INI-CET 2025 - Psychiatry PYQs Practice Questions

Q: Which of the following is not an ICD-10 diagnostic criterion for depression?

Persistent worry about everyday matters. ### Explanation The diagnosis of a **Depressive Episode** according to **ICD-10** is based on a specific cluster of symptoms. The criteria are divided into **Typical (Core)** symptoms and **Other common** symptoms. #### Why Option D is Correct **Persistent worry about everyday matters** is the hallmark feature of **Generalized Anxiety Disorder (GAD)**, not Depression. While anxiety often co-exists with depression (comorbidity), it is not a diagnostic criterion for a depressive episode under ICD-10. #### Why Other Options are Incorrect Options A, B, and C represent the **three core (typical) symptoms** of depression in ICD-10. For a diagnosis, at least two of these must be present for a minimum of **2 weeks**: * **Low mood (Depressed mood):** To a degree that is definitely abnormal for the individual, present for most of the day and almost every day. * **Loss of interest or pleasure (Anhedonia):** In activities that are normally enjoyable. * **Low energy (Fatigability):** Increased fatigability or marked decrease in activity. #### High-Yield Clinical Pearls for NEET-PG/INI-CET * **ICD-10 Classification:** Depression is coded under **F32** (Depressive episode) and **F33** (Recurrent depressive disorder). * **Somatic Syndrome:** ICD-10 allows for a "somatic" specifier if symptoms like early morning awakening (2 hours early), diurnal variation (worse in morning), and psychomotor retardation are present. * **Severity Grading:** * **Mild:** 2 core + 2 others. * **Moderate:** 2 core + 3–4 others. * **Severe:** 3 core + $\geq$ 4 others. * **DSM-5 Difference:** Unlike ICD-10, **DSM-5** requires 5 out of 9 symptoms (must include either depressed mood or anhedonia) and does not list "low energy" as a separate core category in the same way. [Practice more Psychiatry PYQs on OnCourse]

Question 1

Which of the following is not an ICD-10 diagnostic criterion for depression?

Accepted Answer

Persistent worry about everyday matters

Answer

Low energy levels

Answer

Low mood for most of the day

Answer

Loss of interest in pleasurable things

Question 2

All of the following statements are correct except:

Accepted Answer

Flumazenil is used for the management of long-term alcohol dependence syndrome

Answer

Opioid withdrawal is rarely fatal

Answer

Buprenorphine can be used for the management of opioid withdrawal

Answer

Cannabis withdrawal is associated with minimal physical symptoms

Question 3

A patient with schizophrenia says, "Lord Hanuman was celibate, I am celibate too, so I am Lord Hanuman." Which thought abnormality is present in this patient?

Accepted Answer

Autistic thinking

Answer

Verbigeration

Answer

Neologism

Answer

Loosening of association

Question 4

Which of the following drugs are used in the management of acute mania?

Accepted Answer

1, 2 & 3 (Lithium, Valproate & Haloperidol)

Answer

Only 1 (Lithium)

Answer

1, 2 & 4 (Lithium, Valproate & Amitriptyline)

Answer

2 & 4 (Valproate & Amitriptyline)

Question 5

Which among the following psychoactive substances has antidepressant properties?

Accepted Answer

Ketamine

Answer

Cannabidiol

Answer

Mephedrone

Answer

Bupropion

INI-CET 2025 — Psychiatry