PSYCHIATRY
1.A lady with a previous divorce now comes to you with a seductive behaviour
a. Narcistic
b. Histrionic
c. Borderline
2.In Australia bush fire are common either accidentally or some people lighting fire deliberately.
Which is true regarding pyromaniacs?
a. Done for notoriety or publicity
b. To hide their acts
c. As they like to play with fire
d. Set fire and get panic attacks
e. For satisfaction
3.Depersonalization may occur in
a. Schizophrenia
b. Ecstatic religious experience
c. Depression
d. Post traumatic disorder
e. All of the above
4.A middle aged lady present to you with nausea dyspepsia abdominal distention. She had a past
history of going to many doctors and being treated for many disorders. she has been treated by a
rheumatologist for aches and pains, cardiologist for her palpitations and gave her propanolol
without improvement , a neurologist for her epilepsy. On examination you find a tense anxious
woman in spite of her daily dose of benzodiazepine. There are scar from appendectomy and
hysterectomy operations. What is the most appropriate diagnosis?
a. Munchausen syndrome
b. Conversion disorder
c. Hypochondriasis
d. factitious disorder,
e. Neurotic anxiety
5.Many psychopharmacologic substance are lipophilic the advantage is
a. better absorbed with meals
b. promptly binds with free fatty acids
c. more resistant to be metabolized by thae liver
d. the pass rapidly to the brain and to the blood
e. a drug which has a long life and needs to be given once a day daily
6. Lithium:
a. loses it effectiveness over the time
b. is non addictive
c. works better in women than men
d. interaction with NSAIDS
7. morbid jealousy
,a. alcoholism
b. schizophrenia
c. depression
d. obsessive compulsive
e. mania
8. A 40 yr old male school teacher who has recently separated from his wife was; prescribed
imipramine 25 mg for his depression. He had a road accident in which he hurt his child. He was
admitted to hospital for taking an overdose of imipramine with alcohol. He does not give consent to
go for psychiatric counselling or to be admitted hospital for further treatment. Your next step in the
management of this patient is:
a. Ask him to go to alcoholics anonymous
b. Increase the dose of Amitriptyline to 125 mg and send him home
c. Change to another drug
d. Retain him in the hospital against his using he Mental health act
e. Contact his wife and try to persuade her to return to him
f. Alcohol counselling
9.A 46 year old widow consults you for advice on management of insomnia, indifferent appetite;
recent weight loss of 5 kg., headaches and tearfulness. 4 weeks ago her only son died after
subarachnoid haemorrhage. Since then she had experienced auditory hallucination, of her son's
voice calling out her name and had felt his presence in their living room. Your initial management
of this woman would involve:
a. Grief counselling and a brief course of benzodiazepine
b. Grief counselling and a brief course of TCA
c. Grief counselling and a brief course of phenothiazine’s
d. Referral to psychiatrist
e. Referral for hospitalisation and treatment
10.Depersonalization may occur in:
a. schizophrenia
b. ecstatic religious experience
c. depression
d post traumatic disorder
e.A11 of the above
11. A 36 yr old engineer is due to give an speech soon and is reluctant to be exposed to people. At
the same time, he does not want to sign cheques or write anything in public. He also thinks his,
boas is controlling what he is doing although he knows that there is no motive for that because he
is a very good worker. He realizes there is no reason to act this way, Lately he has been avoiding to
go to the canteen with his mates and takes alcohol to cope with the situation. What he is suffering
from?
a. Social phobia
b. agoraphobia
d. antisocial personality disorder
e. panic disorder
f. paranoid disorder
12. Deinstitutionalisation means:
,a. Transferring a patient from a psychiatric hospital to a community based facility.-
b . Put him in prison hospital
c. discharge the patient to a nursing home
d. Put patient in a psychiatric hospital
e. psychiatric patients are not permitted to vote
13.Lithium:
a. loses its effectiveness over the time
b. Is non-addictive
c. works better in women than men
d. Interaction with NSAIDS causes increase in lithium levels
e. Lithium toxicity
14.Cognitive therapy has good results in:
a. depression
b- chronic pain
c. social phobia
d. bulimia
e. all of the above
15. Many psychopharmacologic substance are lipophilic. The advantage is:
a. better absorbed with meals
b. promptly bind to free fatty acids
c. more resistant to be metabolised by the liver they pass rapidly to the blood and to the brain
e. a drug has a long life and needs to be given once a day only
16. Psychiatric treatment in women is more commonly found in:
a. first trimester of pregnancy
b. second trimester
c. third trimester
d. puerperium
e.6 weeks after the first control
17.Regarding depression, what is true?
a. onset in winter, disappear in summer
b. -onset in autumn, disappear in summer
c. onset in summer; disappear in winter
d. onset in summer, disappear in autumn
e. onset in spring, disappear in winter
18. Despite obvious to the contrary, a 16 w old female with anorexia nervosa, thinks she is
overweight. This is an example of :
a. delusion
b. obsession
c. over valued idea
d. rumination
e. hallucination
, 19. A 35 year old female secretary, unmarried, complains of feeling of mass or lump on her neck:
a. psychological (Globus Hystericus)
b. inflamed tonsils
c. lingual thyroid
d. hyperthyroidism
e. goitre
20.In generalized anxiety disorder, what Will develop in the next follow :
a. Schizophrenia
b. bipolar manic depression.
depressive illness
mania
phobia.
21. Using the WHO criteria, what is the most common symptoms of schizophrenia?
a. Flat affect
b. Auditory Hallucination
c. Visual hallucination
d. Lack of insight
e. Suicidal ideation
22. Exposure to stimuli and response prevention is the treatment of
a. Obsessive-compulsive disorder
b. Agoraphobia
c. Depression
d. Bipolar manic depression
e. Schizophrenia
23.Morbid jealousy, associated with:
a. alcoholism
b. schizophrenia
c. depression
d. obsessive compulsive
e. mania
24.WOF may be treated with ECT
a. puerperal depression
b. catatonic schizophrenia
c. mania
d. acute schizophrenia
e. all of the above
25.A 1 yr old child of normal intelligence becomes withdrawn and shows deterioration in his school
work. What is most likely:
1.A lady with a previous divorce now comes to you with a seductive behaviour
a. Narcistic
b. Histrionic
c. Borderline
2.In Australia bush fire are common either accidentally or some people lighting fire deliberately.
Which is true regarding pyromaniacs?
a. Done for notoriety or publicity
b. To hide their acts
c. As they like to play with fire
d. Set fire and get panic attacks
e. For satisfaction
3.Depersonalization may occur in
a. Schizophrenia
b. Ecstatic religious experience
c. Depression
d. Post traumatic disorder
e. All of the above
4.A middle aged lady present to you with nausea dyspepsia abdominal distention. She had a past
history of going to many doctors and being treated for many disorders. she has been treated by a
rheumatologist for aches and pains, cardiologist for her palpitations and gave her propanolol
without improvement , a neurologist for her epilepsy. On examination you find a tense anxious
woman in spite of her daily dose of benzodiazepine. There are scar from appendectomy and
hysterectomy operations. What is the most appropriate diagnosis?
a. Munchausen syndrome
b. Conversion disorder
c. Hypochondriasis
d. factitious disorder,
e. Neurotic anxiety
5.Many psychopharmacologic substance are lipophilic the advantage is
a. better absorbed with meals
b. promptly binds with free fatty acids
c. more resistant to be metabolized by thae liver
d. the pass rapidly to the brain and to the blood
e. a drug which has a long life and needs to be given once a day daily
6. Lithium:
a. loses it effectiveness over the time
b. is non addictive
c. works better in women than men
d. interaction with NSAIDS
7. morbid jealousy
,a. alcoholism
b. schizophrenia
c. depression
d. obsessive compulsive
e. mania
8. A 40 yr old male school teacher who has recently separated from his wife was; prescribed
imipramine 25 mg for his depression. He had a road accident in which he hurt his child. He was
admitted to hospital for taking an overdose of imipramine with alcohol. He does not give consent to
go for psychiatric counselling or to be admitted hospital for further treatment. Your next step in the
management of this patient is:
a. Ask him to go to alcoholics anonymous
b. Increase the dose of Amitriptyline to 125 mg and send him home
c. Change to another drug
d. Retain him in the hospital against his using he Mental health act
e. Contact his wife and try to persuade her to return to him
f. Alcohol counselling
9.A 46 year old widow consults you for advice on management of insomnia, indifferent appetite;
recent weight loss of 5 kg., headaches and tearfulness. 4 weeks ago her only son died after
subarachnoid haemorrhage. Since then she had experienced auditory hallucination, of her son's
voice calling out her name and had felt his presence in their living room. Your initial management
of this woman would involve:
a. Grief counselling and a brief course of benzodiazepine
b. Grief counselling and a brief course of TCA
c. Grief counselling and a brief course of phenothiazine’s
d. Referral to psychiatrist
e. Referral for hospitalisation and treatment
10.Depersonalization may occur in:
a. schizophrenia
b. ecstatic religious experience
c. depression
d post traumatic disorder
e.A11 of the above
11. A 36 yr old engineer is due to give an speech soon and is reluctant to be exposed to people. At
the same time, he does not want to sign cheques or write anything in public. He also thinks his,
boas is controlling what he is doing although he knows that there is no motive for that because he
is a very good worker. He realizes there is no reason to act this way, Lately he has been avoiding to
go to the canteen with his mates and takes alcohol to cope with the situation. What he is suffering
from?
a. Social phobia
b. agoraphobia
d. antisocial personality disorder
e. panic disorder
f. paranoid disorder
12. Deinstitutionalisation means:
,a. Transferring a patient from a psychiatric hospital to a community based facility.-
b . Put him in prison hospital
c. discharge the patient to a nursing home
d. Put patient in a psychiatric hospital
e. psychiatric patients are not permitted to vote
13.Lithium:
a. loses its effectiveness over the time
b. Is non-addictive
c. works better in women than men
d. Interaction with NSAIDS causes increase in lithium levels
e. Lithium toxicity
14.Cognitive therapy has good results in:
a. depression
b- chronic pain
c. social phobia
d. bulimia
e. all of the above
15. Many psychopharmacologic substance are lipophilic. The advantage is:
a. better absorbed with meals
b. promptly bind to free fatty acids
c. more resistant to be metabolised by the liver they pass rapidly to the blood and to the brain
e. a drug has a long life and needs to be given once a day only
16. Psychiatric treatment in women is more commonly found in:
a. first trimester of pregnancy
b. second trimester
c. third trimester
d. puerperium
e.6 weeks after the first control
17.Regarding depression, what is true?
a. onset in winter, disappear in summer
b. -onset in autumn, disappear in summer
c. onset in summer; disappear in winter
d. onset in summer, disappear in autumn
e. onset in spring, disappear in winter
18. Despite obvious to the contrary, a 16 w old female with anorexia nervosa, thinks she is
overweight. This is an example of :
a. delusion
b. obsession
c. over valued idea
d. rumination
e. hallucination
, 19. A 35 year old female secretary, unmarried, complains of feeling of mass or lump on her neck:
a. psychological (Globus Hystericus)
b. inflamed tonsils
c. lingual thyroid
d. hyperthyroidism
e. goitre
20.In generalized anxiety disorder, what Will develop in the next follow :
a. Schizophrenia
b. bipolar manic depression.
depressive illness
mania
phobia.
21. Using the WHO criteria, what is the most common symptoms of schizophrenia?
a. Flat affect
b. Auditory Hallucination
c. Visual hallucination
d. Lack of insight
e. Suicidal ideation
22. Exposure to stimuli and response prevention is the treatment of
a. Obsessive-compulsive disorder
b. Agoraphobia
c. Depression
d. Bipolar manic depression
e. Schizophrenia
23.Morbid jealousy, associated with:
a. alcoholism
b. schizophrenia
c. depression
d. obsessive compulsive
e. mania
24.WOF may be treated with ECT
a. puerperal depression
b. catatonic schizophrenia
c. mania
d. acute schizophrenia
e. all of the above
25.A 1 yr old child of normal intelligence becomes withdrawn and shows deterioration in his school
work. What is most likely:
