Psychiatry Question Bank – 65 Multiple Choice Questions on _Psychiatry in India_.pdf

8/10/2019 Psychiatry Question Bank 65 Multiple Choice Questions on _Psychiatry in India_.pdf

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Psychiatry Question Bank 65 Multiple ChoiceQuestions on "Psychiatry in India"by Abhijit Sarkar

65 Multiple Choice Questions (MCQs) with Answers on Psychiatry in India for Psychiatry Post

G r a d u a t e S t u d e n t s :

1 . O n e I n d i a n p s y c h i a t r i s t w h o w a s i n t e r e s t e d i n r e h a b i l i t a t i o n o f m e n t a l l y h a n d i c a p p e d

c h i l d r e n a n d w h o w a s r e s p o n s i b l e f o r t h e f o r m a t i o n o f a n a s s o c i a t i o n o f t h e m e n t a l l y

h a n d i c a p p e d a t B a n g a l o r e i s :

A. Dr Chenna basavanna

B . D r M u r t h y R a o


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C. Dr R L Kapur

D. Dr N N Wig

2 . W h o d e s c r i b e d t h e c o n c e p t o f G u r u - c h e l a r e l a t i o n s h i p ?

A. Dr Maha l

B. Dr JSNeki

C . D r V a r m a

D. Dr Carstairs

3 . A p s y c h i a t r i s t w h o p i o n e e r e d i d e a o f i n v o l v i n g f a m i l y m e m b e r s i n t h e t r e a t m e n t o f h i s

p a t i e n t s b y p r o v i d i n g a n u m b e r o f t e n t s i n t h e c o m p o u n d o f t h e h o s p i t a l i s :

A. Dr Murt hy Rao

B. Dr Vidyasagar

C. Dr J S Neki

D. Dr N N Wig

4 . W h o p u b l i s h e d t h e f i r s t s e r i e s o f l e u c o t o m i e s i n I n d i a ?

A. Ramamu rthy and Ravi

B . G o v i n d a s a m y a n d R a o

C . K a l y a n a r a m a n a n d D h a r m a r a j

5 . T h e p s y c h i a t r i s t w h o w a s f i r s t t o s t a r t e l e c t r o e n c e p h a l o - g r a p h i n t h i s c o u n t r y i n 1 9 4 8 ,

w h o w a s t h e f i r s t p s y c h i a t r i s t t o p r a c t i c e p s y c h o s u r g e r y a t R a n c h i a n d a n I n d i a n p s y c h i a t r i c

s o c i e t y w a s f o r m e d o n 7 t h J a n 1 9 4 7 , b e c a u s e o f h i s e f f o r t s a n d w h o w a s a w a r d e d

Padmashree is:

A. Dr Murt hy Rao

B. Dr Vidyasagar

C. Dr Robert Brocklesby Davis

D. Dr N N Wig

6 . T h e t w o c e n t e r s i n s o u t h I n d i a o t h e r t h a n A m r i t s a r w h e r e f a m i l y w a r d t h e r a p y w a s


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i n t r o d u c e d :

A. Madu rai and Salem

B . V e l l o r e a n d B a n g a l o r e

C . K o t t a y a m a n d T r i v a n d r u m

D . H y d e r a b a d a n d V i s h a k h a p a t a n a m

7 . T h e m o d e l p r i m a r y h e a l t h c e n t e r c h o s e n f o r t h e s t u d y o f d e c e n t r a l i z a t i o n o f m e n t a l h e a l t h

s e r v i c e s i s :

A. RajpurRan i

B. Piranmalai

C. Kallakurichi

D. Avadi

8 . T h e p r e v a l e n c e o f m e n t a l d i s o r d e r s i n e l d e r l y i n I n d i a w a s s t u d i e d b y t h e f o l l o w i n g :

A. Dube

B. Nandi

C . V R a m a c h a n d r a n

D. A V Rao

E. Sethi

9 . T h e f o l l o w i n g p s y c h i a t r i s t s s t u d i e d a b o u t t h e f a m i l y s t r u c t u r e a n d m e n t a l i l l n e s s :

A. Dube, Sethi V

B . V R a m a c h a n d r a n

C. Vergheze

D. A V Rao

E . C h a n n a b a s a v a n n a

1 0 . T h e f o l l o w i n g I n d i a n p s y c h i a t r i s t s d e s c r i b e d t h e p o s s e s s i o n s y n d r o m e :

A. H S Narayana n and A S Maha l


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B. JS Teja

C. LP Varma

D . C a r s t a i r s a n d K a p u r

E. J K Trivedi

1 1 . T h e c o r r e c t l y p a i r e d I n d i a n p s y c h i a t r i s t s w h o s t u d i e d t h e p s y c h o s o m a t i c i l l n e s s e s a r e :

A. Bagadia Diabetes

B . R a m a c h a n d r a n a n d D e s a i B r o n c h i a l a s t h m a

C. Srivastava Skin disorders

D . M o u d g i l a n d P e r s h a d P u l m o n a r y t u b e r c u l o s i s

1 2 . T h e I n d i a n p s y c h i a t r i s t s w h o h a v e d o n e r e s e a r c h o n i n d i g e n o u s h e a l e r s o r s h a m a n s a r e

t h e f o l l o w i n g :

A. BB Sethi

B. JK Trivedi

C . C h o p r a

1 3 . T h e I n d i a n p s y c h i a t r i s t s w h o h a v e s t u d i e d h y s t e r i a a r e t h e f o l l o w i n g :

A. Marfa tia

B . L a i a n d S e t h i

C . T r i v e d i

D . M a h a l

1 4 . T h e f o l l o w i n g p s y c h i a t r i s t s w h o h a v e s t u d i e d p s y c h o t h e r a p y i n I n d i a n s e t t i n g :

A. JS Neki

B. VK Varma

C. B B Sethi and A V Rao

D . N a n d i

E . S u r y a a n d J a y a r a m


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1 5 . T h e I n d i a n p s y c h i a t r i s t w h o d e v e l o p e d a s t r e s s f u l e v e n t s c a l e f o r u s e i n I n d i a :

A. Neki

B. Wig

C . G u r m e e t s i n g h

D . N a n d i

1 6 . T h e s t i m u l a t o r y r e s p o n s e o f t h e p i n e a l g l a n d t o l i t h i u m i s c h r i s t e n e d T i l a k e f f e c t b y o n e

o f t h e f o l l o w i n g :

A. BB Sethi

B. S Parvathi Devi

C. Neki

D . V a r m a

1 7 . T h e f o l l o w i n g I n d i a n p s y c h i a t r i s t s r e p o r t e d K o r o - a c u l t u r e b o u n d s y n d r o m e :

A. Shukla

B . C h a k r a v a r t h y

C. Dutta

D . C R S u b r a m a n i a n

1 8 . T h e f o l l o w i n g I n d i a n p s y c h i a t r i s t s h a v e r e p o r t e d o n t h e u s e o f b e h a v i o u r m o d i f i c a t i o n

t e c h n i q u e s i n t h e t r e a t m e n t o f m a l e s e x u a l d y s f u n c t i o n s :

A. Bagadia

B. Venkoba Rao

C . N a n d i

D. A K Agarwal

E. Kuruvilla

1 9 . T h e f o l l o w i n g I n d i a n p s y c h i a t r i s t s t u d i e d a b o u t t h e m i g r a t i o n a n d m e n t a l i l l n e s s :

A. Shekar Saxena


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B. Bhaskaran

C. Sethi

D . N a n d i

E. AV Rao

2 0 . T h e f o l l o w i n g I n d i a n p s y c h i a t r i s t s w h o h a v e r e p o r t e d t h a t t h e p o i n t p r e v a l e n c e r a t e o f

s c h i z o p h r e n i a i s a b o u t 2 - 3 p e r 1 0 0 0 :

A. Dube

B. Sethi

C. A V Rao

D. Vergheze

2 1 . I n I n d i a t h e f o l l o w i n g p s y c h i a t r i s t s s t r e s s e d t h e n e e d f o r r e h a b i l i t a t i o n i n s c h i z o p h r e n i a :

A. Bhaskaran

B . S a r a d a m e n o n

C . R a m a c h a n d r a n

D. Holkar

E. Jacob John

2 2 . T h e I n d i a n p s y c h i a t r i c i n t e r v i e w s c h e d u l e w a s d e v e l o p e d i n 1 9 7 4 b y :

A. AV Rao

B. Vergheze

C. Kapur

D. Sethi

2 3 . A n e p i d e m i o l o g i c a l s t u d y o f d r u g d e p e n d e n c e i n I n d i a i s b y :

A. Dube and Handa (1971 )

B . M o h a n ( 1 9 7 8 )

C . S e t h i a n d T r i v e d i ( 1 9 7 9 )


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D . L a i a n d S i n g ( 1 9 7 9 )

E . S a c h d e v e t a l ( 1 9 8 6 )

F . K u r u v i l l a ( 1 9 8 0 )

2 4 . P s y c h o s o c i a l a s p e c t s o f s m o k i n g w e r e s t u d i e d b y t h e f o l l o w i n g I n d i a n p s y c h i a t r i s t s :

A. A K Tando n (1990 )

B. A K Gupta and B B Sethi (1977)

C . L a i a n d S i n g ( 1 9 7 9 )

2 5 . T h e s t u d y a b o u t p s y c h o i m m u n o l o g y i n I n d i a i s b y t h e :

A. Sethi

B. Pandey

C . T i w a r i

D. Venkoba Rao

2 6 . T h e o n e w h o c o n d u c t e d t h e f i r s t e p i d e m i o l o g i c a l s t u d y o n m e n t a l m o r b i d i t y i n I n d i a i s :

A. Dr N C Surya

B. Dr N N Wig

C. Dr Vrgheze

D. Dr Sethi

2 7 . T h e o n e w h o t a l k e d m u c h a b o u t t h e e t h i c s i n p s y c h i a t r y i n I n d i a i s :

A. Kuruvilla

B. A K Agarwal

C. BB Sethi

D . O S o m a s u n d a r a m

2 8 . I n a n x i e t y s c a l e w h i c h c o n s i s t s o f 1 0 0 i t e m s , u s e d i n I n d i a f o r q u i c k e s t i m a t i o n o f a n x i e t y

i n v a r i o u s a r e a s s u c h a s p h y s i c a l , p s y c h o l o g i c a l , s o c i a l , a n d e c o n o m i c a l i s :

A. Hamilton depr ession rating scale (HDRS)


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B. Sinhas anxiety scale (SAS)

C. State anxiety Scale

2 9 . T h e o n e w h o r e p o r t e d c l o z a p i n e i n d u c e d a g r a n u l o c y t o s i s i n I n d i a a n d i t w a s r e v e r s e d

w i t h t h e u s e o f c y t o k i n e s l i k e g r a n u l o c y t e - c o l o n y s t i m u l a t i n g f a c t o r i s :

A. Suresh Kumar

B. Srinivasan

C. Jayakar

D . M u r u g a p p a n

3 0 . T h e o n e I n d i a n p s y c h i a t r i s t w h o w r o t e h i s m o n u m e n t a l p a p e r o n h i s t o r y o f p s y c h i a t r y i n

I n d i a a n d P a k i s t a n i s :

A. Dr N N Wig

B. Dr L P Varma

C . D r M u r t h y R a o

D. Dr N C Surya

3 1 . T h e f o l l o w i n g d a t e s a r e i m p o r t a n t f o r I n d i a n p s y c h i a t r i s t s :

A. World no tobacco day My 31st

B . W o r l d d e - a d d i c t i o n d a y J u n e 2 6 t h

C . G l o b a l m e n t a l h e a l t h d a y O c t o b e r 1 0 t h

D . W o r l d A l z h e i m e r s d a y S e p t e m b e r 2 1 s t

3 2 . C u l t u r e b o u n d s y n d r o m e s e e n i n I n d i a a r e t h e f o l l o w i n g :

A. Dhat, Jiryan

B. Koro (Jnjinia Bemar)

C. Possession syndrome

D. Ascetic syndrome

E. Jhin-jhini


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3 3 . T h e s u i c i d e r a t e i n I n d i a i s e x p r e s s e d a s :

A. 3 to 4/10,0 00

B . 5 t o 6 / 1 0 , 0 0 0

C . 6 t o 7 / 1 0 , 0 0 0

3 4 . L i t h i u m o l o g y a n e w d i s c i p l i n e d e v o t e d t o t h e s t u d y o f v a r i o u s a s p e c t s o f l i t h i u m w a s

i n t r o d u c e d i n I n d i a b y :

A. B B Sethi

B. A Venkoba Rao

C. JSNeki

3 5 . T h e s t u d i e s o n M o n g o l i s m w e r e c a r r i e d o u t i n I n d i a b y :

A. Vergheze and Murth y Rao (1961 )

B . R a o ( 1 9 7 3 )

C . R a f i a n d M a r i m u t h u ( 1 9 7 7 )

D . O S o m a s u n d a r a m a n d P a p p a k u m a r i ( 1 9 7 8 )

E . S u b b e G o w d a ( 1 9 8 7 )

P s y c h o l o g i c a l T h e r a p i e s :

Si gm u nd F r eu d - Ps yc ho a na ly si s a nd F r ee a ss oc ia ti on

Ca rl C Ro ge rs - Cl ie nt o rie nt ed p syc ho th er ap y

F re de rich Pe rls - Ge st alt t he ra py

Er ic Be r n e - T r a n sa ctio n a l a n a lysis

Vi ct or E F ra nkl - Exi st en ti al l og o t he ra py

Ja m e s Br a id - Ne u r o - h yp n o tism

Albert Ellis - Rational emotive thera py

Wil lia m G la ss er - Re al it y t he ra py

Arthur Janov - Primal therap y


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J L M o r e n o - Psych o d r a m a

Assagioli - Psycho synthesis

M a slo w - Se lf a ctu a liza tio n

Pie t r o Pisa n i - M illie u th e r a p y

Aaron Beak - Cognitive therap y (in depre ssion)

T F M ain a n d - T he r ap e utic co mm un it ie s

M a xwe ll Jo n e s

Jo h n Wa t so n - Be h a vio r ism

I va n Pa vlo v - Cla ssica l co n ditio n in g

Jo se ph Wo lp e - Sys te ma ti c d ese nsi tiz at io n

B F Skin n e r - Op e r a n t co n d it io n in g

Joint Commission of

Mental Illness (in USA)

- Deinstitutionalization

S y n d r o m e s i n P s y c h i a t r y :

A b s t i n e n c e S y n d r o m e ( w i t h d r a w a l s y n d r o m e ) :

I n t h e a r e a o f a l c o h o l o r d r u g d e p e n d e n c e , b e i n g w i t h o u t t h e s u b s t a n c e o n w h i c h t h e s u b j e c t i s

d e p e n d e n c e . I t i s e q u i v a l e n t t o w i t h d r a w a l s y m p t o m s a n d i t s a p p e a r a n c e s u g g e s t s t h e p r e s e n c e o f

p h y s i o l o g i c d e p e n d e n c e o r a d d i c t i o n .

Ascetic Syndrome:

A syndrome , which appea rs in adolescent s and adults, leading to psychosocial withdrawal, severe

s e x u a l a b s t i n e n c e , p r a c t i c e o f r e l i g i o u s a u s t e r i t i e s , l a c k o f c o n c e r n w i t h p e r s o n a l a p p e a r a n c e , a n d

considerable loss of weight (J S Neki 1972)

A t a q u e o r P u e r t o R i c a n S y n d r o m e :

O f t e n c h a r a c t e r i z e d b y a n x i e t y , h y p e r v e n t i l a t i o n , c o n f u s i o n , a n d p s e u d o e p i l e p t i c m o v e m e n t s w h i l e .

T h e r e m a y a l s o b e h a l l u c i n a t i o n s , s c r e a m i n g , s o m e v i o l e n c e t o o t h e r s o r t h e s e l f , a n d m u t i s m .

G e n e r a l l y t h e e p i s o d e i s s e l f - l i m i t e d a n d m a y l a s t o n l y m i n u t e s . A t o t h e r t i m e s , i t i s s e v e r e a n d

e x t e n d s t o a f e w d a y s , t h e r e b y c a u s i n g d i f f i c u l t y i n d i f f e r e n t i a t i n g f r o m a c u t e s c h i z o p h r e n i c e p i s o d e o r


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atypical psychosis.

C a p g r a s s s y n d r o m e ( D e l u s i o n o f d o u b l e s ) :

B e l i e f t h a t a p e r s o n k n o w n t o t h e p a t i e n t h a s b e e n r e p l a c e d b y a n e x a c t d o u b l e . U s u a l l y t h e p e r s o n

i m p l i c a t e d i s a c l o s e r e l a t i v e , p a r t i c u l a r l y s p o u s e . T h e c o m m o n c a u s e s a r e f u n c t i o n a l p s y c h i a t r i c

d i s o r d e r s ( s c h i z o p h r e n i a , p a r a n o i d s t a t e s , a f f e c t i v e d i s o r d e r , e t c . ) a n d o r g a n i c i l l n e s s ( t e m p o r a l l o b e

e p i l e p s y , b r a i n t u m o r , d e l i r i u m , e t c . )

C h a r l e s B o n n e t S y n d r o m e :

I t w a s n a m e d i n 1 9 3 8 b y M o r s i e r , a f t e r t h e m a n w h o f i r s t d e s c r i b e d a n d l a t e r h i m s e l f d e v e l o p e d t h e

c o n d i t i o n . I t i s c h a r a c t e r i z e d b y v i v i d a n d c o m p l e x v i s u a l h a l l u c i n a t i o n s t h a t a r e r e c o g n i z e d a s u n r e a l

a n d o c c u r i n t h e a b s e n c e o f a n y o t h e r p s y c h i a t r i c s y m p t o m s . T h e s y n d r o m e h a s m o s t f r e q u e n t l y

b e e n d e s c r i b e d i n e l d e r l y p e o p l e a n d i s c o m m o n l y a s s o c i a t e d w i t h v i s u a l i m p a i r m e n t .

C o t a r d s S y n d r o m e ( N i h i l i s t i c d e l u s i o n s ) :

D e l u s i o n s o f n e g a t i v e t o a v a r y i n g d e g r e e . M a y h a v e t h e i r b o d y o r s e l f h a s d i s a p p e a r e d a n d t h e y n o

l o n g e r e x i s t , e v e n t h a t t h e w h o l e u n i v e r s e n o l o n g e r e x i s t s . F r e q u e n t l y d e p r e s s i v e s y m p t o m s b u t

m a n y h a v e a b a s i s i n o r g a n i c b r a i n d i s e a s e .

D e C l e r a m b a u l t s s y n d r o m e ( P u r e e r o t o m a n i a ) :

D e l u s i o n a l b e l i e f t h a t a n o t h e r p e r s o n ( t h e o b j e c t ) o f t e n o f u n a t t a i n a b l y h i g h e r s o c i a l s t a t u s l o v e s t h e

p a t i e n t ( t h e s u b j e c t , u s u a l l y a f e m a l e ) i n t e n s e l y . P r i m a r y o r p u r e e r o t o m a n i a , i s a n i s o l a t e d

p h e n o m e n o n w h e r e a s s e c o n d a r y t y p e i s m u c h c o m m o n i n t h e s e t t i n g o f p a r a n o i d , m a n i c , o r o t h e r

d i s o r d e r .

D e l a n g e s y n d r o m e :

It is characterized by subnormality, excessive facial and skeletal abnormalities, dwarfism, and

excessive body hair.

E k b o m s S y n d r o m e ( D e l u s i o n o f i n f e s t a t i o n ) :

D e l u s i o n t h a t b o d y a n d / o r s u r r o u n d i n g a r e i n f e s t e d w i t h i n s e c t s , p a r a s i t e s , e t c . E v i d e n c e o f t h i s i s

f a t h e r e d . O f t e n p a r a n o i d o r d e p r e s s i v e o r s o m e t h i n g o r g a n i c b r a i n d i s o r d e r m a y c a u s e i t .

F r o n t a l L o b e S y n d r o m e :

O r g a n i c m e n t a l d i s o r d e r c h a r a c t e r i z e d b y a m a r k e d c h a n g e i n p e r s o n a l i t y , w i t h d e v e l o p m e n t o f

c e r t a i n r e l a t i v e l y c h a r a c t e r i s t i c p a t t e r n s o f r e l a t i n g t o t h e e n v i r o n m e n t t h a t h a v e b e e n a s s o c i a t e d w i t h

d a m a g e t o t h e f r o n t a l l o b e s . S u c h p a t t e r n s i n c l u d e e m o t i o n a l l i a b i l i t y , i m p a i r m e n t i n i m p u l s e c o n t r o l

a n d s o c i a l j u d g e m e n t , a n d m a r k e d a p a t h y a n d i n d i f f e r e n c e . A l s o c a l l e d o r g a n i c p e r s o n a l i t y

s y n d r o m e .


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Ganser Syndrome:

G a n s e r i n 1 8 9 7 , d e s c r i b e d t w o p e r s o n s w h o d e v e l o p e d b r i e f b o u t s o f m e n t a l i l l n e s s c h a r a c t e r i z e d b y

disturbed consciousness, hallucinations, sensory changes of a hysterical kind and characteristic

a n s w e r s t o q u e s t i o n s .

T h e s e e p i s o d e s t e r m i n a t e d a b r u p t l y w i t h s u b s e q u e n t a m n e s i a f o r t h e e p i s o d e a n d c o m p l e t e

r e c o v e r y . E n o t h a n d T r e t h o w a n ( 1 9 7 9 ) l i s t e d t h e f o u r e s s e n t i a l d i a g n o s i s f e a t u r e s a s a p p r o x i m a t ea n s w e r s , c l o u d i n g o f c o n s c i o u s n e s s , s o m a t i c c o n v e r s i n g a n d v i s u a l a n d / o r a u d i t o r y h a l l u c i n a t i o n

( p s u d o h a l l u c i n a t i o n ) .

T h e c o n d i t i o n i s n o t c o n f i n e d t o p r i s o n e r s . T h e c a u s e s h a v e b e e n l i s t e d a s s c h i z o p h r e n i a ,

neurosyphilis, alcoholism, Korsakoffs psychosis, cerebra vascular disease, depression, mental

r e t a r d a t i o n , t r a u m a , a n d a r t e f a c t u a l i l l n e s s .

G e n e r a l A d a p t a t i o n S y n d r o m e ( G A S ) :

H a n s S e l y e s t e r m f o r t h e r e s p o n s e s o f t h e b o d y o f m a j o r s t r e s s , p a s s i n g t h r o u g h t h e a l a r m r e a c t i o n ,r e s i s t a n c e , a n d f i n a l l y , e x h a u s t i o n .

G r a y - o u t S y n d r o m e :

A psychosis that occurs in pilots plying the stratosph ere, out of sight of the horizon.

M e i g e s S y n d r o m e :

( M e i g e , 1 9 1 0 ) A n i d i o p a t h i c d i s o r d e r c o n s i s t i n g o f b l e p h a r o s p a s m a n d o r o m a n d i b u l a r d y s t o n i a f i r s t

d e p i c t e d b y t h e F l e m i s h p a i n t e r P i e t e r B r e u g h e l t h e E l d e r ( 1 5 2 6 1 5 6 9 ) . M o s t c o m m o n i n w o m e n

a n d p e r s o n s a b o v e 4 0 y e a r s o f a g e .

D y s k i n e s i a f l u c t u a t e s f r o m d a y t o d a y c o m m o n a g g r a v a t i n g f a c t o r s a r e f a t i g u e , s t r e s s a n d c e r t a i n

activities like talking, regarding or walking, and like other syskinesias it improves with sedation and

d i s a p p e a r s d u r i n g s l e e p o c c a s i o n a l l y i t e x t e n d s t o e x t r e m i t i e s a n d m a y t h e n d e v e l o p t o r t i c o l l i s , a n t i -

o r r e t r o c o l l i s , w r i t e r s c r a m p s , f l e x o r s p a s m s o f t h e b o d y .

N o i n t e l l e c t u a l d e t e r i o r a t i o n a n d n o p y r a m i d a l , c e r e b e l l e r o r s e n s o r y d e f i c i e n c y . I t i s a l l e v i a t e d w i t h

a n t i c h o l i n e rgics, narcoleptics, GABA agonists, benzodiazepines, scopolamine, and others which exerta c t i o n o n d o p a m i n e r g i c s y s t e m .

M u n c h a u s e n s S y n d r o m e :

I t i s r a r e c o n d i t i o n , c h a r a c t e r i z e d b y p a t i e n t s w h o r e p o r t e d l y s e e k a d m i s s i o n t o h o s p i t a l i n a s t a t e o f

m e n t a l o r p h y s i c a l d i s t r e s s , g i v e p l a u s i b l e h i s t o r i e s t o s u p p o r t t h e i r c o m p l a i n t s a n d s u b m i t t h e m s e l v e s

t o p a i n f u l o r e v e n d a n g e r o u s i n v e s t i g a t i o n s a n d t h e r a p i e s b u t t h e n a b r u p t l y d i s c h a r g e t h e m s e l v e s

w h e n d i s c o v e r e d t o h a v e f a b r i c a t e d t h e i r s t o r e s a n d p h y s i c a l s i g n s .


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O t h e l l o S y n d r o m e ( M o r b i d j e a l o u s l y ) :

D e l u s i o n o f i n f i d e l i t y o n p a r t o f t h e s e x u a l p a r t n e r . N o r m a l p h e n o m e n a a r e i n t e r p r e t e d t o f i t i n w i t h

c o n v i c t i o n . T h e c o m m o n c a u s e s a r e a l c o h o l i s m , o r g a n i c p s y c h o s i s , s c h i z o p h r e n i a , o b s e s s i o n a l

p e r s o n a l i t y , e t c .

Pickwickian Syndrome:

C o n d i t i o n c h a r a c t e r i z e d b y o b e s i t y , h y p o v e n t i l a t i o n , a n d h y p e r s o m n i a . P i s a s y n d r o m e :

A dystonic syndrom e character ized by tonic, flexion of the trunk to one side, accompan ied by its slight

r o t a t i o n , i n t h e a b s e n c e o f o t h e r c o n c o m i t a n t d y s t o n i c s y m p t o m s . F i r s t d e s c r i b e d b y E k b o m ,

L i n d h o l m , a n d L j u n b e r g i n 1 9 7 2 a s a s i d e - e f f e c t o f t r e a t m e n t w i t h b u t r o p h e n o n e s . T r e a t m e n t

i n c l u d e s a n t i c h o l i n e r g i c m e d i c a t i o n , t e t r a b e n a z i n e , c a r b a m a z e p i n e , c l o n a z e p a m , p r o p r a n o l o l , a n d

e v e n e l e c t r o c o n v u l s i v e t h e r a p y .

Prader Willi Syndrome:

T h e p a t i e n t h a s g o e s o b e s i t y , h y p o g o n a d i s m , m i l d t o s e v e r e s u b n o r m a l i t y a n d o u t b u r s t s o f a n g e r .

Possibly hypothalamic disorder.

1 9 . W h i t e - o u t S y n d r o m e :

A psychosis that occurs in Arctic explorer s and mount aineer s who are exposed to a lack of diverse

s t i m u l i i n t h e s n o w - c l a d e n v i r o n m e n t .

I m p o r t a n t P o i n t s t o b e r e m e m b e r e d :

1 . A v e r a g e p r e v a l e n c e o f m e n t a l d i s o r d e r s i n I n d i a i s 1 5 t o 2 0 / 1 0 0 0 .

2 . N e u r o s e s a r e t h e c o m m o n e s t g r o u p o f d i s o r d e r s .

3 . I n I n d i a d e p r e s s i v e n e u r o s i s i s t h e - c o m m o n e s t m e n t a l d i s o r d e r f o l l o w e d b y a n x i e t y n e u r o s i s .

4 . A c u t e d e l i r i u m i s t h e c o m m o n e s t t y p e o f o r g a n i c m e n t a l d i s o r d e r w h e r e a s p s y c h o t i c d e p r e s s i o n i s

t h e c o m m o n e s t t y p e o f f u n c t i o n a l p s y c h o s i s .

5 . M o s t c o m m o n h a l l u c i n a t i o n i s s c h i z o p h r e n i a i s a u d i t o r y w h e r e a s i n o r g a n i c d i s o r d e r s i t i s v i s u a l .

6 . A l c o h o l d e p e n d e n c e i s t h e c o m m o n e s t t y p e o f d r u g d e p e n d e n c e ( e x c l u d i n g n i c o t i n e a n d C a f f e i n e ) .

I n K o r s a k o f f p s y c h o s i s , p a t h o l o g i c a l l e s i o n s a r e m o s t o f t e n s e e n i n m a m i l l a r y b o d i e s .

7 . O p i a t e s p r o d u c e t h e s t r o n g e s t p h y s i c a l d e p e n d e n c e w h e r e a s c o c a i n e p r o d u c e s n o p h y s i c a l

d e p e n d e n c e a n d c a n n a b i s p r o d u c e s l o w o r n o p h y s i c a l d e p e n d e n c e .

8 . T a c t i l e h a l l u c i n o s i s ( M a g n a n s s y m p t o m ) i s s e e n i n c o c a i n e d e p e n d e n c e C o c a i n e b u g s .


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9 . D e p r e s s i o n i s t h e c o m m o n e s t c a u s e o f s u i c i d e f o l l o w e d b y a l c o h o l i s m .

1 0 . I n p u r p e r i u m , p o s t p a r t u m b l u e s ( t r a n s i e n t d e p r e s s i v e n e u r o s i s ) i s t h e c o m m o n e s t p s y c h i a t r i c

d i s o r d e r .

1 1 . S c h n e i d e r s f i r s t r a n k s y m p t o m s o f s c h i z o p h r e n i a m a y n o t b e s e e n i n 2 0 t o 3 0 p e r c e n t o f

s c h i z o p h r e n i c s o r t h e y m a y b e f o u n d i n 2 0 t o 3 0 p e r c e n t o f o t h e r p s y c h i a t r i c d i s o r d e r s ( m o o d

d i s o r d e r s ) .

12. Word psychiatry was coined by Johann Reil. Whereas word psychology was coined by Gockel.

1 3 . S i m o n P o r t a g a v e f i r s t d e s c r i p t i o n o f a n o r e x i a n e r v o s a w h e r e a s L e o K a n n e r g a v e f i r s t d e s c r i p t i o n

o f a u t i s t i c d i s o r d e r i n c h i l d r e n ( c h i l d h o o d a u t i s m ) .

1 4 . T e r m i t e s a r e c h i l d r e n w i t h I Q m o r e t h a n 1 5 0 .

1 5 . S e x c h r o m o s o m e s X b e l o n g s t o C g r o u p w h i l e Y b e l o n g s t o G g r o u p .

1 6 . A n o r e x i a n e r v o s a i s a l m o s t a l w a y s s e e n i n y o u n g w o m e n .

1 7 . A l z h e i m e r s d i s e a s e i s t h e m o s t c o m m o n c a u s e o f t h e p r e s e n i l e d e m e n t i a s .

1 8 . T h i o r i d a z i n e m a y c a u s e r e t i n i t u s p i g m e n t o s a i f d o e s e x c e e d 8 0 0 m g / d a y .

a . S c h i z o p h r e n i a o c c u r s m o s t c o m m o n l y i n a d o l e s c e n c e a n d e a r l y a d u l t h o o d ( e x c e p t : p a r a n o i d w h i c h

o c c u r s i n l a t e t w e n t i e s ) .

1 9 . C l o z a p i n e h a s t h e s i d e - e f f e c t s o f a g r a n u l o c y t o s i s , s e i z u r e , a n d i n c r e a s e d s a l i v a t i o n .

2 0 . M o s t c o m m o n c h r o m o s o m a l a b n o r m a l i t y c a u s i n g m e n t a l r e t a r d a t i o n i s t r i s o m y 2 1 .

2 1 . T r a n s f e r e n c e c o u n t e r t r a n s f e r e n c e i s i m p o r t a n t i n p s y c h o a n a l y s i s .

2 2 . T h e m o s t c o m m o n a d v e r s e r e n a l e f f e c t o f l i t h i u m i s p o l y u r i a w i t h s e c o n d a r y p o l y d i p s i a .

2 3 . P i m o z i d e h a s s h o w n p r o m i s i n g r e s u l t s m m o n o s y m p t o m a t i c d e l u s i o n .

2 4 . T a r d i v e d y s k i n e s i a i s f i r s t n o t i c e d i n p e r i o r a l m u s c l e s .

2 5 . R i g i d i t y o f n a r c o l e p t i c m a l i g n a n t s y n d r o m e r e s p o n d s r a p i d l y t o b r o m o c r i p t i n e .

2 6 . P r e m a t u r e e j a c u l a t i o n i s m o s t c o m m o n l y d u e t o a n x i e t y .

2 7 . M o s t c o m m o n p o s t p a r t u m d i s o r d e r i s d e p r e s s i o n .

2 8 . T h e c o m m o n e s t f r o m o f f o c a l e p i l e p s y i s t e m p o r a l l o b e e p i l e p s y .


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2 9 . P a r k i n s o n i s m m o s t c o m m o n l y p r e s e n t w i t h d e p r e s s i o n

3 0 . T h e c o m m o n e s t p s y c h i a t r i c i l l n e s s f o u n d C u s h i n g s s y n d r o m e a n d H y p o t h y r o i d i s m i s d e p r e s s i o n .

3 1 . X a n t h o p i s a o r m i c r o p s i a i s m o s t o f t e n s e e n i n l e s i o n s o f t e m p o r a l l o b e .

32. Thyrotoxicosis is most commonly associated with anxiety.

3 3 . T h e m o s t c o m m o n m e n s t r u a l d i s t u r b a n c e s e e n i n a n o r e x i a n e r v o s a i s a m e n o r r h e a .

3 4 . I n m o s t i n s t a n c e s , s c h o o l p h o b i a s a r e a f o r m o f s e p a r a t i o n a n x i e t y .

35. Enuresis in children is usually occurs with the onset of the first REM period.

3 6 . M i t r a l v a l u e p r o l a p s e s y n d r o m e i s m o s t o f t e n c o n f u s e d w i t h p a n i c a t t a c k s .

3 7 . T h e S t a r t - s t o p t e c h n i q u e a n d t h e S q u e e z e t e c h n i q u e a r e u s e f u l i n t h e t r e a t m e n t o f p r e m a t u r e

e j a c u l a t i o n .

3 8 . P s e u d o c y e s i s i s o f t e n a f o r m o f c o n v e r s i o n h y s t e r i a .

3 9 . M y x o e d e m a m a d n e s s r e s e m b l e s p a r a n o i d p s y c h o s i s .

4 0 . D h a t s y n d r o m e , a t e r m , w a s f i r s t u s e d b y , N . N . W i g i n 1 9 6 0 .

a . N i h i l i s t i c d e l u s i o n s ( d e l u s i o n s o f n e g a t i o n ) a r e m o s t c o m m o n l y s e e n i n s e v e r e d e p r e s s i o n .

4 1 . C o l o r e d v i s u a l d i s t u r b a n c e s a r e m o s t c o m m o n l y c a u s e d b y d i g i t a l i s .

4 2 . T h e c o m m o n e s t f o r m o f a n o b s e s s i o n s e e n i n c l i n i c a l s e t t i n g i s t h o u g h t s ( d o u b t s ) .

4 3 . P s e u d o h a l l u c i n a t i o n s a r e a t y p e o f m e n t a l i m a g e r y .

4 4 . C o p r o l a l i a i s a f e a t u r e o f T o u r e t t e s s y n d r o m e .

4 5 . F i r s t n e u r o t r a n s m i t t e r t o b e d i s c o v e r e d w a s a c e t y l c h o l i n e ( n o w f o u n d b e d e f i c i e n t i n A l z h e i m e r s

disease)

a . D e r e a l i z a t i o n i s a d i s o r d e r o f p e r c e p t i o n .

46. Confabulation is most characteristic in Korsakoffs psychosis.

a. Floccillaion is characteristically seen in delirium.

4 7 . P a t i e n t s w i t h D o w n s s y n d r o m e a r e a t h i g h r i s k o f d e v e l o p i n g A l z h e i m e r s d i s e a s e .

4 8 . D e m e n t i a i n A l z h e i m e r s d i s e a s e i n i r r e v e r s i b l e .


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4 9 . R u m f i t s o r a l c o h o l i c c o n v u l s i o n s o c c u r i n c h r o n i c a l c o h o l i c s a f t e r 1 2 t o 4 8 h o u r s o f h e a v y

d r i n k i n g .

5 0 . D e l i r i u m t r e m e n s ( D T ) r e p r e s e n t s b y f a r t h e m o s t s e r i o u s o f t h e a l c o h o l w i t h d r a w a l p h e n o m e n a

w i t h a m o r t a l i t y o f u p t o 5 5

5 1 . D T u s u a l l y l a s t s l e s s t h a n 3 d a y s i n t h e m a j o r i t y o f c a s e s a n d t y p i c a l l y i t t e r m i n a t e s i n a p r o l o n g e d

s l e e p .

5 2 . P e r i p h e r a l n e u r o p a t h y , t h e m o s t c o m m o n n e u r o l o g i c a l c o m p l i c a t i o n , a p p a r e n t l y r e s u l t s f r o m

multiple vitamin B deficiency in alcoholics.

5 3 . K o r s a k o f f s p s y c h o s i s c o n s i s t s o f s h o r t - t e r m m e m o r y l o s s ( a n t e r o g r a d e a m n e s i a ) w i t h

c o n f a b u l a t i o n s .

5 4 . C o m m o n e s t f o r m o f c o m p u l s i v e r i t u a l i s w a s h i n g .

5 5 . T h e c o m m o n e s t t y p e o f d i s s o c i a t i v e h y s t e r i a d e s c r i b e d i n p r i s o n e r s i s a m n e s i a .

5 6 . T h e m e n t a l m e c h a n i s m s o f i s o l a t i o n a n d u n d o i n g a r e f o u n d c h i e f l y i n o b s e s s i v e - c o m p u l s i v e

r e a c t i o n .

5 7 . I n p h o b i c n e u r o s i s , m a i n e g o d e f e n s e u s e d b y t h e p a t i e n t i s a v o i d a n c e a n d d i s p l a c e m e n t .

5 8 . l a b e l l e i n d i f f e r e n c e i s m o s t o f t e n a s s o c i a t e d w i t h h y s t e r i a .

5 9 . I n h a l a t i o n o f C 0 2 , h y p e r v e n t i l a t i o n a n d l a c t a t e i n f u s i o n p r o v o k e p a n i c a t t a c k s i n p a n i c d i s o r d e r

p a t i e n t s .

6 0 . O b s e s s i v e - c o m p u l s i v e n e u r o s i s i s r e l a t i v e l y e q u a l l y c o m m o n i n b o t h s e x e s .

6 1 . M o s t p h o b i c d i s o r d e r s a r e m o r e c o m m o n i n w o m e n t h a n i n m e n .

62. Synesthesias occur with the use of LSD.

6 3 . D e g e n e r a t i o n o f n a s a l s e p t u m i s m o s t o f t e n a s s o c i a t e d w i t h c o c a i n e a b u s e .

6 4 . A m o t i v a t i o n a l s y n d r o m e h a s b e e n r e p o r t e d w i t h t h e c h r o n i c u s e o f m a r i j u a n a .

6 5 . R e c e n t i n t a k e o f h e r o i n ( a m o k ) i s c l i n i c a l l y j u d g e d b y p i n p o i n t p u p i l .

6 6 . T h e a v e r a g e d u r a t i o n o f u n t r e a t e d m a n i c e p i s o d e i s 6 m o n t h s w h e r e a s u n t r e a t e d d e p r e s s i v e

e p i s o d e i s 9 m o n t h s .

6 7 . B i p o l a r d i s o r d e r m o s t o f t e n s t a r t s w i t h m a n i a o r h y p o - m a n i a .

6 8 . D i e n c e p h a l i c a n d t e m p o r a l l o b e t u m o r s a r e p a r t i c u l a r l y a s s o c i a t e d w i t h d e p r e s s i v e s y n d r o m e s .


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6 9 . L e a r n e d h e l p l e s s n e s s i s t y p i c a l l y s e e n i n d e p r e s s i o n .

7 0 . D e x a m e t h a s o n e s u p p r e s s i o n t e s t ( D S T ) i s m o s t u s e f u l i n c o r r e c t i d e n t i f i c a t i o n o f t h o s e w h o d o n t

h a v e m a j o r d e p r e s s i o n .

7 1 . T h e t y p i c a l p r e s e n t a t i o n o f m a s k e d d e p r e s s i o n i s w i t h s o m a t i c c o m p l a i n t s .

7 2 . S c h i z o p h r e n i a w h i c h i s s u p e r i m p o s e d o r g r a f t e d o n t o m e n t a l d e f i c i e n c y i s k n o w n a s p f r o p f s

s c h i z o p h r e n i a .

73. Defect of conation is typically seen in catatonic schizophrenia.

7 4 . M o s t c o m m o n l i t h i u m i n d u c e d E C G c h a n g e s i s T - w a v e f l a t t e n i n g .

7 5 . A m o x a p i n e i s a n e w e r a n t i d e p r e s s a n t w i t h d o p a m i n e r e u p t a k e b l o c k i n g p r o p e r t y a l s o .

7 6 . D r u g s u s e f u l i n n a r c o l e p t i c m a l i g n a n t s y n d r o m e a r e d a n t r o l e n e a n d b r o m o c r i p t i n e .

77. ECT in schizophrenia was first used by Cerletti and Bini whereas in depression, it was by Jarvie.

Unilateral ECT was devised by Friedman & Wilcox.

D r u g o f C h o i c e :

i . A n t i d e p r e s s a n t i n d u c e d t r e m o r s P r o p r a n o l o l .

ii. Oro facial dyskinesia Trihexyphenidyl.

i i i . A c u t e d y s t o n i c r e a c t i o n I n t r a v e n o u s d i a z e p a m .

i v . A c u t e o v e r d o s e w i t h p e n t a z o c i n e N a l o x o n e .

v . N e u r o l e p t i c i n d u c e d u r i n a r y r e t e n t i o n B e t h a n e c o l .

vi. Spinal spasticity including multiple sclerosis Baclofen.

v i i . E x c i t e m e n t a s s o c i a t e d w i t h e p i l e p s y o r a l c o h o l o r d r u g w i t h d r a w a l i n t r a v e n o u s d i a z e p a m .

viii. Alcohol hallucinosis Diazepam.

ix. Drug induced Parkinsonism Trihexyphenidyl.

x. Schizomania Haloperidol.

xi. Schizodepression Loxapine/Amoxapine.

x i i . P h e n o t h i a z i n e i n d u c e d s e v e r e h y p o t e n s i o n M e p h e n t e r a m i n e .

x i i i . L i t h i u m i n d u c e d t r e m o r s B e t a b l o c k e r s .


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x i v . L i t h i u m i n d u c e d h y p o t h y r o i d i s m T h y r o x i n e .

xv. LSD overdose Chlorpromazine.

x v i . I n t r a c t a b l e h i c c o u g h s C h l o r p r o m a z i n e .

xvii. Akathisia Propranolol.

xviii. MNO inhibitors induced hypertensive crisis Phentolamine.

xix. Alcohol withdrawal symptoms Chlormethizazole.

x x . R e c u r r e n t f e b r i l e s e i z u r e s ( i n f a n t s ) P h e n o b a r b i t o n e .

xxi. Attention deficit disorder with epilepsy (in child) Carbamazepine.

xxii. Myoclonic jerks and atypical absence seizures Valproate

xxiii. Atypical depression Tranyl cypromine.

xxiv. Enuresis Imipramine, Desmopressin.

x x v . L i t h i u m i n d u c e d d i a b e t e s i n s i p i d u s T h i a z i d e s .

xxvi. Sleep walking with complex and at times violent behaviours Carbamazepine.

xxvii. Nocturnal bruxism Diazepam.

xxviii. Narcolepsy (sleep attacks) Amphetamines.

xxix. Hyperkinitic syndrome (Strauss syndrome) Amphetamines.

xxx. Atypical depression and phobic neurosis Phenelzine

xxxi. Obsessive compulsive neurosis Fluoxetine Clomipramine, Fluvoxamine, Paroxetine,

C i t a l o p r a m , S e r t r a l i n e .

xxxii. Acute panic attack Intravenous diazepam.

xxxiii. Amphetamine Psychosis Haloperidol.

xxxiv. Prophylaxis of MDP Lithium, Carbamazepine.


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Psychiatry Question Bank 65 Multiple Choice Questions on "Psychopharmacology"

Psychiatry Question Bank 265 Multiple Choice Questions for JIPMER PG Entrance Exam Part 1

Answer

1.B 2.B 3.B 4.B 5.C 6.B 7.A 8.A,B,C,D 9.A,B,C,D 10.A,B,C,D 11.A,B,C,D 12.A,B, 13.A,B,C, 14.A,B,C,E

15.C 16.B 17.A,B,C 18.A,B,D,E 19.A,B,C,D 20.A,B,C 21.A,B,C,D 20.A,B,D 21.A,B,C,D 22.C

23.A,B,C,D,E 24.A,B 25.A,B,C 26.A 27.B 28.B 29.B 30.B 31.A,B,C,D 32. A,B,C,D,E 33.C 34.B 35.

A,B,C,D,E

R e l a t e d E s s a y s :

1. S u m m a r y o f " G o d s G r a n d e u r " b y G e r a r d M a n l e y H o p k i n s

2. Summary of "Down Behind the Dustbin" by Michael Rosen

3. S u m m a r y o f " A l o n e " b y A m b r o s e B i e r c e

4. S h o r t S u m m a r y o f U r i e l " b y R a l p h W a l d o E m e r s o n

5. S h o r t S u m m a r y o f R h o d o r a " b y R a l p h W a l d o E m e r s o n

6. S t o r y o f T h r e e Q u e s t i o n s i n H i n d i

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