Psychiatry

IQ Range Level of Intelligence

0-24 Idiot
25-49 Imbecile
50-69 Moron
70-79 Borderline
80-89 Low Normal
90-109 Normal
110-119 Superior
120-139 Very Superior
140& over Near Genius
Phobia Description
Acrophobia Height of Fear
Nyctophobia Fear of Darkness
Zoophobia Fear of Animals
Xenophobia Fear of Strangers
Algophobia Fear of Pain
Claustrophobia Fear of closed places
Trypanophobia Fear of Medical Procedures
Agraphobia Fear of Sexual Abuse
Arachnophobia Fear of spiders
Necrophobia Fear of Death
Aquaphobia Fear of Water
Iatrophobia Fear of Doctors
Pharmacophobia Fear of Taking medicines
Thanatophobia Fear of Death
Acrophobia Fear of Height
Agoraphobia Getting caught in places frm where escape is difficult

v Scales used for obssesive compulsive disorder - Y-Bocs

v Treatment for OCD -Cognitive behaviour therapy
-Drug therapy(Benzodiazepine/Fluoxetine)
-Electro convulsive therapy
 -Psycho surgery

v Chronic Alcohol use - Wernicke's Encephalopathy - Reaction to severe Thiamine (Vit

B1)deficiency.
Occular signs: nystagmus,Opthalmoplegia,Retinal Hemorhages,papilloedema
Higher mental function disturbance
Peripheral neuropathy
Severe malnutrition

v Attention defecit disorder onset 4-7 yrs Rx Methyl phenidate (DOC)

v Drug Ketamine cause Hallucination

v IQ was calculated by IQ = mental age x 100

Chronological age

v Mild MR IQ (50-69) 90-95 % cases

Moderate MR IQ (35-49) 10 % cases
Severe MR IQ (21-34) 2-3 % cases
Profound MR IQ (20 % below) 1-0 %

v Five psycho sexual stages of developement (Sigmond Fraud)

Oral phase - Birth - 1 1/2yrs - Sucking,Biting
Anal phase 1-3 yrs - Holding,Excretion
Phallic/Oedipal phase 3-5yrs
Latency Phase 5-12yrs
Genital phase 12yrs onwards

1. Disulfuram reaction is not seen with - Amoxycillin

2. Disulfuram like reaction occurs due to accumulation in blood of - Acetaldehyde
3. Alcohol ingestion may give Disulfuram like reaction with Metronidazole
4. Most severe Alcohol withdrawal syndrome - Delirium tremens
5. Most common symptom of Alcohol withdrawal - Tremor
6. Most common alcohol withdrawal syndrome is - Hangover(nextmorning)
7. Heavy users of alcohol are from no.of social class predominance
8. Direct evidence of alcohol addiction is - withdrawal symptoms
9. Delirium tremens is characteristically seen in chronic alcoholism
10. Withdrawal symptom of alcohol - tremors/hallucination/seizure
11. Most common symptom of alcohol withdrawal is - Tremor
12. Drug dependance is a term - Includes both drug addiction & habituation
13. Most common used body fluid in screening of Drug Abuse - Urine
14. Recurrent suicidal tendencies are seen in
- Schizophrenia/severe depression/personality disorder
15. Most common psychiatric emergency - Suicide
16. Most common mode of suicides in india - Ingestion of poisons
17. Suicidal tendencies r most commonly seen in - Involutional melancholia
18. Dementia is a feature of - Pellagra - vitB12 defeciency
19. Drugs most useful in treatment of obssesive compulsive disorder - Fluoxetine
20. Pt. With depressive psychosis - feel better in evening than morning
21. Thyrotoxicosis is most commonly associated with - Anxiety
22. Most common post operative psychiatric condition - Delirium
23. Side effects of prolonged phenytoin therapy -
Osteomalacia/Gumhyperplasia/Megaloblastic anemia
24. Mental retardation is diagnosed if IQ level is less than - 70
25. Diferentiation of Hysterical fits from epileptic fits - occurs when people are watching
26. Definite contraindication to ECT - Brain tumor
27. ECT is contra indicated in Intra cranial SOL
28. Features of morphine withdrawal - piloerection/insomnia/discharge from nose
29. In alcohol withdrawal DOC - chlordiazepoxide
30. DOC of Alzeihmer's - Donazepil
31. DOC for prophylaxis of mania is - Lithium
32. DOC for status epilepticus - Lorazepam
33. DOC Gen.Anxiety disorder - Benzodiazepines
34. DOC for Panic disorder - Antidepressants
35. DOC in delirium tremens - chlordiazepoxide
36. DOC in Phobias - Alprazolam
37. DOC for attention defecit disorder in children/Adult - Methylphenidate/Atomoxetine
38. DOC in depression in old person - Fluoxetine
39. DOC for OCD - Fluoxetine
40. DOC for Nocturnal enuresis - Imipramine
41. DOC of night terrors - Diazepam
42. DOC for obssesive compulsive disorder - Fluoxetine
43. Drugs used for recurent depressive episode - Imipramine/Fluoxetine
44. Absolute contraindication lithium therapy - Renal failure
45. DOC in MDP (manic depressive psychosis) - Lithium
46. Therapeutic level of Lithium is 0.6-1.2 meq/l
47. Therapeutic level of lithium in serum - 1.0 mlequ/lit
48. Lithium is DOC for Bipolar disorder/Mania
49. Lithium is Rx of choice for - Bipolar MDP prophylaxis
50. Long term use of lithium result in Hypothyroidism
51. Lithium is used in prophylaxis of - recurrent manic depressive attacks
52. Normal lithium therapeutic level is - 0.7-1.1mEq/l
53. MC side effect of lithium therapy-Tremor
54. MC cardiovascular side effect in lithium therapy - T inversion
55. Defense mechanism in phobia is - Displacement
56. Treatment for acute manic episode - sodium valproate
57. Person in disability act - mental retardation
58. Anorexia nervosa is characterised by amenorhea/wgtloss/hypothermia
59. Anti psychotic induced Akasthisia is - restlessness
60. Gum hypertrophy is a complication of - phenytoin sodium
61. Excessive eating followed by purging using laxative in 20yr/F-Bulimia nervosa
62. Cognitive model of depression is given by - Beck
63. Korsackoff's psychosis - lesion in - mammiliary bodies
64. Custatory hallucination associated with temporal lobe epilepsy
65. Characteristic of alcohol withdrawal - Hallucination
66. Tactile hallucination r seen in - cocaine
67. Formed visual Hallucinations seen in lesion of - Temporal lobe
68. Hallucination is disorder of perception
69. Hallucination occurs at start of sleep - hypnagogic hallucination
70. Visual hallucination seen in - Alcoholism
71. Visual hallucination without Auditory hallucination is seen in - organic brain damage.
72. Most common Hallucinations seen in functional psychosis - Auditory
73. Cognition is thought
74. Delusion is disorder of thought
75. Allodynia is - feeling pain to a normal non painful stimulus
76. Alexithymia is - Inability to recognise & describe feelings
77. Oniomania is a disorder of compulsive - buying
78. Dipsomania is - Compulsive drinking
79. Oniomania is a disorder of compulsive - Buying
80. Impulse for setting fire is known as - Pyromania
81. Mania - Elated mood/Delusion of grandiosity/Distractibility
82. Bipolar disorder ii includes - major depression & hypomania
83. Incidence of suicide is 8-10 persons in one lakh population
84. Emotion is controlled by Euphoria
85. Patient saw a rope & tears like a snake -Illusion
86. Altered perception of real objects - Illusion
87. Most specific of psychosis is -Neologism
88. Preservation is - persistent repetation of words
89. Confabulation is defect of memory
90. Confabulation is filling up to gaps by fabrication to cover lapses in memory
91. Confabulation means making stories to fill gaps in memory loss
92. Many of our bad habits of day to day life can be removed by - Negative conditioning
93. Loosening of association is an example of - Formal thought disorder
94. Deja vu is seen in - Temporal lobe epilepsy/Normal person/Psychosis
95. Apraxia is a disorder in - Initiating & planing movement
96. Oedipus complex is seen in - Boys of 3-5 yrs of age
97. MCC of Dementia in India - Alzheimers disease
98. MCC of Dementia in Adult - Alzeihmers disease
99. Vitamins used in treatment of Alzeihmer's - Vit C&Vit E
100.Protein involved in Alzheimers disease - Apo E Gene
101.Features of Alzheimers disease - recent memory loss
102.Reinforcement is used in - conditioned learning
103.Difference between neurosis & psychosis - Insight
104.Most common psychological features of AIDS is - Mania
105.Cognitive disorders are - Dementia/Delirium
106.Delirium & schizophrenia differ frm each other by - complete consciousness
107.1 week before incidence recall is called as - Recent memory
108.One of the important defence mechanism is - Repression
109.Treatment is not required in withdrawal of - LSD
110.Wernicke's encephalopathy can be prevented by - Thiamine supplements
111.Karsakoff's psychosis is diagnosed by - impairment of long term memory
112.Site of lesion involved in Korsakoff's psychosis is - Mammilary body
113.Feeling of creeping insects is seen in - cocaine abuse
114.Naltrexone is used in opioid dependance to - prevent relapse
115.Drug used in long term maintanence in opioid addiction - Methadone
116.Opiate withdrawal is treated with - Methadone
117.Psychiatric complications of Alcohol dependance - Anxiety/Suicide/Depression
118.In case of above 60yr of age psychiatric disorder in India is mostly due to - Dementia
119.Yawning is a common feature of - Opioid withdrawal
120.Wernicke's encephalopathy involves which part of CNS - Mammilary body
121.Morbid jealousy is seen with - physical dependance is not seen with - cannabis
122.Most common substance abuse in India is - Tobacco
123.Flash Back r seen with - LSD
124.Delusion of Doubles is found in - Capgra's syndrome
125.TOC in depression with suicidal tendencies - Electroconvulsive therapy
126.Nero transmitter that is associated with suicidal tendencies - serotonin
127.Suicidal tendency is seen in - schizophrenia/Depression
128.Most common psychiatric disorder is - Depression
129.Fluoxetine is used in - Depression
130.Most common psychiatric illness seen in india - Depression
131.Most common age for depression is - middle age female
132.Most common type of post puerperal psychosis is - Depression
133.Pseudo dementia is seen in - Depression
134.Nihilistic ideas r seen in - Depression/Cotard's syndrome
135.Nihilistic delusions r seen in - Endogenous depression/Double depression
136.Most common mental disorder as a cause of suicide - Depression
137.Suicide risk is common with which type of depression - Endogenous/involution
138.Bad prognostic factor of schizophrenia is - late onset of disease
139.Drug not used in prophylaxis of manic depressive psychosis - Haloperidol
140.Loss of insight is seen in - Schizophrenia
141.Schizophrenia - thought broadcasting/3rd person hallucination/makes violence
142.Incidence of schizophrenia in india is - 1-5 per 1000
143.Most common types of schizophrenia - paranoid
144.Good prognosis in schizophrenia is indicated by - Affective symptoms
145.Schizophrenia mostly occurs in - Adolescents-Rx - Reserpine
146.Characteristic clinical manifestation of schizophrenia is - Auditory hallucinations
147.Biochemical abnormalities in schizophrenia - increased Dopamine & serotonin
148.van gogh syndrome is seen in - schizophrenia
149.Characters of catatonic schizophrenia - negativism/cataplexy/automatic obedience
150.Poor prognostic factor in schizophrenia is - gradual onset/Hebephrenic Schizophrenia
151.Catatonic schizophrenia - stupor/rigidity/-vism/late onset & good prognosis
152.Worst disease affecting Mankind - Schizophrenia
153.Echolalia is recognised feature of - childhood Autism/catatonic schizophrenia
154.Suicidal tendencies seen in - depression/schizophrenia/substance abuse
155.Lack of insight is not a feature of - panic disorder
156.Definitive treatment of all types of phobias - Behaviour therapy
157.Obsessive compulsive neurosis patient is likely to develop - Depression
158.Rx of choice obsessivecompulsivedisorder - combination of behaviour&drug therapy
159.Hypochondriasis is - Abnormal preoccupation with normal body function
160.Male with symptoms mimic heart disease with normal ECG & x-ray - panic attack
161.Phobia is - Neurosis
162.A person has different multiple personality is suffering from - Dissociative disorder
163.Indication for ECT - Depression with suicidal tendencies/catatonic schizophrenia
164.ECT is not useful in treatment of - chronic schizophrenia
165.Amnesia is found in - Head injury
166.Squeeze technique is used for - premature ejaculation
167.Most accurate treatment of Erectile dysfunction - Sildenefil
168.Alpha rhythm is seen in - REM sleep
169.Non-REM sleep is commonly associated with - Night terrors
170.A person having habit of repeated self inflicted injuries what is the type of personality
- Borderline personality disorder
171.Characteristic features of Schizoid personality is - Emotional coldness
172.Antisocial personality is seen with - Drug abuse
173.9 yr old child disturbs other people,is destructive,interferes when two people are
talking,does not follow instructions and cannot wait for his turn while playing game,He
is likely to be suffering with - Attention defecit hyperactivity disorder
174.Infantile Autism is characterised by
- Impaired neurobehavioral development/socio economic hazard
175.Autism is - Social & language communication problem
176.According to Disabilities Act 7th disability referred to - Mental illness
177.A 16 yr/M is found to have a mental age of 9 yrs on I.Q.testing.he has - mild MR
178.X-linked disease leading to mental retardation - Fragile-x-syndrome
179.Common feature of anorexia nervosa-Amenorhea/under wgt/self perception of being fat
180.Not common feature of Anorexia nervosa - Binge eating
181.A young lady presents with rpt'd episode of over eating(binge) followed by purging using
laxatives she probably suffering frm - Bulimia nervosa
182.Irresistable urge to move about with inner restlessness is - Akathisia-Rx-Haloperidol
183.Beta blockers r indicated in - Anxiety
184.ECT is most useful in - Depression
185.MC Complication of ECT - Retrograde Amnesia
186.Absolute contra indication to ECT - Brain tumor
187.Tricyclic anti depressants r contra indicated in - Glaucoma
188.Non sedating anti depressant - Fluoxetine
189.MC hallucination type in Delirium - -Visual
190.Commonest type of phobia seen in clinical practice - Agoraphobia(sexual abuse)
191.MC phobia encountered in clinical practise - Agoraphobia-60%
192.MC psychiatric symptom in clinical practise - Anxiety
193.Prosopagnosia is - Inability to recognise Face
194.Sexual arousal due to exposure of one's genitalia - Exhibitionism
195.Necrophilia - Sexual arousal with corpses
196.Klismaphilia - sexual arousal with Enemas
197.MC OCD is - Washers - Unmarried males
198.MC ECG change seen with Anti psychotic drug - QT Prolongation
199.Inability to experience pressure is known as - Anhedonia
200.Auditory hallucinations are found in - Schizophrenia
201.What is normal MMSE(mini mental state examination)score - >24
202.Dellusion is a disorder of - thought
203.Which is the primary symptom of Mania - Over activity
204.Hallucination is a disorder of - Perception