INI-CET 2021 - Psychiatry PYQs Practice Questions

Q: Which of the following is not classified as OCD as per ICD 11?

PTSD. ***PTSD*** - **Post-traumatic stress disorder (PTSD)** is classified under **disorders specifically associated with stress** in ICD-11, not as an OCD-related disorder. - PTSD involves symptoms like re-experiencing the traumatic event, avoidance, and hyperarousal following exposure to a **traumatic event**. *Hypochondriac disorder* - In ICD-11, **hypochondriac disorder (illness anxiety disorder)** is reclassified under **obsessive-compulsive or related disorders**, focusing on preoccupation with having a serious illness. - This reflects the **compulsive checking** and **obsessive fears** associated with the condition. *Body dysmorphic disorder* - **Body dysmorphic disorder** is classified under **obsessive-compulsive or related disorders** in ICD-11. - It is characterized by **preoccupation with perceived flaws in physical appearance** and repetitive behaviors (e.g., mirror checking) in response to these concerns. *Trichotillomania* - **Trichotillomania (hair-pulling disorder)** is classified as an **obsessive-compulsive or related disorder** in ICD-11. - It involves **recurrent pulling out of one's hair** resulting in hair loss, despite repeated attempts to stop. [Practice more Psychiatry PYQs on OnCourse]

Q: Which of the following is a true statement about Korsakoff syndrome?

Anterograde amnesia with loss of recent memory. ***Anterograde amnesia with loss of recent memory*** - **Korsakoff syndrome** is primarily characterized by severe **anterograde amnesia**, making it difficult for patients to form new memories after the onset of the condition. - Patients often present with **significant loss of recent memory**, while older, remote memories may remain relatively preserved. *Loss of implicit memory and immediate recall* - While certain aspects of memory are impaired, immediate recall (e.g., repeating a short list of words immediately after hearing them) is often **relatively spared** in Korsakoff syndrome. - **Implicit memory**, which involves unconscious learning of skills and habits, is also typically **intact**, allowing patients to learn new motor skills despite their declarative memory deficits. *Triad of confusion, ophthalmoplegia, and ataxia* - This triad describes **Wernicke encephalopathy**, which is an acute neurological emergency caused by thiamine deficiency, often preceding Korsakoff syndrome. - Korsakoff syndrome, on the other hand, is a more **chronic neuropsychiatric condition** that often develops in individuals who have recovered from an episode of Wernicke encephalopathy. *Loss of long-term memory but intact personality* - While it primarily impacts the formation of new long-term memories, established **remote long-term memories** from before the illness are often **relatively preserved**. - While personality changes can occur due to the brain damage, the statement "intact personality" is **not a defining hallmark** used to differentiate Korsakoff syndrome from other memory disorders. [Practice more Psychiatry PYQs on OnCourse]

Q: Which of the following is not an off-label use of risperidone?

Bipolar disorder. ***Bipolar disorder*** - **Risperidone** is FDA-approved for the treatment of **bipolar I disorder**, both as monotherapy and adjunctive therapy for acute manic or mixed episodes. - This means its use for bipolar disorder is an **on-label indication**, not an off-label use. *PTSD* - The use of risperidone for **post-traumatic stress disorder (PTSD)** is considered an **off-label use**, as it is not specifically approved by the FDA for this condition. - While atypical antipsychotics may be used in some cases for severe PTSD symptoms, especially those involving psychosis or severe agitation, it is not a primary or approved treatment. *OCD* - The use of risperidone as an adjunct in **obsessive-compulsive disorder (OCD)**, particularly in treatment-resistant cases, is an **off-label use**. - While some studies support its use for augmenting SSRIs in OCD, it is not an FDA-approved indication. *Dementia* - Using risperidone for behavioral symptoms associated with **dementia** (e.g., aggression, agitation) is generally considered an **off-label use**. - Although it may be prescribed for these symptoms, there are significant concerns regarding increased mortality risk in elderly patients with dementia-related psychosis, leading to specific warnings and limited official indications. [Practice more Psychiatry PYQs on OnCourse]

Question 1

A person often feels that his hands are contaminated and is forced to wash his hands. Recently, he feels this repetitive, distressing thought of repetitive hand washing has begun affecting his performance. Which of the following is the best treatment option for this patient?

Accepted Answer

Exposure and response prevention

Answer

Systematic desensitization

Answer

Dialectical Behavior Therapy (DBT)

Answer

SSRI medication

Question 2

Which of the following is not classified as OCD as per ICD 11?

Accepted Answer

PTSD

Answer

Hypochondriac disorder

Answer

Body dysmorphic disorder

Answer

Trichotillomania

Question 3

Which of the following is a true statement about Korsakoff syndrome?

Accepted Answer

Anterograde amnesia with loss of recent memory

Answer

Loss of implicit memory and immediate recall

Answer

Triad of confusion, ophthalmoplegia, and ataxia

Answer

Loss of long-term memory but intact personality

Question 4

Which of the following is not an off-label use of risperidone?

Accepted Answer

Bipolar disorder

Answer

PTSD

Answer

OCD

Answer

Dementia

INI-CET 2021 — Psychiatry