Mcq Subject: Psychiatry

A non diabetic, non hypertensive patient has some extra beats in pulse. Doctor informed that is benign and no intervention required. But patient is worried that it is a serious cardiac disorder and is still going for repeated investigation & going from doctor to doctor. This is a type of:

A. Conversion disorder

B. Hypochondriosis

C. Somatization

D. Depression

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A 68-year-old male is brought to the outpatient by his wife due to increasing forgetfulness. On taking history in details, wife repoed that for around 6 months patient is having trouble in organising the finances and paying bills, something he has done all his life. He has also become withdrawn and has decreased meeting people. The patient also behaved inappropriately with a female neighbour couple of says back, which is much against his usual nature. The patient denies having any problems and seems indifferent to his wife’s concern. He has a medical history of hypeension and type 2 diabetes mellitus There is a family history of Alzheimer disease. On MMSE, score came out to be 23. Which of the following is the most likely diagnosis?

A. Alzheimer disease

B. Creutzfeldt-Jakob disease

C. Dementia with Lewy bodies

D. Frontotemporal dementia

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Which of the following is NOT TRUE about post – traumatic stress disorder?

A. The onset of illness may occur many months after the traumatic event

B. Individual debriefing and early counselling are most effective method of treatment

C. Eye movement desensitization and reprocessing is effective

D. There is high risk of alcohol abuse in patients suffering from this disorder

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The Halstead Retain battery involves all except :

A. Finger oscillation

B. Constructional praxis

C. Rhythm

D. Actual performance

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A patient on t/t for psychiatric disorder takes overdose of a drug, develops bradycardia, hypotension, decreased sweating and salivation. The likely drug is

A. Amitryptilline

B. Lithium

C. Selegiline

D. Amphetamine

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Episodes of depression in major depressive disorder tend to:

A. Increase in frequency with age

B. Decrease in length with age

C. Last for about 9 months when treated

D. Have a rapid onset

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False statement regarding myocardial infarction and depression is:

A. Depression is a risk factor for MI

B. MI is a risk factor for depression

C. SSRI's can be used post MI for treatment of depression

D. Only cognitive behavioral therapy is used after MI

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A man coming from a mountain whose wife died 6 months prior says that his wife appeared to him and asked him to join her. The diagnosis is

A. Normal grief

B. Grief psychosis

C. Bereavement reaction

D. Supernatural phenomenon

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An elderly woman suffering from schizophrenia is on antipsychotic medication. She developed purposeless involuntary facial and limb movements, constant chewing and puffing of cheeks. Which of the following drugs is least likely to be involved in this side effect –

A. Haloperidol

B. Clozapine

C. Fluphenazine

D. Loxapine

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Risk factor for suicide –

A. Female sex

B. Unmarried

C. Age 30 years

D. Married

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