Question 1: 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, hallucinatory behavior, disorientation, impaired judgment and insight. He is most likely to be suffering from ?
A) Alcoholic hallucinosis
B) Delirium tremens
C) Wernicke encephalopathy
D) Korsakoff's psychosis
Answer:
B
Question 2: 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 encephalopathy
C) De Clerambault syndrome
D) Delirium tremens
Answer:
B
Question 3: A 25 year old female presents with 2 year history of repetitive, irresistible thoughts of contamination with dirt ssociated 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 to benefit from which of the following therapies ?
A) Exposure and response prevention
B) Systematic desensitization
C) Assertiveness training
D) Sensate focusing
Answer:
A
Question 4: 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 phenomena is best called as ?
A) Delusional mood
B) Depersonalization
C) Autochthonous delusion
D) Over valued idea
Answer:
B
Question 5: The major difference between typical and atypical antipsychotics is that ?
A) The latter cause minimal or no increase in prolactin
B) The former cause tardive dyskinesia
C) The former are available as parenteral preparations
D) The latter cause susbtantial sedation
Answer:
C
Question 6: Dry mouth during antidepressant therapy is caused by blockade of ?
A) Muscarinic acetylcholine receptors
B) Serotonergic receptors
C) Dopaminergic receptors
D) GABA receptors
Answer:
A
Question 7: All of the following are hallucinogens, except ?
A) LSD
B) Phenylcyclidine
C) Mescaline
D) Methylphenidate
Answer:
D
Question 8: An 18 year old student complains of lack of interest in studies for last 6 months. He has frequent quarrels with his parents and has frequent headaches. The most appropriate clinical approach would be to ?
A) Leave him as normal adolescent problem
B) Rule out depression
C) Rule out migraine
D) Rule out an oppositional defiant disorder
Answer:
C
Question 9: 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)
Answer:
A
Question 10: One of the following usually differentiates hysterical symptoms from hypochondriacal symptoms ?
A) Symptoms do not normally reflect understandable physiological or pathological mechanism
B) Physical symptoms are prominent which are not explained by organic factors