June 2018 Paper A recall

1 post in this topic

1) Counter conditioning used in

a) CBT


c)Systematic desensitisation


2) Principle of Gestalt

a) Distance



d) similarity

e) Various fate


3) Area impaired in working memory deficit




4) Schiz - Imaging - All are shrunken in size except Ventricles


5) Duration of mania ICD-10 criteria 1week


6) Delusional disorder ICD 10 criteria 3months


7) Negative symptoms of Schiz. Which of the following is mentioned in ICD-10 criteria apathy


8) ICD-10 criteria for catatonic schizophrenia - all except




d)waxy flexibility



9)Which of the following is a primary delusion?

Delusional atmosphere


10) Interoception is a sensation of ____


a) Joint sense

b)reflecting on one's behavior

c)physiological state


e)delusional perception of inner organs


11) Patient consuming cannabis firmly believes that his legs are abnormally shaped despite doctors telling him otherwise. What is this?

a)Delusional dysmorphophobia




12) (Question on reasoning with example)

a) deductive



13) Broca's aphasia - True/Present among the following?



c)correct grammar

d)Paraphrasing error

e)short sentences


14)Alexia without agraphia - All are true except


a) Patient can read his own handwriting

b)can't read words

c)can write when he hears words


15) Apraxia seen in lesion of

a) Frontal lobe

b)Dominant temporal lobe

c)Dominant parietal lobe

d)non-dominant temporal lobe

e) non dominant parietal lobe


16)Formal thought disorder - lack of causal links in speech

a) drivelling






17) FTD - two or more thoughts are interwoven into one







18) D - what did you have for breakfast?

P- Cereals.

D - What is your name?

P - Cereals.

D- Where is your house?

P- Cereals.


a) Perseveration

B) retardation

c) Flifht of ideas

d) Verbigeration



19) RMP of axon

a) 5mV






20) ICD-10 criteria. Which of the following is a criteria for Paranoid personality disorder?


 21) Doctor tells patient that he need not obey his commands or co-operate. He puts out patient's  arm infront of him during examination for which the patient didn't resist. On leaving the hand it goes back to its original position. What is this?



b)Automatic obedience





22) On offering shake hand, patient brings forward but takes back his hand 25 times but finally ends up not shaking the hand. What is this?

a) ambitendency

B) negativism

c) mitgehen


e)waxy flexibility


23)Feelings of familiarity of having experienced an event - occurs as part of aura of which type of seizures?

a) frontal lobe

B) parietal lobe

c)temporal lobe

d)occipital lobe

e)absence seizure


24) Recalling an event that never occured

a) retrospective falsification

b)delusional memory

c) false memory


25) Srilankan man with fatigue and somatic symptom - attributes to loss of semen in urine. What is this?





26)which of the following is a screening tool?

a) HAM-D




e)Edinburgh perinatal depression scale


27)SF36 is used to

a) for assessment of physical illness alone

B) for assessment of mental illness alone

c)quality of life scale

d)outcome measurement

e)assess psychotic symptoms


28)HCR-20 Which of the following is a part of risk assessment?

a) substance use



29)True regarding intelligence and genetics

a) no correlation with monozygotic twins

b)highly correlated with dizygotic twins

c)influenced by environmental factors


30)DNA doesn't code for

a) exon

B) intron

c) mRNA



31) Mitotic cell division gives

a) aneuploid cells

b)haploid cells

c)triploid cells

d)diploid cells


32)(??) series of behavior giving clue for the next behavior in children with learning disability

a) shaping





33)Rat is startled with a loud buzzer when it approaches towards a nut many times, later it is startled by the sight of the nut. what is this?

a) classical conditioning

b)operant cond.




34)50 year old man with TBI. He has been admitted for episodes of anger outbursts and ________. His wife reports that there is progressive loss of memories. Which test would clarify the diagnosis?

a) wisconsin card sorting test

b)Myers - Brigg test





35) which of the following is true of interactions in a society based on social-exchange theory?


36) Damage to occipito - parietal lesion. What type of symptom will be seen?


37) Test where a series of pictures are shown and patient is asked to make a story from each of it. What test?

a) Rorshach


c)Picture completion test


38) which of the following is a part of the temperamental characteristics described by Thomas and Chess? (?? options)


39) which of the following is true regarding adult personality?

[unsure about options]

a) ?males become introverted with aging

b)neuroticism increases with age in men

c)Unlike neuroticism females show a significant decline in psychotism with aging

d) extroversion increases with age in men


40) When there is discrepancy between different attitudes, what do people usually do?

a)seek information that strengthens their belief and ignoring others

B) weigh information on both aspects

c)??change in behavior


41)Sally - Ann test is used to test which of the following?

a)Theory of mind


42)According to Asch which of the following would lead to disintegration of group?

a)large group size

b)agreeability among the members


43)Minorities can influence a group by

a) being consistent

b)not being flexible

c)being different from the rest of the group


44) Under "Social pressure" a preson in a group is more likely to do an ambivalent/ undesirable task when one of the following is true.Choose the best option.

a) a charismatic leader

B) feels lesser identified with group /?? feels threatened about his identity in the group

c)?? need to appear as part of the group


45) When individuals in a society rationalizes that someone else would have done the job, it is called as

a) Diffusion of responsibility

b)Dissolution of responsibility

46) When the communication and behavior of parents contradict each other. It is called as

a)double bind

b)refrigerator mother


47) Which of the following is not a Brown and Harris vulnerability factor:

a)absence of a close confiding relationship

B) loss of mother before 11

c)loss of schooling after 14 years

d)lack of employment outside home

e) 3 or more children <15 living at home


48) Which of the following is an illness maintaining factor?

a)sexual abuse

b)physical abuse

c)parenting problems

d) bereavement

e) change of job


49) Types of stigma- which is true?

a) Courtesy stigma - stigmatization of a person due to his or her relationship with a person who bears a stigmatic condition.


50) which of the following is more likely to reduce stigma for mental illness in the society?

a)belief that mentally ill can 'pull themselves up'

b)poor prognosis of the illness

c)legislative intervention


51) Acculturation - Person adopts both adopt cultures - what is it called?

a) Melting pot

B) assimilation

c) segregation


e) separation

[note: there was no option of biculturalism/integration]


52)Latah is classified under which heading in ICD-10?

a) dissociative disorder

b)anxiety disorder

c)other neurotic disorders[tricky option!]


53)True about utilitarian approach?

a) common scale of measurement for all

B) ? a form of communalistic libertarianism

c) best approach for the society

d)?equal allotment of resources


54) True about consent

a) consent from the subject is mandatory for all research purpose

b)can't drop out during course of  study after giving consent

c) Verbally spoken out loud and written informed consent should be taken


55)True about Bowlby's attachment theory:

a) monotropy is abnormal

B) The attachment figure need not be the ?biological mother/?female

c)Dont show clear cut attachment till adulthood

d)?indiscriminate attachment seen till 2 years


56)Child is indifferent to mother leaving the room and when she comes back. Type of attachment?

[note: no info on comforting response]

a) anxious- avoidant

B) anxious resistant




57) [note: crazy question with abnormal framing of it!]

An adult patient entering a psychiatric hospital who is indifferent and dismissive towards mental health professionals. what kind of attachment style will predict a prolonged clingyness/ utilisation of mental health facility?

a) secure

B) disorganised


58)Moving object seen immediately after birth were perceived as mother by gooslings. This is called ____? imprinting.


59)Temporary object buffers between fantasy and reality. Aids in development.It is called as ? transitional object.


60)11 year old boy - Erikson's stage?

Industry Vs Inferiority


61) Piaget's model - conservatism appears in which stage? concrete operational


62) Child plays alone. Complains when parents don't confront or give attention. Later starts focusing on strengths and weakness. What is this called?

a) primary love

b)true self / false self


63) & 64)language development with close options in months.


65)Kohlberg's moral development stage in a 12 year old?pre conventional.


66)Which of the following is NOT true regarding moral development?

a) most adults reach post conventional stage


67)Feeling sexually attracted and interested in a person of a particular sex denotes.

a)gender identity

B) sexual orientation

c) sex

d)gender role


68)Not a part of stages of grief by Parkes.[tricky options!]

a) shock


c)yearning for the deceased

d)socially withdrawn

e) resolution


69)Neurotransmitter acting at the reticular cells of the thalamo cortical projection?

a) glutamate






70) Left facial palsy + Right upper and lower limb palsy. Lesion at the level of__?

a)left midbrain

b)right midbrain



e)cortical lesion


71) Paralysis of trochlear nerve

a) loss of ability to see the tip of nose




72) Neurochemical pathway from locus coeruleus? ___ Noradrenergic


73) Agomelatin treatment. Which blood test before initiation? LFT


74)Cholecystokinin system has been recently found to be involved in the etiology of

[close options]

a) Panic disorders




75)Sleep terror occurs in which stage?

a)NREM stage 2

B) NREM stage3

c) NREM stage 4

d) REM


76)Trinucleotide repeat in Huntingtons? CAG


77) Type of study to identify disease causing gene loci? __ Linkage analysis


78) Aβ precursor protein formation prevented by α-seceretase


79)Early onset dementia seen in which type of Alzheimer gene?

a)Apo E4

b)Presenilin 1




80)Progranulin gene defect seen in

a) Alzheimer

B) Fronto temporal dementia


d)Lewy body dem.



81)Neurofibrillary tangles(NFT) can be detected by antibodies to

a)Ubiquitin positive and tau negative

B) Ubiquitin  negative and tau positive

c)amyloid positive


82)Recalling of events as if seeing a video recording

a) eidetic memory


83) Test for abstract reasoning?

a) sentence completioon

B) Bender gestalt


84) Visuo-spatial inattention - site of lesion?

non-dominant parietal lobe


85)Optic tract lesion- Homonymous hemianopia


86)Mech. of action of Atomoxetine?

Norepinephrine reuptake inhibition


87) True about placebo? Placebo effect is more with injectables


88) action of mu opioid receptor?

a) mydriasis





89) Drug with highest fetal toxicity?







90)Postural hypotension lowest with which antipsychotic? Aripiprazole.


91) Which of the following is a recognized risk factor for QTc prolongation?



c)Loop diuretics


92)Shortest acting among the following benzodiazepines

a) Diazepam

B) Temazepam

c) Zolpidem

d) Zopiclone

e) Zaleplon


93)Caffeine acts by


94) Tricyclic in overdose. True among the following?

a) follows zero order kinetics


95)Longest acting depot among following

a) Paliperidone palmoate

b)Olanzapine palmoate

c)Flupenthixol palmoate

d)Zuclopenthixol acetate

e)Zuclopenthixol decanoate


96) Vd in elderly : more for lipophilic / less of hydrophilic


97) Pharmacokinetic change in pregnancy


98) True of drug interaction:(level variation)

a)amitriptyline with tramadol

B) Valproate with lamotrigene

c)Risperidone with smoking


99) Discontinuation syndrome worse with?

Venlafaxine[other options were different ssris]


100) Person on MAO-I should avoid Cheese


101) Drug causing weight gain

a) methyl phenydate






102) Drug causing blue___ photosensitvity reaction - chlorpromazine

103)Pindolol acts by

a)5HT1a antagonism


104) Which of the following antidepressants act by dopamine reuptake inhibition?Bupropion


105)Benzodiazepines act by altering the frequency of chloride channel


106) GHB binds to _____?


107) Propranolol is ____

a)β1 blocker

B) β2 blocker

c) β1 +β2+ β3 blocker


108) Drug used to facilitate CNS dopaminergic transmmission?Amantidine


109) Procyclidine used in the treatment of EPS


110)lamotrigene specific adverse effect? Steven- Johson synd.


111)Most common side effect of Clozapine

a) Diarrhoea


c)Weight gain


112) True about Li adverse effects

a) Tremors with frequency of 4-6Hz

b)most patients develop tremors

c) β-blockers must be initiated for all tremors


113)Which of the following cause least hyponatremia?



[all other options various SSRIs]


114) Which of the following seen in benzodiazepine withdrawal?  seizures


115)Patient with fever and altered sensorium. Diffuse slowing in EEG. Which of the following will be true?

a)?? blood cells in CSF


116) Hypotension is ??least/??not a side effect of the following drugs used in opioid withdrawal?

a) clonidine






117)Reward centre is located in

a) Mesocortical pathway

b)Mesolimbic pathway

c)Ventral tegmental area


118)True about Carbidopa

a) inhibits DOPA decarboxylase

b)prevents breakdown of dopamine in CNS



1) Learning theories


3)Neuro imaging


5)Mahler's stages

6)Sleep disorders(2 questions)

7) Neuro transmitters

8) Classification of antipsychotics

9)Anti-dementia drugs


11)Adverse effects

12)Gait abnormalities



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