Q-1. MMSE evaluates which of the following:
a) Thought
b) Cognition
c) Insight
d) Mood and effect
Answer: Cognition
Explanation:
The Mini–Mental State Examination (MMSE) or Folstein test is a 30-point questionnaire to measure cognitive impairment.
Any score greater than or equal to 24 points (Out of 30) indicates a normal cognition.
Below this, scores can indicate severe (≤ 9 points), moderate (10–18 points) or mild (19–23 points) cognitive impairment.
Q-2. Semantic memory includes all except
a) Rules
b) Events
c) Language
d) Words
Answer: Events
Explanation:
Long-term memory is often divided into: Explicit (or declarative) memory and Implicit (or procedural) memory.
Declarative memory or explicit memory:
Memory of facts and events, and refers to those memories that can be consciously recalled.
Declarative memory can be further sub-divided into episodic memory for events and semantic memory for facts (Words, rules and language).
Procedural/Implicit/Non-declarative memory:
Previous experiences aid in the performance of a task without explicit and conscious awareness of these previous experiences.
Important point:
Semantic memory refers to a portion of long-term memory that processes ideas and concepts that are not drawn from personal experience.
Q-3. In psychiatry, personal history doesn’t include
a) Food preference
b) Marital history
c) Academic history
d) Occupation history
Answer: Food preference
Explanation:
Personal history in psychiatric disorder:
Perinatal history
Childhood history
Puberty history
Menstrual and obstetric history
Educational history
Occupational history
Sexual and marital history
Q-4. All are true about obsession except
a) Ego dystonia
b) Disorder of content of thought
c) May be present in schizophrenia
d) Persists on resistance and cause depression and anxiety
Answer: Disorder of content of thought
Explanation:
Obsessive compulsive disorder:
Obsessions- Constantly recurring thoughts such as fears of exposure to germs and compulsions- Repetitive actions such as washing the hands many times
Obsessions often associated with depression and anxiety
Can mimic schizophrenia
Important point:
Obsessions is disorder of possession of thought and not content of thought
Q-5. A 41 year old female patient comes to emergency with complaint of ghabarahat, palpitation, profuse sweating and sense of impending doom. The following test should not be done in emergency to rule out organic causes?
a) Hemoglobin
b) ECG
c) Blood glucose level
d) T3, T4 and TSH
Answer: T3, T4 and TSH (Most correct answer)
Explanation:
Medical conditions that can produce panic symptoms:
Hypoglycemia
Hyperthyroidism
Temporal lobe epilepsy
Hyperventilation
Heart disaese
Hypo-parathyroidism
Pheochromocytoma
Anemia
Important point:
T3, T4 and TSH is not a emergency test.