1.

The phenomenon in Schizophrenia, known as ‘downward drift’ means which of the

following?

a) Falling to the bottom of the social ladder

b) Become homeless

c) Inability to hold down a job

d) All of the above

Answer: d) All of the above

Rational: A phenomenon in which individuals exhibiting psychotic symptoms fall to the

bottom of the social ladder or even become homeless because they cannot hold down a job or

sustain a relationship.

2. In Schizophrenia psychotic symptoms such as hallucinations delusions, disorganised

speech and grossly disorganised or catatonic behaviours are known as:

a) Negative symtoms

b) Positive symptoms

c) Mediating symptoms

d) Catastrophic symptoms

Answer: b) Positive symptoms

Rational: Characteristics of psychotic symptoms which tend to reflect an excess or distortion

of normal functions

3. Misinterpretation of perceptions or experiences in Schizophrenia are known as

a) Hallucination

b) Delusions

c) Misperceptions

d) Avolition

Answer: c) Delusions
 Rational: Firmly held but erroneous beliefs that usually involve a misinterpretation of

perceptions or experiences.

4. In Schizophrenia when an individual believes they are in danger, this is referred to as

a) Delusion of grandeur

b) Delusion of persecution

c) Delusion of control

d) Nihilistic delusion

Answer: b) Delusion of persecution

Rational: Delusions in which the individual believes they are being persecuted, spied upon, or

are in danger (usually as the result of a conspiracy of some kind).

5.  Which of the following ways might hallucinations be experienced in psychosis?

a) Auditory

b) Olfactory

c) Gustatory

d) All of the above

Answer: d) All of the above

Rational:  A sensory experience in which a person can see, hear, smell, taste or feel

something that isn't there

6. 'Poverty of content' in Schizophrenia is when:

a) Speech appears to be detailed in terms of numbers of words, but is grammatically

incorrect

b) A tendency to jump from one topic to another within a sentence

c) Poor use of vocabulary

d) Poor use of grammar

Answer: a) Speech appears to be detailed in terms of numbers of words, but is grammatically

incorrect

Rational: A characteristic of the conversation of individuals suffering psychosis in which

their conversation is prone to jump from one topic to the next on the basis of loose or

irrelevant associations between words or ideas

7. Catatonic Behaviour in Schizophrenia is characterised by which if the following:

a) Resisting attempts to be moved

b) Maintaining rigid, immobile postures

c) Decreased in reactivity to the environment

d) All of the above

Answer: d) All of the above

Rational: Catatonic Behaviour: Behaviour characterised by a significant decrease in reactivity

to the environment (catatonic stupor), maintaining rigid, immobile postures (catatonic

rigidity), resisting attempts to be moved (catatonic negativism), or purposeless and excessive

motor activity that often consists of simple, stereotyped movements (catatonic excitement or

stereotypy)

8. Affective flattening in Schizophernia is characterized by which of the following

a) Expressionless and unresponsive facial appearance

b) Lack of eye contact

c) Monotonous voice tone

d) All of the above

Answer: d) All of the above

Rational: Limited range and intensity of emotional expression; a "negative" symptom of

schizophrenia.

9. In Schizophrenia, the term anhedonia refers to?

 a) An inability to enjoy food

b) An inability to express empathy

c) An inability to react to enjoyable or pleasurable events

d) An inability to react appropriately to social cues

Answer: c)

Rational: Anhedonia is an inability to react to enjoyable or pleasurable events

10. A sub-type of Schizophrenia known as Catatonic schizophrenia is characterised by:

a) The severe disturbances of motor behavior

b) The presence of disorganized behavior and flat or inappropriate affect

c) The presence of delusions or auditory hallucinations

d) A lack of prominent positive symptoms with evidence of on-going negative

symptoms

Answer: a)

Rational: Catatonic Schizophrenia is a sub-type of Schizophrenia characterised by severe

disturbances of motor behaviour, including immobility, excessive motor activity (including

violent behaviour), extreme negativism, mutism, peculiarities of voluntary movement,

echolalia (repeating what is said by others), or echopraxia (imitating the behaviour and

movements of others.

11. Mania involves:

a) Boundless, frenzied energy

b) Feelings of euphoria

c) Sense of hopelessness

d) Both (a) and (b)

Answer: d)
Rational: Mania: An emotion characterised by boundless, frenzied energy and feelings of

euphoria.

12. Depressed individual exhibit which of the following symptoms?

a) Behavioral symptoms

b) Physical symptoms

c) Cognitive symptoms

d) All of the above

Answer: c)

Rational: Depression: A mood disorder involving emotional, motivational, behavioural,

physical and cognitive symptoms.

13.  In Major Depression, which of the following is a significant neurotransmitter?

a) Serotonin

b) Dopamine

c) Betacarotine

d) Acetylcholine

Answer: a)

Rational: Serotonin is an important brain neurotransmitter.

14. According to Freud's psychodynamic theory, the first stage of response to loss is called

introjection where the individual regresses to:

a) Anal stage of development

b) Phallic stage of development

c) Oral stage of development

d) Sensorimotor stage of development

Answer: c)
Rational: Oral stage: According to Freud, the first 18 months of life is based on the child's

need for food from the mother. If the mother fails to satisfy these oral needs, the child may

become fixated at this stage and in later life display 'oral stage characteristics' such as extreme

dependence on others.

15. Delusions are characteristically seen in:

a) Schizophrenia

b) Delirium

c) Dementia

d) Depression

Answer: a)

Rational: Person diagnosed for schizophrenia firmly held but erroneous beliefs that usually

involve a misinterpretation of perceptions or experiences.

16. Hallucination is a disorder of

a) Perception

b) Thinking

c) Intelligence

d) Memory

Answer: a) Perception

Rational: Perception includes illusion and hallucination.

17. Neologism is

a) Minting of word

b) Totally

c) Has some meaning

d) Modification of word

Answer: d)
Rational: Words are modified for which meaning is known to the patient only.

18. Delusion is a false belief which is

a) Reasonable

b) Comprehensible

c) Both of the above

d) None of the above

Answer: b)

Rational: Delusion is a false unshakable belief which is not amenable to reasoning and us

not in keeping with the patient’s sociocultural and educational background.

19. Delusion is seen in all, except

a) Mania

b) Depression

c) Schizophrenia

d) Anxiety neurosis

Answer: d)

Rational: Neurosis does not exhibit hallucination and delusion.

20. One of the following is a disorder of thought:

a) Illusion

b) Hallucination

c) Delirium

d) Delusion

Answer: d)

Rational: Illusion and hallucination are disorders of perception Delusion is a disorder of

content of thought Delirium is an organic condition where is there is an acute

confessional state.
Rational :