The Important Questions of Psychiatry for NEET PG exam:
1. Treatment of alcohol dependence is by all except?
Correct answer : C. Flumazenil
Flumazenil is a benzodiazepine antagonist. It is not used for the treatment of alcohol dependence.
PHARMACOLOGICAL TREATMENT OF ALCOHOL DEPENDENCE
- Benzodiazepines – treatment of alcohol withdrawal symptoms
- Disulfiram – aversion therapy
- Naltrexone, acamprosate – anticraving drugs
2. 40 year old female came to the OPD with complaints of with depressed mood, insomnia, loss of appetite and lack of interest in surroundings for the past 1 year. These symptoms appeared after loss in a business deal 1 year ago. Which is correct regarding the management?
A. Selective Serotonin Reuptake Inhibitors (SSRI’s) are the most effective drugs
B. Antidepressants should be given based on the side effect profile
C. No treatment is required as it is due to loss in a business deal
D. Combination therapy with 2 or more antidepressants
Correct answer : B. Antidepressants should be given based on the side effect profile
The history is characteristic of depressive disorder. Antidepressant drugs are to be given. But there are no ideal antidepressants. The treatment should be based on the side effect profile of the drugs.
3. Drug used for treatment of nocturnal enuresis is?
Correct answer : B. Imipramine
TREATMENT OF NOCTURNAL ENURESIS
- Enuresis alarm systems are the preferred treatment for children with nocturnal enuresis.
- These detect the moisture of urine when there is nocturnal enuresis.
- An alarm is triggered which wakes up the child.
- These systems are of 3 types – wearable alarms, wireless alarms and pad type alarms.
- Alarm systems are also have the least relapse rate among the various modalities of treatment.
- Motivational therapy
- The child is rewarded for keeping dry at night. But punishment for bedwetting is discouraged.
- There is limited evidence to support the efficacy of this approach.
- Drug therapy
- Pharmacological treatment for nocturnal enuresis is reserved for cases which do not respond to treatment with enuresis alarms.
- Desmopressin in the preferred drug. It is given at night to reduce urine production during sleep.
- Tricyclic antidepressants like imipramine can also be used. But use is limited due to side effects.
4. Most common cause of premature death in schizophrenia is?
A. Drug toxicity
B. Nosocomial infection
Correct answer : D. Suicide
PREMATURE DEATH IN SCHIZOPHRENIA
- Life expectancy of patients with schizophrenia is decreased by approximately 15 to 25 years.
- Suicide is the most important cause of premature death in patients with schizophrenia.
- There is a 20 fold increased risk of suicide compared to the general population.
- Suicide attempts may occur without warning or expression of intent.
- Cancer is the second most frequent cause of mortality in schizophrenics.
- The rates of metabolic syndrome and cardiovascular disorders are also increased.
5. Which is not a cognitive dysfunction?
B. Thought block
C. Catastrophic thinking
D. Arbitrary inference
Correct answer : B. Thought block
Cognitive dysfunction refers to the errors in the processing of information in the thought process. Thought block is an error in the continuity of thought.
6. Which of the following is seen associated with alcoholic paranoia ?
Correct answer : B. Delusions
- Alcoholic paranoia is an alcohol induced psychotic disorder
- It is characterised by delusions (mostly of persecution / jealousy / reference)
- Auditory hallucinations may also be seen
7. All are features of autistic disorders except ?
A. Stereotypic movements
B. Impairment of social interaction
C. Visual impairment
D. Delay in speech development
Correct answer : C. Visual impairment
Autistic disorders are characterised by:
- Impairement of social interaction
- Disorder of communication and language (as in delayed development of speech)
- Stereotypic movements
Visual impairment is not seen in autism.
8. Somatic passivity is seen in?
C. Body dysmorphic disorder
D. Paranoid Schizophrenia
Correct answer : D. Paranoid Schizophrenia
Somatic passivity is a Schneiderian first rank of Schizophrenia.
9. 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:
A. Leave him as normal adolescent problem
B. Rule out depression
C. Rule out migraine
D. Rule out an oppositional defiant disorder
Correct answer : B. Rule out depression
The given features are not something that may be considered as normal adolescent problem. Also the headache described here cannot be classified under migraine. Oppositional defiant disorder often presents at a younger age. Hence it is necessary to rule out depression.