FMGE 2017 - Psychiatry PYQs Practice Questions

Q: A 6 year old child who does not interact with other children of his age group and prefers playing alone with repetitive behaviors, is likely to be suffering from:

Autism. ***Autism*** - Difficulties in **social interaction** and **communication**, along with **repetitive behaviors** and restricted interests, are core diagnostic features of **Autism Spectrum Disorder (ASD)**. - The child's preference for playing alone and lack of interaction with peers are hallmark signs of **social deficits** in ASD. *ADHD* - **Attention-Deficit/Hyperactivity Disorder (ADHD)** primarily involves difficulties with **inattention**, **hyperactivity**, and **impulsivity**. - While children with ADHD may struggle socially, repetitive behaviors and a complete lack of interest in peer interaction are not typical primary symptoms. *Depression* - **Depression** in children often presents with **sadness**, **loss of interest** in previously enjoyed activities, changes in sleep or appetite, and irritability. - Social withdrawal in depression is usually due to low mood or anhedonia, rather than a fundamental difficulty in social understanding or a preference for repetitive play. *Bipolar disorder* - **Bipolar disorder** in children involves distinct episodes of **mania** (elevated mood, increased energy, decreased need for sleep) and **depression**. - The symptoms described do not align with the characteristic mood swings and episodic nature of bipolar disorder. [Practice more Psychiatry PYQs on OnCourse]

Q: Drug of choice for treatment of akathisia is:-

Propranolol. ***Propranolol*** - **Beta-blockers** like propranolol are considered first-line for treating **akathisia**, especially in cases induced by antipsychotics. - They work by reducing the **adrenergic hyperactivity** and the sensation of inner restlessness characteristic of akathisia. *Haloperidol* - Haloperidol is a **first-generation antipsychotic** that is a common cause of drug-induced **akathisia**. - Administering it would likely **worsen** rather than treat the condition. *Fluoxetine* - Fluoxetine is a **selective serotonin reuptake inhibitor (SSRI)** used to treat depression and anxiety disorders. - It is not indicated for the treatment of **akathisia** and can sometimes induce or worsen motor restlessness. *Lithium* - Lithium is a **mood stabilizer** primarily used for bipolar disorder. - It is not a treatment for **akathisia** and can itself cause various neurological side effects, though akathisia is less common. [Practice more Psychiatry PYQs on OnCourse]

Q: A nondiabetic, nonhypertensive patient has occasional extra heartbeats. The doctor informed them it is benign, but the patient continues to seek investigations from doctor to doctor. This is a type of:

Illness Anxiety Disorder. ***Illness Anxiety Disorder*** - This condition is characterized by **preoccupation with having or acquiring a serious illness**, despite minimal or no somatic symptoms, or an excessive preoccupation if symptoms are present. - The patient's repeated seeking of investigations despite medical assurance of a benign condition aligns with the diagnostic criteria of **illness anxiety disorder**, where reassurance has little effect. *Depression* - While **depressive symptoms** (e.g., low mood, anhedonia) can coexist with health anxieties, the primary driver here is the fear of serious illness rather than pervasive sadness or loss of interest. - Patients with depression typically report a **generalized dysphoria** or lack of energy, which is not the central issue described. *Conversion disorder* - Involves **neurological symptoms** (e.g., paralysis, blindness, seizures) that are incompatible with recognized neurological conditions and are not intentionally produced. - The patient's concern is about a benign cardiac finding, not the sudden onset of **functional neurological deficits**. *Somatoform pain* - This term is older and has largely been replaced by **Somatic Symptom Disorder with predominant pain**, where psychological factors play a significant role in the onset, severity, exacerbation, or maintenance of pain. - The patient's main concern is about the **implication of a benign symptom** rather than experiencing overwhelming pain itself. [Practice more Psychiatry PYQs on OnCourse]

Q: Disulfiram is a type of:-

Aversion therapy. **Aversion therapy** - **Disulfiram** works by inhibiting aldehyde dehydrogenase, leading to the accumulation of acetaldehyde when alcohol is consumed, which causes unpleasant symptoms like flushing, nausea, and vomiting. - This creates an **aversive reaction** to alcohol, which discourages further drinking, making it a form of aversion therapy. *Anticraving therapy* - While disulfiram can indirectly reduce cravings by making alcohol consumption unpleasant, its primary mechanism is not to directly modulate craving pathways in the brain. - Drugs like **naltrexone** or **acamprosate** are more commonly categorized as specific anticraving agents for alcohol dependence. *Detoxification* - **Detoxification** refers to the supervised withdrawal from a substance to manage acute withdrawal symptoms and stabilize the patient. - Disulfiram is used after detoxification to help maintain abstinence, not during the acute withdrawal phase. *Opioid management therapy* - **Opioid management therapy** involves medications like **methadone** or **buprenorphine** used to treat opioid dependence. - Disulfiram is specifically used for **alcohol use disorder** and has no role in managing opioid dependence. [Practice more Psychiatry PYQs on OnCourse]

Q: Which of the following terms describes sexual attraction or relationships primarily between women?

Lesbianism. ***Lesbianism*** - **Lesbianism** describes sexual attraction or relationships primarily between **women**. - It is a form of **homosexuality**, specifically referring to female same-sex attraction. *Masochism* - **Masochism** is a paraphilia where sexual gratification is derived from experiencing **pain, humiliation, or bondage**. - This term does not describe the gender of individuals involved in a sexual relationship. *Nymphomania* - **Nymphomania** is an outdated and stigmatizing term historically used to describe a woman with an **uncontrollably strong desire for sexual activity**. - It does not refer to the gender of the individuals involved in the sexual attraction. *Transsexualism* - **Transsexualism** refers to the condition of a **transgender person** who identifies with a sex different from their birth sex and often seeks to transition through medical interventions. - This term describes **gender identity** rather than sexual orientation or the gender composition of a relationship. [Practice more Psychiatry PYQs on OnCourse]

Question 1

A 6 year old child who does not interact with other children of his age group and prefers playing alone with repetitive behaviors, is likely to be suffering from:

Accepted Answer

Autism

Answer

ADHD

Answer

Depression

Answer

Bipolar disorder

Question 2

Drug of choice for treatment of akathisia is:-

Accepted Answer

Propranolol

Answer

Haloperidol

Answer

Fluoxetine

Answer

Lithium

Question 3

A nondiabetic, nonhypertensive patient has occasional extra heartbeats. The doctor informed them it is benign, but the patient continues to seek investigations from doctor to doctor. This is a type of:

Accepted Answer

Illness Anxiety Disorder

Answer

Depression

Answer

Conversion disorder

Answer

Somatoform pain

Question 4

Disulfiram is a type of:-

Accepted Answer

Aversion therapy

Answer

Anticraving therapy

Answer

Detoxification

Answer

Opioid management therapy

Question 5

Which of the following terms describes sexual attraction or relationships primarily between women?

Accepted Answer

Lesbianism

Answer

Masochism

Answer

Nymphomania

Answer

Transsexualism

Question 6

Indoor management of anorexia nervosa is done on priority patients with:-

Accepted Answer

Weight for height less than 75% of normal

Answer

Depression

Answer

Amenorrhea

Answer

Binging episodes

FMGE 2017 — Psychiatry