Diploma in Psychiatry - December, 2019

1. Regarding neurotransmitters
A. Exogenous products
B. Actively re-up taken into vesicles after the action in synapses
C. Synthesized in cytoplasm of post synaptic neurons
D. Synthesized from amino acids
E.

2. Excitatory neurotransmitters
A. Glutamine
B. Serotonin
C. Nor-adrenaline
D. GABA
E. Dopamine

3.First rank symptoms of schizophrenia

A. Delusional perception
B. Commanding auditory hallucinations
C. Persecutory delusion
D. Somatic hallucinations
E. Delusion of control

4. Features of Pheochromocytoma
A. Constipation
B. Diarrhea
C. Weight gain
D. Bradycardia
E. Hypotension

5. Androgen deficiency causes

A. Osteoporosis
B. Frontal balding
C. Puberal hair thickening
D. Eunuchoidism
E.

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6. Schizophrenia
A. Early treatment with atypical antipsychotics of first episode of psychosis will give good
outcome in future
B. Positive symptoms are more concerned than negative symptoms in assessment of long
term prognosis
C. Presence of affective symptoms in onset of illness, gives poor prognosis
D. Presence of cognitive symptoms doesn't help to evaluate prognosis
E. Clozapine reduces suicide risk

7.Correctly correlating.,
A. Cognitive restructuring - removing negative skills and adding cognitive coping skills
B. Empathy - feeling for patients condition
C.
D.
E.

8. Transference
A. Feeling of doctor toward the patient
B. It hinders the patients autonomy
C. Comes out in group treatment
D. It's origin is from psychoanalysis
E.

9. Brain development affected by ,

A. Na valproate treatment during pregnancy
B. Passive smoking
C. Traumatic experience
D. Post partum depression
E. Omega 3 fatty acids

10. Regarding sleep,

A. On initiation of sleep, directly goes into REM sleep
B. Sleep spindles are seen in stage 2 of NREM sleep
C. Dreams occur in REM sleep
D. Narcolepsy is irresistibly falling into sleep during activities in day time
E. Sleep walking occurs in REM sleep

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11. Features of Li toxicity
A. fine tremor
B. Ataxia
C. Dilated pupil
D. Confusion
E.

12. Microcephaly is seen in

A. Autism
B. Rett's syndrome
C. Down syndrome
D. Zika virus disease
E. Cornelia de Lange syndrome

13. Regarding Neuro chemical transmission

A. Neurotransmitters can do only antero-grade transmission
B. Synapses are essential
C. Exciation secretion coupling is the first stage
D.
E.

14. Regarding agonist and anatagonist

A. Anatagonist inherent activity
B. Inverse agonist called as anatagonist
C. Inverse agonist does the opposite action of agonist
D.
E.

15. Regarding antidepressants and side effects

A. Venlafaxine causes constipation
B. Mirtazapine causes weight gain
C. Fluoxetine causes premature ejaculation
D. Imipramine cause memory impairment
E. Moclobemide causes postural hypotension

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16. Regarding nerve conduction,
A. Nerve membrane action potential is 15mV after depolarization
B. In RMP, inside of the nerve cell is positively charged comparing with outside of the cell
C. Saltatory conduction is seen in de-myelinated fibres
D. Na- K channels have an important role
E.

17. Neuronal development

A. Neuro-genesis confined to fetal life
B. Sleep disturbance seen in abnormal brain development
C. Premature babies have invariable slow in development
D. Temper tantrum is normal in less than 3 years
E. Echolalia can occur in childhood development

18. Flights of idea

A. Is a disorder of thought tempo
B. No general meaning in correlation of subsequent sentences
C. No connection in subsequent sentence
D. Thoughts comes out continously
E.

19. Confabulation
A. Occurs in clear consciousness
B. Fills the memory gap with false memories
C. Feature of korsakoff psychosis
D. Doesn't occur in organic brain disorder
E. Occurs in schizophrenia

20. Features of acute liver failure

A. Hypotension
B. Hyperglycaemia
C. Hyperreflexia
D. Splenomegaly
E. Ascites

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21. Regarding atypical antipsychotics action
A. Dopamine and serotonin anatagonist
B. Dopamine anatagonism with immediate dissociation
C . Anticholinergic action is not seen
D. Dopamine partial agonist
E. Serotonin partial agonist

22. In children
A. Obsessions are uncommon
B. visual hallucination occurs in focal epilepsy
C.
D.
E.

23. Regarding vicarious learning

A. Pointed by Bandura
B. Refers to observational learning
C. Includes modeling
D. Also included learning by hearing
E. Includes Imitating

24. In case control study

A. Disease is selected before selecting the exposure
B. Confounding factors are not considered at the analysis stage
C. Random sampling can't be used in selection of cases
D. Blinding can't be done
E.

25.
A. In categorical data values qualitatively differ
B. In ordinal data difference between the values are same
C. Independent variables are classification of ???
D.
E.

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26. Features of Gerstmann syndrome
A. Left right disorientation
B. Dsycalculia
C. Dysarthria
D. Finger agnosia
E. Circumstantiality

27. Features of frontal lobe damage.

A. Gait abnormalities
B. Urinary incontinence
C. Spasticity
D. Dysphasia
E.

28. Regarding memory.

A. Non declaritive memory is consciously recalling the events and facts
B. Hippocampus helps in short term memory formation
C. Working memory is affected in frontal lobe dysfunction
D.
E.

29. Huntington disease

A. Autosomal recessive
B. CAG peptide sequence seen
C. Typically occurs in adolescent age
D. Persecutory delusion occurs
E. Severity of illness is less jn subsequent generation

30. Regarding memory,

A. Pavlos conditioning is a semantic theory
B. Retrogrsde amnesia is memory loss following the trauma and concussion
C
D
E

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31. Features of delirium
A. Acute onset
B. Disoriented for time
C.
D.
E.

32. Correction correlation with withdrawal symptom

A. Alcohol - visual hallucination
B. Nicotine - tingling sensation in periphery
C. Cannabis - tremor
D. Opioid - dry eye
E. Amphetamine - dilated pupils

33. Parts of limbic system

A. Cingulate
B. Isthmus
C. Internal capsule
D. Amygdala
E.

34. Blood supply of the brain

A. Vertebral artery take part in formation of circle of Willi
B. Middle cerebral artery supplies the area responsible for language
C. Posterior inferior cerebellar artery is the major branch of basilar artery
D. Cerebral arteries anastomose on surface of cerebrum
E. Internal carotid artery enters through foramen lacerum

35. Schizophrenia
A. Male= female
B. Prevalence is equal globally
C. Inheritance is 80%
D. Occurrence in first degree relatives is 50 to 60 %
E. Familial heritability is high

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36. X linked disease
A. Colour blindness
B. Haemophilia
C. Wilsons disease
D. Rett's syndrome
E. Turners syndrome

37. Cognitive behavioural therapy

A. Can't be used in children
B. Can't use in Schizophrenia
C. Removes negative thoughts and add good coping skill
D. Done in the basis of child experience
E.

38. Features of hypercalcaemia

A. Mania
B. Corneal calcification
C. Abdominal pain
D. Haematuria
E.

compiled by :

Dr.(Miss). Prabothini Vijayan ,

MOMH, BH-Welimada.