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All of the following are features of hallucination, except:

Correct! Wrong!

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

Correct! Wrong!

Delusion is not present in:

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:

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:

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:

Correct! Wrong!

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

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:

Correct! Wrong!

All of the following are features of hallucinations, except:

Correct! Wrong!

Delirium tremens is characterized by confusion associated with:

Correct! Wrong!

All of the following are impulse control disorders except:

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:

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:

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:

Correct! Wrong!

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

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:

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:

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:

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:

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:

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:

Correct! Wrong!

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

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:

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:

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:

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:

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:

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:

Correct! Wrong!

All of the following are hallucinogens, except:

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:

Correct! Wrong!

Psychiatry FMGE Past Paper Questions

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