Question 1: An 18 year old boy come to the Psychiatry OPD with a
complaint of feeling changed from inside. He described himself as feeling
strange as if he is different from his normal self. He was very tense and
anxious yet could not point out the precise change in him. This phenomena
is best called as ?
A) Delusional mood
B) Depersonalization
C) Autochthonous delusion
D) Over valued idea
Answer: B) Depersonalization
Question 2: A 40 year old male, with history of daily alcohol consumption
for the last 7 years, is brought to the hospital emergency room with acute
onset of seeing snakes all around him in the room, not recognizing family
members, violent behaviour and tremulousness for few hours. There is
history of his having missed the alcohol drink since 2 days. Examination
reveals increased blood pressure, tremors, increased psychomotor activity,
fearful affect, hallucinatory behaviour, disorientation, impaired judgement
and insight. He is most likely to be suffering from ?
A) Alcoholic hallucinosis
B) Delirium tremens
C) Wernicke encephalopathy
D) Korsakoff’s psychosis
Answer: B) Delirium tremens
Question 3: A 45-year male with a history of alcohol dependence presents
with confusion, nystagmus and ataxia. Examination reveals 6th cranial nerve
weakness. He is most likely to be suffering from ?
A) Korsakoff’s psychosis
B) Wernickei encephalopathy
C) De Clerambault syndrome
D) Delirium tremens
Answer: B) Wernickei encephalopathy
Question 4: A 25 year old female presents with 2 year history of
repetitive, irresistible thoughts of contamination with dirt associated
with repetitive hand washing. She reports these thoughts to be her own and
distressing, but is not able to overcome them along with medications. She
is most likely to benefit from which of the following therapies ?
A) Exposure and response prevention
B) Systematic desensitization
C) Assertiveness training
D) Sensate focusing
Answer: A) Exposure and response prevention
Question 5: An 18 year old student complains of lack of interest in
studies for last 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 depression
C) Rule out migraine
D) Rule out on oppositional defiant disorder
Answer: D) Rule out on oppositional defiant disorder
Question 6: 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)
Answer: A) Persistent and inappropriate repetition of the same thoughts
Question 7: One of the following usually differentiates hysterical
symptoms from hypochondriacal symptoms ?
A) Symptoms do not normally reflect understandable physiological or
pathological mechanism
B) Physical symptoms are prominent which are not explained by organic
factors
C) Personality traits are significant
D) Symptoms run a chronic course
Answer: A) Symptoms do not normally reflect understandable physiological or pathological mechanism