Sharad Psychiatry

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

2. Not a classical 4 ‘As’ of bleuler in schizophrenia:

3. Not a feature of schizophrenia :

4. Neologism is a characteristic feature of :

5. Loss of insight occurs in :

6. Not a first order rank symptom of schizophrenia :

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

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:

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

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 :

11. In Schizophrenia, bad prognostic factor is:

12. Good prognostic factor for Schizophrenia is:

13. Not a bad prognostic factor of Schizophrenia:

14. Absolute contraindication for ECT is :

15. Most common side effect of modified ECT is :

16. ECT causes :

17. ECT is most effective in:

18. ECT is not indicated in :

19. Memory disturbances of ECT recovers after:

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

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 :

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

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:

24. Absolute contraindication for ECT is :

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

26. Not seen in hyperkinetic child :

27.Not a feature of hyperkinetic child :

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

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:

30. Most common complication of obsessive compulsive disorder is :

31. False regarding obsessive compulsive neurosis is :

32. Not a characteristic feature of obsessive compulsive neurosis:

33. Drug not used in obsessive compulsive neurosis is :

34. Not a feature of obsessive compulsive neurosis :

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

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:

37. Delusions are seen in all the following except:

38. Best use of lithium is in :

39. In bipolar manic disorder the drug used is :

40. in manic depressive psychosis, prophylaxis is :

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:

42. Post traumatic stress syndrome is because of :

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 :

44.In delirium tremens, the drug of choice is :

45. Not a feature of alcohol withdrawal:

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 :

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:

48. Not a feature of morphine withdrawal :

49. Not a feature of opioid withdrawal :

50. Epileptic fits are distinguished from hysterical fits by:

51. Mini mental scale is :

52. All are false regarding Schizophrenia except:

53. psychoanalysis was founded by which of the following scientist :

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

55. False regarding conversion reaction is:

56. Déjà vu is seen in:

57. Unfamiliarity of familiar things is seen in:

58. Methadone is indicated in ;

59. False regarding opiate withdrawal syndrome :

60. True regarding confabulation is :

61. Confabulation is defect of :

62. All are the features of Korsakoff psychosis except :

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

64. In enuresis, most useful drug is :

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 :

66. Lithium is used in treatment of :

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

68. Not a “learning” disability of childhood :

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

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

71. Hypochondriasis means:

72. Preoccupation with disease is known as:

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 :

74. Cataplexy is seen in :

75. Lithium is useful in :

76. Lithium is not indicated in:

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 :

78. Not seen in mania :

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

80. Not an anxiolytic drug :

81. Nightmare occur in which of the following stage of sleep:

82. False regarding obsession is :

83. Simple Schizophrenia is best characterized by :

84. “Punch drunk” syndrome is seen with :

85. Thanatophobia is fear of :

86. Claustrophobia means :

87. Agoraphobia is fear of :

88. Not an ego defense mechanism :

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

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

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

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

93. Tardive dyskinesia is not seen with :

94. Not a side effect of fluoxetine :

95. Fluxetine is a :

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

97. Drug not used in “ akathesia” is :

98. Treatment of choice in akathesia is :

99. Akathesia is :

100. Pavor nocturnus is :

101. irresistible urge to move about with inner restlessness is known as:

102. Kleptomania is :

103. In which of the following tactile hallucinations are seen :

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

105. Not a feature of catatonia :

106. “ Jargon aphasia” is seen in :

107. young lady presents with a history of excessive food intake following which she would induce vomiting . the most likely diagnosis is :

108. Characteristic feature of bulimia nervosa is :

109. All are false regarding anorexia nervosa except:

110. False regarding anorexia nervosa is :

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

112. Ganser’s syndrome is associated with which of the following :

113. Identical mental disorder affecting 2 members of a family is :

114. Dissociative phenomenon is :

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

116. Phobia is a ;

117. False regarding malingering is :

118. Morbid jealously is seen with which of the following :

119. Most common age of depression is :

120. Endogenous depression is :

121. Depression is not caused by :

122. Depression is not caused by :

123. Autism refers to:

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 :

125. Mature defense mechanism is :

126. Cognition means:

127. Tianeptine acts by :

128. Most common postpartum psychosis is :

129. Dysthymia is:

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:

131. Treatment of panic attack includes:

132. Pseudodementia is commonly seen with :

133. Alexithymia is :

134. Apraxia is a disorder of :

135. A 50- year- old male complains of slowness of movements, Postural instability, tremor and rigidity. Most likely diagnosis is :

136. False perception without external stimulation is known as:

137. Disulfiram acts by :

138. In myoclonic seizures the drug of choice is :

139. Neuroleptic malignant syndrome is characterized by:

140. False redgarding dementia is :

141. Wernickle-Korsakoff syndrome is due to the deficiency of which of the following:

142. In schizophrenia, drug of therapeutic benefit is :

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

144. In EEG, α wave is seen in :

145. True regarding allodynia is :

146. Which of the following exclude painful stimuli from awareness:

147. In hashish the active substance is :

148. True about social phobia is :

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

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

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 :

152.A female presenting with a prior history of slashed wrists and attempted suicide now presents with a similar history. The diagnosis:

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:

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:

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:

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 :

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:

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 :

159. Confabulation is :

160. Parosmia is :

161. False sense of perception without any external objects of stimulus is known as :

162. All of the following are features of hallucinations, except:

163. hallucination which occur at the ‘start’ of sleep is :

164. A patient presented with one- month history of abnormal hallucination, and delusion. The diagnosis is :

165. All are true regarding hallucinations except:

166. Which of the following behavioral problems would suggest an organic brain lesion?

167. In narcolepsy, the most common symptom is :

168. Sympathy towards captivator by captivated person is known as?

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?

170. The treatment of choice in attention deficit hyperactivity disorder is :

171. Acrophobia is :

172. The following is a schneider’s first rank symptom:

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 :

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:

175. Term catatonia was used by ;

176. Term catatonia was used by :

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

178. Most common cause of suicide is :

179. yawning is a common feature of :

180. Flooding is the mode of treatment for which of the following :

181. Behavior therapy to change maladaptive using response are reinforcer uses the principles of :

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:

183. Delirium tremens is characterized by confusion associated with ;

184. False regarding delirium tremens is :

185. Delirium tremens is seen in :

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:

187. Not seen in Korsakoff’s syndrome :

188. Psychological disorder most commonly associated with myxedema is :

189. Depression is a feature of which of the following condition;

190. Which antipsychotic drug has prolonged action ?

191. Treatment is required in all of the following withdrawal symptoms except:

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 .

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 ;

194. Not a characteristic feature of endogenous depression :

195. Most common hallucination in schizophrenia is :

196. False regarding clozapine is :

197. all are antidepressants except:

198. False regarding REM sleep is :

199. Drug of choice for bipolar mood disorder:

200. Neurotransmitter, which is found in increased quantities in schizophrenia , is :

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:

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 :

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:

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:

205. The non REM (NREM) sleep is commonly associated with :

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:

207. Signs of organic brain damage are evident on:

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:

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:

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?

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:

212. Dry mouth during antidepressant therapy is caused by blockade of:

213. All of the following are hallucinogens except:

214. Perseveration is :

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:

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:

217. Which of the following is an alternative to methadone for maintenance treatment of opiate dependence ?

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.

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:

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:

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: