Psychiatry Multiple Choice Questions
1. Who introduced cocaine in psychiatry.
A. Freud
B. Jung
C. Miller
D. Stanley
Answer: A
2. Impaired consciousness, visual hallucination, hyperactivity and fragmentary delusions are
A. Delirium
B. Dementia
C. Paranoid psychosis
D. Schizophrenia
Answer: A
3. Dementia is seen in all except
A. Schizophrenia
B. Head injury
C. Huntington’s chorea
D. Cannabis
Answer: C
4. Common cause of mood congruent delusions is:
A. Schizophrenia
B. Paraphrenia
C. Paranoia
D. Depression
Answer: D
5. IQ is
A. Mentalage/chronological x 100
B.CA/MAxlOO
C.MA+CA/MAxlOO
D.MA+CA/CAxlOO
Answer: A
6. Which is not a feature of Hyperkinetic child
A. Low IQ
B. Low attention span
C. Right to left dissociation
Answer: C
7. Delusions in clear consciousness are seen in:
A. Dementia
B. Delirium
C. Schizophrenia
D. Neurosis
Answer: C
8.Which of the following is a mature defense mechanism
A. Projection
B. Reaction formation
C. Anticipation
D. Denial
Answer: A
9. Most common cause of mood congruent delusion is:
A. Schizophrenia
B. Mania
C.OCN
D. Dementia
Answer: B
10. The most common post-partum psychosis is
A. Mania
B. Depression
C. Dementia
D. Schizophrenia
Answer: B
11. Not a proper match
A. Auditory hallucination – Alcoholism
B. Thought broadcasting-schizophrenia
C. Delusion of infidelity – obsessive compulsive neurosis
D. Delusion of grandeur – mania
Answer: C
12. Suicidal tendencies are least common with
A. Alone
B. Depression
C. Old age
D. Married person
Answer: D
13. Psycho analysis was introduced by
A. Freud
B. Schielder
C. Dale & Denicker
D. Eugen Bluer
Answer: A
14. ‘Reinforcement’ is used in:
A. Psychoanalysis
B. Hypnoanalysis
C. Abreaction
D. Conditioned learning
Answer: D
15. Dissociation is seen in all except
A. Somnambulism
B. Fugue
C. Multiple personality
D. None
Answer: A
16. Thematic perception test is named after
A. Freud
B. Simon paul
C. Douglas
D. Wechslers
Answer: D
17. That part of mind which is working on reality principle is:
A. Id
B. Ego
C. Super ego
D. Ego-ideal
Answer: B
18. All are features of type A behavior, proposed by Friedman and Rosenman except:
A. Time urgency and impatience
B. Hard driving career orientation
C. Ambitiousness
D. Poor job involvement
Answer: D
20. The commonest cause of mental retardation is:
A. Alkaptonuria
B. Kluver-Bucy syndrome
C. Korsakoffs syndrome
D. Birth asphyxia
Answer: D
21. A Tibetian living in high altitude is now at sea level. His wife died 2 weeks back. He says he has seen his wife twice during this period and she asked him to join her at heaven. The diagnosis is
A. Normal grief reaction
B. Brief reactive psychosis
C. Bereavement reaction
D. Schizophrenia
Answer: B
22. The best account for diagnosis of psychoneurosis is derived from:
A. Verbal accounts
B. Visceral reactions
C. Motor behavior
D. Reaction to environment
Answer: A
23. Ego’s defense mechanism “Undoing” is typically seen in:
A. Depression
B. Schizophrenia
C. Obsessive-compulsive neurosis
D. Hysteria
Answer: C
24. Kalloo, a 24 year old occasional alcoholic has got a change in his behavior. He has become suspicious that people are trying to conspire against him though his father states that there is no reason for his fears. He is getting hallucinations of voices commenting on his actions. What is the most probable diagnosis
A. Delirium tremens
B. Alcohol induced psychosis
C. Schizophrenia
D. Delusional disorder
Answer: C
25. The eight-stage classification of human life is proposed by
A. Sigmund Freud
B. Pavel
C. Strauss
D. Erikson
Answer: D
26. An alcoholic woman was brought to the casualty following a suicide attempt by taking several tablets of diazepam. There is history of previous attempts of suicide by wrist slashing, etc. The type of personality dis order in this woman is
A. Histrionic personality
B.Dependent personality
C. Narcissistic personality
D. Border line personality
Answer: D
27. Patient presents with altered behavior, delusions & hallucination suggest
A. Psychotic disorder
B. Confirms schizophrenia
C. Korsakoff’s psychosis
D. Obsessive-compulsive neurosis
Answer: A
28. All are affective disorder except
A. Depression
B. Obsessive compulsive neurosis
C. Reaction formation
D. Adjustment reaction
Answer: B
29. Commonest psychiatric illness in India is:
A. Schizophrenia
B. Endogenous depression
C. Neurotic depression
D. Anxiety neurosis
Answer: C
30. One of the important defence mechanisms is:
A. Alienation
B. Confabulation
C. Repression
D. Suppression
Answer: C
31. A middle-aged patient was brought to the hospital in stuporous conditions with loss of power in all four limbs. Waxy flexibility of muscle tone in the limbs was detected. The most likely diagnosis is:
A. Hysterical stupor
B. Organic stupor
C. Catatonic stupor
D. Depressive stupor
Answer: D
32. Oedipus complex (given by Sigmund FreuD. is seen in:
A. Boys of 1 -3 years of age
B. Girls of 1 -3 years of age
C. Boys of 3-5 years of age
D. Girls of 3-5 years of age
Answer: C
33. The term “Ambivalence” was coined by:
A. Hippocrates
B. Eugen Bleuler
C. Kraeplin
D. Sigmund Freud
Answer: B
34. Which of the following is a dissociative phenomenon
A. Fugue
B.Amnesia
C. Deafness
D. Lack of insight
Answer: A
35. Which is most specific of psychosis
A. Pressure of speech
B. Neologism
C. Incoherence
D. Preservation
Answer: B
36. Lesion in autistic disorder is in
A. Corpus collosum
B. Frontal lobe
C. Temporal lobe
D. Cerebellum
Answer: C
37. Basanti age 27 years, female thinks her nose is ugly, her idea is fixed not shared by anyone else. Whenever she goes out of home, she hides her face with a cloth. She visits to surgeon. Next step would be
A. Investigate and then operate
B. Refer to psychiatrist
C. Reassure the patient
D. Immediate operation
Answer: B
38. Irresistible urge to move about and increased motor activity is
A. Rabbits syndrome
B. Malignant neuroleptic syndrome
C. Akathasia
D. Tardive dyskinesia
Answer: C
39. Which is in first rank symptom described by Scheidner?
A. Echolalia
B.Thought insertion
C. Autism
D. Suicidal tendency
Answer: B
40. The characteristic symptom of Hyperkinetic syndrome is
A. Reduced attention span
B. Mental retardation
C. Extreme shyness
D. Truancy
Answer: A
41. Disturbances of affect include all except
A. Panic
B. Apathy
C. Phobia
D. Obsession
Answer: D
43. A false belief unexplained by reality, shared by a number of people is:
A. Superstition
B. Illusion
C. Delusion
D. Obsession
Answer: A
44. Which of the following is a center for recent memory:
A. Parietal cortex
B. Temporal lobe
C. Hippocampus
D. Thalamus and sub thalamus
Answer: C
45. Sleep deprivation leads to:
A. Psychotic behavior
B. Decreased mental alertness
C. Emotional disturbances
D. Anxiety neurosis
Answer: B
46. A person who is a chronic alcoholic is brought to the casualty. When asked he says that he is drinking because of the quarrels with his wife. The defence mechanism is
A. Denial
B. Rationalization
C. Sublimation
D. Projection
Answer: B
47. Fugue state may be seen in:
A. Schizophrenia
B. Hysteria
C. Epilepsy
D. All of the above
Answer: D
48. Mature defence mechanism is seen in
A. Altruism
B. Repression
C. Regression
D. None
Answer: A
49. The following are psychotic disorders except
A. Schizophrenia
B. Mania
C. Psychotic depression
D. Hysteria
Answer: D
50. A person quarrels and hits his neighbor. The next day starts feeling that he is being followed by police and that they may arrest him. He also feels that his neighbors are controlling him by radio waves. Diagnosis is
A.Delusion of persecution
B. Schizophrenia
C. Passivity
D. Thought insertion
Answer: B
PSYCHIATRY Objective Questions with Answers
51.Mental retardation implies
A. Depression of brain
B. Intellectual deficiency
C. Suspicious behavior
D. Emotional disorder
Answer: B
52.Major psychosis is
A. Neurosis
B. Dementia
C. Reactive depression
D. Endogenous depression
Answer: D
53.All are true about hyper kinetic child except
A. Poor impulse control
B. Increase in the anger outburst
C. Right to left disorientation
D. Decrease in attention span
Answer: C
54.A person missing from home, found wandering purposefully, well groomed, has some degree of amnesia
A. Dissociative fugue
B. Dissociative amnesia
C. Schizophrenia
D. Dementia
Answer: A
55.Delirium and schizophrenia differ from each other by:
A. Change in mood
B. Complete consciousness
C. Tangential thinking
D. All
Answer: B
56.Concept of super ego was given by:
A.EricFromm
B. Sigmund Freud
C. Eric Erikson
D. Carl Jung
Answer: B
57.The following are psychosomatic disorders except
A. Hypertension
B. Pepticulcer
C. Cirrhosis of liver
D. Asthma
Answer: C
58.Confabulation means
A. Conversation with imaginary person
B. Misinterpretation of stimulus
C. Perception in the absence of stimuli
D. Making stories to IIII up gaps in memory loss
Answer: D
59.Which category is most prone for suicide
A. Adolescent girl
B. Old man
C. Unemployed youth
D. Married woman
Answer: A
60.One of the following is used to test
A. Eyesenck personality
B. Ink blot test
C.Sentence completion
D. Binet Stanford test
Answer: D
61. Fugue’ state occurs in
A. Head injury
B. Depression
C. Hysteria
D. Mania
Answer: C
62.AH the following are defense mechanisms of ego except
A. Projection
B.Conversion
C. Reaction formation
D. Transference
Answer: D
63.Characteristic feature of psychosis is
A. Mood disturbance
B. Suicidal tendency
C. Autistic tendency
D. Acceptance of other persons delusion
Answer: D
64.The commonest mental illnesses in children are:
A. Mental retardation
B. Infantileautism
C. Enuresis
D. Neuroses
Answer: D
65.Oedipus complex has been described by:
A. Plato
B. Socrates
C. Freud
D. Huxley
Answer: C
66.Preoccupation with body diseases is seen in
A. Obsession
B. Somatisation
C. Hypochondriasis
D. Conversion disorder
Answer: C
67.The most common psychiatric disorder is
A. Depression
B. Dementia
C. Schizophrenia
D. Paranoia
Answer: A
68.Mental retardation implies
A. Depression of brain
B. Intellectual deficiency
C. Suspicious behavior
D. Emotional disorder
Answer: B
69.The classic psychosomatic illness include all of the following except
A. Essential hypertension
B. Rheumatoid arthritis
C. Hyperventilation
D. Bronchial asthma
Answer: B
70.22 year old Babu had a fight with his neighbor’s son. Next day, while going to the bus stop, he felt that 2 uniformed policemen were following him. On reaching home he was frightened and he felt that the neighbors were using radio waves to control his mind. What is his symptom
A. Delusion of persecution
B. Passivity
C. Auditory hallucination
D. Thought insertion
Answer: C
71.Delusion is
A. A feeling of loss of sensation
B. Not able to get proper answer
C. A false belief
D. An uncomfortable sensation
Answer: C
72.Which does not cause dementia?
A. Multiple infarction
B. Huntington’s chorea
C. Alzheimer’s disease
D. Schizophrenia
Answer: D
73.Illusion with loss of consciousness is seen in
A. MDP
B. Delirium
C. Schizophrenia
D. Anxiety Neurosis
Answer: B
74.Dementia is produced by deficiency of vitamin:
A. A
B. D
C. Pyridoxine
D. Niacin
Answer: D
75.Persistent belief in something which is not a fact is
A. Illusion
B. Hallucination
C. Delusion
D. Delirium
Answer: C
76.All are features of Dementia except
A. Impaired memory
B. Loss of judgment
C. Impaired consciousness
D. Loss of learned function
Answer: C
77.The most common cause of organic amnestic syndrome is:
A. Alzheimer’s disease
B. Concussion
C. Hypoxia
D. Vitamin deficiency
Answer: B
78.Biochemical etiology of Alzheimer’s disease relates it to:
A. Acetylcholine
B.GABA
C. Serotonin
D. Dopamine
Answer: A
79.Dementia is seen in all except:
A. Head injury
B. Alzheimer’s
C. chizophrenia
D. Huntington’s chorea
Answer: C
80.Dissociation is seen in
A. Schizophrenia
B. Mania
C. Hysterical conversion
D. Organic brain syndrome
Answer: C
81.22 year old Mahesh had fight with his neighbor’s son. Next day, while going to the bus stop, he felt that 2 uniformed policeman were following him. On reaching home in the evening,he was frightened. He felt that the neighbors were using radio waves to control his mind.What is his symptom?
A. Passivity
B. Delusion of persecution
C. Auditory hallucination
D. Thought insertion
Answer: B
82.Sub cortical dementia is
A. Memory
B. Dyslexia
C. Tactile Agnosia
D. Receptive Aphasia
Answer: C
83.A 68 year old man complaining of hearing voices from the upper floor using abusive language believes that somebody is trying to take away his property. He also does unusual things as wearing his vest over his shirt. He could be suffering from
A. Schizophrenia
B. Dementia
C. Delusion
D. Hysteria
Answer: C
84.Tick the proper answer among the answer provided. Hallucination is a
A. Thinking disorder
B. Disorder of perception
C. Disorder of motor behavior
D. Disorder of consciousness
Answer: A
85.Reversible cause of dementia
A. Post encephalitis
B. Multi infarct
C. Hydrocephalus
D. Senile dementia
Answer: A
86.Following are predispositions to Alzheimer’s disease except
A. Down’s syndrome
B. Head trauma
C. Smoking
D. Low education group
Answer: C
87.In the absence of auditory hallucination, visual or tactile hallucinations are in favour of one
the following conditions
A. Conversion disorder
B. Panic disorder
C. Manic disorder
D. Organic brain syndrome
Answer: D
88.Delusions are found in all of the following disorders except
A. Schizophrenia
B. Psychotic depression
C. Mania
D. Personality disorder
Answer: D
89.False perception without any external stimulus is
A. Hallucination
B. Delusion
C. Illusion
D. Mania
Answer: A
90. Delusion is not seen in
A. Depression
B. Anxiety
C. Schizophrenia
D. Mania
Answer: B
92. Subcortical dementia is seen in all except
A. Parkinsonism
B. Alzheimer’s disease
C. Wilson’s disease
D. Huntington’s Chorea
Answer: B
93. Term Psychiatry was coined by ?
A. Moral
B. Johann reil
C. Bleuler
D. Pinel
Answer: B
94. All are features of Korsakoff syndrome except
A. Antegrade amnesia
B. Retrograde amnesia
C. Ataxia
D. Confabulation
Answer: C
95. Diagnostic criteria for drug dependence includes all except
A. Tolerance
B. Withdrawal symptoms
C. Early completion of tasks
D. Larger dose than usual
Answer: A
96. Suspiciousness is a characteristic feature of ?
A. Paranoid personality disorder
B. Schizoid personality disorder
C. Schizotypal personality disorder
D. Anankastic personality disorder
Answer: A
97. Earliest symptom showing improvement from classical triad of Wernicke’s incephalopathv. tothiamine therapy ?
A. Ataxia
B. Ophthalmoplegia
C. Confusion
D. All are equally responsive
Answer: B
98. All are symptoms of morphine withdrawal except?
A. Mydriasis
B. Yawning
C. Lacrimation
D. Fall in BP
Answer: D
99. All are required to diagnose major depression except ?
A. Depressed mood
B. Isomnia
C. Nihlistic ideas
D. Decreased concentration
Answer: C
100. All are features of psychosis except ?
A. Loss of insight
B. Presence of delusions
C. Preserved contact with reality
D. Personality disturbances
Answer: C
101. Ganser syndrome is a feature of ?
A. OCD
B. Conversion disorder
C. Dissociative disorder
D. Schizoid personality disorder
Answer: C
102. Repetitive irresectable thought to do something
A. Phobia
B. Obsession
C. Compulsion
D. Anxiety
Answer: B
103. All are features of neurosis except ?
A. Symptoms cause subjective distress
B. Contact with reality preserved
C. Personality disturbances
D. Insight is maintained
Answer: C
104. All are seen in nicotine withdrawal except ?
A. Hyperhydrosis
B. Anxiety
C. Bradycardia
D. Insomnia
Answer: A
105. All are included in diagnostic criteria of somatization disorder except ?
A. Sexual symptom
B. Pain symptom
C. GI symptom
D. Visual symptoms
Answer: D
106. Bleuler’s symptoms for schizophrenia are all except?
A. Loosening of association
B. Affect disturbances
C. Autism
D. Hallucinations
Answer: D
107. Negative symptom of schizophrenia ?
A. Hallucination
B. Delusion
C. Ambivalance
D. Motor hyperactivity
Answer: C
108. Cyclothymia is a type of ?
A. Bipolar mood disorder
B. Major depression
C. Dysthymia
D. Persistant mood disorder
Answer: D
109. All are anxiety disorders except ?
A. Phobias
B. OCD
C. Conversion reaction
D. PTSD
Answer: C
110. All are diagnostic symptoms of schizophrenia except?
A. Catatonia
B. Hallucinations
C. Disorganized speech
D. Social withdrawal
Answer: D
111. All are true about type 1 schizophrenia except?
A. Acute illness
B. Good prognosis
C. Negative symptoms
D. Intellect maintained
Answer: C
112. Drug of choice for generalized anxiety ?
A. 3-blocker
B. Alprazolam
C. Buspirone
D. Phenytoin
Answer: B
113. Persistent preoccupation with serious illness and normal body function is called ?
A. Obsession
B. Somatization
C. Hypochondriasis
D. Conversion disorder
Answer: C
114. Not true about somnambulism among the following is?
A. Sleep walking.
B. Patient consciousness is preserved.
C. Disorder of sleep arousal.
D. Low level motor skill/function is present
Answer: D
115. Test based on the principle of suspect’s reaction, if he witnesses an event then he behaves in a certain way is?
A. Narcoanalysis
B. Brain mapping
C. Truth serum testing
D. Polygraph
Answer: D
116. Intense depression & misery without any cause is?
A. Melancholia
B. Major depressive disorder
C. Mania
D. Schizophrenia
Answer: A
117. Which of the following is not true regarding delusional disorder?
A. Held with absolute conviction
B. Usually false
C. Not amenable to reasoning
D. Occurs at early age
Answer: D
118. Key symptom in alcohol withdrawal syndrome is:
A. Sleep disturbance
B. Visual hallucinations
C. Tremors
D. Delirium
Answer: C
119. What is produced by the super sensitivity of Dopamine receptors ?
A. Dyskinesia
B. Hyperphagia
C. Hyperpathia
D. Hypomania
Answer: A
120. Following are the major symptoms of obsessive compulsive disorders ?
A. Contamination
B. Pathological doubts
C. Intrusive thoughts
D. All the above
Answer: D
121. All are true about narcolepsy except:
A. Day dreaming
B. Hypnagogic hallucinations
C. Cataplexy
D. Sudden sleep
E. Decreased REM latency
Answer: A
122. Which of the following is not a side effect of quetiapine?
A. Dry mouth
B. Hair loss
C. Sudden cardiac death
D. Dyspepsia
Answer: B
123. DOC for schizophrenic patient with poor oral absorption is?
A. Clozapine
B. Fluphenazine
C. Sulpride
D. Penfluridol
Answer: B
124. TCAs are contraindicated in all of the following except?
A. Narrow angle glaucoma
B. Prostate hypertrophy
C. A patient on MOA inhibitors
D. Impaired renal function
Answer: D
125. Loading dose of diazepam for alcohol withdrawal is?
A. 80mg
B. 50mg
C. 40mg
D. 20mg
Answer: D
126. 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.
Answer: C
127. Alcohol withdrawal is not associated with?
A. Seizure
B. Amnesia
C. Tremers
D. Delirium
Answer: B
128. Drug of choice for Tourette syndrome is?
A. Haloperidol
B. Amantidine
C. Propanolol
D. Diazepam
Answer: A
129. Scatologia is?
A. Eating disorder
B. Sleep disorder
C. Paraphilia
D. Defense mechanism
Answer: C
130. A 40 year old married male thinks that he is multitalented and is always overconfident. He never listens to his family or friends. Infact whenever anyone gives him any advice, he thinks that they have some motive against him. He is always suspicious of his wife. All these are feature of?
A. Borderline personality disorder
B. Schizoid personality disorder
C. Paranoid personality disorder
D. Histrionic personality disorder
Answer: C
131. A 25 years old male is not happy 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
Answer: C
132. Characteristic of histrionic personality disorder is?
A. Violation of rules of society
B. Attention – seeking behavior
C. Unstable interpersonal relationship
D. Grandiose behavior
Answer: B
133. Personality type seen in schizophrenia is?
A. Schizoid
B. Paranoid
C. Borderline
D. All of the above
Answer: D
134. Irresistible urge to drink alcohol is called?
A. Kleptomania
B. Pyromania
C. Dipsomania
D. Trichotillomania
Answer: C
135. Which of the following is not a culture bound syndrome?
A. Amok
B. Latah
C. Dhat
D. Von-Gogh
Answer: D
136. A 39 years old male patient presents with waxy flexibility, negativism and rigidity. Most probable diagnosis is?
A. Excitatory catatonia
B. Stuporous catatonia
C. Paranoid schizophrenia
D. None
Answer: B
137. Suicide rate in India is?
A. 10.5 /100,000
B. 12.5/ 100,000
C. 14.5/ 100,000
D. 18/ 100,000
Answer: A
138. DHAT syndrome is?
A. Passage of blood in urine
B. Passage of semen in urine
C. Passage of pus in urine
D. None
Answer: B
139. Most appropriate test for child psychologist to evaluate the intellectual ability of a 3 year old is?
A. Stanford Binet scale
B. Denver development scale
C. Alexander’s pass along test
D. Rorschach inkblot test
Answer: A
140. Treatment of choice for akathesia is?
A. Phenytoin
B. Propranolol
C. Dantrolene
D. Lithium
Answer: B
141. Functional somatic disorder is?
A. Somatization disorder
B. Chronic fatigue syndrome
C. Hypochondriasis
D. Body dysmorphic disorder
Answer: B
142. Cardinal element of behavior therapy is?
A. Modeling
B. Learning
C. Conditioning
D. Guidance
Answer: B
143. Tolerance is seen in?
A. Alcohol dependent syndrome
B. Schizophrenia
C. OCD
D. All of the above
Answer: A
144. Treatment of choice for generalized anxiety disorder is?
A. Benzodiazepines
B. Neuroleptics
C. Beta blockers
D. Barbiturates
Answer: A
145. Generalized anxiety disorder is diagnosed when anxiety and worry continues for at least?
A. 2 months
B. 4 months
C. 6 months
D. 8 months
Answer: C
146. Most important receptors involved with schizophrenia are?
A. GABAA
B. GABA,,
C. DZd
D. 5-HT
Answer: C
147. Risk factor for suicide is?
A. Increased serotonin
B. Drug abuse
C. Female sex
D. Married person
Answer: B
148. A 25 years old male c/o recurrent abdominal pain but biochemical assays and ultrasound abdomen is normal. He also complains of constant headaches. He suddenly complains of loss of vision of bilateral eyes. Ophthalmologist finds nothing on examination. Symptoms are most probably due to
A. Bilateral optic neuritis
B. Posterior inferior cerebellar artery infarct
C. Malingering
D. Factitious disorder
Answer: D
149. Emile Durkheim is linked with work on which condition in psychiatry?
A. Suicide
B. Obsessive compulsive disorder
C. Anxiety disorder
D. Schizophrenia
Answer: A
150. Highest insight is ?
A. Intellectual
B. Emotional
C. Psychological
D. Affective
Answer: B
151. Extracampine hallucinations term was given by ?
A. Eugene Bleuler
B. William Harvey
C. Robert Macinoff
D. Eden Speroff
Answer: A
152. Hypomimia is ?
A. Decreased ability to copy
B. Decreased execution
C. Deficit of expression by gesture
D. Deficit of fluent speech
Answer: C
153. Serial 7 substraction is used to test ?
A. Working memory
B. Long term memory
C. Mathematical ability
D. Recall power
Answer: A
154. Which of the following are sections of mental state examination?
A. Mood and affect
B. Speech and language
C. Cognition
D. All the above
Answer: D
155. Obsessive attention by an individual towards another person is called ?
A. Stalking
B. Percieving
C. Following
D. Pressurizing
Answer: A
156. Most common of all psychiatric disorders are
A. Anxiety disorder
B. Schizophrenia
C. Depression
D. Mania
Answer: A
157. Patient wants to scratch for itching in his amputated limb is an example of ?
A. Illusion
B. Pseudohallucination
C. Phantom limb hallucination
D. Autoscopy hallucination
Answer: C
158. Myxedema madness includes ?
A. Auditory hallucinations and paranoia
B. Visual hallucinations and depression
C. Auditory hallucinations and depression
D. Paranoia and depression
Answer: A
159. APACHE II does not include ?
A. Acute physiology score
B. Age
C. Sex
D. Chronic health evaluation
Answer: C
160. SSRIs should be carefully used in the young for the management of depression due to increase in?
A. Nihilism ideation
B. Guilt ideation
C. Suicidal ideation
D. Envious ideation
Answer: C
161. If a person is asked, “what will he do if he sees a house on fire”?, Then what is being tested in that person ?
A. Social judgement
B. Test judgement
C. Response judgement
D. None of the above
Answer: B
162. Illusion is a disorder of ?
A. Thought
B. Perception
C. Affect
D. Emotion
Answer: B
163. Rope seen as snake is an example of
A. Illusion
B. Hallucination
C. Delusion
D. Pseudohallucination
Answer: A
164. Woman firmly and persistently feels her husband is cheating on her and she disapproves to accept any proof given in the husbands support’ The other family members do not support her belief. This is an example of
A. Illusion
B. Delusion
C. Hallucination
D. Perversion
Answer: B
165. Withdrawal of which of the following causes piloerecton?
A. Morphine
B. Cannabis
C. Smoking
D. Alcohol
Answer: A
166. Schizotypal personality belongs to which cluster of personality disorders?
A. A
B. B
C. C
D. D
Answer: A
167. Cardinal feature of antisocial personality
A. Violation of rules of society
B. Attention – seeking behavior
C. Unstable interpersonal relationship
D. Grandiose behaviour
Answer: A
168.Which personality disorder/s can be a part of autistic sPectrum of disorders?
A. Schizoid
B. Schizotypical
C. Borderline
D. All the above
Answer: D
169. Patients who are grandiose and require admiration from others has which type of personality?
A. Narcissistic
B. Histrionic
C. Borderline
D. Antisocial
Answer: A
170. Max duration of time spent is in NREM stage?
A. I
B. II
C. III
D. IV
Answer: B
171. Spouse jealousy is a feature of ?
A. Othello syndrome
B. Chronic alcoholism
C. Stockholm syndrome
D. Clerambault’s syndrome
Answer: A
172. All of the following are true about pseudohallucinations except ?
A. Arises in inner subjective self
B. Patient describes the sensations being perceived by mind eye
C. Are under voluntary control
D. Distressing flashback of PTSD is a n example
Answer: C
173. Delirium is defined as ?
A. Acute onset of disturbed consciousness
B. Chronic onset of disturbed consciousness
C. Progressive generalized impairment of intellectual functions and memory without impairment of consciousness
D. Disorientation without clouding of consciousness
Answer: A
174. All the following drugs are used to prevent relapse and maintain abstinence in cases of alcohol withdrawal except ?
A. Disulfiram
B. Acamprosate
C. Naltrexone
D. Propranolol
Answer: D
175. Which is the most common type of persistent delusional disorder ?
A. Delusion of persecution
B. Somatic delusion
C. Delusion of jealousy
D. Delusion of grandeur
Answer: A
176. Dysthymia is ?
A. Chronic depression
B. Chronic mania
C. Bipolar disorder
D. Personality disorder
Answer: A
177. Bipolar II disorder includes ?
A. Cyclothymic disorder
B. Dysthymia
C. Single maniac episode
D. Major depression and hypomania
Answer: D
178. Psychotic patient on antipsychotic drugs develops torticollis within 4 days of therapy. what is the treatment?
A. Central anticholinergic
B. Peripheral anticholinergic
C. Beta blocker
D. Dantrolene
Answer: A
179. Eugene Blueler’s 4As include following except ?
A. Autism
B. Affect
C. Anhedonia
D. Association
Answer: C
180. Appetite for nonnutritive substances is called ?
A. Pica
B. Apprepritant
C. Bulimia
D. Bolean
Answer: A
181. Bad trip is seen with ?
A. Cocaine
B. Cannabis
C. LSD
D. Heroin
Answer: C
182. Antipsychotic drug causing retinal pigment disorder is?
A. Thiaoridazine
B. Clozapine
C. Chlorpromazine
D. None of the above
Answer: A
183. Antipsychotic drug with least extra pyramidal symptoms?
A. Pimozide
B. Thioridazone
C. Clozapine
D. Flupromazine
Answer: C
184. Following is true about alcoholic dependence syndrome except
A. No tolerance
B. Withdrawal symptoms
C. CAGE questionnaire
D. Physical dependence
Answer: A
185. DSM IV criterion for depression is?
A. 1 week
B. 2 weeks
C. 3 weeks
D. 4 weeks
Answer: B
186. The clinical effects of the antidepressant drugs is mainly based on ?
A. Change in neurotransmitter receptor sensitivity
B. Decreased level of neurotransmitters
C. Change in efficacy of neurotransmitters
D. None of the above
Answer: A
187. Theory of human motivation was given by ?
A. Pavlov
B. Abraham Maslow
C. Alios Alzheimer
D. Aaron Beck
Answer: B
188. Mechanism of action of duloxetine is ?
A. Selective Inhibition of serotonin reuptake
B. Selective inhibition of nor-epinephrine reuptake
C. Selective inhibition of both serotonin and nor-epinephrine reuptake
D. None of the above
Answer: C
189. Medical treatment for paraphillia includes ?
A. SSRIs
B. Benzodiazepines
C. Opioids
D. Barbiturates
Answer: A
190. Husband having suspicion that his wife
is having affair with another man,
diagnosis is ?
A. Illusion
B. Delusion
C. Hallucination
D. Delirium
Answer: B
191. Causes of retrogression in a child can be all except ?
A. Wilson’s disease
B. Vitamin B12 deficiency
C. ADHD
D. Ataxia telengiectasia
Answer: C
192. A 25 year old male believes that his penis is decreasing in size everyday and one day it will disappear one day and he will die. Diagnosis is ?
A. Obsession
B. Somatization
C. Hypochondriasis
D. Delusion disorder
Answer: D
193. Haloperidol induced extarpyramidal side effects are treated by ?
A. Benzodiazepines
B. Barbiturates
C. Anticholinergic drugs
D. SSRIs
Answer: C
194. Most common substance of abuse in India ?
A. Cannabis
B. Tobacco
C. Alcohol
D. Opium
Answer: B
195. In Neuroleptic malignant syndrome, cause of death is ?
A. Respiratory failure
B. Liver failure
C. Drug toxicity
D. None of the above
Answer: A
196. Drug with no mood stabilizing property is
A. Lithium
B. Lamotrigine
C. Imipramine
D. Carbamazepine
Answer: C
197. Sex reassignment surgery is done in ?
A. Gender identity disorder
B. Premature ejaculation
C. Erectile dysfunction
D. Orgasmic dysfunction
Answer: A
198. Modafinil is used for the treatment of ?
A. Narcolepsy
B. Sexual dysfunction
C. Depression
D. Anxiety
Answer: A
199. A girl with bad behavior like smashing and throwing objects was admitted in the hospital. There also she was behaving very badly with staff & abusing nurses. But she behaves very well with a one very good looking resident doctor. Diagnosis is?
A. Bipolar disorder
B. Schizoaffective disorder
C. Borderline personality disorder
D. Antisocial personality
Answer: D
200. All of the following are associated increased REM latency, except ?
A. First night effect
B. SSRIs
C. Narcolepsy
D. Restless leg syndrome
Answer: C
201. Sign of oppositionalism in a young child is due to?
A. Mental retardation
B. Organic mental disorder
C. Mental distress
D. All of the above
Answer: C
202. Trichophagia is characterized by?
A. Compulsive pulling of hair
B. Compulsive eating of hair
C. Compulsive shopping
D. Compulsive stealing
Answer: B
203. MC cause of delirium ?
A. Infection
B. Liver failure
C. Belladonna poisoning
D. None of the above
Answer: A
204. General paralysis of insane is associated with ?
A. Neurosyphillis
B. Alzheimer’s disease
C. Parkinson’s disease
D. None of the above
Answer: A
205. Jamais vu is
A. Illusion that what one is hearing, one has heard previously
B. A unfamiliar thought regarded as repetition of a previous thought
C. Unfamiliar situations or events feel strangely familiar
D. Feeling of strangeness to familiar situation
Answer: D
206. Conventional drug used in the treatment of delirium is?
A. Haloperidol
B. Lithium
C. SSRIs
D. Morphine
Answer: A
207. Characteristic hallucination of schizophrenia is
A. Auditory hallucinations commanding the patient
B. Auditory hallucinations giving running commentary
C. Auditory hallucinations criticizing the patient
D. Auditory hallucinations talking to patient
Answer: B
208. Which of the following typical antipsychotic drug is not available in depot form ?
A. Haloperidol
B. Risperidone
C. Olanzapine
D. Chlorpromazine
Answer: D
209. Self mutilation is a feature of ?
A. Von-Gogh syndrome
B. Catatonic schizophrenia
C. Paranoid schizophrenia
D. None of the above
Answer: A
210. A patient inventing new words, is a feature of ?
A. Neurosis
B. Schizophrenia
C. OCD
D. Von-Gogh syndrome
Answer: B
211. True about flumazenil is ?
A. Can be used in barbiturate poisoning
B. Specific antidote for opiate overdose
C. Can be used in benzodiazepine overdose
D. All of the above
Answer: C
212. Increased dopamine levels are associated ?
A. Depression
B. Mania
C. Delirium
D. Schizophrenia
Answer: D
213. Tourette syndrome is a type of ?
A. Tic disorder
B. Mental retardation disorder
C. Seizure disorder
D. None of the above
Answer: A
214.Treatment of choice for acute panic attacks is ?
A. Barbiturates
B. Benzodiazepines
C. TCAs
D. MAO inhibitors
Answer: B
215. Characterized by chronic, multiple tics ?
A. Parkinson’s disease
B. Wilson’s disease
C. Shy-Drager syndrome
D. Tourette’s syndrome
Answer: D
216. Which of the following is not true about sleep ?
A. REM sleep comes earlier than NREM sleep
B. REM sleep is also called paradoxical sleep
C. Sleep walking comes in NREM sleep
D. Dreams come in REM sleep
Answer: A
217. Gamma waves of REM sleep in sleep cycle are associated with ?
A. Intense attention
B. Subconscious thinking
C. Deep subconscious thinking
D. Deep sleep
Answer: A
218. Drug not used in prophylaxis of MD P ?
A. Haloperidol
B. Lithium
C. Carbamazepine
D. Valproate
Answer: A
219. Behavioral therapy is done in ?
A. Schizophrenia
B. Agoraphobia
C. Delirium
D. Neurotic depression
Answer: B
220. Feature associated with mania is ?
A. Neologism
B. Perseveration
C. Echolalia
D. Flights of ideas
Answer: D
221. Eating disorder with normal weight is?
A. Anorexia nervosa
B. Bulimia nervosa
C. Binge eating disorder
D. None of the above
Answer: B
222. Phototherapy is used in the treatment of ?
A. Anorexia nervosa
B. Seasonal affective disorder
C. Schizophrenia
D. Obsessive compulsive disorder
Answer: B
223. Binge eating disorder is characterized by ?
A. Normal weight
B. Weight loss
C. Obesity
D. Self induced vomiting
Answer: C
224. Tricyclic antidepressants have all of the following actions except ?
A. Anticholinergic action
B. MAO inhibition
C. Block 5-HT or NE reuptake
D. Causes sedation
Answer: B
225. Which of the following is a feature of opioid withdrawal?
A. Tremors
B. Goose flesh
C. Dry nose and mouth
D. Constipation
Answer: B
226.Patient and Psychotherapies, both participate actively in?
A. Psychoanalysis
B. Psychoanalytic psychotherapy
C. Psycodynamic psychotherapy
D. All of the above
Answer: B
227. The maximum DALY loss is for the following disease
A. Schizophrenia
B. Unipolar depression
C. Bipolar depression
D. Mania
Answer: B
228. Etheromanias refer to ?
A. Acute psychosis post ether anaesthesia
B. Ether addiction
C. Excessive ether use drug anaesthesia
D. None
Answer: B
229. The term “Dementia precox” was coined by ?
A. Freud
B. Bleuler
C. Kraepelin
D. Schneider
Answer: C
230. The term ‘id’ was coined by ?
A. Freud
B. Skinner
C. Wayker
D. Blueler
Answer: A
231.Subcortical dementia is seen in all except ?
A. Parkinsonism
B. Alzheimer’s disease
C. Wilson’s disease
D. Huntingtons chorea
Answer: B
232. Formication is seen with ?
A. Acute amphetamine intoxication
B. Chronic use of amhetamine
C. Alcohol withdrawal
D. Cannabis poisoning
Answer: B
233. Hangover following alcohol consumption can be treated with ?
A. Pyridoxine
B. Thiamine
C. Riboflavin
D. Niacin
Answer: B
234. Most commonly abused opioid
A. Morphine
B. Diacetylmorphine
C. Oxycodine
D. Bupremorphine
Answer: B
235. Hallucinations are produced by?
A. Amphetamine
B. Morphine
C. Paraxetine
D. Chlorpromazine
Answer: A
236. Anxiety is ?
A. Neurosis
B. Psychosis
C. Personality disorder
D. None
Answer: A
237. In depressions, there is deficiency of ?
A. 5-HT
B. Acetylcholine
C. Dopamine
D. GABA
Answer: A
238. The amino acid derived neurotransmitter used for treating depression is ?
A. Serotonine
B. Histamine
C. acetylcholine
D. none
Answer: A
239. Repetitive times work doing for premonition of ?
A. Obscession
B. Compulsion
C. Anxiety
D. None
Answer: B
240. Derelation & depersonalization seen in which type of disorder ?
A. Dissociative disorder
B. Personality disorders
C. Mania
D. None
Answer: A
241. Schizoid personality disorder all are seen except?
A. Aloof & detached
B. Prone to fantasy
C. Suspicious
D. Introspective
Answer: C
242. Narcolepsy is due to abnormality in ?
A. Hypothalamus
B. Neocortex
C. Cerebellum
D. Medulla oblongata
Answer: A
243. Max duration of time spent is in NREM stage ?
A. I
B. II
C. III
D. IV
Answer: B
244. NREM Sleep true is ?
A. Teeth grinding
B. Narcolepsy
C. Nightmares
D. Sleep paralysis
Answer: A
245. Bruxism is ?
A. Walking during sleep
B. Nocturnal enuresis
C. Grinding of teeth during sleep
D. Sleep apnoea
Answer: C
246. Narcolepsy, not true ?
A. Cataplexy
B. Sleep architecture normal
C. Loss of muscle tone
D. Hallucination
Answer: B
247. How to differentiate between psychological and organic erectile dysfunction ?
A. Nocturnal penile tumescence
B. PIPE therapy
C. Sildenafil induced erection
D. Squeeze technique
Answer: A
248. Desensitization is a type of ?
A. Psychotherapy
B. Psychoanalysis
C. Behavioral therapy
D. None
Answer: C
249. Stimulant drug is given to child for ?
A. Conduct disorder
B. Speech developmental disorder
C. Pervasive disorder
D. ADHD
Answer: D
250. Klein levin syndrome ?
A. Insomnia
B. Anxiety
C. Depression
D. Hypersomnia
Answer: D
251. According to recent rounds by DSM what code is given to psychiatric diseases in ICD 10 ?
A. E
B. F
C. P
D. G
Answer: B
252. Which of the following is the poor prognostic factor for OCD?
A. Magical thinking
B. Dirt contamination
C. Pathological doubt
D. Hoarding
Answer: B
253. Semen squeeze
A. Erectile dysfunction
B. Premature ejaculation
C. Retrograde ejaculation
D. Antegrade ejaculation
Answer: B
254. A patient with a history of RTA before 2 months presents with complaints of dreams of accidents. He is able to visualize the same scene whenever he visits the place. Hence is afraid to go back to the accident site. Identify the type of disorder that he might be suffering from?
A. Adjustment disorder
B. PTSD
C. Anxiety disorder
D. OCD
Answer: B
255. Freud’s theory of dream includes all except:
A. Displacement
B. Condensation
C. Symbolisation
D. Correlation
Answer: D
256. Expression and consequent release of previously repressed emotion is called as
A. Regression
B. Dissociation
C. Abreaction
D. All of the above
Answer: C
257. All are habit disorder except
A. Nail biting
B. Thumb sucking
C. Temper tantrum
D. Tics
Answer: C
258. New name of mental retardation according to American Association of Mental Retardation
A. Feeble Mindedness
B. Madness
C. Intellectual disability
D. Mentally unstable
Answer: C
259. Now-a-days Down syndrome Is referred to as.
A. Submental disorder
B. Oligophrenia
C. Madness
D. Mentally unstable
Answer: A
260. A 55 years aged chronic alcoholic male, presented with irrelevant talks, tremor and sweating. He had his last drink 3 days back. What will the probable diagnosis?
A. Delirium tremens
B. Korsakoff psychosis
C. Post-Acute withdrawal syndrome
D. Discontinuation syndrome
Answer: A
261. What differentiates delirium from dementia?
A. Confusion
B. Difficulty in communicating
C. Hallucination
D. Sudden change
Answer: D
262. Most common DRUG causing dependence?
A. Cannabis
B. Cocaine
C. Heroin
D. Amphetamine
Answer: A
263. MBBS student she was choking with dyspnea, chest tightness, anxiety and an impending sense of doom on examination all systemic conditions were found normal, then she went to psychiatry. What is the probable diagnosis of the condition?
A. Panic disorder
B. Depression
C. Epilepsy
D. Asthma
Answer: A
264. A patient with depression was given Imipramine for 2 weeks. Relatives noticed increased excitement, colorful clothes, increased talking. What is the next step in management?
A. Antipsychotic with Imipramine continued
B. Discontinue Imipramine and start Valproate
C. Continue Imipramine alone
D. Manage with Valproate alone
Answer: A
265. A Patient falls down often with behavioral change and enuresis. What is the condition associated with him?
A. Frontotemporal dementia
B. Normal pressure hydrocephalus
C. Parkinson’s disease
D. Alzheimer’s disease
Answer: B
266. A Patient with depressive symptoms for 6 months and associated with auditory hallucinations for 2 weeks. What is the probable diagnosis of the condition?
A. Psychotic depression
B. Schizoaffective disorder
C. Mania depressive illness
D. Schizophrenia
Answer: A
267. Personality associated bipolar disorder A. Antisocial
B. Anakastic
C. Borderline
D. Narcissistic
Answer: D
268. Bruxism is seen in ?
A. NREM stage 1,2
B. NREM stage 3,4
C. REM
D. Any of the above
Answer: B
269.Child wakes up at night sweating and terrified does not remember the episode diagnosis?
A. Narcolepsy
B. Nightmares
C. Night terrors
D. Somnambulism
Answer: C
270. Trichotillomania?
A. Irresistable desire to set fire
B. Irresistable desire to steal things
C. Compulsive hair pulling
D. Pathological gambling
Answer: C
271. OCD is associated with which personality?
A. Anakastic
B. Borderline
C. Narcissistic
D. Histrionic
Answer: A
272. Neurotransmitter in mania
A. Increased dopaine
B. Decreased dopamine
C. Increased norepinephrine
D. Decreased norepinephrine
Answer: C
273. Schizophrenia results with ?
A. Increased GABA
B. Decreased norepinephrine
C. Increased dopaminergic activity
D. Decreased dopaminergic activity
Answer: C
274. Capgras syndrome is ?
A. Sharing of delusion
B. Delusion of double
C. Erotomania
D. Hypochondriacal delusions
Answer: B
275. Drug used for cocaine withdrawal symptoms is
a) Floxetine
B. Lorazepam
C. Phenobarbital
D. No drug
Answer: D
276. In stupor catatonia, all are seen except
A. Agitation
B. Catalepsy
C. Mutism
D. Akinesia
Answer: A
277. Psychosurgery is used in ?
A. Phobia
B. Generalized anxiety
C. OCD
D. Depression
Answer: C
278. Role of marijuana in AIDS related cachexia?
A. Euphoric
B. Pschostimulator
C. Increases appetite
D. Decrease emetic feeling
Answer: C
279. All are used in treatment of nocturnal eneuresis except ?
A. Imipramine
B. Alarm setup
C. Voiding of urine before sleeping
D. Maintainence of calendar of day night wetting
Answer: D
280. Repressed information can be brought into conscious mind by all except ?
A. Dream
B. Focused attention
C. Hypnosis
D. Somatic stimulation
Answer: B
281. Well dressed man came for feeling of women trapped in man body is suffering from ?
A. Paraphilia
B. Transverium
C. Gender identity disorder
D. Protterurism
Answer: C
282. Folie-a-deux means ?
A. Delusion of persecution
B. Sharing of delusion
C. Delusion of double
D. None
Answer: B
283. REM sleep is associated with all except ?
A. Dreams
B. Delta waves
C. Loss of muscle tone
D. Increased BP
Answer: B
284. For diagnosis of mania symptoms should be
A. > 1 week
B. > 3 weeks
C. >2 week
D. > 4 weeks
Answer: A
285. Acute and transient psychotic disorder, onset of symptoms ?
A. < 1 weeks
B. < 2 weeks
C. < 3 weeks
D. < 4 weeks
Answer: B
286. Ataxia abasia is seen in ?
A. Conversion disorder
B. PTSD
C. Depression
D. Manic
Answer: A
287. True about anorexia nervosa is all except ?
A. Binge eating is common
B. Unknown in male
C. Amenorrhea starts before severe loss of weight
D. Self-induced vomiting
Answer: B
288. Loosening of association is an example of
A. Formal thought disorder
B. Schneider’s first symptoms
C. Perseveration
D. Concrete thinking
Answer: A
289. False regarding delirium tremens ?
A. Tremors
B. Ophthalmoplegia
C. Visual hallucination
D. Clouding of consciousness
Answer: B
290. Not used for erectile dysfunction ?
A. Beta blockers
B. Siledenafil
C. PG-E,
D. Papaverine
Answer: A
291. A student unable to deliver speech before audience is suffering from ?
A. Social phobia
B. OCD
C. Agoraphobia
D. Claustrophobia
Answer: A
292. Suicide is most common in ?
A. Depression
B. Alcohol dependence
C. Dementia
D. Schizophrenia
Answer: A
293. Which of the following can cause delirium ?
A. Hypoxia
B. Barbiturates
C. Alcohol withdrawal
D. All of the above
Answer: A
294. Total score in Mini Mental Status Examination (MMSE) is ?
A. 25
B. 30
C. 32
D. 35
Answer: B
295. 18 year old girl with circumscribed bald patch with no organic disease & no behavioral disorder has ?
A. Depression
B. Trichotillomania
C. OCD
D. Phobia
Answer: B
296. Pyromania refers to an irresistible urge to ?
A. Set things on fire
B. Eat out of proportion
C. Sleep for long periods
D. None
Answer: A
297. The deliusion which involves replacement of a familiar person by someone else is ?
A. Capgras syndrome
B. Cotard syndrome
C. Othello syndrome
D. None
Answer: A
298. In personality disorder, features are all except
A. Ego dystonia
B. Starts in childhood
C. Behavior is maladaptive
D. Disorder results in personal distress
Answer: A
299. Sleep walking is seen in which stage of sleep ?
A. REM
B. Stage 1-2 NREM
C. Stage 2-3 NREM
D. Stage 3-4 NREM
Answer: D
300. Quod Hanc means ?
A. Passive partner in sexual intercourse
B. Women having high sexual desire
C. Sexual parterner in pedophilia
D. Male impotent to particular women
Answer: D