Psychiatry — UPSC CMS MCQs (Medicine)

Question 1

Which of the following are First Rank Symptoms of acute schizophrenia?
1. Auditory hallucinations
2. Broadcasting of thoughts
3. Delusional perceptions
4. Delirium
Select the correct answer using the code:

Accepted Answer

A. 1, 2 and 3

Answer

1, 2 and 4

Answer

1, 3 and 4

Answer

2, 3 and 4

Question 2

Which one of the following is correct regarding postpartum psychosis?

Accepted Answer

B. Its onset is usually within 4 days of delivery.

Answer

There is often no family history of psychosis.

Answer

Recurrence rate in subsequent pregnancy is 60–70%.

Answer

Electroconvulsive therapy is the first treatment of choice.

Question 3

Which of the following are used as mood stabilizers for treatment of bipolar disorder?
1. Valproic acid
2. Lamotrigine
3. Carbamazepine
4. Propranolol
Select the correct answer using the code:

Accepted Answer

A. 1, 2 and 3

Answer

1, 2 and 4

Answer

1, 3 and 4

Answer

2, 3 and 4

Question 4

Long term treatment of bipolar disorder with lithium carbonate can cause which of the following adverse effects?
1. Weight loss
2. Hypothyroidism
3. Increased levels of parathyroid hormone
4. Nephrogenic diabetes insipidus
Select the correct answer using the code:

Accepted Answer

D. 2, 3 and 4

Answer

1, 2 and 3

Answer

1, 2 and 4

Answer

1, 3 and 4

Question 5

Which of the following are classified as mood-stabilizing psychotropic drugs?
1. Lithium
2. Valproate
3. Lamotrigine
Select the correct answer using the code:

Accepted Answer

D. 1, 2 and 3

Answer

1 and 2 only

Answer

2 and 3 only

Answer

1 and 3 only

Question 6

Which of the following are tricyclic antidepressants?
1. Amitriptyline
2. Dosulepin
3. Paroxetine
4. Imipramine
Select the correct answer using the code:

Accepted Answer

B. 1, 2 and 4

Answer

1, 2 and 3

Answer

1, 3 and 4

Answer

2, 3 and 4

Question 7

Which of the following antidepressant drugs act by inhibition of monoamine oxidase?
1. Phenelzine
2. Tranylcypromine
3. Dosulepin
4. Moclobemide
Select the correct answer using the code:

Accepted Answer

B. 1, 2 and 4

Answer

1, 2 and 3

Answer

1, 3 and 4

Answer

2, 3 and 4

Question 8

Which of the following are selective serotonin re-uptake inhibitors?
1. Escitalopram
2. Amitriptyline
3. Fluoxetine
4. Sertraline
Select the correct answer using the code:

Accepted Answer

C. 1, 3 and 4

Answer

1, 2 and 3

Answer

1, 2 and 4

Answer

2, 3 and 4

Question 9

Recurrent bouts of binge eating are usually associated with:

Accepted Answer

A. Bulimia nervosa

Answer

Anorexia nervosa

Answer

Post-partum depression

Answer

Personality disorder

Question 10

Which of the following statements are correct with regard to anorexia nervosa?
1. The illness is often precipitated by weight loss.
2. Food avoidance is common.
3. Body image is intact, and there is no fear of weight gain.
4. Downy hair (lanugo) may develop on the back, forearms, and cheeks.
Select the correct answer using the code:

Accepted Answer

B. 1, 2 and 4

Answer

1, 2 and 3

Answer

1, 3 and 4

Answer

2, 3 and 4

Question 11

Which of the following are correct regarding Trichobezoar?
1. It is a hair ball in the stomach.
2. It is common in psychiatric patients.
3. Common complications are bleeding, perforation, or obstruction.
4. Treated with a long course of proton pump inhibitors.
Select the correct answer using the code:

Accepted Answer

A. 1, 2 and 3

Answer

1, 2 and 4

Answer

1, 3 and 4

Answer

2, 3 and 4

Question 12

All of the following are common etiologies of delirium EXCEPT:

Accepted Answer

D. Hypoparathyroidism

Answer

Hyperthyroidism

Answer

Hypothyroidism

Answer

Hyperparathyroidism

Question 13

The 4A Test is a screening tool for detection of delirium. Which of the following parameters are included in the 4AT tool?
I. Alertness
II. Apnoea
III. Abbreviated Mental Test (AMT4)
IV. Attention
Select the correct answer using the code:

Accepted Answer

C. I, III and IV

Answer

I, II and III

Answer

I, II and IV

Answer

II, III and IV

Question 14

Which one of the following is the single strongest risk factor for dementia?

Accepted Answer

A. Increasing age

Answer

Alcoholism

Answer

Positive family history

Answer

Systemic illness

Question 15

Visual hallucination is characteristic of which type of dementia?

Accepted Answer

A. Diffuse Lewy body dementia

Answer

Frontotemporal dementia

Answer

Alzheimer’s dementia

Answer

Vascular dementia

Question 16

HIV-associated neurocognitive disorder (HAND) includes which of the following?
1. Asymptomatic neurocognitive disorder
2. Minor neurocognitive disorder
3. HIV-associated dementia
Select the correct answer using the code:

Accepted Answer

D. 1, 2 and 3

Answer

1 and 2 only

Answer

2 and 3 only

Answer

1 and 3 only

Question 17

Which of the following are inherited causes of dementia?
1. Alzheimer’s disease
2. Huntington’s disease
3. Wilson’s disease
4. Punch-drunk syndrome
Select the correct answer using the code:

Accepted Answer

A. 1, 2 and 3

Answer

1, 2 and 4

Answer

1, 3 and 4

Answer

2, 3 and 4

Question 18

Which of the following are causes of reversible dementia?
I. Hypothyroidism
II. Vitamin B12 deficiency
III. Dementia with Lewy body
IV. Thiamine deficiency
Select the correct answer using the code:

Accepted Answer

B. I, II and IV

Answer

I, II and III

Answer

I, III and IV

Answer

II, III and IV

Question 19

Which of the following are clinical features of Fronto-Temporal dementia?
I. Personality change
II. Language disturbance
III. Memory may be preserved in early stages
IV. Anti-cholinesterase are the drug of choice for treatment
Select the correct answer using the code:

Accepted Answer

A. I, II and III

Answer

I, II and IV

Answer

I, III and IV

Answer

II, III and IV

Question 20

Which of the following are features of Alzheimer’s disease?
I. It is a disorder of cerebral cortical function
II. Only short-term memory is affected
III. Patients deny that there is anything wrong
IV. Depression is commonly present
Select the correct answer using the code:

Accepted Answer

C. I, III and IV

Answer

I, II and III

Answer

I, II and IV

Answer

II, III and IV

Q1. Which of the following are First Rank Symptoms of acute schizophrenia? 1. Auditory hallucinations 2. Broadcasting of thoughts 3. Delusional perceptions 4. Delirium Select the correct answer using the code:

Q2. Which one of the following is correct regarding postpartum psychosis?

Q3. Which of the following are used as mood stabilizers for treatment of bipolar disorder? 1. Valproic acid 2. Lamotrigine 3. Carbamazepine 4. Propranolol Select the correct answer using the code:

Q4. Long term treatment of bipolar disorder with lithium carbonate can cause which of the following adverse effects? 1. Weight loss 2. Hypothyroidism 3. Increased levels of parathyroid hormone 4. Nephrogenic diabetes insipidus Select the correct answer using the code:

Q5. Which of the following are classified as mood-stabilizing psychotropic drugs? 1. Lithium 2. Valproate 3. Lamotrigine Select the correct answer using the code:

Q6. Which of the following are tricyclic antidepressants? 1. Amitriptyline 2. Dosulepin 3. Paroxetine 4. Imipramine Select the correct answer using the code:

Q7. Which of the following antidepressant drugs act by inhibition of monoamine oxidase? 1. Phenelzine 2. Tranylcypromine 3. Dosulepin 4. Moclobemide Select the correct answer using the code:

Q8. Which of the following are selective serotonin re-uptake inhibitors? 1. Escitalopram 2. Amitriptyline 3. Fluoxetine 4. Sertraline Select the correct answer using the code:

Q9. Recurrent bouts of binge eating are usually associated with:

Q12. All of the following are common etiologies of delirium EXCEPT:

Q13. The 4A Test is a screening tool for detection of delirium. Which of the following parameters are included in the 4AT tool? I. Alertness II. Apnoea III. Abbreviated Mental Test (AMT4) IV. Attention Select the correct answer using the code:

Q14. Which one of the following is the single strongest risk factor for dementia?

Q15. Visual hallucination is characteristic of which type of dementia?

Q16. HIV-associated neurocognitive disorder (HAND) includes which of the following? 1. Asymptomatic neurocognitive disorder 2. Minor neurocognitive disorder 3. HIV-associated dementia Select the correct answer using the code:

Q17. Which of the following are inherited causes of dementia? 1. Alzheimer’s disease 2. Huntington’s disease 3. Wilson’s disease 4. Punch-drunk syndrome Select the correct answer using the code:

Q18. Which of the following are causes of reversible dementia? I. Hypothyroidism II. Vitamin B12 deficiency III. Dementia with Lewy body IV. Thiamine deficiency Select the correct answer using the code:

Q19. Which of the following are clinical features of Fronto-Temporal dementia? I. Personality change II. Language disturbance III. Memory may be preserved in early stages IV. Anti-cholinesterase are the drug of choice for treatment Select the correct answer using the code:

Q20. Which of the following are features of Alzheimer’s disease? I. It is a disorder of cerebral cortical function II. Only short-term memory is affected III. Patients deny that there is anything wrong IV. Depression is commonly present Select the correct answer using the code: