Psychiatry

Topics
Schizophrenia and delusional disorder
Mood disorder
ECT
Organic mental disorder
Child psychiatry
Substance use disorder
Anxiety disorder
Personality disorder
Sexual disorder
Sleep disorder
Miscellanious topics

Topic : Substance use disorder

Q.1) Patient brought to casualty and on examination there is tachycardia, tachypnea,
sweating, diarrhea and mydriasis? Person has taken over dose of?
a. Opioid
b. Amphetamine
c. Cocaine
d. Alcohol

Q.2) In a chronic alcoholic, which withdrawal symptoms develops after 72hours of last
drink?
a. Hallucinations
b. Tremors
c. Seizures
d. Delirium

Q.3) At what blood alcohol concentration level person develops impaired driving ability?
a. 30mg%
b. 30-80 mg %
c. 80-200 mg%
d. 300-400 mg%
Q.4) Drugs used for treating medication resistant schizophrenia is:
a. Haloperidol
b. Olanzapine
c. Aripiprazole
d. Clozapine

Q.5) Most common type of schizophrenia is:

a. Paranoid
b. Simple
c. Catatonic
d. Undifferentiated

Q.6) Delusion is a disorder of:

a. Thought
b. Memory
c. Perception
d. Learning

Q.7) Excessive sexual desire in male is k/as?

a. Nymphomania
b. Satyriasis
c. Fatichism
d. Voyerism

Q.8) To diagnose mania, symptoms should remain present for at least:

a. 7 days
b. 2 days
c. 4 days
d. 2 weeks

Q.9) 11 Identify this OPD based procedure used for positive symptoms of schizophrenia:

a. ECT
b. E-TNS
c. RTMS
d. Vagal nerve stimulation

Q.10) Since last 3 months a nonalcoholic patient started believing that his daughter wanted
to kill him? What it will be?
a. Schizophrenia
b. Bipolar disorder
c. Delusional disorder
d. Xenophobia

Q.11) A child fights with other children frequently. He has disciplinary problem in school
and steals things. Most likely diagnosis is:
a. Autism
b. Attention deficit hyperkinetic disorder
c. Conduct disorder
d. Obsessive compulsive disorder

Q.12) A two-year-old girl child presented with impaired language and communication
development, hand wringing stereotyped movements, poor social skills, breath holding spells
and deceleration of head growth after six months. Findings are suggestive of:
a. Rett’s syndrome
b. Asperger’s syndrome
c. Noonan syndrome
d. Fragile X syndrome

Q.13) Patient had covid infection 1year ago since last 3 months he had fear that he might die
due to covid and sweating, palpitations and fear of impending doom (death) lasts for 20
minutes. What is the probable diagnosis?
a. PTSD
b. Panic disorder
c. Depression
d. Mania

Q.14) Odepal complex is related to which phase of psychosexual development?

a. Oral
b. Anal
c. Phallic
d. Genital

Q.15) Loss of interest in things which were previously interesting:

a. Anergia
b. Anxiety
c. Anhedonia
d. Alexithymia

Q.16) MUS indicates?

a. Medically understandable symptoms
b. Mentally Unstable Symptoms
c. Medically undifferentiated symptoms
d. Medically unexplainable symptoms

Q.17) Misinterpretation of external stimuli is known as:

a. Delusion
b. Hallucination
c. Illusion
d. Déjà vu

Q.18) A patient of mania was started on Lithium therapy after 1 week there was partial
improvement in symptoms. Serum Lithium level was 0.5mEq/L, what will be the next best
step?
a. Prepare and plan dialysis
b. Add 2nd drug to Lithium
c. Maintain same dose and monitor
d. Increase the dose of Lithium

Q.19) A 28-year-old 4 months pregnant lady was diagnosed with bipolar I disorder 2nd
episode. Which among the following therapy should be prescribed?
a. Lithium
b. Sodium Valproate
c. Carbamazepine
d. Electro convulsive therapy –ECT

Q.20) Long term semantic type memory includes all except?

a. Languages
b. Rules
c. Words
d. Tour to America

Q.21) MC psychiatric disorder world-wise & in India?

a. Depression
b. Panic disorder
c. Mania
d. Bipolar disorders

Q.22) Young patient was admitted to hospital with acute psychosis. He wakes up and asks
for his wife who was there in the same room in the same area. Upon seeing her, he started
beating her thinking that it was nurse who was masquerading as his wife. He also said she
was the same nurse who gave her wrong medication 2 days back as well to make him ill,
because she wanted to harm him but who was actually his wife. Likely diagnosis?
a. Capgras syndrome
b. Fregoli syndrome
c. Delusion of subjective doubles
d. Othello syndrome

Q.23) Pseudologia fantastica is a feature of:

a. Delirium tremens
b. Dementia
c. Factitious disorder
d. Schizophrenia

Q.24) A 30-year-old man who was recently started on haloperidol 10 mg/day, after 6 months
patient developed involuntary chewing movement of lips there is no history of any other drug
intake or any signs of infection. The most likely diagnosis is?
a. Drug overdose
b. Neuroleptic malignant syndrome
c. Acute dystonia
d. Tardive dyskinesia

Q.25) Psychiatric illness most commonly seen in medical-surgical department/ward is?

a. Dementia
b. Depression
c. Delirium
d. Schizophrenia

Q.26) Which of the following is negative symptom of schizophrenia?

a. Delusions
b. Alogia
c. Auditory hallucinations
d. Loosening of association

Q.27) Marker of passive smoking or 2nd hand smoking is?

a. Cytisine
b. Ecognine
c. Cotinine
d. Hermaline

Q.28) Moderate mental retardation is an IQ of:

a. 10-20
b. 20-35
c. 35-50
d. 50-70

Q.29) Visual hallucinations and neuroleptic sensitivity syndrome are characteristics feature
of?
a. Alzheimer’s disease
b. Lewy body dementia
c. Pick’s disease
d. Vascular dementia

Q.30) According to which provision under the Mental Health Bill; the mentally ill patient
has the right of choosing his/her caregiver and further course of management in future?
a. Advance directive
b. Mental will
c. Future directive
d. Treatment directive

T&D DEC 2021 (50 Questions)

1. A 7-year-old boy is brought to see the General Practitioner (GP) by his mother, who is concerned
about his behaviour at home and school. Over the past 12 months, his mother has noted problems
with inattention, hyperactivity and impulsivity. Teachers have also been raising similar issues about
his behaviour in school. His symptoms are affecting his performance in school and his relationship at
home with his parents and siblings. Which one of the following conditions is he most likely to be
diagnosed with?
A. Attention deficit/hyperactivity disorder (ADHD)
B. Autism spectrum disorder
C. Learning difficulty
D. Learning disability

2. Not true about somnambulism?

A. Disorder of sleep arousal
B. Also known as sleep walking
C. Low level of motor skills
D. Consciousness intact

3. Risk factor for delusional disorder is all except:

A. Early age
B. Social Isolation
C. Recent immigration
D. Sensory deprivation

4. Morbid fear of darkness?

A. Claustrophobia
B. Xenophobia
C. Mysophobia
D. Nyctophobia

5. Not a risk factor in schizophrenia?

A. Children born to younger mothers
B. Winter born
C. Industrialization
D. Asthenic build

6. Not true about somnambulism?

A. Disorder of sleep arousal
B. Also known as sleep walking
C. Slow motor skills
D. Consciousness intact

7. CAM is used for screening test as?

A. Delirium
B. Dementia
C. Depression
D. Mania

8. Premature ejaculation is disorder of which phase of sexual response cycle?

A. Desire
B. Excitement
C. Orgasmic
D. Resolution

9. Drug used for smoking cessation?

A. Buspirone
B. Varenicline
C. Acamprosate
D. Baclofen

10. According to which provision under the Mental Health Bill; the mentally ill patient
has the right of choosing his/her caregiver and further course of management in future?
A. Advance directive
B. Mental will
C. Future directive
D. Treatment directive

11. Which of the following is not an adverse effect of Escitalopram?

A. Nausea
B. Vivid dreams
C. Anorgasmia
D. Sialorrhea

12. A young male patient is on 5mg haloperidol for many days, recently for last 4 days of
duration he has inner restlessness and urges to move. Diagnosis is?
A. Akathisia
B. Tardive dyskinesia
C. Rabbit syndrome
D. Acute dystonia

13. A patient believes he is the most important person in the world than anyone so his
neighbours and family is trying to harm him as they are jealous of him. His wife says
otherwise and says he behaves like this recently only before he was working as a school
teacher peacefully and brought to OPD. He is suffering from?
A. Delusion of grandiosity
B. Delusion of persecution
C. Delusion of grandiosity and persecution
D. Delusion of grandiosity, persecution and reference

14. A young patient was admitted to hospital with acute psychosis. He wakes up and asks for
his wife who was there in the same room in the same area. Upon seeing her, he started
beating her thinking that it was nurse who was masquerading as his wife. He also said she
was the same nurse who gave her wrong medication 2 days back as well to make him ill,
because she wanted to harm him but who was actually his wife. Likely diagnosis?
A. Capgras syndrome
B. Fregoli syndrome
C. Delusion of subjective doubles
D. Othello syndrome
15. An engineer after taking up the job is feeling happy more cheerful than normal, started
doing more work than usual, sleep less at night and then followed by feeling, low mood,
hopeless and not able to concentrate on work. His symptoms are continuous for 30 months
without any period of remission for more than 2 months when he left his college. Likely
diagnosis?
A. Depressive disorder
B. Dysthymia
C. Adjustment disorder
D. Cyclothymia

16. Long term Episodic type memory includes all except?

A. Birthday Party
B. Events
C. Words
D. Tour to America

17. TRIP word in LSD use is defined as?

A. Good experience after using LSD
B. Bad Experience after using LSD
C. Single use followed by long period of abstinence
D. Frequent use of LSD without any abstinence

18. Which among the following is named as New Psychoactive Substance [NPS]?
A. Cocaine
B. Bath Salt
C. Cannabis
D. LSD

19. A female is pregnant. Drug contraindicated?

A. Valproate
B. Lithium
C. Lamotrigine
D. Olanzapine

20. Drug used in OCD which has maximum anticholinergic effect?

A. Sertraline
B. Fluoxetine
C. Clomipramine
D. Baclofen

21. Which of the following increases on Electro convulsive therapy?

A. 5- Hydroxy- indole- acetic acid
B. Dopamine
C. Serotonin
D. Brain derived Neurotrophic factor

22. MUS indicates?

A. Medically understandable symptoms
B. Mentally Unstable Symptoms
C. Medically undifferentiated symptoms
D. Medically unexplainable symptoms

23. Total score in mini mental status examination is?

A. 25
B. 30
C. 35
D. 40

24. A patient is taking 130ml of alcohol daily since last 10 years is brought to hospital by his
wife and is diagnosed as alcohol dependence syndrome. Which of the following drug should
be avoided in the management?
A. Naltrexone
B. Acamprosate
C. Disulfiram
D. Phenytoin

25. Most important feature of delirium is?

A. Anxiety
B. Hyperactivity
C. Clouding of consciousness
D. Impaired attention

26. Persistent preoccupation with serious illness and normal body function is called?
A. Obsession
B. Somatization
C. Somatic symptom disorder
D. Illness anxiety disorder

27. Which of the following is the most effective treatment modality for post-traumatic stress
disorder?
A. CBT
B. Hypnosis
C. Rational & emotional therapy
D. Eye movement desensitization & reprocessing

28. All of the following is true about Rett’s syndrome except?

A. X Linked
B. Stereotypical hand movements
C. Poor social interaction
D. Microcephaly at birth

29. Criteria for vascular dementia is?

A. Roman criteria
B. NINDS-AIREN
C. MDS criteria
D. NINCDS- ADRDA

30. Kleine Levin syndrome is?

A. Insomnia
B. Anxiety
C. Depression
D. Hypersomnia

31. Narcolepsy is due to abnormality in?

A. Hypothalamus
B. Neo-cortex
C. Cerebellum
D. Medulla Oblongata

32. Formication & delusion of persecution, both are together seen in?
A. LSD
B. Cocaine Psychosis
C. Amphetamine Psychosis
D. Cannabis Psychosis

33. In alcohol withdrawal drug of choice is?

A. Naltrexone
B. Disulfiram
C. Haloperidol
D. Chlordiazepoxide

34. In a patient with history of prolonged alcohol intake, seizures will occur after... of alcohol
withdrawal?
A. 4-6 hours
B. 24-48 hours
C. 2-4 days
D. 4-7 days

35. Double depression means depression occurring with?

A. Cyclothymia
B. Dysthymia
C. Hyperthymia
D. Mania

36. True regarding autism is?

A. A metabolic disorder
B. Caused due to teratogenic drugs
C. Impaired language development and usage
D. Neurodevelopmental disorder

37. Drug of choice for OCD is?

A. Alprazolam
B. Clomipramine
C. Fluoxetine
D. Diazepam

38. The Non-REM (NREM) sleep is commonly associated with?

A. Frequent dreaming
B. Frequent penile erections
C. Increased blood pressure
D. Night terrors

39. A child fights with other children frequently. He also has disciplinary problem in school
and steals things. Most likely diagnosis is?
A. Autism
B. Attention deficit hyperkinetic disorder
C. Conduct disorder
D. Obsessive compulsive disorder

40. Which pregnancy category B antipsychotic drug not FDA approved for use in pregnancy?
A. Olanzapine
B. Clozapine
C. Ziprasidone
D. Aripiprazole

41. All of following can be seen in severe lithium toxicity except?

A. Ataxia
B. Seizures
C. Hyporeflexia with normal relaxation
D. Stupor

42. Lewy body dementia true is?

A. History of visual hallucinations and frequent falls
B. No amyloid plaques
C. Cortical memory is lost earlier
D. Sensitive to anticholinergics

43. A patient comes in emergency with feeling of impending doom, intense ghabrahat and
palpitations. Which of the following investigation need not be done in emergency to find the
cause of anxiety?
A. T3T4 TSH
B. Glucose
C. Haemoglobin
D. ECG

44. A female has very unstable relation with her husband, always threatening to commit
suicide in fact she one time eat some poison, then diagnosis?
A. Borderline personality disorder
B. Depression
C. Schizoid personality disorder
D. None

45. Which personality disorder can be considered a part of autistic spectrum disorders?
A. Borderline
B. Schizotypal
C. Schizoid
D. Narcissistic

46. All are true about Ganser syndrome except?

A. Approximate answers
B. Apparent clouding of consciousness
C. Only found in Prison inmates
D. Hallucinations
47. Electra complex is related to which phase of psychosexual development?
A. Oral
B. Anal
C. Genital
D. Phallic

48. A lady washes her hands at least 50 times per day no apparent reason. Cognitive
behaviour
therapy for her treatment should include?
A. Exposure
B. Response prevention
C. Thought stopping
D. Desensitization

49. Not a disorder of ‘Form’ of thought is?

A. Derailment
B. Tangentiality
C. Thought block
D. Loosening of association

50. Which of the following is incorrect match?

A. Paranoid Personality Disorder-Cluster A
B. Borderline personality disorder - cluster C
C. Histrionic Personality disorder –Cluster B
D. Anankastic personality disorder- Cluster C

T&D JUNE 2021 (30 Questions)

1. When a person I asked about his blood sugar level,

he answers like "Diabetics have sweet urine ...
urine and feces are excreta".... Before finally
telling his blood sugar. It is an example of?
A. Tangentiality
B. Circumstantiality
C. Flight of ideas
D. Loosening of association
2. A depressed patient thinks her intestines are
rotten. It is an example of?
A. Hallucination
B. Illusion
C. Ekbom syndrome
D. Nihilistic delusion

3. Narcolepsy is associated with?

A. Decreased NREM sleep
B. Hypnagogic hallucination
C. Late age of on et
D. Normal sleep architecture

4. According to ICD-lO, how many months should

someone be having symptoms to diagnose
schizophrenia -
A. 1 month
B. 2 months
C. 3 months
D. 6 months

5. Type II bipolar disorder is characterized by?

A. Mania and subclinical depression
B. Hypomania and major depression
C. Hypomania and subclinical depression with
normal mood in between
D. Mania and dysthymia

6. A 40years old male always doubts his neighbor

and fights with him without any reason. Rest
behavior is normal. This can be due to?
A. Delusion of grandiose
B. Nihilistic delusion
C. Delusion of persecution
D. Delusion of infidelity

7. Treatment of choice for phobias is -

A. Psychotherapy
B. Behavior therapy
C. Sedatives
D. ECT

8. Morbid jealousy is associated with which

addiction?
A. Alcohol
B. Heroin
C. LSD
D. Charas

9. Confabulation is?
A. A state of confusion where patient is not able to
describe the details
B. Purposefully fabricating stories to project a
certain image
C. Filling up to gaps by fabrication to cover lapses
in memory
D. A feeling of strangeness to familiar situations or
events.

10. A25yearsoldmaleisnothappy with its gender

and is always in distress due to this. He wants to
change sex and have vagina. It comes under?
A. Transsexualism
B. Dual role transvestism
C. Gender dysphoria
D. Sexual maturation disorder

11. Capgras syndrome is?

A. Delusion of infidelity
B. Delusion of love
C. Delusion of double
D. Delusion of grandiose

12. Tolerance means?

A. Increase effect of drug on same dose
B. Decrease effect of drug on same dose
C. Same effect on lesser doses
D. None

13. A Schizophrenic patient is seen to be doing spontaneous, repeated, purpose-

less activity. Which of following best describes this psychiatric sign?
A. Perseveration
B. Verbigeration
C. Mannerism
D. Sterotypy
14. Clouding of consciousness is characterized by a disturbance in all of the
following areas, except:
A. Mood
B. Concentration
C. Memory
D. Orientation

15. A 45-year-old woman on the ward believes that her daughter has been
replaced by a double. The most probable diagnosis is:
A. Delusion of subjective double
B. Capgras syndrome
C. Fregoli’s syndrome
D. Folie a` deux

16. Positive symptoms of Schizophrenia results due to the involvement of

A. Mesolimbic pathway
B. Mesocortical pathway
C. Tubero-infundibular pathway
D. Nigrostriatal pathway

17. As per Neurodevelopmental hypothesis, abuse of which of the following

substance during adolescence can leads to development of schizophrenia?
A. Alcohol
B. Amphetamine
C. Cannabis
D. Nicotine

18. All of the following are regarded as aetiologically related to schizophrenia,

except:
A. Schizoid personality disorder
B. Winter and early spring birth
C. Prenatal exposure to influenza
D. Obstetric complications

19. A red rash around the mouth is seen with the abuse of
A. Cocaine
B. Cannabis
C. Amphetamine
D. Solvents

20. All of the following statement are true about Naloxone except
A. Orally Active
B. Used in morphine poisoning
C. Used for reversing neonatal asphyxia
D. Used for reversing respiratory depression
21. A 75 yrs old male was operated for fracture neck of femur and since next day
develops irritability, disorientation & has been talking to imaginary people.
Appropriate diagnosis of this patient would be
A. Schizophrenia
B. Post operative psychosis
C. Delirium
D. Senile dementia

22. All of the following are features of Wernicke’s encephalopathy, except:

A. Ophthalmoplegia
B. Nystagmus
C. Ataxia
D. It is caused mainly by vitamin B12 deficiency

23. Which of the following is not characteristic of thought processes in

schizophrenia?
A. Derailment
B. Neologism
C. Cirumstantiality
D. Prolixity

24. As per the theory of psychosexual development, sexual disorder arise due to
fixation at
A. Oral Phase
B. Anal Phase
C. Phallic Phase
D. Genital Phase

25. Which of the following is commonly associated with metabolic syndrome?

A. Haloperidol
B. Thioridazine
C. Aripiorazole
D. Olanzapine

26. In Rett syndrome, all of the following statements are true, except:
A. Prenatal and perinatal development is abnormal
B. Head circumference at birth is normal
C. There is deceleration of head growth between 5 and 48 months
D. Gait and trunk movements are poorly coordinated

27. 49 When a person I asked about his blood sugar level, he answers like
"Diabetics have sweet urine ... urine and feces are excreta".... Before finally
telling his blood sugar. It is an example of?
A. Tangentiality
B. Circumstantiality
C. Flight of ideas
D. Loosening of association

28. A depressed patient thinks her intestines are

 rotten. It is an example of?
A. Hallucination
B. Illusion
C. Ekbom syndrome
D. Nihilistic delusion

29. Which of the following is not a feature of catatonic schizophrenia?

A. Mitgehen
B. Mutism
C. Coprolalia
D. Stupor

30. Disorientation is commonly associated with

A. Acute and transient psychotic disorder
B. Organic delusional disorder
C. Delirium tremens
D. Korsakoff’s psychosis

T&D DEC 2020 (50 Questions)

1. All of the following are true about delusion except?

a. Extraordinary conviction
b. Subjective certainty
c. Incorrigible
d. In keeping with socio-cultural background

2. A patient with depression who says ‘I feel as if I have no feelings’ is having

a. Anhedonia
b. Alexithymia
c. Depersonalization
d. Delusions of control

3. McEwan’s sign is used for differentiating coma due to

a. Cannabis
b. Cocaine
c. Alcohol
d. Barbiturates

4. A Schizophrenic patient is seen to be doing spontaneous, repeated, purpose-

less activity. Which of following best describes this psychiatric sign?
a. Perseveration
b. Verbigeration
c. Mannerism
d. Sterotypy
5. Clouding of consciousness is characterized by a disturbance in all of the
following areas, except:
a. Mood
b. Concentration
c. Memory
d. Orientation

6. A 45-year-old woman on the ward believes that her daughter has been
replaced by a double. The most probable diagnosis is:
a. Delusion of subjective double
b. Capgras syndrome
c. Fregoli’s syndrome
d. Folie a` deux

7. Which of the following symptoms is most specific to a diagnosis of

schizophrenia?
a. Auditory Hallucinations
b. Catatonic symptoms
c. Inappropriate affect
d. Belief that one has power of an alien species

8. First rank symptoms include all of the following except:

a. Passivity of volition
b. Paucity of speech
c. Passivity of impulse
d. Passivity of affect

9. Disorientation is commonly associated with

a. Acute and transient psychotic disorder
b. Organic delusional disorder
c. Delirium tremens
d. Korsakoff’s psychosis

10.A 35 yrs old man was brought by his family members with the complaints of
gradual onset of social withdrawal, poor job involvement, lack of concern
about the family affairs for the last one year. On examination his affect was
flat, and he was disinterested in talking to the examiner. He is most likely to
be suffering from
a. Simple Schizophrenia
b. Residual Schizophrenia
c. Schizoaffective disorder
d. Depression

11.Positive symptoms of Schizophrenia results due to the involvement of

a. Mesolimbic pathway
b. Mesocortical pathway
c. Tubero-infundibular pathway
 d. Nigrostriatal pathway

12.As per Neurodevelopmental hypothesis, abuse of which of the following

substance during adolescence can leads to development of schizophrenia?
a. Alcohol
b. Amphetamine
c. Cannabis
d. Nicotine

13.All of the following are regarded as aetiologically related to schizophrenia,

except:
a. Schizoid personality disorder
b. Winter and early spring birth
c. Prenatal exposure to influenza
d. Obstetric complications

14.Which of the following is not a feature of catatonic schizophrenia?

a. Mitgehen
b. Mutism
c. Coprolalia
d. Stupor

15.All of the following are characteristics of simple schizophrenia except

a. Third person auditory hallucinations
b. Prominent negative symptoms
c. Early onset
d. Poor prognosis

16.A 64 yrs old man has been severely depressed for several months. His
condition is deteriorating despite treatment with the antidepressants. He is
very distressed, suicidal, and is refusing to eat. Next line of management for
this patient should be
a. Change of antidepressant
b. Augmentation with lithium
c. Augmentation with thyroxine
d. Electro-convulsive therapy

17.A 50 yrs old man had three episodes of hypomania in his life. His each
episode of hypomania was followed by severe depressive episode.
Appropriate diagnosis of this patient would be
a. Bipolar I disorder
b. Bipolar II disorder
c. Cyclothymia
d. Hyperthymia

18.The Life time prevalence of bipolar I disorder is

a. 2% b. 5%
c. 10% d. 15%
19.Thought echo is a disorder of
a. Thought stream
b. Thought form
c. Thought Possession
d. Perception

20.Known risk factors for developing rapid-cycling mood disorder include all
except:
a. History of antidpressant-induced hypomania
b. Substance misuse
c. Biochemical evidence of low thyroxine levels
d. A recent severe life event

21.A 46 years old man presents with a long standing belief that his thoughts
are being taken from his head and used to create blockbuster movie. He is
certain that government is involved because they often communicate with
him through a microchip they have implanted in his brain. Although he feels
frustrated at being taken advantage of, he denies any significant depressive
symptoms and is often able to enjoy playing cards with his peers at the
home. Likely diagnosis will be
a. Manic episode
b. Delusional disorder
c. Schizophrenia
d. Schizoaffective disorder

22.Chromosome which is found to be associated with unipolar depression is

a. Chromosome 2
b. Chromosome 5
c. Chromosome 7
d. Chromosome 12

23.A red rash around the mouth is seen with the abuse of
a. Cocaine
b. Cannabis
c. Amphetamine
d. Solvents

24.All of the following statement are true about Naloxone except

a. Orally Active
b. Used in morphine poisoning
c. Used for reversing neonatal asphyxia
d. Used for reversing respiratory depression

25.Naltrexone is primarily indicated for

a. Management of acute intoxication
b. Ultra-rapid detoxification
c. Harm minimization
d. Relapse prevention
26.In which of the following type of hallucination, the stimulus and
hallucination are perceived in the same sensory modality?
a. Reflex hallucination
b. Functional Hallucination
c. Extracampine hallucination
d. Cenesthetic hallucination

27.A prisoner after head injury began showing the signs of abnormal behavior.
Whenever anything is asked to him, he would give approximate answers.
Later on in the day he would says he doesn’t remember anything about his
behavior. Likely diagnosis is
a. Malingering
b. Diogenes syndrome
c. Ganser’s syndrome
d. Padre Pio Phenomenon

28.All of the following are the Eugen Bleuler’s primary (fundamental)

symptoms except
a. Withdrawal into self
b. Loosening of association
c. Inappropriate affect
d. Marked motor disturbance

29.Which of the following is a metabolite of serotonin?

a. HVA
b. VMA
c. HIAA
d. MOPEG

30.A 75 yrs old male was operated for fracture neck of femur and since next
day develops irritability, disorientation & has been talking to imaginary
people. Appropriate diagnosis of this patient would be
a. Schizophrenia
b. Post operative psychosis
c. Delirium
d. Senile dementia

31.All of the following are features of Wernicke’s encephalopathy, except:

a. Ophthalmoplegia
b. Nystagmus
c. Ataxia
d. It is caused mainly by vitamin B12 deficiency

32.Which of the following is not characteristic of thought processes in

schizophrenia?
a. Derailment
b. Neologism
c. Cirumstantiality
d. Prolixity
33.A 25 yrs old female came to examiner with the history of having multiple
deliberate self harming behavior, unstable relationships, with constant fear
of abandonment. Appropriate psychological intervention for this patient
would be
a. Psychoanalytical psychotherapy
b. Psychodynamic psychotherapy
c. Cognitive behavior therapy
d. Dialectical behavior therapy

34.Most common psychiatric diagnosis in patient suffering from HIV infection is

of
a. Depression
b. Substance abuse
c. Generalized anxiety disorder
d. Adjustment disorder

35.All of the following are recognized side effects of lithium, except:

a. Weight loss
b. Hair loss
c. Hypothyroidism
d. Worsening of Psoriasis

36.Most preferred site of ECT application is

a. Unilateral on Non dominant hemisphere
b. Bifrontal
c. Bitemporal
d. Bioccipital

37.Which of the following is used in the treatment of ADHD with comorbid tics
disorder?
a. Atomoxetine
b. Venlafexine
c. Clonidine
d. Dextroamphetamine

38.All of the following statements are true about Gille de Tourette syndrome
except
a. Onset usually before 18 yrs of age
b. Multiple vocal and motor tics are seen
c. Atypical antipsychotic can worsen tics
d. Habit reversal technique can be beneficial
39.A 58 years old man presents with four months of significant depression
following the sudden premature death of his wife of 48 years. He reports
difficulty in sleeping, 10-lb weight loss, frequently crying spells, and
profound feeling of guilt over surviving her. For the last several days, he is
been convinced that his body is literally decaying. He admits to seeing his
wife’s face during the day, as well as hearing her voice telling him to kill him
and join him. Likely diagnosis would be
a. Bereavement reaction
b. Adjustment disorder
c. Schizophrenia
d. Depression with psychotic symptoms

40.A lady while driving a car meets with an accident. After the incident for next
one week she had disturbed sleep, repeated dreams of the incident and feels
afraid to sit in car again. Likely diagnosis
a. Acute stress disorder
b. Adjustment disorder
c. Phobic disorder
d. Post traumatic stress disorder

41.In psychotherapeutic terms “Counter transference” is

a. Patient feeling towards therapist
b. Therapist feeling towards patient
c. Insurance company feeling towards patient
d. Patients relatives feeling towards patient

42.All of the following can be used for treatment resistant OCD except
a. Fluvoxamine
b. Fluoxetine
c. Clonidine
d. Low dose antipsychotic

43.A 22 yrs old schizophrenic patient was put on haloperidol in the dose of 20
mg/day. A week later he developed restlessness, irritability and finds
difficulty in sitting at one place. He might be suffering from
a. Neuroleptic malignant syndrome
b. Neuroleptic induced Parkinsonism
c. Neuroleptic induced Dystonia
d. Neuroleptic induced Akathisia

44.All of the following are side effects of Clozapine except

a. Sedation
b. Constipation
c. Sialorrhea
d. Hypertension
45.In which of the following mental illness, currently disability certificate is not
issued?
a. Schizophrenia
b. Bipolar affective disorder
c. Obsessive compulsive disorder
d. Paranoid personality disorder

46.As per the theory of psychosexual development, sexual disorder arise due to
fixation at
a. Oral Phase
b. Anal Phase
c. Phallic Phase
d. Genital Phase

47.Which of the following is commonly associated with metabolic syndrome?

a. Haloperidol
b. Thioridazine
c. Aripiorazole
d. Olanzapine

48.In Rett syndrome, all of the following statements are true, except:
a. Prenatal and perinatal development is abnormal
b. Head circumference at birth is normal
 c. There is deceleration of head growth between 5 and 48 months
d. Gait and trunk movements are poorly coordinated

49.When a person I asked about his blood sugar level, he answers

like "Diabetics have sweet urine ... urine and feces are
excreta".... Before finally telling his blood sugar. It is an
example of?
a. Tangentiality
b. Circumstantiality
c. Flight of ideas
d. Loosening of association

50 A depressed patient thinks her intestines are rotten. It is an example of?

a) Hallucination
b) Illusion
c) Ekbom syndrome
d) Nihilistic delusion

MOCK PAPER QUESTIONS

MOCK -1 JUNE 2022 (5 Questions)

Q1 Double depression means depression occurring with?

a. Cyclothymia
b. Dysthymia
c. Hyperthymia
d. Mania

Q2 Theta waves on EEG is seen in:

a.Awake state with eyes open
b.Fully relaxed deep sleep
c.Awake state with eyes closed
d.Transition from wakefulness to sleep

Q. 3.All are features of mania except:

a. Insomnia b. Pressure of speech
c. Disorientation d. Grandeur delusion
Q4 Features of alcohol withdrawal are all except:
a.Epileptic seizure
b.Restlessness
c.Hallucination
d.Hypersomnolence

Q5A 27 year old female with bipolar disorder wants to get pregnant. Which drug
should be avoided except?
a. Lithium
b. Olanzapine
c. Clozapine
d. Valproate

MOCK 2 JUNE 2022 (5 Questions)

Q1 Prognosis in schizophrenia is less favourable if:
a. Paranoid type
b. Acute onset
c. Hebephrenic type
d. All of the above

Q2 A 30-year-old lady who is to much happy, always very talkative, even to

strangers. She always feels herself superior to other colleagues in company. She
remains agitated and move from one task to another (hyperactive):
a.Mania b. Depression
c. Schizophrenia d. Psychosis

Q.3 Which of the following is a feature of true hallucination?

a. It can occur in unconscious mind
b.It is dependent on will of observer
c. insight is absent
d. Occurs in subjective space

Q.4 A 55- year-old woman with a history of prolonged alcohol abuse cheerfully greets the
resident doctor of her nursing home, whom she has met many times before, and calls him
“my dear friend Rahul.” The physician explains who he is and tells the patient his name. Two
minutes later, when he asks the patient if she knows who he is, she answers with a smile: “Of
course, you are my cousin Raghav from Kerala.” What vitamin deficiency can cause this
particular form of alcohol induced amnestic disorder?
a. Panthotenic acid
b. Folate
c. Thiamine
d. Riboflavin
Q5.A 42-year-old woman comes to the psychiatrist with complaints of shore- term memory
loss. She has lost her way home several times in past weeks. Mini mental status exam scores
18 of 30 points. An MRI shows the loss of brain volume. The patient’s mother died of the
same disease at age 46. Which of the following genes in this patient (and her mother) are
likely to show a mutation on chromosome 14?
a. Presenilin 1
b. Presenilin 2
c. B- Amyloid precursor protein (APP)
d. Apolipoprotein (Apo E)

MOCK 3 JUNE 2022 (5 Questions)

1. Most common irreversible cause of dementia is -
A. Temporo parietal dementia
B. Fronto temporal dementia
C. Hypothyroidism
D. Multi infarct dementia

2. Patient has undergone surgery. What is most commonly seen in postoperative

period in such patients-
A. Delusion
B. Delirium
C. Hallucination
D. Convulsion

3. A 25 years old male disqualified in NEET 2018, disheartened with his result, he hung
himself from a branch of a tree. The branch of the tree breaks & he dies of head injury. This
is known as
A. Complex suicide
B. Complicated suicide
C. Para suicide
D. Pseudo suicide

4.. 25-year-old male had RTA after that he is fearful of driving vehicle and going to that
place since 6weeks and he is having flashbacks of incidents and he is not going for his
office also. What is diagnosis?
a. Post-traumatic stressdisorder
b. Acute stress reaction
c. Depression
d. Acute panic disorder

5.A clinician asked the patient “how is your mood”, patient replied “I m a stupid
guy, its easy to dance ”, what could be the diagnosis?
a. Neologism
b. Tangentiality
c. Clanging
d. Derailment

MOCK 1 DEC 2021 (5 Questions)

A 27-year-old female with bipolar disorder wants to get pregnant. Which drug
should be avoided except?
A. Lithium
B. Haloperidol
C. Carbamazepine
D. Valproate

122. Which of the following statement is not true?

A. Puerperal psychosis is related to bipolar disorder
B. Post-partum blues occur after 2 weeks of delivery
C. Post-partum psychosis is associated with complete recovery
D. The previous history of bipolar disorder is a risk for post-partum psychosis

123. Stimulation of which nerve is helpful in the treatment of ADHD?

A. Vagal nerve
B. Olfactory nerve
C. e-Trigeminal nerve
D. None is useful

124. Which of the following is associated with Alzheimer’s disease?

A. Apo E1
B. Apo E2
C. Apo E3
D. Apo E4

125. Oedipus complex [given by Sigmund Freud] is seen in?

A. Girls of 1-3 years of age
B. Boys of 1-3 years of age
C. Girls of 3-5 years of age
D. Boys of 3-5 years of age
MOCK 2 DEC 2021 (5 Questions)

A 20-year-old girl is brought to psychiatrist with the complaints of excessive exercising and dieting.
Which of the following will help in differentiation between anorexia?
nervosa and bulimia nervosa?
{c}Binge eating
Fear of becoming fat
Purging episodes
Significantly lesser weight for height

All of the following are the characteristic features of hallucination except?

Sensory organs not involved
It is independent of will of person
{c}It occurs in the absence of any sensory stimuli
It is as real as real sensation/perception

The psychiatric disorder associated with Paediatric Autoimmune Neuropsychiatric Disorders

Associated with Streptococcal infections (PANDAS)?
Attention Deficit Hyperactivity Disorder (ADHD)
Depression
Schizophrenia
{c}Obsessive Compulsive Disorder (OCD)

Identify the projective personality test.

Children Ap-perception test (CAT)

Thematic Ap-perception test (TAT)
Rorschach
Minnesota Multiphasic Personality Inventory (MMPI)

La-belle indifference is seen in?

Depression
{c}Functional neurological symptom disorder
Schizophrenia
Mania
MOCK 1 JUNE 2021 (4 Questions)

Patient has undergone coronary artery bypass grafting surgery. What is most commonly seen
in postoperative
Period in such patients-
Delusion
{c}Delirium
Hallucination
Convulsion
#Q#
A patient with IQ – 29 comes under which category of mental retardation
Mild MR
Moderate MR
{c}Severe MR
Profound MR
#Q#
A young lady was admitted with h/o taking over dose of diazepam after broken affair. She
has history of slitting her wrist previously. Most likely diagnosis is:
{c}Borderline pd
Histrionic pd
Narcissistic pd
Avoidant pd
#Q#
According to which provision under the mental health bill; the mentally ill patient has the
right of choosing his/her caregiver and further course of management in future?
{c}Advance directive
Mental will
Future directive
Treatment directive

MOCK 2 JUNE 2021 (8 Questions)

Clouding of consciousness is characterized by a disturbance in all of the

following areas, except:
{c}Mood
Concentration
Memory
Orientation
#Q#
Which of the following symptoms is most specific to a diagnosis of
schizophrenia?
Auditory Hallucinations
Catatonic symptoms
Inappropriate affect
{c}Belief that one has power of an alien species
#Q#
A 35 yrs old man was brought by his family members with the complaints of
gradual onset of social withdrawal, poor job involvement, lack of concern
about the family affairs for the last one year. On examination his affect
was flat, and he was disinterested in talking to the examiner. He is most
likely to be suffering from
{c}Simple Schizophrenia
Residual Schizophrenia
Schizoaffective disorder
Depression
#Q#
As per Neurodevelopmental hypothesis, abuse of which of the following
substance during adolescence can leads to development of schizophrenia?
Alcohol
Amphetamine
{c}Cannabis
Nicotine
#Q#
In contrast induced nephropathy, which of the following indicates renal
impairment?
Increase in serum bilirubin
Decrease in serum bilirubin
{c}Increase in serum creatinine
Decrease in serum creatinine
#Q#
A 35-year old with a history of asbestos exposure presents with chest pain. X-ray
shows a solitary pulmonary nodule in the right lower zone. CECT reveals an
enhancing nodule adjoining the right lower costal pleura with comet tail sign and
adjacent pleural thickening. The most likely diagnosis is –
Mesothelioma
{c}Round atelectasis
Pulmonary sequestration
Adenocarcinoma
#Q#
The investigation of choice for an ectopic pregnancy is-
CT scan
{c}Transvaginal USG
Serum HCG Levels
MRI
#Q#
Hallmark of breast malignancy on mammography-
Low density lesion
Smooth margine
{c}Clusters of microcalcification
Popcorn calcification
MOCK 1 DEC 2020 (5 Questions)
Which of the following mood stabilizer has anti-suicidal role?
{c}Lithium
Carbamazepine
Valproate
Lamotrigine
#Q#
Common indications for ECT include all of the following
EXCEPT:
Contraindications to medication
Previous good response
Psychotic depression
{c}Repeated self-harm.
#Q#
Which of the following psychotropic medications is MOST
EFFECTIVE in preventing relapse in rapid cycling bipolar
disorder?
Haloperidol
Lithium
Olanzapine
{c}Valproate
#Q#
A patient presents with persistence, perfectionism and body image
distortion. Which of the following disorders is MOST likely to be
associated with the above clinical features?
{c}Anorexia nervosa.
Borderline personality disorder.
Delusional disorder
Hypochondriasis.
#Q#
Which of the following statement is FALSE about Mini-mental
state examination (MMSE)?
A total score of 5 indicates severe dementia.
Assessment of orientation to time and place is part of the MMSE.
The MMSE can be used to monitor treatment progress after
initiation of acetylcholinesterase inhibitors (AChEIs).
{c}The MMSE is the gold standard in establishing the
diagnosis of dementia.

MOCK 2 DEC 2020 (5 Questions)

Clouding of consciousness is characterized by a disturbance in all of
the following areas, except:
{c}Mood
 Concentration
Memory
Orientation
#Q#
A 45-year-old woman on the ward believes that her daughter has been
replaced by a double. The most probable diagnosis is:
Delusion of subjective double
{c}Capgras syndrome
Fregoli’s syndrome
Folie a` deux
#Q#
Which of the following symptoms is most specific to a diagnosis of
schizophrenia?
Auditory Hallucinations
Catatonic symptoms
Inappropriate affect
{c}Belief that one has power of an alien species
#Q#
A 35 yrs old man was brought by his family members with the
complaints of gradual onset of social withdrawal, poor job
involvement, lack of concern about the family affairs for the last
one year. On examination his affect was flat, and he was
disinterested in talking to the examiner. He is most likely to be
suffering from
{c}Simple Schizophrenia
Residual Schizophrenia
Schizoaffective disorder
Depression
#Q#
As per Neurodevelopmental hypothesis, abuse of which of the
following substance during adolescence can leads to development
of schizophrenia?
Alcohol
Amphetamine
{c}Cannabis
Nicotine