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1] MS. B, a 27-year-old nurse had extracurricular interest in trekking and painting. She broke up relationship with her boy friend. Two months later she lost interest in her hobbies and was convinced that she would not be able to work again. She thought life was not worth living and has consumed 60 tablets of phenobarbitone to end her life. She is most likely suffering from: 1. Adjustment disorder. 2. Conversion disorder. 3. Depressive disorder. 4. Post-traumatic stress disorder (PTSD). ANS : 3 [Refer CMDT 2001 /pg- ] 2] Signs of organic brain damage are evident on: 1. Bender Gestalt Test. 2. Rorschach Test. 3. Sentence Completion Test. 4. Thematic Apperception Test. Ans : 1 [ Ahuja /Pg 16 ] 3] A 25-year old housewife came to the Psychiatry out patient department (OPD) complaining that her nose was longer than usual. She felt that her husband did not like her because of the deformity and had developed relationship with the neighboring girl. Further she complained that people made fun of her. It was not possible to convince her that there was no deformity. Her symptoms include: 1 Delusion. 2. Depersonalization. 3. Depression. 4. Hallucination. Ans : 2 [Ahuja /Pg : 13 ] 4] A 40-year old man presents to casualty with history of regular and heavy use of alcohol for ten years and morning drinking for one year. The last alcohol intake was three days back. There is no history of head injury or seizures. On examination, there is no icterus, sign of hepatic encephalopathy or focal neurological sign. The patient had coarse tremors, visual hallucinations and had disorientation to time. Which of the following is the best medicine to be prescribed for such a patient? 1. Diazepam. 2. Haloperidol. 3. Imipramine. 4. Naltrexone. Ans : 1 [ Ahuja/Pg : 38 ] 5] A 30-year old unmarried woman from a low socio-economic status family believes that a rich boy staying in her neighborhood is in deep love with her. The boy clearly denies his love towards this lady. Still the lady insists that his denial is a secret affirmation of his love towards her. She makes desperate attempts to meet the boy despite resistance from her family. She also develops sadness at times when her effort to meet the boy does not materialize. She is able to maintain her daily routine. She. however, remains preoccupied with the thoughts of this boy. She is likely to be suffering from: 1. Delusional disorder. 2. Depression. 3. Mania. 4. Schizophrenia. Ans : 1 [ Ahuja / Pg : 13 ] 6] A 39-year-old carpenter has taken two bottles of liquor from the local shop. After about an hour he develops confusion, vomiting, and blurring of vision. He has been brought to the Emergency out patient. He should be given: 1. Naloxone. 2. Diazepam. 3. Flumazenil. 4. Ethyl alcohol. Ans : 4 [ ] 7] A 34-year-old rickshaw puller has been using heroin for the past ten years. One evening his family members found him unconscious. He was brought to the casualty. On examination he had tachycardia, shallow breathing, constricted pupils. His blood pressure was 100/70 mm of Hg. He had brisk bilateral deep tendon reflexes. The planter reflexes were flexor on both sides. Which of the following is the best treatment for him? 1. Buprenorphine. 2. Flumazenil. 3. Methadone. 4. Naloxone. Ans : 4 [Ahuja /Pg : 42 ] 8] The Non-REM (NREM) sleep is commonly associated with: 1. Frequent dreaming. 2. Frequent penile erections. 3. Increased blood pressure. 4. Night terrors. Ans : 4 [ Ahuja /Pg : 133 ] 9] A 16 year old boy does not attend school because of the fear of being harmed by school mates. He thinks that his classmates laugh at and talk about him. He is even scared of going out to the market. He is most likely suffering from: 1. Anxiety neurosis. 2. Manic Depressive Psychosis. 3. Adjustment reaction. 4. Schizophrenia. Ans : 4 [Ahuja /Pg : 53 ] 10] A 41 year old woman working as an Executive Director is convinced that the management has denied her promotion by preparing false reports about her competence and have forged her signatures on sensitive documents so as to convict her. She files a complaint in the police station and requests for security. Despite all this she attends to her work and manages the household. She is suffering from: 1. Paranoid Schizophrenia. 2. Late onset Psychosis. 3. Persistent Delusional Disorder. 4. Obsessive Compulsive Disorder. Ans : 3 [ Ahuja /Pg : 77 / 78 table ] |
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