Q-1. Panic disorder involves all of the following except?
a) GABA
b) Serotonin
c) CCK
d) Glutamate
Answer: Glutamate
Explanation:
Neuro-transmitters implicated in panic disorder:
GABA
Serotonin
CCK
Orexin
Endogenous Opioids
Nor-adrenalin especially in the locus coeruleus
Q-2. Type D personality was recently found to risk for?
a) Coronary artery disease
b) Depression
c) Personality disorder
d) Schizophrenia
Answer: Coronary artery disease
Explanation:
Type D personality or distressed personality: Two major traits
Negative affectivity– Tendency to experience increased negative distress across time and situation
Social inhibition– The tendency to inhibit the expression of these negative emotions in social interaction
Important point:
A new study suggests that the cardiac patients with Type D personality are at increased risk for cardio-vascular morbidity and mortality independent of standard cardiac risk factors. .
Q-3. Somatic passivity is seen in
a) Paranoid Schizophrenia
b) Obsessive compulsive disorder
c) Bipolar disorder
d) Depression
Answer: Paranoid Schizophrenia
Explanation:
Paranoid schizophrenia: The presence of auditory hallucinations or prominent delusional thoughts about persecution or conspiracy
Paranoid schizophrenia is the most common schizophrenia type.
Schizophrenia: Schneiderian Criteria First Ranked Criteria
Audible Thoughts, Voices Debating or Disagreeing, Voices Commentating
Somatic Passivity: The patient believes that sensations are being imposed upon his body by an outside force.
Thought Withdrawal, Thought Broadcasting, Thought Insertion
“Made” Feeling, Made” Impulses, “Made” Acts
Delusional Persecution
Q-4. Which of the following is not a direct somatoform disorder?
a) Somatization Disorder
b) Fibromyalgia
c) Chronic fatigue syndrome
d) Irritable bowel syndrome
Answer: Fibromyalgia
Explanation:
Somatization disorders:
Somatoform disorders are mental illnesses that cause bodily symptoms without any physical cause and they are not the result of substance abuse or another mental illness.
Somatization disorders: Types
Somatization disorder or Briquet’s syndrome- Unexplained physical symptoms manifested before age 30
Hypochondriasis- Fixation on the fear of having a life-threatening medical condition
Body dysmorphic disorder- Preoccupation with a real or imagined physical defect
Conversion disorder- Single unexplained symptom involving voluntary or sensory functioning
Pain disorder- Pain symptom is predominant focus.
Important point:
Substance P is three time higher in CSF of people with fibromyalgia compared to other do not have.
Q-5. Counter transference is?
a) Patient’s feelings towards doctor
b) Doctor’s feelings towards patient
c) Defense mechanism
d) Energy channeled from body to brain
Answer: Doctor’s feelings towards patient
Explanation:
Counter-transference:
Counter-transference occurs when a therapist transfers emotions to a patient.
It is often a reaction to transference, a phenomenon in which a patient redirects his or her feelings onto the therapist.
Q-6. Bipolar 2 disorder is
a) Hypomania and Depression
b) Mania and Depression
c) Mania and Sub-Syndromic Depression
d) Hypomania and Sub-Syndromic Depression
Answer: Hypomania and Depression
Explanation:
Bipolar disorders:
Bipolar mania, hypomania, and depression are symptoms of bipolar disorder.
Bipolar disorders: Young and Kleman’s classification
Bipolar-I disorders: Mania and depression
Bipolar-II disorders: Hypomania and depression
Bipolar-III disorders: Cyclo-thymic disorder
Bipolar-IV disorders: Hypomania or mania precipitated by anti-depressant drugs
Bipolar-V disorders: Depressed patients with family history of bipolar illness
Bipolar-VI disorders or uni-polar disorder: Mania without depression
Q-7. A 30 yrs old executive complains of excessive sleepiness in daytime and lack of sleep at night. Once at a party his friends noticed of his sudden fall due to sleep. Other features associated with his condition
a) Precipitation of seizures on prolonged awake
b) Paralysis with sleep-awake junction hallucination
c) Snoring & visible apnea spell
d) Nocturnal leg pain/ restlessness
Answer: Paralysis with sleep-awake junction hallucination
Explanation:
Narcolepsy:
Excessive daytime sleepiness
Sleep attacks
Cataplexy
Sleep paralysis
Sleep-awake junction hallucination