Q267: An 18 year old boy come to the Psychiatry OPD
with a complaint of feeling changed from inside. He described himself as
feeling strange as if he is different from his normal self. He was very tense
and anxious yet could not point out the precise change in him. This phenomena
is best called as ?
A) Delusional mood
B) Depersonalization
C) Autochthonous delusion
D) Over valued idea
Answer: B) Depersonalization
Q268: A 40 year old male, with history of daily
alcohol consumption for the last 7 years, is brought to the hospital emergency
room with acute onset of seeing snakes all around him in the room, not
recognizing family members, violent behaviour and tremulousness for few hours.
There is history of his having missed the alcohol drink since 2 days.
Examination reveals increased blood pressure, tremors, increased psychomotor
activity, fearful affect, hallucinatory behaviour, disorientation, impaired
judgement and insight. He is most likely to be suffering from ?
A) Alcoholic hallucinosis
B) Delirium tremens
C) Wernicke encephalopathy
D) Korsakoff's psychosis
Answer: B) Delirium tremens
Q269: A 45-year male with a history of alcohol
dependence presents with confusion, nystagmus and ataxia. Examination reveals
6th cranial nerve weakness. He is most likely to be suffering from ?
A) Korsakoff's psychosis
B) Wernickei encephalopathy
C) De Clerambault syndrome
D) Delirium tremens
Answer: B) Wernickei encephalopathy
Q270: A 25 year old female presents with 2 year
history of repetitive, irresistible thoughts of contamination with dirt
associated with repetitive hand washing. She reports these thoughts to be her
own and distressing, but is not able to overcome them along with medications.
She is most likely to benefit from which of the following therapies ?
A) Exposure and response prevention
B) Systematic desensitization
C) Assertiveness training
D) Sensate focusing
Answer: A) Exposure and response prevention
Q271: 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 on oppositional defiant disorder
Answer: D) Rule out on oppositional defiant disorder
Q272: Perseveration is ?
A) Persistent and inappropriate repetition of the same
thoughts
B) When a patient feels very distressed about it
C) Characteristic of schizophrenia
D) Characteristic of obsessive compulsive disorder (OCD)
Answer: A) Persistent and inappropriate repetition of the
same thoughts
Q273: One of the following usually differentiates
hysterical symptoms from hypochondriacal symptoms ?
A) Symptoms do not normally reflect understandable
physiological or pathological mechanism
B) Physical symptoms are prominent which are not explained
by organic factors
C) Personality traits are significant
D) Symptoms run a chronic course
Answer: A) Symptoms do not normally reflect understandable
physiological or pathological mechanism
