1.

Thought process characterized by a series of Rationale: In psychiatry insight is awareness by

ideas without apparent logical connections is a mentally ill person that their mental
referred to as? experiences are not based in external reality.
a. Loosening of association
b. Flight of ideas 6. Normal response of an individual to the loss
c. Confabulation of a loved object is called?
d. Tangentiality a. Grief
Rationale: It’s a thought disturbance b. Low mood
demonstrated by speech that is disconnected c. Sadness
and fragmented, with the individual jumping d. Depression
from one idea to another unrelated or indirectly Rationale: Grief is the response to loss,
related idea. particularly to the loss of someone or
something that has died, to which a bond or
2. Which among the following is not a short affection was formed.
acting benzodiazepine?
a. Lorazepam 7. Narcolepsy is?
b. Diazepam a. Excessive use of narcotics
c. Oxazepam b. Addiction to narcotics
d. Alprax c. Excessive sleep during day time
Rationale: It’s a long acting benzodiazepine d. Reduced sleep during night
Rationale: Narcolepsy is a chronic sleep disorder
3. Therapeutic serum level of carbamazepine is? characterized by overwhelming daytime
a. 13-24mg/dl drowsiness and sudden attacks of sleep. People
b. 6-12mcg/dl with narcolepsy often find it difficult to stay
c. 1-7mg/dl awake for long periods of time, regardless of
d. 25-30mg/dl the circumstances.
Rationale:
8. Sexual arousal with non-living things is
4. First line drugs for the treatment of mania termed as?
are? a. Zoophilia
a. Lithium b. Pedophilia
b. Valproate c. Fetishism
c. Both of the above d. None of the above
d. None of the above Rationale: People with fetishes have sexual
Rationale: Current practice guidelines state that urges related to non-living objects. The person
first-line treatment for severe manic or mixed becomes sexually aroused by wearing or
episodes is either lithium plus an antipsychotic touching the object.
or valproate plus an antipsychotic; while for less
ill patients, monotherapy with lithium, 9. Fear of pain is termed as?
valproate, or an antipsychotic may be sufficient. a. Algophobia
b. Zoophobia
5. The ability to understand one’s own c. Agoraphobia
behaviour and emotion is called? d. Xenophobia
a. Judgement Rationale:
b. Insight Zoophobia is fear of animals, Agoraphobia is
c. Intelligence fear of open spaces, xenophobia is fear of
d. Personality strangers.
10. The habitual tendency to be anxious in Rationale: Imipramine was discovered in 1951
general is called? and was introduced for medical use in 1957.
a. Trait anxiety
b. Generalized anxiety disorder 15. Juvenile justice act is introduced in the year?
c. State anxiety a. 1984
d. None of the above b. 1986
Rationale: Trait anxiety refers to the stable c. 1987
tendency to attend to, experience, and report d. 1988
negative emotions such as fears, worries, and Rationale:
anxiety across many situations.
16. Which among the following types of
11. How does norepinephrine relate to schizophrenia thought to have the worst
depression? prognosis?
a. Decreases in depression a. Residual
b. Increases in depression b. Hebephrenic
c. Remains unchanged in depression c. Catatonic
d. No relation with depression d. Paranoid
Rationale: Norepinephrine helps mobilize the Rationale: The hebephrenic or disorganized
brain for action and can improve energy and subtype of schizophrenia is typified by shallow
attentiveness which in turn found to be and inappropriate emotional responses, foolish
decreased in depression. or bizarre behaviour, false beliefs or delusions,
and false perceptions or hallucinations
12. An increased sense of psychological well-
being and happiness, not in keeping with 17. Delirium tremens usually starts how many
ongoing events, is called? days after the last drink of alcohol?
a. Elation a. 2 -5 days
b. Ecstasy b. 1-2 days
c. Euphoria c. 6-8 days
d. Exaltation d. 8-10 days
Rationale: Euphoria is the experience (or affect) Rationale: Delirium tremens (DTs) is a rapid
of pleasure or excitement and intense feelings onset of confusion usually caused by
of well-being and happiness withdrawal from alcohol.

13. Exaggerated self-importance is a feature of 18. Disorders of adult personality and behavior
which delusion? is classified under ICD 10 in?
a. Somatic delusion a. F00-F09
b. Delusion of grandeur b. F90-F98
c. Delusion of reference c. F40-F49
d. All of the above. d. F60-F69
Rationale: A delusion of grandeur is the false
belief in one’s own superiority, greatness, or 19. Techniques used in psychoanalytical therapy
intelligence are?
a. Free association
14. First discovered tricyclic antidepressant is? b. Hypnosis
a. Clomipramine c. Abreaction therapy
b. Imipramine d. All of the above
c. Venlafaxine Rationale: Catharsis and dream analysis also are
d. Sertraline techniques of psychoanalytical therapy.
 d. Quetiapine
20. Initial dose of Disulfiram in the treatment of Rationale: The other options are second
alcohol withdrawal is? generation antipsychotic.
a. 1000mg
b. 100mg 25. An example of non-therapeutic
c. 250 mg communication techniques is?
d. 500 mg a. Validating
Rationale: Initial dose is 500 mg/day orally for b. Belittling
the first two weeks, followed by a maintenance c. Reflecting
dosage of 250 mg/day. It should not exceed 500 d. Listening
mg/day. Rationale: belittling is language or behavior that
literally makes someone feel small,
21. Magical thinking, peculiar notions, ideas of unimportant, inferior or minimized.
reference, illusions and derealisation are part of
which personality disorder? 26. Most important factor in a therapeutic
a. Paranoid relationship is?
b. Schizoid a. Trust
c. Schizotypal b. Knowledge
d. Borderline c. Motivation
Rationale: Persons with schizotypal personality d. Professionalism
disorder are strikingly odd or strange, even to Rationale: Without trust in a relationship, there
lay persons. is no relationship. Trust is one of the most
important aspects of a relationship.
22. Pharmacological management of OCD is
with which medicines? 27. The involuntary blocking of unpleasant
a. Antipsychotics feelings and experiences from one’s awareness
b. Antidepressants is known as?
c. Antimanic a. Displacement
d. Stimulants b. Regression
Rationale: Pharmacological treatment includes c. Repression
antidepressants including SSRIs. (Clomipramine, d. Suppression
Fluvoxamine, Fluoxetine, Sertraline). Rationale: Repression involves placing
uncomfortable thoughts in relatively
23. ECT was first introduced in? inaccessible areas of the subconscious mind.
a. 1980
b. 1933 28. Generativity Vs stagnation is a psychosocial
c. 1938 crisis of which age group?
d. 1976 a. School age
Rationale: Electroconvulsive therapy was first b. Early adulthood
introduced by Bini and Cerletti in April 1938. c. Adulthood
From 1980 onwards ECT has been considered as d. Adolescence
a unique psychiatric treatment. Rationale: 40-64 years of age are categorized in
this age group by Erikson in stages of
24. Which among the following is a first- development.
generation antipsychotic?
a. Clozapine 29. In which defense mechanism anxiety is
b. Olanzapine expressed through physical symptoms?
c. Chlorpromazine a. Projection
b. Conversion
c. Regression
d. Repression
Rationale: Conversion as a defense mechanism
occurs where cognitive tensions manifest
themselves in physical symptoms. The symptom
may well be symbolic and dramatic and it often
acts as a communication about the situation.
Extreme symptoms may include paralysis,
blindness, deafness, becoming mute or having a
seizure.

30. Drug of choice to reverse a dystonic reaction

is?
a. Prochlorperazine
b. Diphenhydramine
c. chlorpromazine
d. Fentanyl
Rationale: Diphenhydramine, 25 to 50 mg IM or
IV is used to revert dystonia

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