Psychiatry Practice Set

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Practice Set of Psychiatry

1. Autistic disorder has
(1) Communication and language difficulties
(2) Stability of mood and affect
(3) Minimal impairment in social interaction
(4) Normal response to sensory stimuli

2. Management of acute mania in children and adolescents the first choice includes
(1) Aripiprazole
(2) Trifluoperazine
(3) Fluphenazine
(4) Prochlorperazine

3. Bipolar depression in youth may be treated with
(1) Olanzapine and Fluoxetine
(2) Lurasidone
(3) Quetiapine
(4) All of the above

4. The treatment of OCD in children first choice includes
(1) CBT
(2) Sertraline
(3) Fluvoxamine
(4) None of the above

5. For Rapid Tranquilization (RT) in children and adolescents, doses used are
(1) 0.010 to 0.020 mg/kg/dose intramuscularly
(2) 0.025 to 0.075 meg/kg/dose intramuscularly
(3) 0.085 to 0.100 meg/kg/dose intramuscularly
(4) None of the above

6. Primary sleep disorders in children can be treated by using
(1) Clobazam
(2) Alprazolam
(3) Melatonin
(4) Zolpidem

7. Fluoxetine use in children may cause
(1) Suicidal behaviour
(2) Self-harm
(3) Hostility
(4) All of the above

8. OCD in children can be best treated using
(1) SSRI only
(2) SSRI with CBT
(3) Only CBT
(4) None of the above

9. Trauma focused cognitive behaviour therapy in PTSD children and adolescents include following steps in order from first step to subsequent steps
(1) Psychoeducation, Stress inoculation, Gradual exposure, Cognitive processing
(2) Stress inoculation, | Gradual exposure, Cognitive processing, Psychoeducation
(3) Gradual exposure, Stress inoculation, Cognitive processing, Psychoeducation
(4) Cognitive processing, Psychoeducation, Stress inoculation, Gradual exposure

10. CALOCUS (Child and Adolescent Levels of Care Utilisation Services) for Adolescents Substance Abuse has following levels of care
(1) Four levels
(2) Five levels
(3) Six levels
(4) Seven levels

11. Following Statement is not true for geriatric psychiatric patient
(1) Depressive disorder is uncommon
(2) Cognitive disorder is common
(3) Dementia syndrome of depression
(4) Substance abuse problems are common

12. Following are the condition resembling Dementia in elderly population which may be reversible are
(1) Impaired hearing or vision
(2) Cushing syndrome
(3) Addison’s disease
(4) All of the above

13. Hallucinations are common in dementia patient occurring upto
(1) 25% of the patients
(2) 50% of the patients
(3) 75% of the patients
(4) None of the above

14. Chronic medical conditions in person 65 years of age and older occurring from highest to lowest in following order .
(1) Arthritis, Hypertension, Hearing impairment, Heart disease
(2) Hypertension, Arthritis, Heart disease, Hearing impairment
(3) Heart disease, Hearing impairment, Hypertension, Arthritis
(4) Hearing impairment, Arthritis, Heart disease, Hypertension

15. The Common sleep disturbances in geriatric population are
(1) Primary insomnia
(2) Nocturnal myoclonus
(3) Restless leg syndrome
(4) All of the above

16. Suicidal risk in geriatric population is
(1) Two times higher than general population
(2) Three times higher than general population
(3) Four times higher than general population
(4) Five times higher than general population

17. Memantine in treatment of dementia has therapeutic effect has by acting as
(1) n-methyl-d-aspartate (NMDA) receptor antagonist
(2) n-methyl-d-aspartate (NMDA) receptor agonist
(3) n-methyl-d-aspartate (NMDA) competitive receptor antagonist
(4) n-methyl-d-aspartate (NMDA) non-competitive receptor

18. Drug of choice in frontotemporal dementia is
(1) Ginseng
(2) Dimebon
(3) Hiruden
(4) None of the above

19. The four elements of malpractice are
(1) Duty, Deviation, Damage, Direct causation
(2) Careless, Conflicts, Comorbidity, Commission
(3) Evasion, Ethical problem, Explanation, Eventful
(4) None of the above

20. According to mental healthcare act what is the maximum duration for which a person can get himself voluntarily admitted in a mental health establishment
(1) 48 hours
(2) 30 days
(3) 60 days
(4) 90 days

21. Main feature of mental healthcare act is
(1) Advance directive
(2) Rights of mentally ill
(3) Decriminalising suicide
(4) All of the above

22. New the new addition in ICD-11 draft proposed includes
(1) Bodily distress disorder
(2) Gambling disorder
(3) Compulsive sexual behaviour disorder
(4) All of the above

23. 100 mg Sildenafil achieves maximum concentration of 450 ng/ml in
(1) 30 minutes
(2) 45 minutes
(3) 60 minutes
(4) 75 minutes

24. All of the following statements about “Attenuated psychosis syndrome” are true except
(1) Insight is absent
(2) Symptoms appeared or got ageravated in last one year
(3) No criteria for other psychotic disorders get met
(4) Symptoms are distressing enough

25. Which of the following is not a dermatologic side effects of Lithium ?
(1) Acne
(2) Psoriasis
(3) Rash
(4) Pemphigus

26. Which of the following substances is associated with flashback phenomenon ?
(1) Cannabis
(2) LSD
(3) Psilocybin
(4) All of the above

27. ECT is not useful in treatment of
(1) Residual Schizophrenia
(2) Catatonic Schizophrenia
(3) Depression with suicidal tendencies
(4) Psychotic Depression

28. Cognition in psychiatry does not include
(1) Problem solving
(2) Judgement
(3) Memory
(4) All of the above

29. Delirium is a condition characterised by at least one of the following
(1) Organisation of thoughts
(2) Disruption of sleep-wake cycle
(3) Absence of perceptual disturbances
(4) Clear sensorium

30. Nocturnal disturbances is hallmark of
(1) Dementia
(2) Delirium
(3) Delusions
(4) None of the above

31. Recovery in delirium is dependent on
(1) Age
(2) Cause
(3) Onset
(4) All of the above

32. Primary degenerative dementias does not include
(1) Alzheimer’s type (AD)
(2) Frontotemporal dementia (FTD)
(3) Diffuse Lewy body disease
(4) Dementia due to neurosyphilis

33. Sundowners syndrome occur in
(1) Post traumatic disorder patients
(2) Dementia patients
(3) Delusional disorder patient
(4) Mental retardation

34. Hallmark of Alzheimer’s dementia is
(1) Infarction of white matter
(2) Picks bodies
(3) Arteriosclerotic plaques
(4) Neurofibrillary tangles

35. Subcortical dementia has following feature
(1) Slowing of motor control
(2) Early aphasia
(3) Euthymic mood
(4) Dysarthric speech

36. Diagnosis of HIV related dementia is confirmed by at least one of the following
(1) Personality change
(2) Motor abnormalities
(3) Absence of clouding’ of consciousness
(4) All of the above

37. Catastrophic reaction is because of
(1) Inability to reason logically
(2) Alcohol use premorbidly
(3) Poor family adjustments
(4) Premorbid conduct problem

38. Co-dependency in substance abuse disorder refers to
(1) Ability of one drug to be substituted for others
(2) Phenomenon of tolerance
(3) Family Member Affecting or influencing the behaviour of substance abuser
(4) Ability to perform task despite effects of drug

39. Club drugs does not include
(1) Cocaine
(2) Ketamine
(3) Methamphetamine
(4) Flunitrazepam

40. Opioids can be detected in Urine upto
(1) 02 days
(2) 03 days
(3) 04 days
(4) 05 days

41. Wernicke’s-Korsakoff syndrome is because of use of
(1) Amphetamines
(2) Alcohol
(3) Cannabis
(4) Opioids

42. Most common symptoms in cocaine users include
(1) Paranoid delusions
(2) Mood symptoms
(3) Increase perspiration
(4) Red-eye (dilatation of conjunctival blood vessels)

43. Screening test used to assess alcohol related problems include
(1) MAST
(2) AIMS
(3) SOFAS
(4) SAFTEE

44. Cold Turkey is used in context of
(1) Amphetamine
(2) Psilocybin
(3) Opioids
(4) DMT (dimethyltryptamine)

45. Nystagmus and slurring of speech in alcohol intoxication is seen at blood alcohol concentration of
(1) 50-100 mg/dl
(2) 100-150 mg/dl
(3) 200-300 mg/dl
(4) More than 300 mg/dl