Test Questions

Q1. Which of the following is not suggestive of a medical cause of mental

A. Elderly age

B. Acute onset

C. Loss of consciousness

D. Auditory hallucination

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Q2. A 27 year old female having bipolar disorder was on lithium. Which of the
following statement is incorrect?

A. Hemodialysis is not useful in lithium toxicity

B. Lithium decreases thyroid function.

C. Thiazides increase lithium toxicity

D. Lithium is avoided in pregnancy due to its teratogenic effects

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Q3. On MSE, patient is asked to subtract 7 from 100. What does it assess?

A. Confusion

B. Attention

C. Orientation

D. Concentration

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Q4. What is a common effect of cannabis/ marijuana intake?

A. Depression

B. Physical dependence

C. A state of dreaminess with altered consciousness

D. Anxiety

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Q5. A 25 year old patient presented with complaint that aliens are
communicating with him they are sending an electromagnetic radiation to his
brain and aliens are asking him to kill his distant relatives. His relative said he
has this disease from last 20 years, The patient does not work on farm and
stopped going in social functions, patient is aware of time, place and person.
What is the most likely diagnosis?

A. Depression

B. Mania

C. Delusional disorder

D. Schizophrenia

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Q6. A 35 year old man was taking medication for depression, but had sexual
dysfunction. Which drug will you switch him on to address this problem?

A. Escitalopram

B. Venlafaxine

C. TCA

D. Bupropion

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Q7. Continuous rigorous washing of hands is suggestive of:

A. Obsessive compulsive disorder

B. Generalized anxiety disorder

C. Adjustment disorder

D. Panic disorder

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Q8. A patient underwent surgery and a mass of hair was found in her stomach.
Which specialist should be consulted with?

A. Dermatologist

B. Cardiologist

C. Psychiatrist

D. Neurologist

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Q9. The disorder characterised by sexual gratification by inflicting pain on the
partner is called:

A. Sadism

B. Masochism

C. Voyeurism

D. Fetischism

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Q10. A patient presented to the psychiatry OPD. On being asked what's your
name', patient repeated the same question. This phenomenon is called?

A. Echolalia

B. Echopraxia

C. Perseveration

D. Posturing

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Q11. A female patient wants to get rid of her tobacco addiction, which drug
should be used?

A. Vareniclline

B. Naloxone

C. Naltrexone

D. Bupropion

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Q12. A pregnant female with bipolar disorder presented for the treatment.
Which of the following drug should be avoided in this patient?

A. Lithium

B. Lamotrigine

C. Risperidone

D. Haloperidol

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Q13. Excessive sexual desire in male is k/as?

A. Nymphomania

B. Satyriasis

C. Fetishism

D. Voyeurism

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Q14. Patient had covid infection 1 year ago. Now since last 3 months he has a
fear that he might die due to covid again and has symptoms of fear with
associated sweating, palpitations and feeling of impending doom, episodic that
lasts for 20 minutes. What is the probable diagnosis?

A. Post Traumatic Stress Disorder

B. Panic disorder

C. Depression

D. Mania

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Q15. A patient presents to psychiatry emergency with symptoms of tachycardia,
tachypnoea, sweating, diarrhoea and doctor asked for poisoning, what could be
the most probable substance ?

A. Alcohol

B. Opioid

C. Cocaine

D. Cannabis

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Q16. After 72 hours of stoppage of alcohol which of the following withdrawal
symptoms patient likely to develop?

A. Tremors

B. Seizures

C. Hallucinosis

D. Delirium tremens

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Q17. Since last 3 months a non alcoholic patient started believing that his
daughter wanted to kill him? What can it be?

A. Schizophrenia

B. Bipolar disorder

C. Delusional disorder

D. Xenophobia

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Q18. A middle aged person with symptoms of anxiety and loneliness was
diagnosed with depression. He is to be prescribed with a medication, which is a
serotonin norepinephrine reuptake inhibitor. Identify the drug.

A. Fluoxetine

B. Venlafaxine

C. Phenelzine

D. Citalopram

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Q19. A 28 year old mother was diagnosed with mild depression, she has a 3
month old child. Which among the following therapy should be prescribed ?

A. Cognitive behavioural therapy (CBT)

B. Cognitive behavioural therapy + anti depressant

C. Antidepressant alone

D. Electroconvulsive therapy

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Q20. Which among the following is a not a symptom of panic attack ?

A. Suicidal thoughts

B. Sudden anxiety

C. Palpitation

D. Tremors

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Q21. Which among the following deficiency is the reason for cognitive
impairment in the old age ?

A. Vitamin C

B. Vitamin B12

C. Vitamin B6

D. Vitamin B2

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Q22. A chronic alcoholic patient, suddenly withdrew his alcohol consumption.
Later he developed tremors, global confusion, ataxia and other associated
symptoms. Which among the following is the most appropriate treatment ?

A. Methylcobalamine 1500 IV

B. Thiamine 100mcg IV/IM

C. Methylmalonyl + lorazepam

D. Benzodiazepines

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Q23. Most common symptom of alcohol withdrawal –

A. Tremors

B. Hallucinations

C. Seizure

D. Delirium

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Q24. A pregnant mother was given lithium, the child will be born with

A. Cleft palate

B. Neural tube defect

C. Ebstein’s anomoly

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Q25. A patient admitted with tachycardia arrythmia and scratch marks on the
skin. This patient is most probable causing substance is?

A. Cocaine

B. Heroin

C. Cannabis

D. Alcohol

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Q26. A patient presented with history of visual hallucinations and
disorientation. He was a chronic alcoholic and last intake was 2 days back?
What is the likely diagnosis?

A. Alcohol withdrawal seizures

B. Alcohol withdrawal delirium

C. Alcoholic hallucination

D. Schizophrenia

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Q27. A 21-year-old girl suspects that the college principal is making a
conspiracy against her and is planning to fails her in the upcoming exam. She
feels that other teachers have also joined the conspiracy and students are
helping them too? What is this known as

A. Delusion of persecution

B. Delusion of reference

C. Delusion of infidelity

D. Othello syndrome

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Q28. A 13-year-old boy was brought to the child psychiatrist for misbehaving
frequently at home and in school with the teacher, often bullies the younger
kids and has been caught stealing money on multiple occasions. What is the
likely diagnosis?

A. Antisocial personality disorder

B. Attention - deficit hyperactivity disorder

C. Conduct disorder

D. Oppositional defiant disorder

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Q29. A 31-year-old female with history of recent divorce presents to emergency
with complaints of palpitations sweating, heaviness and pain in chest. She has
multiple similar episodes in last few weeks and is not able to sleep properly
from past few days. The blood investigations, and ECG are normal. In the past
too, investigations revealed no abnormality what is the next best step?

A. Admit for detailed investigation

B. Start counselling sessions

C. Use benzodiazepines for symptoms relief

D. Use beta blockers

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Q30. Excessive fear of getting contaminated, repeated washing, repetitive
checking behaviour and excessive doubts are features of:

A. Panic attacks

B. Agoraphobia

C. Obsessive compulsive disorder

D. Generalized anxiety disorder

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Q31. A 37-year-old man reports that after suffering from sudden financial loss,
he developed certain symptoms. He started feeling fearful that someone is
about to harm him, he could not sleep or eat properly. He also began to hear
voices of a female and that voice would abuse him and say that he was useless
and should kill himself. His symptoms stopped after approximately one week.
There was no relevant past history of, drug abuse. What is the likely diagnosis?

A. Schizophreniform disorder

B. Brief psychotic disorder

C. Schizoaffective disorder

D. Schizophrenia

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Q32. Indoor management of anorexia nervosa is done on priority in patients
with:

A. Binge eating symptoms

B. Weight loss >75%

C. Amenorrhea

D. Depression

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Q33. Copycat suicide is seen at age of:

A. Adolescence

B. Child age

C. Adult age

D. Old age

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Q34. Disulfiram is a type of:

A. Aversion therapy

B. Anti-craving therapy

C. Maintenance therapy

D. Alcohol withdrawal therapy

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Q35. In a non-diabetic non-hypertensive patient having some extra beats in
pulse. Doctor informed it is benign. But patient is still going for investigations
from doctor to doctor and worried about having a major disease. This is a type
of:

A. Conversion disorder

B. Hypochondriacal disorder

C. Somatoform pain

D. Depression

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Q36. A 6-year-old child with no interest in daily activity and not engaging with
other children of his age group is likely to be suffering from:

A. Autism

B. ADHD

C. Depression

D. Bipolar disorder

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Q37. A mother is complaining about her young daughter that she has started
behaving weird about her food habit for last few months. She eats a lot of
burgers in one go and then she vomits it out. Her BMI is 27. What is the most
probable diagnosis?

A. Anorexia nervosa

B. Bulimia nervosa

C. Pica

D. Binge eating disorder

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Q38. A chronic alcoholic person was taking 500ml for last 20 years, presented
with having sensation of insects crawling on his body, agitation and irritation.
He took last drink 3 days before. What is the diagnosis?

A. Alcohol intoxication

B. Alcohol withdrawal delirium

C. Tolerance

D. Reaction with alcohol

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Q39. A patient is presented to emergency with problems in eyes/diplopia,
walking/ataxia and he was completely confused. History of alcohol was noted.
What is the initial treatment of choice?

A. IV Lorazepam

B. IV Thiamine

C. IV fluid + dextrose

D. Vitamin B12

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Q40. A person is afraid of seeing the tall buildings and looking down from the
very height. Which phobia he is suffering from?

A. Claustrophobia

B. Nomophobia

C. Agoraphobia

D. Acrophobia

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Q41. A cancer patient developed symptoms of DELIRIUM, post anaesthesia.
What is the initial management/drug to be used?

A. Haloperidol

B. Risperidone

C. Olanzapine

D. Lorazepam

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Q42. Which of the following is not a defense mechanism?

A. Regression

B. Displacement

C. Replacement

D. Rationalization

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Q43. A patient presented to us with feeling low, hopeless about future, negative
emotion, lack of interest, decreased sleep. He reports having similar episode 5
months/5 years back from which he completely recovered. What is the likely
diagnosis?

A. Major Depressive disorder

B. Recurrent depressive disorder

C. Dysthymia

D. Cyclothymia

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Q44. Postpartum day 5, a female presents with complaints of restlessness,
difficulty in sleep, sadness and irritation. What is the most probable diagnosis?
(REPEAT FROM NEET)

A. Dysphoric mania

B. Post partum Psychosis

C. Postpartum blues

D. Post Partum Depression

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Q45. A patient in OPD is very much obsessed with particular things. He seems
to be stubborn and frugal in nature. As per Sigmund Freud's psychosexual
stages of development, Fixation would have happened in which stage?

A. Oral

B. Anal

C. Phallic

D. Latent

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Q46. Which of the following is not a feature of pseudohallucination?

A. Not vivid

B. Outer objective space

C. Not in voluntary control

D. Can occur with a stimulus

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Q47. Capgras syndrome can be associated with which of the foilowing
condition?

A. Vascular dementia

B. Alzheimer's disease

C. Dementia with lewy body

D. Frontotemporal dementia

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Q48. Which of the following is a key feature of depression?

A. Loss of interest in pleasurable activities

B. Low mood

C. Suicidal theughts

D. Loss of appetite

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Q49. A young man gets sudden and irresistible urge to carry out an act. This is
known as:

A. Illusion

B. Compulsion

C. Impulse

D. Delusion

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Q50. A 65 year old man with a history of chronic alcohol use presents to hi
primary care clinic. Now he is admitted with features of vision loss, confusion
and unsteady gait. He cannot recall about the recent events. Which vitamin
deficiency is responsible for his symptoms?

A. Ascorbic acid

B. Thiamine

C. Folate

D. Retinol

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Q51. A female patient of bipolar disorder is on lithiu for last 1 year. Which of the
following side effects is least likely to occur?

A. Hypothyroidism

B. Tremors

C. Tardive dyskinesia

D. Diabetes insipidus

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Q52. 38 year old female, presents to OPD with complaints of persistent
sadness, sleeping problems, loss of interest in activities and poor appetite for
past few months. As per her condition, she is diagnosed with major depressive
disorder. Which drug is the most appropriate for initial treatment?

A. Lithium

B. Buspirone

C. Haloperidol

D. Fluoxetine

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Q53. A person developed sudden hypertensive episode after taking wine Family
members informed that he was already on any psychiatric medication. Which of
the following drug the person must be taking?

A. SSRI

B. Trazadone

C. MAO inhibitors

D. Amitriptyline

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Q54. A person has consumed multiple tablets of benzodiazepine. What is the
treatment for overdose?

A. Naltrexone

B. Acamprosate

C. Fomepizole

D. Flumazenil

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Q55. A man presented to hospital with drowsiness, ataxia and blurred vision.
On history taking, it was found that he brought two bottles of alcohol from a
local liquor shop. What is the antidote for the treatment?

A. Flumazenil

B. Diazepam

C. Ethyl alcohol

D. Naltrexone

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Q56. Patient has had manic and depressive episodes and needs treatment.
Which of the following causes least weight gain?

A. Risperidone

B. Quetiapine

C. Ziprasidone

D. Chlorpromazine

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Q57. A 60 year old male patient believes that his thoughts and feelings are
controlled by some external agency. This is?

A. Nihilistic delusion

B. Delusion of influence

C. Delusion of persecution

D. Othello syndrome

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Q58. A patient presented in emergency with chest pain and no medical cause
was found and patient told 10 days ago he was robbed on gun point in his
house. When doctor wanted to discharge him he refused to go back to his
home. His family member told his pre morbid condition before this incident was
normal. Likely diagnosis?

A. Acute stress reaction

B. Delirium

C. Schizophrenia

D. Avoidant personality

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Q59. A 24-year-old male, previously diagnosed with a psychiatric disorder, has
become aggressive with his neighbors, is speaking rapidly, and is sleeping very
little. He also exhibits hyperactive behavior after discontinuing his prescribed
medication. What is the most likely diagnosis?

A. Depression

B. Bipolar disorder (manic episode

C. Schizophrenia

D. Substance-induced mood disorder

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Q60. A 45-year-old man presents to the hospital with complaints of seeing
snakes crawling and an inability to recognize his own family members. He
reports his last alcohol intake was 48 hours ago. What is the most likely
diagnosis?

A. Alcohol-induced psychosis

B. Delirium tremens

C. Schizophrenia

D. Alcoholic hallucinosis

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Q61. A young female reports episodes of binge eating followed by self-induced
vomiting. She is most likely to have which of the following acid-base
disturbances?

A. Respiratory acidosis

B. Respiratory alkalosis

C. Metabolic acidosis

D. Metabolic alkalosis

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Q62. A doctor asks a patient about her age. The patient responds: "You know,
doctor, I’m from a village. We were married at a very young age—at 12—with my
husband, who is just 5 years older than me. Then I had two kids when I was
around 18 or something. Now, I look like their older sister. I’m just 32, doctor."
What is the most likely thought disorder displayed by the patient?

A. Circumstantiality

B. Tangentiality

C. Derailment

D. Flight of ideas

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Q63. What kind of symptoms does the term affective flattening imply?

A. Positive symptoms

B. Negative symptoms

C. Affect symptoms

D. Cognitive symptoms

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Q64. A lady presents to the hospital after having a fight with her husband. She
reports that she is unable to speak. However, all neurological and physical
examinations are normal, and she does not seem concerned about her health
status. What is the most likely diagnosis?

A. La belle indifference

B. Malingering

C. Somatic symptom disorder

D. Generalised Anxiety Disorder

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Q65. A 28-year-old woman diagnosed with schizophrenia had been compliant
with her prescribed olanzapine for several months. However, she discontinued
the treatment. Which of the following is the most likely reason for her
discontinuation?

A. Weight gain

B. Tardive dyskinesia

C. Acute dystonia

D. Akathisia

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