Categories: FMGE Past PaperPsychiatry FMGE Questions

Psychiatry FMGE Past Paper Questions

Psychiatry FMGE Past Paper Questions: Psychiatry is one of the high yield subjects of FMGE from where < 10 MCQs shall be expected in the FMGE/MCI exam/MCI screening.

All of the following are features of hallucination, except:

Depends on will of the observer

Occurs in inner subjective space

It is a vivid sensory perception

It occurs in absence of perceptual stimulus

Correct! Wrong!

The following is suggestive of an organic cause of the behavioural symptoms:

Formal thought disorder

Auditory hallucinations

Delusion of fruit

Visual hallucinations

Correct! Wrong!

Delusion is not present in:

Delirium

Mania

Depresion

Compulsive disorder

Correct! Wrong!

An alcoholic is brought to the casualty, 3 days after he quit alcohol, with the complaint of irrelevant talking. On examination, he is found to be disoriented in time, place and person. He also has visual illusions and hallucinations. There is no history of head injury. The most probable diagnosis is:

Dementia praecox

Delirium tremens

Schizophrenia

Korsakoff psychosis

Correct! Wrong!

Ram Lal, a 45 years old male came to the psychiatric OPD complaining of continuous, dull, non- progressive headache for the last 8 years. The patient has seen numerous neurologists in the belief that he has a brain tumor even though all his investigations have been normal. The patient insisted that he had a brain tumor and requested yet another workup. Psychiatric evaluation reveals disease conviction in the background of normal investigations. The most probable diagnosis is:

Hypochondriasis

Somatization disorder

Somatoform pain disorder

Conversion disorder

Correct! Wrong!

patient presented with short lasting episodic behavioural changes which include agitation & dream like state with thrashing movements of his limbs. He does not recall these episodes & has no apparant precipitating factor. The most likely diagnosis is:

Schizophrenia

Temporal lobe epilepsy

Panic episodes

Dissociative disorder

Correct! Wrong!

A young lady presented with repeated episodes of overeating followed by purging after use of laxatives. She is probably suffering from:

Bulimia nervosa

Schizophrenia

Aorexia nervosa

Binge eating disorder

Correct! Wrong!

An 11 years old boy is all the time so restless that the rest of the class is unable to concentrate. He is hardly ever in his seat and roams around the hall. He has difficulty in playing quietly. The most likely diagnosis is:

Attention-deficit hyperactivity disorder

Conduct disorder

Depressive disorder

Schizophrenia

Correct! Wrong!

All of the following are features of hallucinations, except:

It is independent of the will of the observer

Sensory organs are not involved

It is as vivid as that in a true sense perception

It occurs in the absence of a perceptual stimulus

Correct! Wrong!

Delirium tremens is characterized by confusion associated with:

Autonomic hyperactivity and tremors

Features of intoxication due to alcohol

Sixth nerve palsy

Korsakoff psychosis

Correct! Wrong!

All of the following are impulse control disorders except:

Pyromania

Trichotillomania

Kleptomania

Capgras’ syndrome

Correct! Wrong!

A 20-year old man has presented with increased alcohol consumption and sexual indulgence, irritability, lack of sleep and not feeling fatigued even on prolonged periods of activity. All these changes have been present for 3 weeks. The most likely diagnosis is:

Alcohol dependence

Schizophrenia

Mania

Impulsive control disorder

Correct! Wrong!

An alcoholic is brought to the Emergency OPD with the complaint of irrelevant talking. He had stopped using alcohol three days back. On examination, he is found to be disoriented to time, place and person. He also has visual illusions and hallucinations. There is no history of head injury. The most likely diagnosis is:

Dementia praecox

Derlirium tremens

Schizophrenia

Korsakoff’s psychosis

Correct! Wrong!

A 41-year old married female presented with headache for the last 6 months. She had several consultations. All her investigations were found to be within normal limits. She still insists that there is something wrong in her head and seeks another consultation. The most likely diagnosis is:

Phobia

Psychogenic headache

Hypochondriasis

Depression

Correct! Wrong!

Behavior therapy to change maladaptive behaviors using response as reinforcer uses the principles of:

Classical conditioning

Moneling

Social learning

Operant conditioning

Correct! Wrong!

A 15 year old boy feels that the dirt has hung onto him whenever he passes through the dirty street. This repetitive thought causes much distress and anxiety. He knows that there is actually no such thing after he has cleaned once but he is not satisfied and is compelled to think so. This has led to social withdrawal. He spends much of his time thinking about the dirt and contamination. This has affected his studies also. The most likely diagnosis is:

Obsessive compulsive disorder

Conduct disorder

Agoraphobia

Adjustment disorder

Correct! Wrong!

A 50 year old man has presented with pain in back, lack of interest in recreational activities, low mood, lethargy, decreased sleep and appetite for two months. There was no history suggestive of delusions or hallucinations. He did not suffer from any chronic medical illness. There was no family history of psychiatric illness. Routine investigations including haemogram, renal function tests, liver functions tests, electrocardiogram did not reveal any abnormality. This patient should be treated with:

Haloperidol

Sertraline

Alprazolam

Olanzapine

Correct! Wrong!

A patient with pneumonia for 5 days is admitted to the hospital. He suddenly ceases to recognize the doctor and staff, thinks that he is in jail and complains of scorpions attacking him. He is in altered sensorium. This condition is:

Acute delirium

Acute dementia

Acute schizophrenia

Acute paranoia

Correct! Wrong!

A person missing from home, is found wandering purposefully. He is well groomed, and denies of having any amnesia. Most likely diagnosis is:

Dissociative fugue

Dissociative amnesia

Schizophrenia

Dementia

Correct! Wrong!

Babu, a 40 years aged male complains of sudden onset palpitations and apprehension. He is sweating for the last 10 minutes and fears of impending death. Diagnosis is:

Hysteria

Cystic fibrosis

Panic attack

Generalized anxiety disorder

Correct! Wrong!

A lady, while driving a car meets with an accident. She was admitted in an ICU for 6 months. After being discharged, she often gets up in night and feels terrified She is afraid to sit in a car again. The diagnosis is:

Panic disorder

Phobia

Conversion disorder

Post traumatic stress disorder

Correct! Wrong!

A patient present with waxy flexibility, negativitism and rigidity. Diagnosis is:

Catatonic schizophrenia

Paranoid schizophrenia

Hebephrenic schizophrenia

Simple schizophrenia

Correct! Wrong!

Chandu, age 32 presents with abdominal pain and vomiting. He also complains of some psychiatric symptoms and visual hallucinations. Most likely diagnosis is:

Hypothyroidism

Hyperthyroidism

Hysteria

Intermittent porphyria

Correct! Wrong!

Basanti 27 years aged, female thinks her nose is ugly; her idea is fixed and not shared by anyone else. Whenever she goes out of home, she hides her face with a cloth. She visits a Surgeon. Next step would be:

Investigate and then operate

Refer to psychiatrist

Reassure the patient

Immediate operation

Correct! Wrong!

A 40-year-old male, with history of daily alcohol consumption for the last 7 years, is brought to the hospital emergency room with acute onset of seeing snakes all around him in the room, not recognizing family members, violent behavior and tremulousness for having missed the alcohol drink since 2 days, Examination reveals increased blood pressure, tremors, increased psychomotor activity, fearful affect, hallucinatory behavior, disorientation, impaired judgment and insight. He is most likely to be suffering from:

Alcoholic hallucinosis

Delirium tremens

Wernicke encephalopathy

Korsakoff’s psychosis

Correct! Wrong!

A 45-year-male with a history of alcohol dependence presents with confusion nystagmus and ataxia. Examination reveals 6th cranial nerve weakness. He is most likely to be suffering from:

Korsakoff’s psychosis

Wernicke encephalopathy

De Clerambault syndrome

Delirium tremens

Correct! Wrong!

A 25-year-old female presents with 2 year history of repetitive, irresistible thoughts of contamination with dirt associated with repetitive hand washing. She reports these thoughts to be her own and distressing; but is not able to overcome them along with medications. She is most likely to benefit from which of the following therapies:

Exposure and response prevention

Systematic desensitization

Assertiveness training

Sensate focusing

Correct! Wrong!

An 18 year old boy came to the Psychiatry OPD with a complaint of feeling changed from inside. He described himself as feeling strange as if he is different from his normal self. He was very tense and anxious yet could not point out the precise change in him. This phenomena is best called as:

Delusional mood

Depersonalization

Autochthonous delusion

Over valued idea

Correct! Wrong!

All of the following are hallucinogens, except:

LSD

Phenylcyclidine

Mescaline

Methylphendate

Correct! Wrong!

An 18 year old student complains of lack of interest in studies for last 6 months. He has frequent quarrels with his parents and has frequent headaches. The most appropriate clinical approach would be to:

Leave him as normal adolescent problem

Rule out depression

Rule out migraine

Rule out an oppositional defiant disorder

Correct! Wrong!

Psychiatry FMGE Past Paper Questions

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Psychiatry FMGE Past Paper Questions

Psychiatry FMGE Past Paper Questions: Psychiatry is one of the high yield subjects of FMGE from where < 10 MCQs shall be expected in the FMGE/MCI exam/MCI screening.

All of the following are features of hallucination, except:

The following is suggestive of an organic cause of the behavioural symptoms:

Delusion is not present in:

patient presented with short lasting episodic behavioural changes which include agitation & dream like state with thrashing movements of his limbs. He does not recall these episodes & has no apparant precipitating factor. The most likely diagnosis is:

A young lady presented with repeated episodes of overeating followed by purging after use of laxatives. She is probably suffering from:

An 11 years old boy is all the time so restless that the rest of the class is unable to concentrate. He is hardly ever in his seat and roams around the hall. He has difficulty in playing quietly. The most likely diagnosis is:

All of the following are features of hallucinations, except:

Delirium tremens is characterized by confusion associated with:

All of the following are impulse control disorders except:

A 20-year old man has presented with increased alcohol consumption and sexual indulgence, irritability, lack of sleep and not feeling fatigued even on prolonged periods of activity. All these changes have been present for 3 weeks. The most likely diagnosis is:

A 41-year old married female presented with headache for the last 6 months. She had several consultations. All her investigations were found to be within normal limits. She still insists that there is something wrong in her head and seeks another consultation. The most likely diagnosis is:

Behavior therapy to change maladaptive behaviors using response as reinforcer uses the principles of:

A patient with pneumonia for 5 days is admitted to the hospital. He suddenly ceases to recognize the doctor and staff, thinks that he is in jail and complains of scorpions attacking him. He is in altered sensorium. This condition is:

A person missing from home, is found wandering purposefully. He is well groomed, and denies of having any amnesia. Most likely diagnosis is:

Babu, a 40 years aged male complains of sudden onset palpitations and apprehension. He is sweating for the last 10 minutes and fears of impending death. Diagnosis is:

A lady, while driving a car meets with an accident. She was admitted in an ICU for 6 months. After being discharged, she often gets up in night and feels terrified She is afraid to sit in a car again. The diagnosis is:

A patient present with waxy flexibility, negativitism and rigidity. Diagnosis is:

Chandu, age 32 presents with abdominal pain and vomiting. He also complains of some psychiatric symptoms and visual hallucinations. Most likely diagnosis is:

Basanti 27 years aged, female thinks her nose is ugly; her idea is fixed and not shared by anyone else. Whenever she goes out of home, she hides her face with a cloth. She visits a Surgeon. Next step would be:

A 45-year-male with a history of alcohol dependence presents with confusion nystagmus and ataxia. Examination reveals 6th cranial nerve weakness. He is most likely to be suffering from:

An 18 year old boy came to the Psychiatry OPD with a complaint of feeling changed from inside. He described himself as feeling strange as if he is different from his normal self. He was very tense and anxious yet could not point out the precise change in him. This phenomena is best called as:

All of the following are hallucinogens, except:

An 18 year old student complains of lack of interest in studies for last 6 months. He has frequent quarrels with his parents and has frequent headaches. The most appropriate clinical approach would be to:

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