Acute mania b. Schizophrenia c. Bipolar MDP prophylaxis d. Unipolar MDP prophylaxis
  67. 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
  68. 68. Not a “learning” disability of childhood :
    a. Ataxia b. Dyslexia c. Agraphia d. Apraxia
  69. 69. “Flash backs” are seen in which of the following:
    a. opiates b. Cocaine c. Amphetamine d. LSD
  70. 70. In alcohol withdrawal, the drug of choice is :
    a. Chlordiazepoxide b. LSD c. Lithium d. Haloperidol
  71. 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
  72. 72. Preoccupation with disease is known as:
    • a. Conversion reaction b. Hypochondriasis
    • c. Obsession d. Somatization
  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. 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
  74. 74. Cataplexy is seen in :
    • a. Catatonic Schizophrenia b. Narcolepsy
    • c. Chronic depressing d. Neuro- malignant syndrome
  75. 75. Lithium is useful in :
    • a. Hyperkinetic disorder b. Acute depression
    • c. Acute mania d. All of the above
  76. 76. Lithium is not indicated in:
    • a. Drug induced leucopenia b. Seizures
    • c. prophylaxis in bipolar mood disorder d. Acute mania
  77. 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
  78. 78. Not seen in mania :
    a. Disorientation b. Pressure of speech c. Elation d. Delusions of grandeur
  79. 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
  80. 80. Not an anxiolytic drug :
    a. ketazolan b. Diazepam c. Buspirone d. Fluoxetine
  81. 81. Nightmare occur in which of the following stage of sleep:
    a. REM b. NREM –I c. NREM-II d. NREM-III & IV
  82. 82. False regarding obsession is :
    • a. May be treated with psychosurgery
    • v. Obsessive personality
    • c. Main treatment is ECT
    • d. May remits spontaneously
  83. 83. Simple Schizophrenia is best characterized by :
    • a. persistent hallucinations b. Persistent delusions
    • c. Formal thought disorder d. Predominant social withdrawal
  84. 84. “Punch drunk” syndrome is seen with :
    a. Alcoholism b. Boxing injury c. Encephalitis d. All of the above
  85. 85. Thanatophobia is fear of :
    a. Closed spaces b. Flights c. High places d. Death
  86. 86. Claustrophobia means :
    a. Fear of heights b. Fear of lizards c. Fear of closed spaces d. Fear of open spaces
  87. 87. Agoraphobia is fear of :
    a. Open space b. Closed space c. Flying d. Blood
  88. 88. Not an ego defense mechanism :
    a. Transference b. Reaction formation c. Conversion d. Projection
  89. 89. Which of the following Schizophrenia has early onset and poor prognosis ?
    a. Schizoaffective b. Hebephrenic c. Paranoid d. Catatonic
  90. 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
  91. 91. Biochemical etiology of Alzheimer’s disease is related to which of the following :
    a. GABA b. Acetylcholine c. Dopamine d. Serotonin
  92. 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
  93. 93. Tardive dyskinesia is not seen with :
    a. Clozapine b. Flupenthixol c. Fluoxetine d. Reserpine
  94. 94. Not a side effect of fluoxetine :
    a. diarrhea b. Nervousness c. Sweating d. Weight gain
  95. 95. Fluxetine is a :
    • a. Serotonin uptake inhibitor b. Benzodiazepines antagonist
    • c. Nor adrenaline reuptake inhibitor d. MAO-B inhibitor
  96. 96. All are the features of wernicke’s encephalopathy except:
    • a. Ophthalmoplegia b. Normal papillary response
    • c. Disorientation d. Retinal hemorrhage
  97. 97. Drug not used in “ akathesia” is :
    a. promethazine b. Haloperidol c. Diazepam d. Trihexyphenidyl
  98. 98. Treatment of choice in akathesia is :
    a. Haloperidol b. Fluoxetine c. Lithium d. Propranolol
  99. 99. Akathesia is :
    • a. Psychological restlessness b. Cogwheel rigidity
    • c. Verbal restlessness d. Motor restlessness
  100. 100. Pavor nocturnus is :
    a. Somnambulism b. sleep bruxism c. Sleepp apnea d. Sleep terror
  101. 101. irresistible urge to move about with inner restlessness is known as:
    a. Dyskinesia b. Hyperkinesia c. Akinesia d. Akathisia
  102. 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
  103. 103. In which of the following tactile hallucinations are seen :
    a. pentazocine b. Cocaine c. Heroin d. Alcohol
  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
  105. 105. Not a feature of catatonia :
    a. Negativism b. Catalepsy c. Mannerism d. Automatic obedience
  106. 106. “ Jargon aphasia” is seen in :
    a. Wernicke’s aphasia b. Broca’s aphasia c. Conduction aphasia d. Motor aphasia
  107. 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
  108. 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
  109. 109. All are false regarding anorexia nervosa except:
    a. Hyperkalemia b. Amenorrhea c. lassitude and lethargy d. Exclusively in female
  110. 110. False regarding anorexia nervosa is :
    a. Disturbed body image b. loss of appetitive c. Amenorrhea d. loss of weight
  111. 111. Stealing, frequent lying and fire setting assault are :
    a. Dissociated disorder b. Manic disorder c. ADHD d. Conduct disorder
  112. 112. Ganser’s syndrome is associated with which of the following :
    a. Malinger b. Confabulation c. Approximate answer d. Repeated lying
  113. 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
  114. 114. Dissociative phenomenon is :
    a. Lack of insight b. Amnesia c. Deafness d. Fugue
  115. 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
  116. 116. Phobia is a ;
    a. Psychosis b. Fear of animal c. Anxiety d. Irrational fear
  117. 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. 118. Morbid jealously is seen with which of the following :
    a. Amphetamine b. Cannabis c. Alcohol d. Opium
  119. 119. Most common age of depression is :
    a. Old female b. Old male c. Adult female d. Adult male
  120. 120. Endogenous depression is :
    a. Schizophrenia b. Anxiety c. Hallucination d. Worsening of early morning
  121. 121. Depression is not caused by :
    a. oral contraceptives b. methyldopa c. Metyrapone d. Bromocriptine
  122. 122. Depression is not caused by :
    a. Clonazepam b. levodopa c. Metronidazole d. Corticosteroid
  123. 123. Autism refers to:
    • a. Neuro-development delay b. Condition seen following head injury
    • c. Deafness d. Impaired reciprocal social and interpersonal interaction
  124. 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
  125. 125. Mature defense mechanism is :
    a. Denial b. Anticipation c. projection d. Reaction formation
  126. 126. Cognition means:
    a. Feelings b. Thought c. Behavior d. perception
  127. 127. Tianeptine acts by :
    • a. 5HT antagonist b. Norepinephrine reuptake inhibitor
    • c. Serotonin reuptake enhancer d. MAO inhibitor
  128. 128. Most common postpartum psychosis is :
    a. Schizophrenia b. Dementia c. Depression d. Mania
  129. 129. Dysthymia is:
    • a. Chronic mild depression c. Chronic severe depression
    • c. Bipolar disorder d. Personality disorder
  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 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. 131. Treatment of panic attack includes:
    a. Carbamazepine b. Fluoxetine c. Imipramine d. Diazepam
  132. 132. Pseudodementia is commonly seen with :
    a. Anxiety neurosis b. Mania c. Depression d. Hysteria
  133. 133. Alexithymia is :
    • a. Inability to express one’s own emotion
    • b. Motor restlessness
    • c. Sensory restlessness
    • d. Undue familiarity
  134. 134. Apraxia is a disorder of :
    a. Cerebellum b. Sensory system c. motor system d. Initiating and planning movement
  135. 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. 136. False perception without external stimulation is known as:
    a. Obsession b. Delusion c. Illusion d. Hallucination
  137. 137. Disulfiram acts by :
    • a. Inhibiting aldehyde dehydrogenase b. Inhibiting alcohol dehydrogenase
    • c. Both d. None
  138. 138. In myoclonic seizures the drug of choice is :
    a. Valproic acid b. Clonazepam c. Phenobarbitone d. Lithium
  139. 139. Neuroleptic malignant syndrome is characterized by:
    a. Hypotonia b. Hypotherma c. Bradycarnia d. Labile blood pressure
  140. 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. 141. Wernickle-Korsakoff syndrome is due to the deficiency of which of the following:
    a. Pryidoxine b. Thiamine c. Vitamin B d. Riboflavin
  142. 142. In schizophrenia, drug of therapeutic benefit is :
    a. Doxepin b. Lithium c. Imipramine d. Fluphenazine
  143. 143. Delusions of nihilism and early morning insomnia are seen in:
    a. Personality disorder b. Mania c. Schizophrenia d. Major depression
  144. 144. In EEG, α wave is seen in :
    a. Orthodox sleep b. Paradoxical sleep c. Mental work d. Awake with eye open
  145. 145. True regarding allodynia is :
    • a. Painful stimulus without stimulus
    • b. painful stimulus to a normal nonpainful stimulus
    • c. Both
    • d. None
  146. 146. Which of the following exclude painful stimuli from awareness:
    • a. Reaction formation c. Rationalization
    • c. Projection d. Repression
  147. 147. In hashish the active substance is :
    a. Tetrahydrocannabinol b. Mescaline c. LSD d. Morphine
  148. 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. 149. Schizophrenia like syndrome is seen in drug abusers of :
    a. Pentazocine b. Opium c. Cocaine d. Amphetamine
  150. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 160. Parosmia is :
    • a. Normal sense of odor b. Perversion about bad smell
    • c. Perversion about sex d. Perceiving bad smell
  161. 161. False sense of perception without any external objects of stimulus is known as :
    a. Illusion b. Impulse c. Hallucination d. Phobia
  162. 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. 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. 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. 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. 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. 167. In narcolepsy, the most common symptom is :
    • a. Catalepsy b. Hypnagogic hallucinations
    • c. Sleep paralysis d. Snoring
  168. 168. Sympathy towards captivator by captivated person is known as?
    • a. Cowden syndrome b. Stockholm syndrome
    • c. Neurosis d. Testamentary capacity
  169. 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
  170. 170. The treatment of choice in attention deficit hyperactivity disorder is :
    a. Haloperidol b. Imipramine c. Methylphenidate d. Alprazolam
  171. 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
  172. 172. The following is a schneider’s first rank symptom:
    • a. persecutory delusion b. Voices commenting on actions
    • c. Delusion of guilt d. Incoherence
  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 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
  174. 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
  175. 175. Term catatonia was used by ;
    a. J B Watson b. Maxwell jones c. Freud d. Alder
  176. 176. Term catatonia was used by :
    a. Karl kahibaum b. Adolf meyer c. Leo Kanner d. Karen Horney
  177. 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
  178. 178. Most common cause of suicide is :
    • a. Childhood depression b. Depression in evolutional stage
    • c. Psychiatric depression d. Reactive depression
  179. 179. yawning is a common feature of :
    • a. Alcohol withdrawal b. Cocaine withdrawal
    • c. Cannabis withdrawal d. Opioid withdrawal
  180. 180. Flooding is the mode of treatment for which of the following :
    a. Anxiety disorder b. Depression c. Fear d. mania
  181. 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
  182. 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
  183. 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. 184. False regarding delirium tremens is :
    a. Severe depression b. Disorientation c. Excessive anxiety d. Perceptual defect
  185. 185. Delirium tremens is seen in :
    • a. Alcohol withdrawal b. Alcohol overdoses
    • c. Morphine poisoning d. Atropine poisoning
  186. 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
  187. 187. Not seen in Korsakoff’s syndrome :
    • a. Clear consciousness b. Inability to lean new things
    • c. Hallucinations d. Confabulation
  188. 188. Psychological disorder most commonly associated with myxedema is :
    a. Paranoid Feeling b. Phobia c. Depression d. Mania
  189. 189. Depression is a feature of which of the following condition;
    • a. Hypopituitarism b. Hyperthyroidism
    • c. Hypothyroidism d. Hypoglycemia
  190. 190. Which antipsychotic drug has prolonged action ?
    a. Fluphenazine b. penfluridol c. Thioridazine d. Triflupromazine
  191. 191. Treatment is required in all of the following withdrawal symptoms except:
    a. LSD use b. Amphetamine c. Alcohol d. Cannabis
  192. 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
  193. 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. 194. Not a characteristic feature of endogenous depression :
    • a. Loss of self-esteem b. Guilt psychosis
    • c. Third person hallucination d. Paranoid feeling
  195. 195. Most common hallucination in schizophrenia is :
    a. Auditory b. Visual c. Olfactory d. Tactile
  196. 196. False regarding clozapine is :
    • a. Extrapyramidal side effect b. Agranulocytosis
    • c. Precipitates seizures d. Used in schizophrenia
  197. 197. all are antidepressants except:
    a. Pimozide b. Fluoxetine c. Amitriptyline d. Trazodone
  198. 198. False regarding REM sleep is :
    • a. Dreaming sleep b. Slow eye movements present
    • c. Paradoxical sleep d. Alpha waves are seen
  199. 199. Drug of choice for bipolar mood disorder:
    a. Carbamazepine b. Lithium carbonate c. imipramine d. Buspirone
  200. 200. Neurotransmitter, which is found in increased quantities in schizophrenia , is :
    a. Noradrenaline b. Serotonin c. Dopamine d. GABA
  201. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 213. All of the following are hallucinogens except:
    a. LSD b. Phencyclidine c. Mescaline d. Methylphenidate
  214. 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. 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. 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. 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. 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. 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. 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. 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
Card Set
Sharad Psychiatry
sharad chandra psychitary