Q-1. The awareness regarding the disease in psychiatric patient in Mental Status Examination is called
Insight: The person’s understanding of his or her mental illness is evaluated by exploring his or her explanatory account of the problem and understanding of treatment options.
Judgment: Judgment refers to person’s capacity to make sound, reasoned and responsible decisions.
Cognition: Cognition covers the person’s level of alertness, orientation, attention, memory, visuo-spatial functioning, language function and executive function.
Q-2. All are true regarding fronto-temporal dementia except
a) Stereotypic behavior
b) Insight present
c) Age less than 65 years
d) Affective symptoms
Answer: Insight present
Fronto-temporal dementia or Pick’s disease:
Fronto-temporal dementia describes a clinical syndrome associated with shrinking of the frontal and temporal anterior lobes of the brain.
It causes slowly progressive problems with behavior and language.
The first type features that can be either impulsive (dis-inhibited) or bored and listless (apathetic) and includes inappropriate social behavior; lack of social tact; lack of empathy; dis-tractability; loss of insight into the behaviors of oneself and others; an increased interest in sex; changes in food preferences; agitation or, conversely, blunted emotions; neglect of personal hygiene; repetitive or compulsive behavior, and decreased energy and motivation.
The second type primarily features symptoms of language disturbance, including difficulty making or understanding speech, often in conjunction with the behavioral type’s symptoms. Spatial skills and memory remain intact.
In people under age 60, FTD is the most common cause of dementia.
Q-3. A 14 years old boy is not able to get good grades on 9th standard exam. But he is very sharp and intelligent. Best test to diagnose his problem
a) Child behavior checklist
b) Bhatia’s battery
c) Specific learning disability test
d) Child behavior battery
Answer: Specific learning disability test
Learning disabilities (LDs) are a heterogeneous group of disorders characterized by the unexpected failure of an individual to acquire, retrieve, and use information competently.
The core feature of specific learning disability is an intrinsic cognitive difficulty that results in academic achievement at a level less than expected for the individual’ intellectual potential.
Q-4. A middle aged man complains of lack of sleep during the night time. To know the duration of the time he is truly asleep or awake can be ascertained by which of the following?
Actigraphy is a non invasive technique that is used to access cycles of activity and rest over a period of time.
Polysomnography is the best method to access the sleep.
Q-5. Child not eating vegetables. His mother starts giving chocolate each time he finishes vegetables in the diet. The condition is
a) Operant conditioning
b) Classical conditioning
c) Social training
d) Negative enforcement
Answer: Operant conditioning
Operant conditioning is a method of learning that occurs through rewards and punishments for behavior.
Q-6. Male started alcohol at 20 years, presently taking 3 quarters daily over 30 years, now complains that he gets the kick in one quarter, the diagnosis is
b) Reverse tolerance
c) Cross tolerance
d) Mellanby Phenomenon
Answer: Reverse tolerance
Reverse Tolerance occurs when a heavy drinker develops liver damage and the liver no longer produces as great a quantity of the enzymes needed to break down alcohol in the body as it did before.