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    Neet PG 2022 Previous Years MCQ in Psychiatry With Anno

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    Gayathiri Suresh

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    a4 NEET PG 2022: PREVIOUS YEARS MCQ IN PSYCHIATRY Sandeep Govil » May 6, 202: PLUS subscription Choose the best from the best ey ER QD ‘Access both Learn from India’s Top Educators Compete in Live Live and Recorded classes for medical exams Tests and Quizz Soon, you'd be able to access our Personaiize your learning experience ‘Test your preparation with our recorded classes anytime and with your favourite educator highly competitive quizzes ‘anywhere Co Study on the device Access QBank ‘of your choice with 25,000+ Questions Benefit from the exclusive chance High yield clinical questions ‘of watching your classes ona with effective explanation bigger screen Iconic subscription Your access to the Best from 2 of the Best Unacademy &PrepLadder: gy With Unacademy All Resources Included in PLUS Subscription ® Well-structured Live Batches # Recorded Classes* Covering Full Syllabus % QBank with 25,000+ Questions % Competitive Live Tests & Quizzes Unacademy & PrepLadder: With PrepLadder All Resources of 2021 Dream Pack Including © Clinical & Integrated Essentials © Video Lectures from the Dream Team © QBank 3.0 with Active Guidance, System Tags & More © Rapid Revision & Snapshot © Treasures & 2021 Dream Notes cy Unacademy Lite for NEET PG NSS eee sc Cn eee Ts Cena + NEET-PG, INICET, F Drea Roar Dee UC Ra RC Batch on Frequently Forgotten Volatile Topics and Emergency Medicine May 6, 2022 © Objective: To help Leamers revise the important topics for NEET PG and FMGE Exams @ Duration: 10 days Neen ea aa Cerne coy A i is Cee eee oT Carta eng Wunacademy Batch on UPSC CMS Revision and PYQs May 23, 2022 © Objective: To help leomers prepare for UPSC CMS Exam 2022 © Duration: 15 Months (© Content: Revision and Previous Yeor Questions of last 2 years © Coverage: 190 hour, revision Subjects Covered: + Obstetrics & Gynecology + Pediatrics + Surgery + Medicine - PSM &8s6s 8 Dr. Sonal Parihar Dr. Sanjay Khatri Dr. Deepak G Dr. Santhosh Patil Dr. Neho Taneja NEET PG Previous Year Question Bank A dedicated section for Previous Year Questions eer) eee ened Cenrad ‘Punacedemny Launching Auto Daily Practice Papers (DPP) ‘A quick Practice Test after every PLUS class to ‘assess your knowledge about the concept Topic-Wise, Concopt-Wise Questions Available ‘Questions handpicked by Educators ‘Attempt 5 - 10 MCs after every Live Class eeee Enhance your conceptual understanding oli UPSC CMS ENROLL NOW! Use code NPGI0 for Lsaeaette 13}: So) e) ok es Ser) Cae PSTN) First Batch starting from a Sar) April 20, 20 at) wed Pa ad Is a ieee A Use code for 10% off ere ed en Sen Sele) Salle) >» NEET PG Subscription Ce ey Coen ee cd ca cy conrad oo core) oa cro od 5 PEs _2Monthe cr} Menthe a CE 20280 ae recs Ba coe bests i) oo core) es cer) ‘9 Months cry) rea rr ng co) crs er 45000 Slemct Peviee es AIIMS ,PGI June 2020 Q.1. A bipolar disorder patient is kept on lithium therapy. As a doctor when are you going to ask the nurse to get serum lithium levels checked : A) 24 hours after the last dose B) 8 hrs after the last dose cae yaa —L} 12 hours after the last dose = D) Immediately as soon as the last dose given Sor * Answer 1. C After 12 hours (ref. Kaplan Sadock’s Synopsis of Psychiatry ,page 989 Eleventh edition) Periodic management of lithium concentration are an essential aspect of the patient care .Lithium levels should be obtained every 2 to 6 months. Lithium should be on steady state lithium dosing ( usually after 5 days of constant dosing ), and blood sample must be drawn 12 hours(+_ 30 minutes ) after last given dose . Q.2: Which of the following is an adverse effect of a psychoactive drug, that acts as a selective serotonin reuptake inhibitor: A) Constipation . B) Dry mouth Pos ene C) Blurring of vision D) Sexual dysfunction we” aw) * Answer 2. D Sexual dysfunction. Side effects of the SSRI IS Sexual dysfunction (ref. Kaplan Sadock’s Synopsis of Psychiatry page 1018-1019 Eleventh edition) * Various side effects of SSRI are : * Sexual Side effects: Anorgasmia, Inhibited Orgasm , decreased Libido * Gl adverse events: Most frequent GI side effects are Nausea, Diarrhea, Anorexia, Vomiting , Flatulence and dyspepsia. However in Paroxetine has mild anticholinergic activity that causes DRY mouth , Constipation . * Headaches in 18-20 % Fluoxetine is the most likely to cause headache * CNS side effect: Anxiety * Insomnia and sedation: Fluoxetine is most likely to cause * Insomnia, paroxetine cause somnolence. * Vivid dreams, Night mares, Bruxism , Restless legs , Nocturnal myoclonus and sweating are other side effects in sleep * Emotional Blunting and Yawning also is a side effect of the SSRI. * Extrapyramidal symptoms may also rarely cause Akathisia, Dystonia, tremor , cog wheel rigidity , torticollis , opisthotonos , gait disorders and bradykinesia * SSRI associated Hyponatremia and increase in Prolactin levels are the other rare side effects. Q.3. Patient of severe depression was given ECT. Anaesthetist gave succinylcholine and thiopental to the patient. What did these agents do the patient: A) Mood elevation and soothing effect —Byseneral anaesthesia and get muscle relaxation C) To minimise memory loss D) To prevent seizure + Answer 3. B...To give Muscle relaxant and General Anesthesia * Pre-medications, Anesthetics, and muscle relaxants (ref. Kaplan Sadock’s Synopsis of Psychiatry page 1068-1069 Eleventh edition) * Patients should not be given anything orally for 6 hours prior to treatment. * Muscarinic anticholinergic drugs are administered before ECT to minimize oral and respiratory secretions and block bradycardia and Asystole most commonly used drug is Atropine: — * Anesthesia. Administration of ECT requires general Anesthesia and Oxygenation. * Depth of Anesthesia should be as light as possible. Methohexital is the most commonly used Anesthetic agent because of its shorter duration of action and lower association with post ictal arrythmia than Thiopental. * Four other anesthetic alternatives are Etomidate, Ketamine, Alfentanil and propofol. * Muscle Relaxants : + After the onset of the anesthetic effect, usually within a minute, a muscle relaxant is administered to minimize the risk of bone fractures and other injuries resulting from motor activity during the seizures. Succinylcholine , an ultrafast acting depolarizing blocking agent , has gained virtually universal acceptance. * If patient has a known history of Pseudocholinesterase deficiency, Atracurium or curare can be used instead of succinylcholine. Q4: In a physiology viva, Teacher asks to student, "Who recorded first Human EEG", student responded with "I don't know sir", Teacher feels sorry for student and gives a hint to student, "the word rhymes with what you get at McDonald's", then the student gives right answer. This type of memory recall is used in- A) Priming B) Implicit memory C) Associative learning ~~ D) Semantic memory * Answer. C.... Associative Learning ((ref. Kaplan Sadock’s Synopsis of Psychiatry page 1068-1069 Eleventh edition) * Associative Memory is defined as ability to learn and remember the relationship between the unrelated items. This would include, for example , remembering the name of someone or aroma of a particular perfume Associative Memory is a declarative memory structure and episodically based. * The Implicit Memory can be brought forward by Priming. Patient are primed by their experience. If someone has heard something more recently or many more times he /she is primed to recall it more quickly. Q.5. A known chronic alcoholic who used to drink 2 bottle whiskey daily, now is not consuming for last 2 days, presents to OPD with symptoms of anxiety, hypertension, discomfort, he is seeing snakes on floor, no seizures. Which of the following treatment is to be given to control immediately the symptoms: A lorazepam+ thiamine B) Haloperidol +thiamine C) lorazepam iv D) Haloperidol i.v * Answer. A...Lorazepam + Thiamine(ref. Kaplan Sadock’s Synopsis of Psychiatry ,page 631 Eleventh edition) * It’s a case of Delirium Tremens, and for this treatment is Benzodiazepines and Thiamine is added to prevent the Wernicke- Korsakoff’s Syndrome, cerebellar degeneration and Cardiovascular dysfunction in Chronic Alcoholics. Q. 6.Which of the following is not included in — synucleinopathies: A) Multi system atrophy B) lewy body dementia C) Parkinson's disease By Alzheimer's disease __ papeder™® * Answer. D.... Alzheimer’s disease * Synucleinopathies ( also called alpha-Synucleinopathies) are neurodegenerative Diseases characterised by the abnormal accumulation of aggregates of alpha- synuclein protein in neurons, nerve fibres or glial cells. There are three main types of Synucleinopathies: Parkinson’s disease , Dementia with lewy bodies and Multisystem atrophy(MSA). Other rare disorders, such as various neuroaxonal dystrophies , also have alpha— synuclein pathologies. okey aor = i Q.7. Patient is on Lithium Therapy. For which of these clinical symptoms, should nurse warn the patient to be careful of: A) Skin rash, Bradycardia, elevated BP B) Palpitations, occipital headache, chest pain C) Fever, Malaise, Sore throat - 2 a Ataxia, Diarrhoea, Tinnitus ee pecc\ Answer ....D. Ataxia, Diarrhoea, Tinnitus dysfunction (ref. Kaplan Sadock’s Synopsis of Psychiatry page 987, Eleventh édition) Diarrhoea can Precipitate the lithium Toxicity Various Signs and Symptoms of Lithium Toxicity Mild to moderate intoxication( lithium level, 1.5—2.0 mEq/L) “Gl Vomiting, Abdominal Pain, Dryness of mouth Neurological Ataxia, Dizziness, Slurred speech, Nystagmus, Lethargy or excitement , muscle weakness * Moderate to severe intoxication( lithium level, 2.0—2.5 mEq/L) °Gl Anorexia , persistent nausea and vomiting * Neurological Blurred Vision, Muscle fasciculations, Clonic Limb Movements, Hyperactive Deep tendon Reflexes, Choreoathetoid movements, Delirium , Convulsions, stupor , Coma, Circulatory failure Moderate to severe intoxication( lithium level >2.5 mEq/L) * Generalised Convulsions, Oliguria and renal failure and death PGI June 2020 Q. 1. Flight of Ideas is seen in all except: A) Mania B) Depression C) Schizophrenia D) Organic Disorder E) Delirium Flight of ideas Typical of mania. In Hypomania, So called ordered flight of Ideas occurs , called as prolixity. Flight of ideas occasionally occur in Individuals with Schizophrenia, when they are excited and in individuals with organic states ( lesions of Hypothalamus) Kieu a Me Yoo a Shae Corgedg ua Preastebes) S Cine oe Sie — orgie Swe Q.2. Which of these is included in 5 factor traits of personality: - A) Dominance 6B) Extraversion 6 Cc e & Agreeableness 5) Neuroticism E) Creativity 5 factor theory of personality used to describe the five broad dimensions to describe human personality and psyche . 1. Openness to experience(inventive/curious vs. Consistent / cautious) Conscientious(efficient/organized vs. Extravagant/careless) Extraversion(outgoing/energetic vs. Solitary /reserved) Agreeableness(Friendly /compassionate vs. Challenging/callous) Neuroticism(Sensitive /nervous vs. resilient/Confident) PF wp gnc GE A TWypek_ RSs Q.3. Which of the Following is drug of choice for whoisa wee _AY Propranolol Sues abe B) Phenytoin C) Dantrolene D) Lithium E) Sertraline Q.4. Which of the following is/are Features of Depression: A) Anhedonia U B) Decreased Appetite C) Altered Perception D) Normal focus and Concentration E) Has Optimistic thoughts Q.5 Which of the Following drug is not included under Narcotic drugs and Psychotropic: A) Opium B) Morphine C) Cannabis A) Alcohol —E) Hemp Q.6. Disorder of motor movements include: A) Waxy Flexibility B) Stereotype movement C) Mannerism D) Autism E) Delusion Q.7. A child is brought with impaired social communication and restrictive, repetitive behavior. Which of these could be probable diagnosis: A) Mental retardation A) Rett’s Syndrome C) Cat cry Syndrome Pr Autism E) Down’s Syndrome eJIPMER June 2020 _s\eess yee Seder - os\eee Q. Female having schizophrenia and taking treatment, married ,Couples seek for genetic counselling, and wish to know chances of their child to have Schizophrentas, ° 3s). Save - A) 0-1% Rw 2 \\/: B) 5-10%—— State Joe As’/- C) 15-40% Tene RE al. D) 70-80% ae A “ doe VON 8: HUNg| Gar dee . Sax (ewe eon eT’ oS Q. A patient of mania was started on Lithium therapy and after one week of starting it, there was partial improvement of symptoms. Serum lithium levels were 0.5 meq /L, What is next most appropriate step: A) Maintain same dose and monitor a. ie _—6y Increase dose of Lithium >\ S eee, C) Prepare and plan for Dialysis D) Add another drug to Lithium ers Q. Dose of diazepam in Alcohol withdrawal: A) 10-20 mg/day B) 20-30mg /day C) 40-80mg/day D) 80-100mg /day Q. Speed ball is: A) High dose of Cocaine B) High dose of LSD C) High dose of Cannabis D) Combination of Opioids and Cocaine Q. Patient of Depression was not responding well with Antidepressants. Which Hormone add on me would help: A) Progesterone — Pr. ot aot we B) 73 peg C) Cortisol D) Growth Hormone R Dosv Pate ea’ Lae ee Q. Regarding the Diagnosis of Narcolepsy, which of the following is true: Associated with MHC class | — VLAN Dee B) Characterized by sudden onset of NREM sleep C) Dopamine Agonist are used in treatment D) Sleep Walking Disorder Q. Which of the following statement regarding Narcolepsy is False: .A?# Type 2 Narcolepsy is associated with Cataplexy B) Type 2 Narcolepsy is can be caused by Traumatic Brain Injury C) Type 1 Narcolepsy ha Hynagogic Hallucinations D) Caused due to loss of Hypocretin Producing Neurons in Hypothalamus Psychiatry NEET 2019 Dr. Sandeep Govil Which of the following is the poor prognostic factor for OCD? (NEET 2019) a. Magical thinking b. Dirt contamination c. Pathological doubt A. Hoarding > 5 oP Men Di ~ $M- S wD Goro “ye 2) moms Duseden he = TKR KR —- ‘Bve = Exeter Kan Sythe Not true about somnambulism among the following is: (NEET 2019) a. Sleep walking. b. It occurs during NREM sleep c. Disorder of sleep arousal d. Only low level motor skill/function is present Test based on the principle of physiological responses associated with a suspect’s reaction toa question, is? (NEET 2019) a. Narcoanalysis b. Brain mapping c. Truth serum testing 8 Polygraph Psychiatry (NEET 2018) Habit disorders are all except? (NEET 2018) a. b. & d. Thumb sucking Nail biting Temper tantrums Tics BSB - wady ey eK oA : - o Woe - \S\ho ee < ~ arn ~ CFA AN What is the new name for mental retardation according to the Américan association of mental ‘Retardation? _(NEET 201g) = a. Mental handicap eintellectual disability c. Subnormal intelligence d. Lunatic person Wunacademy LET'S CRACK IT! Predictive MCQ NEET & INICET 2021 Subtitle or any Text By- Dr. Sandeep Govil About Educator Dr. Sandeep Govil Trained by Finest Teachers of Psychiatry, done his post graduation from IHBAS Delhi. Has been the teaching Psychiatry for last 15 years for NEET PG Exams and FMGE Other Special Classes By- Dr. sandeep Govil Links for classes (Tap on the link to Watch) a Q. After witnessing a violent argument between her parents, a young woman develops sudden blindness, but does not appear as distraught as would be expected by this development. Her pupils react nor light, and she manages to somehow avoid obstacles when parents, who are in the middle of a bitter divorce, put asi diagnosis? A) Factitious disorder B) Malingering * \Loke Xwo- S 2) Conversion Disorder ae D) Somatization Disorder Los S| So Poo te i ete = ewer Ld aoe Cute — Pavan \ —— Ady, — Rant on prod mba ip - Souk Gevelis KodkVios Ditedin? As Prise Madcqerns = neha pedadin 4 med cd Syaes Aw Ao Gain Q. Sudden and transient muscle weakness while being fully conscious, usually triggered by laughing or crying is caused by deficiency of which neuropeptide: A) Hypocretin | OKexin Ge WYyyot a B) NMDA —_—_——eeee C) Glutamate D) DE * Glycine Cer Q. Excessive concerns with physical appearance, inappropriately seductive, shallow and labile affect, being self-centered and acting dramatically are features of which Personality disorder: Prert on Seeley A) Histrionic PerSonality Disorder “ Hypochondriasis ’ \ Qicre C) Borderline Personality Disorder—P>\“* D) Paranoid Personality Disorder Saye usu Q. Hypochondriasis in DSM -5 is called as: = A) Factitious disorder B) Hypochondriasis C) Conversion Disorder D) Illness Anxiety Disorder TC wed BY Sree \ Cece Ny WY Bope wave lek + Purgds Desk NO. Pubs an Aku vee d a. Identify the antidepressant used for treatment of Tobacco dependence syndrome : A) Bupropion — yp 2 B) Venlafaxine {yx oP 88 \ : OR C) Dapoxetine py D) Escitalopram A Q. Which drug among the following can cause pancreatitis: A) Lithium —B) Sodium Valproate C) Pregabalin D) Olanzapine Q. ‘Lorazepam Challenge Test’ is used for the wv diagnosis of: Ay Catatonia B) Schizophrenia C) BPAD D) OCD Q. Which hormone is used for the treatment & of insomnia: A) Melatonin B) Melanin C) Oxytocin D) Estrogen Q. Which Anesthetic agent is used in treatment. of severe depression: A) Amobarbital B) Desflurane C) Ketaminey D) Methohexital Q. Name the new diagnostic entity included in= DSM-5 to differentiate children with chronic irritability from the children with BPAD and to avoid the over diagnosis of BPAD -NOS in children : A) Severe Mood dysregulation B) Disruptive Mood Dysregulation Disorder C) Chronic irritability disorder &, D) Pediatric Bipolar disorder <

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