2016 MBBS PSYCHIATRY 2021 FALL

1. An 11 years old boy is all the time so restless that the rest of the class is unable to
concentrate. he is hardly ever in his seat and roams around the hall. He has difficulty in playing
quietly. The most likely diagnosis is:
a. attention- Deficient hyperactivity disorder B. autism spectrum disorder
C. Schizophrenia d. depressive disorder

2. a lady, while driving a car had an accident. she was admitted in ICU for 6 months. after being
discharged, she often gets up in night and feels terrified she is afraid of to sit in a car again. the
diagnosis is:
a. panic disorder b. phobia
c. conversion disorder d. post-traumatic stress disorder

3. patient present with waxy flexibility, negativism, and rigidity. diagnosis is:
a. catatonic schizophrenia b. paranoid schizophrenia
C. hebephrenia schizophrenia d. residual schizophrenia

4. three years back a woman suffered during an earthquake and she was successfully saved.
after recovery she has nightmares about the episode and she also get up in the night and feels
terrified. The most probable diagnosis is
a. major depression b. post-traumatic stress disorder
c. mania d. schizophrenia

5. 20 years old female scared of elevators since birth. she prefers Stairs instead elevator.
diagnosis ()
a. agoraphobia b. specific phobia
c. social phobia d. acrophobia

6. the most common positive symptom of schizophrenia is:

a. illusion b. social withdrawal
c. affective blunting d. hallucination

7. drug of choice for attention deficit hyperactivity disorder is ()

a. haloperidol b. chlorpromazine
c. methylphenidate d. benzodiazepines

8. phobia of open places is:

a. claustrophobia b. agoraphobia
c. algophobia d. zoophobia

9. epileptic attack, it usually happened after a heavy bout of drinking of: ()

a. one week b. 12-48 hours
c. 6 hours d. 3 days
10. A 3-year-old child developmental milestones normal with delayed speech, and difficulty in
communication, concentration, not making friends, diagnosis is: ()
a. autism b. ADHD
c. learning disability d. mental retardation

11. In which of your behaviour therapy is helpful: ()

a. neurotic depression b. personality
c. schizophrenia d. agoraphobia

12. Repetitive hand washing is a symptom of

a. post- traumatic stress disorder b. depression
c. anorexia nervous d. obsessive compulsive disorder

13. Most common symptom of alcohol withdrawal is:

a. tremor b. body ache
c. rhinorrhoea d. diarrhoea

14. All are cluster B disorders personality except:

a. avoidank b. borderline
c. antisocial d. narcissistic

15. Treatment of child suffering from autism spectrum disorder is:

a. atomoxetine b. aripiprazole
c. amphetamine d. guanfacine

16. An IQ of 40-45 is which type of mental retardation: ()

a. mild b. moderate
c. severe d. profound

17. Working with an uncooperative patient, should his following aspects, expect: ()
a. speech b. behaviour
c. general appearance D. family financial situation

18. patient with IQ of 60 has: ()

a. severe M.R.
b. profound M.R.
c. mild mental retardation
d. moderate M.R.

19. Which of the following is NOT a clinical feature of post- traumatic stress disorder (PTSD)? ()
a. hyperarousal b. flashbacks
c. emotional numbing d. hallucinations
20. A 25-year-old female patient history of 6 months, after sensorium, involuntary movements,
memory deficit, headache convulsions, abnormal movements, forgetfulness, 4 attacks during, 2
attacks at night, CT normal, diagnosis is: ()
a. hypochondriasis
b. somatization disorder
c. epilepsy
d. dissociative disorder

21. Clinical manifestation of schizophrenia are all of T the following except: ()

a. delusion b. altered sensorium
c. auditory hallucinations d. catatonia

22. A Patient was caught by police for fighting with classmates because he thought they were
planning to kill him. he states his dead grandfather talks to him every now and then for last one
month. he is delusional from past few weeks also. what will be the most likely diagnosis?
A. Delusional disorder
B. Post-traumatic stress disorder
C. Mania
D. Schizophrenia

23. What is the drug of choice for the withdrawal syndrome of alcohol: ()
A. Risperidone B. Haloperidol
C. Diazepam D. Clomipramine

24. Tic disorders usually occur before the age of:

A. 10 B. 18 C. 5 D. 25

25. Treatment of choice for phobia:

A. behavior therapy B. psychotherapy
C. relaxation therapy D. covert sensitization

26. Clouding of consciousness is seen in:

A. dementia B. delirium
C. schizophrenia D. depression

27. Alcohol withdrawal presents with all EXCEPT:

A. hallucinations B. tremors
C. bradycardia D. sweating

28. IQ range of severe mantal retardation:

A. below 20 B. 21-34
C. 21-40 D. 35-49
29. Positive Symptoms of schizophrenia includes all of the following, EXCEPT:
A. aggressive behavior B. hallucination
C. illusion D. anhedonia

30. Negative symptoms of schizophrenia including all of the following, EXCEPT:

A. avolition B. illusion
C. affective blunting D. social withdrawal
31. Fear of being alone in a crowed or fear of travelling alone in a bus, the most likely diagnosis is: ()
a. agoraphobia b. generalized anxiety disorder
c. dissociative fugue d. obsessive compulsive disorder

32. The course criteria for diagnosis of PTSD is: ()

a. lasts for 2 months b. lats for 2 weeks
c. lasts for at least 1 week d. lats for at least 1 month

33. Cluster B of personality disorder includes the following, EXCEPT: ()

a. histrionic personality disorder
b. antisocial personality disorder
c. paranoid personality disorder
d. narcisstic personality

34. A sensitive person, gets affected easily and has difficulty in controlling anger and doesn’t
meet people. What is the personality defect? ()
a. maniac b. schizoid personality
c. borderline d. paranoid personality

35. The course criteria of diagnosis for schizophrenia is at least: ()

a. 1 month b. 2 weeks
c. 3 months d. 2 months

36. These are the clinical features of panic disorder, EXCEPT: ()

a. sweating b. hallucination
c. a sense of dying d. headache

37. Alcohol withdrawal symptoms includes all EXCEPT: ()

a. anxiety b. depression
c. feeling of shakiness d. loss of consciousness

38. The treatment of opioid is: ()

a. methadone b. benzodiazepines
c. haloperidol d. aripiprazole
39. Diagnosis criteria of mental disorder includes all, EXCEPT ()
a. necessary symptoms b. family history
c. simultaneous symptoms d. degree of important of social function

40. Psychiatric interview skills include the following, Except ()

a. dream analysis b. listening
c. clarification d. observation

41. An old patient was brought to the hospital with the history of auditory hallucinations. He
states that, some unknown peoples are conspiring against him. He hears them talking on his
every action continuously. What could be the most likely diagnosis? ()
a. dementia
b. delusional disorder
c. schizophrenia
d. acute psychosis

42. The common treatment of panic disorder are the following, EXCEPT ()
a. CBT b. psychotherapy
c. benzodiazepines d. modified Electra convulsive therapy (MECT)

43. The clinical feature of obsessive- compulsive disorder are the following, except:
a. compulsive checking
b. obsessive doubts
c. anhedonia
d. avoidance of workplace or school

44. Select the true statement: ()

a. flashback is one of the clinical features of PTSD
b. the treatment of mental retardation includes modified electra convulsive therapy (MECT)
c. both
d. none of the above

45. Substance dependence is due to all except:

a. family history of substance abuse b. intelligence
c. personality d. peer pressure

46. Characteristic findings of schizoid personality is: ()

a. emotional coldness
b. conversion disorder
c. not concerned with disease or anything
d. check details of all things
47. All are true about Dementia EXCEPT: ()
a. impaired memory b. loss of consciousness
c. normal wake-sleep cycle d. deterioration of personality

48. dialectical behaviour therapy is used for: ()

a. personality disorder b. somatoform disorder
c. schizophreniform disorder d. schizophrenia

49. autism spectrum disorder usually starts in: ()

a. childhood b. adult
c. adolescence d. infancy

50. A child with attention deficit hyperactivity disorder show the following symptoms, except: ()
a. restless b. talkative
c. clearing the throat d. being easily distracted

51. Ram Lal, a 45 years old male came to the psychiatric OPD complaining of continuous, dull,
non-progressive headache for the last 8 years. The patient has seen numerous neurologists in
the belief that he has a brain tumor even through all this investigation have been normal. the
patient insisted that he had a brain tumor and requested yet another workup. psychiatric
evaluation reveals disease convention in the background of normal investigations. the most
probable diagnosis is: ()
a. hypochondriasis
b. somatization disorder
c. somatoform pain disorder
d. conversion disorder

52. young lady presented with repeated episodes of overeating followed by purging after use of
laxatives she is probably suffering from: ()
a. Bulimia nervosa B. Schizophrenia
C. Anorexia nervosa D. Binge eating disorder

53. The following are future years of hallucinations, except: ()

A. Independent of the will of the observer
b. sensory organs are not involved
c. it is as weed as that in a true sense reception
d. it occurs in the absence of a stimulus

54. A 20-year-Old man has presented with increased alcohol consumption and sexual
indulgence, irritability, lack of sleep and not feeling fatigued even on prolonged periods of
activity. All these changes have been present for 3 weeks. The most likely diagnosis is: ()
a. alcohol dependence b. schizophrenia
c. mania d. impulsive control disorder
55. 41-year-old married female presented with headache for the last 6 months she had several
consultations all her investigations were found to be within normal limits she still insects that
there is something wrong in her head under six and other consultation the most likely diagnosis
is: ()
a. phobia b. psychogenic headache
c. hypochondriasis d. depression

56. a 50-year-old man has presented with pain in back, lack of interest in recreational activities,
Low mood, lethargy, decreased sleep and appetite for two months. there was no history
suggestive of delusions or hallucinations. he did not suffer from any chronic medical illness.
there was no family history of psychiatric illness. routine investigation including hemogram,
renal function test, liver function test, electrocardiogram did not reveal any abnormality. this
patient should be treated with: ()
a. haloperidol
b. sertraline
c. alprazolam
d. olanzapine

57. A person missing from home, is found wandering purposefully. he is well groomed, and
denies of having any amnesia. most likely diagnosis is
A. Dissociative fugue B. Dissociative amnesia
C. Schizophrenia D. Dementia

58. Basanti many years aged female things her know she suddenly her idea is fixed and not
shared by anyone else whenever she goes out of home, she hides her face with a cloth she visits
a surgeon next step would be: ()
A. Investigate and then operate B. Refer to Psychiatrist
C. Reassure the Patient D. Immediate operation

59. The major cars difference between topical and topical anti psychotics is that: ()
A. Later cause minimal or no increase in prolactin
B. The former cause tardive dyskinesia
C. The former is available as a parenteral preparation
D. The latter cause substantial seduction

60. an 18-year-old student complains a lack of interest in studies for 6 months. He has frequent
quarrels with his parents and has frequent headaches. The most appropriate clinical approach
would be to: ()
A. leave him as normal adolescent problem
B. Rule out of depression
C. Rule out migraine
D. Rule out an oppositional defiant disorder
61. Perseveration is: ()
a. persistent and inappropriate repetition of the same thoughts
b. when a patient feels very distressed about it.
c. characteristic of schizophrenia
D. characteristic of obsessive-compulsive disorder (OCD)

62. Delusion is a disorder of: ()

a. perception b. thought
c. insight d. depression

63. Persistent preoccupation with serious illness and normal body function is called: ()
a. obesin b. somatization
c. hypochondriasis d. conversion disorder

64. Atypical antipsychotic are all except: ()

a. olanzapine b. clozapine
c. risperidone d. thioridazine

65. Which of the following is not true about bulimia nervosa: ()

a. invariable weight loss with endocrine disorders
b. occurrence of both binge eating and inappropriate compensatory behaviour at least twice weekly, on
an average, for 3 months.
c. recurrent episodes of eating binges
d. recurrent self-induced vomiting

66. Which of the following statements differentiates the obsessional idea from delusions: ()
a. the idea is not a conventional belief
b. the idea is held in-spite of contrary evidence
c. the idea is regarded as senseless by patient
d. the idea is held on inadequate ground

67. Which one of the following phenomena is closely associated with slow wave sleep: ()
a. dreaming b. sleep walking
c. atonia d. irregular heart rate

68. A 34-year- old housewife reports a three-month history of feeling low, lack of interest in
activities, lethargy, multiple body aches, ideas of worthlessness, decreased appetite and disorder
sleep with early morning awakening. She is likely to benefit form: ()
a. anti-psychotics b. anti-depressants
c. anxiolytics d. hypno-sedatives
69. Lack of insight is not a feature of: ()
a. panic disorder b. schizophrenia
c. mania d. reactive psychosis

70. A 25-year man with a psychotic illness, was treated with haloperidol 30 mg/ day. On the
third day he developed pacing, and inability to sit at one place. The medication likely to be
helpful is: ()
a. phenytoin b. propranolol
c. methylphenidate d. trihexyphenidyl

71. A patient comes in stupor condition patient’s parents give history of being continually sad
and suicidal attempts not eating and sleeping most of the time. The treatment is: ()
a. ECT b. antidepressant
c. antipsychotic d. sedatives

72. Lithium is used in prophylaxis of: ()

a. recurrent phobia b. alcohol dependence
c. paranoid schizophrenia d. bipolar disorder

73. Mode of action of fluoxetine: ()

a. GABA agonist b. GABA antagonist
c. inhibit uptake of 5 -HT d. increase uptake of 5-ht

74. Perception without stimuli is: ()

a. delusion b. illusion
c. hallucination d. delirium

75. Which of the following is not a feature of mania: ()

a. elation b. disorientation
c. pressure of speech d. delusion of grandeur

76. Delusion of nihilism are seen in: ()

a. major depression b. schizophrenia
c. mania d. personality disorder

77. Pressure of speech and flight of ideas are seen in: ()

a. psychotic depression b. mania
c. neurotic depression d. paranoid schizophrenia

78. All of the following tests are required before giving lithium except: ()
a. renal function testes b. liver function tests
c. thyroid function d. ECG
79. Delusion is a disorder of: ()
a. thought b. perception
c. insight d. cognition

80. A male patient with maniac depressive psychosis is on lithium, clozapine and fluphenazine.
During the course of treatment, the developed seizures and tremors. He is drinking water
heavily and has increased urination. Which drug is responsible for these complications? ()
a. lithium b. clozapine
c. fluphenazine d. none of the above

81. A 60-year male is brought by his wife. He thinks that he had committed since all through his
life. he is very much depression and has considered committing suicide but has not through how
to go about it. he had also attached to sessions with a spiritual Guru. he is not convinced by his
wife that he has lead a pious life. he does not want to hear anything on the contrary. how will
they treat him?
a. guidance
b. antidepressant alone
c. anti-psychotic+ antidepressant
d. antidepressant with cognitive behaviour therapy

82. Ganser syndrome is related to? ()

a. approximate answer b. ataxia
c. confusion d. repeated answers

83. the term “id” was coined by: ()

a. weyker b. bleuler
c. freud d. skinner

84. which of the following is a mature defence mechanism: ()

a. reaction formation b. projection
c. denial d. anticipation

85. Flight of idea is seen in: ()

a. delirium b. schizophrenia
c. mania d. depression

86. in dissociative disorder all are seen except: ()

a. multiple personality b. hypochondriasis
c. fuge d. amnesia

87. True about psychotic feature in depression: ()

a. cyclothymia b. dysthymia
c. found in severe depression d. found in moderate depression
88. A patient is always preoccupied with feeling of illness. The diagnosis is: ()
a. conversion disorder b. obsession
c. hypochondriasis d. somatisation disorder

89. A man hits his neighbour. Next day he feels that police are behind him and his brain is being
controlled by radio waves by his neighbour. the probable diagnosis is: ()
a. throat insertion b. passivity feeling
c. delusion of persecution d. obsessive compulsive disorder

90. A patient on antipsychotic for past four weeks is brought to the emergency with complaint of
acute onset of fever, excessive sweating confusion, rigidity of limbs and decreased
communication. examination reveals temperature of 140-degree F, P/R- 120/min BP- 150/ 100
with disorientation. what is the most probable diagnosis is?
A. dystonia
B. neurolept malignant syndrome
c. lithium toxicity
d. aggravation of psychosis

91. Confabulation is a defect of: ()

a. attention b. concentration
c. memory d. intelligence

92. Delusion is not present in: ()

a. delirium b. mania
c. depression d. compulsive disorder

93. Behaviour therapy to change maladaptive behaviour using response as reinforcer uses the
principles of:
a. classical conditioning b. moneling
c. social learning d. operant conditioning

94. Dry mouth during antidepressant therapy is caused by blockage of: ()

a. muscarinic acetylcholine receptors
b. serotonergic receptors
c. dopaminergic receptors
d. GABA receptors

95. Difference between neurosis and psychosis is in: ()

a. severity b. insight
c. prognosis d. duration of onset

96. Fluctuating level of consciousness is seen in ()

a. hysteria b. delirium c. dementia d. mania
97. Neurotransmitters mainly involves in depression are: ()
a. serotonin and dopamine
b. serotonin and GABA
c. dopamine and GABA
d. serotonin and norepinephrine

98. Which of the following atypical antipsychotic agents is associated with most weight gain? ()
a. olanzapine b. ziprasidone
c. aripiprazole d. quetiapine

99. True about good sleep hygiene is: ()

a. same time for sleep and wake up daily
b. heavy exercise in evening
c. heavy dinner at night
d. small naps in day

100. Minimum time period to diagnose depression with daily manifestation is: ()
a. 1 week b. 2 weeks c. 3 weeks d. 4 weeks