Talkhealer

June 2018 Paper A recall

1 post in this topic

1) Counter conditioning used in

a) CBT

b)Psychoeducation

c)Systematic desensitisation

 

2) Principle of Gestalt

a) Distance

b)Openness

c)seperate

d) similarity

e) Various fate

 

3) Area impaired in working memory deficit

 

DLPFC

 

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

a)Mutism

b)Excitability

c)Mannerism

d)waxy flexibility

e)Posturing

 

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

d)hallucination

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

b)Paraschemazia

c)Aschemzia

 

12) (Question on reasoning with example)

a) deductive

b)inductive

 

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

a)fluency

b)comprehension

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

b)Fusion

c)Asyndesis

d)derailment

e)metanymy??

 

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

a)fusion

b)drivelling

c)substitution

d)Omission

e)derailment

 

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

e)logoclonia

 

19) RMP of axon

a) 5mV

b)25mV

c)30mV

d)60mV

e)90mV

 

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?

 

a)Gegenhalten

b)Automatic obedience

c)Ambitendency

d)negativism

e)posturing

 

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

d)posturing

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?

a)Dhat

b)Koro

c)Latah

 

26)which of the following is a screening tool?

a) HAM-D

b)SCAN

c) CIDI

d)YBOCS

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

b)education

 

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

d)tRNA

 

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

b)cueing

c)chaining

d)rewarding

 

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.

c)punishment

d)extinction

 

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

c) SCAN

d)IPDE

e)MMPT/?SCID

 

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

B) TAT

c)Picture completion test

d)MMPI

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

d)adsorption

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!]

d)psychosis

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

c)secure

d)disorganised

 

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

b)numbness

c)yearning for the deceased

d)socially withdrawn

e) resolution

 

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

a) glutamate

B) GABA

c)Histamine

d)NE

e)5HT

 

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

a)left midbrain

b)right midbrain

c)medulla

d)pons

e)cortical lesion

 

71) Paralysis of trochlear nerve

a) loss of ability to see the tip of nose

b)abduction

c)adduction

 

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

b)Bulimia

c)depression

 

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

c)APP

d)PARK2

 

80)Progranulin gene defect seen in

a) Alzheimer

B) Fronto temporal dementia

c)CJD

d)Lewy body dem.

e)Parkinson's

 

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

b)dysphoria

c)analgesia

d)diarrhoea

 

89) Drug with highest fetal toxicity?

a)valproate

b)carbamazepine

c)Lamotrigene

d)Li

e)olanzapine

 

90)Postural hypotension lowest with which antipsychotic? Aripiprazole.

 

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

a)ACE-I

b)Amlodipine

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

b)modafinil

c)Prgabalin

d)Topiramate

e)Bupropion

 

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

b)Agranulocytosis

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?

a)amitriptyline

b)venlafaxine

[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

b)lofexidine

c)methadone

d)Buprenorphine

e)Naltrexone

 

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

----------------------------------------------------------------

EMIs:

1) Learning theories

2)Memory

3)Neuro imaging

4)Genetics

5)Mahler's stages

6)Sleep disorders(2 questions)

7) Neuro transmitters

8) Classification of antipsychotics

9)Anti-dementia drugs

10)Chromosomes

11)Adverse effects

12)Gait abnormalities

 

 

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