Psychiatry Test Answer Key 2019

Psychiatry 2019 1. one of the following is Antidepressant: - citalopram* 2. one of the following is antipsychotic: - Olanzapine* 3. claustrophobia: - fear of closed places 4. patient has SOB ,chest pain when he is university and prefer not to leave the home: - agoraphobia* 5. one of the following lead to pupil constriction: - Heroin* 6. one of the following is commoner in men: - depression - suicide* - anxiety 7. Premature ejaculation: - Treated by SSRI * - More in females - No treatment 8. one of the following is more common in female: - depression* - suicide - schizophrenia 9. Abnormality of which system mostly associated with schizophrenia? - Dopaminergic* 10. Which of the following is a reversible dementia? - Alcohol induced* 11. One of the following is cluster A personality disorder: - schizoid* - histrionic - borderline - Narcissistic 12. all go with serious intention of suicide except: - angry for being saved - male gender - being a teacher* - wrote a will - use firearm 13. ADHD, True: - decrease dopamine 14. ADHD in a child is not associated with: - Conduct disorder - Antisocial personality disorder* - Oppositional defiant disorder - Learning disabilities 15. absolute CI of ECT: - brain tumour* 16. used in alcohol detoxification : - diazepam* 17. True about Autism: - treated with Ritalin - non-verbal communication is a feature All choices were wrong 18. true about multi-axis: - axis one-clinical mental disorders 19. good prognostic factor in schizophrenia: - family history - late onset* 20. shared feature between all personality disorders: - Extensively deviated from norms? - Occur at age of 20 years - tend to improve after 25 - no or slight effect on function 21. 70 year old man brought to you by his family because of dementia of 6 months duration. He has controlled hypertension, otherwise no health problems. What is next step? - start him on anti-dementia drug - refer him to geriatric psychiatric office - search for reversible causes* - reassure the family that this is normal for his age 22. Antipsychotic that's most likely to cause metabolic syndrome: - Clozapine* - Quitipine - Aripiprazole - Haloperidole - Riseperidone 23. True about dementia: - Partial irreversible loss of cognition - Lewy body is reversible in early stages - Senile plaques amount is indicative of severity - Multi-infarcts in young age 24. Side effect of SSRI: - G.I disturbances 25. 19 year old female patient with disturbed body image, amenorrhoea and BMI below normal by 20% : - anorexia nervosa 26. true about bulimia nervosa: - self-evaluation is influenced by body image** - no relation with substance abuse - BMI above normal - something about psychosis 27. decreased serotonin is a mechanism of one of following: - OCD* - schizophrenia - drug abuse 28. True about schizophrenia: - It's a psychotic disorder of middle age people - It's a psychotic disorder that's waxing and waning* - Associated with decreased serotonin 29. 12 year old child with deterioration in his school performance after moving with his family to another house. On examination he has low anxiety (or something like that). What is the most likely diagnosis? - adjustment disorder* - social anxiety disorder 30. true about enuresis: - more common in females - behavioural therapy is the mainstay of treatment* 31. A question that describes a 6 year old who is inattentive, always fidgeting, not compliant to teacher and schoolwork. Most likely diagnosis: - ADHD 32. About sleep in depressed patients, what is true: - Decreased REM latency* - Early insomnia - Decreased second stage NREM - Increased fourth stage NREM - no dreams 33. Dyspareunia: - Painful intercourse* - Masturbation 34. The first choice of treatment for extrapyramidal side effects? - Benzhexol 35. Withdrawal of which causes life threatening disorder: - Alcohol* - Citalopram 36. Not associated with narcolepsy? - Cataplexy - Sleep paralysis - Night seizures* - Irresistible attacks of sleep 37. 25 year old with schizophrenia on medication, came to ER complaining of stiff joints, moving like a robot, difficulty moving, tongue protruding out of mouth, what's the diagnosis: - Acute catatonic psychosis - Drug induced dystonia* 38. All of following are wrong about anxiety disorders except: - anxiety is a risk factor for decreased performance* - it is not a risk factor for suicide 39. College student, hearing voices for the past six months, spends his time in his room, doubts his friends talking about him behind his back: - Schizophrenia 40. true about lithium: - large therapeutic range - can cause goitre on long treatment - effective as mood stabilizer * (doctor answer) 41. Most common presentation in depression: - Decreased appetite - physical symptoms* - suicidal attempts 42. What's most characteristic for Delirium: - Disorientation* - Hallucinations - Delusions