Nihilistic delusions will be congruent with which of the following findings of mental state examination?

A. Depression

B. Mania

C. Depersonalization

D. Grandiose delusion

E. None of the above

An 18-year-old male, recently started on a medication, presents to the A and E department with slow, long-sustained, contorting, involuntary movements and postures involving proximal limb and axial muscles. Which of the following medications is most likely to cause the above presentation?

A. Propranolol

B. Diazepam

C. Risperidone

D. Procyclidine

E. Sertraline

A man admitted to the psychiatric intensive care unit with a manic episode, received 10 mg of haloperidol intramuscularly as he had turned violent. He became unresponsive shortly afterwards. On examination, there is evidence of confusion, labile BP, hyperthermia, rigidity, and dysphagia. What is the most important differential diagnosis?

A. Acute dystonia

B. Neuroleptic malignant syndrome

C. Tardive dyskinesia

D. Akathisia

E. Parkinsonism

Clozapine is strongly associated with fatal agranulocytosis. Which of the following is true regarding clozapine-induced agranulocytosis?

A. The risk of agranulocytosis is greatest in the first year

B. Patients must have weekly blood tests throughout clozapine treatment

C. After a year blood tests can be discontinued

D. An amber report from the monitoring body indicates that clozapine should be stopped immediately

E. A red alert indicates that clozapine could be restarted in a patient who previously had an amber report

A patient with bipolar disorder recently stabilized on medications is brought to you with a history of fever for 4 days and blurred vision, muscle fasciculation, hyperactive tendon reflexes, and persistent nausea and vomiting for the last 2 days. Which one of the following may be implicated?

A. Haloperidol

B. Lithium

C. Valproate

D. Clonazepam

E. Carbamazepine

Which of the following medications has the highest propensity to cause QT prolongation on ECG?

A. Thioridazine

B. Risperidone

C. Quetiapine

D. Haloperidol

E. Olanzapine

Which of the following postpartum disorders is correctly matched with its time of onset?

A. Postpartum blues – within a few months of delivery

B. Postpartum depression – first week of delivery

C. Postpartum psychosis – within 2 weeks of delivery

D. Postpartum pituitary apoplexy –12 months after delivery

E. All of the above are correct

45-year-old man develops auditory hallucinations that are initially fragmented but later turns into second person derogatory.The most important aspect of personal history in this case is

A. Stimulant use

B. Alcohol use

C. Relationship difficulties

D. Psychosexual history

E. Employment history

Which of the following clinical feature of schizophrenia adds support to a neurodevelopmental hypothesis?

A. Age of onset

B. Stress-induced relapses

C. Increased incidence among migrants

D. Association with cannabis

E. Response to antipsychotics

Risk of developing schizophrenia is increased in which of the following populations?

A. Learning disabled population

B. Female sex

C. Single parent families

D. Sexually abused children

E. Older mothers

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