Which of the following would be the most appropriate first-line treatment for a 15 year old boy with mild depression?
Anonymous Quiz
4%
A. Citalopram
18%
B. Systemic family therapy
49%
C. Psychotherapy
17%
D. Group cognitive behavioural therapy
13%
E. Fluoxetine
What proportion of children with ADHD are expected to show persistence of the disorder into adulthood?
Anonymous Quiz
4%
A. 80-90%
31%
B. 10-20%
15%
C. 60-70%
39%
D. 30-40%
11%
E. 50-60%
Which of the following carries a specific licence for nocturnal enuresis in children?
Anonymous Quiz
14%
A. Duloxetine
5%
B. Dothiepin
6%
C. Lofepramine
5%
D. Mirtazapine
70%
E. Imipramine
MRCPSYCH & PSYCHIATRY
Which of the following conditions is most commonly seen in PANDA (Paediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections)?
children with PANDAS are clinically identified by five criteria:
🔸 Presence of obsessive-compulsive disorder OCD and/or a tic disorder
🔸 Pediatric onset of symptoms (age 3 years to puberty)
🔸 Episodic course of symptom severity
🔸 Association with group A Beta-hemolytic streptococcal infection (a positive throat culture for strep. or history of Scarlet Fever)
🔸 Association with neurological abnormalities (motor hyperactivity, or adventitious movements, such as choreiform movements.
The anti-streptococcal antibody titre determines whether there is immunologic evidence of a previous strep infection.
The most common test available for establishing this is the antistreptococcalDNAase B (AntiDNAse-B) titre.
🔸 Presence of obsessive-compulsive disorder OCD and/or a tic disorder
🔸 Pediatric onset of symptoms (age 3 years to puberty)
🔸 Episodic course of symptom severity
🔸 Association with group A Beta-hemolytic streptococcal infection (a positive throat culture for strep. or history of Scarlet Fever)
🔸 Association with neurological abnormalities (motor hyperactivity, or adventitious movements, such as choreiform movements.
The anti-streptococcal antibody titre determines whether there is immunologic evidence of a previous strep infection.
The most common test available for establishing this is the antistreptococcalDNAase B (AntiDNAse-B) titre.
Which of the following substances can cause noncardiogenic pulmonary oedema?
Anonymous Quiz
10%
A. Meprobamate and methadone
17%
B. Opioids
17%
C. Phenobarbital and propoxyphene
9%
D. Salicylates
46%
E. All of the above
In which of the following sites is dopamine found in HIGHEST concentration?
Anonymous Quiz
14%
A. Reticular formation
8%
B. Internal capsule
40%
C. Caudate nucleus
19%
D. Amygdala
19%
E. Non of the above
18 yrs. old hears voices discussing him in third person has :
Anonymous Quiz
95%
A. Schizophrenia
2%
B. Depression
1%
C. Mania
1%
D. Phobia
0%
E. Epilepsy
The Most common type of Schizophrenia is:
Anonymous Quiz
15%
A. Simple schizophrenia
4%
B. Hebephrenic schizophrenia
4%
C. Catatonic schizophrenia
71%
D. Paranoid schizophrenia
6%
E. Undifferentiated
The type of Schizophrenia which has the best prognosis is:
Anonymous Quiz
31%
A. Simple
3%
B. Hebephrenic
17%
C. Catatonic
45%
D. Paranoid
4%
E. Residual schizophrenia.
The type of Schizophrenia which has the worst prognosis is:
Anonymous Quiz
20%
A. Simple schizophrenia.
44%
B. Hebephrenic schizophrenia.
19%
C. Catatonic schizophrenia.
8%
D. Paranoid schizophrenia.
10%
E. Residual schizophrenia.
The type of Schizophrenia which associated with amphetamine misuse is:
Anonymous Quiz
6%
A. Simple schizophrenia.
15%
B. Hebephrenic schizophrenia.
11%
C. Catatonic schizophrenia.
53%
D. Paranoid schizophrenia.
15%
E. Unspecified schizophrenia.
Which of the following is NOT a common feature of schizophrenic auditory hallucinations?
Anonymous Quiz
5%
A. Being multiple
15%
B. Male voice
10%
C. Speaks in one’s mother tongue
23%
D. Often continuously present
48%
E. Has a different accent
Which one of the following is an elementary hallucination?
Anonymous Quiz
57%
A. Flashes of light
9%
B. Visions of small mice in a minutiae
13%
C. Voices repeating the word ‘go’
10%
D. Voices speaking in an unknown language
12%
E. None of the above
Which of the following can cause visual hallucinations?
Anonymous Quiz
22%
A. Occipital lobe tumours
2%
B. Postconcussion states
2%
C. Hepatic failure
3%
D. Dementia
72%
E. All of the above
Which of the following is an extracampine hallucination?
Anonymous Quiz
65%
A. A 45-year-old man hears voices coming from the South Pole
13%
B. A 33-year-old man hears a voice coming from his left knee
5%
C. A 56-year-old lady sees a devil’s tail hanging on a hook
5%
D. A 31-year-old man sees an angel without a face
12%
E. None of the above
A 35-year-old lady reports hearing voices in her head. Which of the following differences between hallucination and pseudohallucination is TRUE?
Anonymous Quiz
9%
A. In true hallucinations insight is often retained
15%
B. True hallucinations are often identified to be originating from self
25%
C. True hallucinations occur in subjective space
35%
D. True hallucinations are sought in other modalities by the patient
16%
E. True hallucinations cannot occur in two modalities simultaneously
A patient is experiencing increased brightness and acuity of visual objects.
Intense perceptions occur in all of the following EXCEPT:
Intense perceptions occur in all of the following EXCEPT:
Anonymous Quiz
11%
A. Migraine
5%
B. Hallucinogens
7%
C. Mania
9%
D. Delirium
68%
E. Depression
A 35-year-old lady complains of changes in the shape of objects perceived. She is having difficulties in perceiving the symmetry of objects.This symptom is called:
Anonymous Quiz
74%
A. Dysmegalopsia
2%
B. Micropsia
3%
C. Macropsia
10%
D. Lilliputian hallucinations
11%
E. Pareidolia
An 8-year-old boy is frightened to be alone at home. He starts seeing monsters out of wind moving through window curtains. Which of the following symptoms is he experiencing?
Anonymous Quiz
21%
A. Pareidolia
9%
B. Completion illusion
13%
C. Eidetic imagery
42%
D. Affect illusion
15%
E. Hallucination
A 19-year-old man sees his new girlfriend’s face from the shapes of clouds.
This perception will:
This perception will:
Anonymous Quiz
29%
A. Intensify on paying attention
6%
B. Cannot be dismissed voluntarily
28%
C. Arises from unambiguous stimuli
31%
D. Associated with intense affect change
6%
E. Associated with loss of insight
Delirium is a condition characterized by the following EXCEPT:
Anonymous Quiz
52%
A. Insidious onset
18%
B. Global impairment of cognitive functions
12%
C. Reduced level of consciousness
4%
D. Impaired attention
14%
E. Disordered sleep–wake cycle