General Adult 1
All of the following are recognized treatment options for restless legs syndrome except
A. Levodopa
B. Pergolide
C. Pramipexole
D. Amitriptyline
E. Clonazepam
D. Amitriptyline
The lorazepam challenge test is used in the diagnosis of
Dissociativeamnesia
Transient global amnesia
Catatonia
Panicdisorder
Endogenous depression
Catatonia
Which of the following is true with regard to the association between schizophrenia and recorded crime rates?
The risk is increased for non-violent crimes only
The risk is increased for violent but not non-violent crimes
The risk of crime is increased for narrow diagnosis of schizophrenia rather than broad diagnosis of psychosis
The association is seen only for less serious violent acts
The risk is highest for violent crimes for both narrowly defined schizophrenia and broadly defined psychosis
The risk is highest for violent crimes for both narrowly defined schizophrenia and broadly defined psychosis
The most powerful predictor of overall functional outcome in children with autism is given by
Family history of autism
Autistic symptom count
Presence of soft neurological signs
IQlevel
Non-verbal skills
IQlevel
The Hachinski Ischaemic Score is used to aid clinical differentiation of Alzheimer’s dementia from vascular dementia.Which of the following clinical features support a diagnosis of Alzheimer’s dementia rather than vascular dementia?
Stepwiseprogression
Fluctuating course
Abrupt onset
Early change in personality
Nocturnal confusion
Early change in personality
All of the following are sleep changes associated with depression except
Reduced REM latency
Reduced REM density
Increased duration of first REM period
Low arousal threshold
Reduced stage 3 and 4 sleep
Reduced REM density
Which of the following laboratory abnormalities is associated with malignant catatonia?
High serum magnesium
Low serum iron
Low liver enzymes
High serum amylase
Low creatinine phosphokinase
Low serum iron
All of the following factors are significantly associated with increased risk of violence among those with schizophrenia except
Comorbid substance use
Comorbid personality disorder
Acute psychotic symptoms
Non-compliance with treatment
Comorbid depression
Comorbid depression
All of the following are features of Down’s syndrome except
Increased cardiac mortality and morbidity
Lax ligaments
Wide gap between first and second toes
Increased incidence of leukaemia
Delayed puberty
Delayed puberty
Schizophrenia-like psychosis is a prominent feature of which of the following dementing illnesses?
Pick’s disease
Creutzfeldt–Jakob disease (CJD)
Vascular dementia
Huntington’s dementia
Lewy body dementia
Huntington’sdementia
A 60-year-old man has episodes of disturbed sleep. He experiences unusual movements associated with singing and talking to unseen people during some of these episodes. He recalls vivid dreams when he wakes up.The most appropriate diagnosis would be
Sleep-walking
Sleep terrors
REM sleep behavioural disorder
Periodic limb movement disorder
Restless legs syndrome
REM sleep behavioural disorder
Which of the following antidepressants has been found to be as lethal as tricyclic antidepressants (TCAs) in cases of overdose?
A. Citalopram
B. Mirtazapine
C. Venlafaxine
D. Moclobemide
E. Escitalopram
C. Venlafaxine
Which of the following is true about the epidemiology of violence in schizophrenia?
Most offenders with schizophrenia offend for the first time after the onset of illness
Most offenders with schizophrenia have delusions directly relevant to violence
Most offenders with schizophrenia do not have substance use problems
Most offenders with schizophrenia do not reoffend if the illness is diagnosed
The risk factors increasing violence is similar in both schizophrenia and non-schizophrenia populations
The risk factors increasing violence is similar in both schizophrenia and non-schizophrenia populations
All of the following are true with regard to foetal alcohol syndrome except
Decreased cranial size at birth
Agenesis of the corpus callosum
Neurosensory hearing loss
Poor eye–hand coordination
Congenital cataract
Congenital cataract
A 78-year-old man is treated with diazepam by his general practitioner for disabling anxiety related to a recent bereavement.The half-life of diazepam is most likely to be increased in this man due to
Increase in intestinal absorption
Increase in oral bioavailability
Increase in plasma protein binding
Increase in volume of distribution
Decrease in renal elimination
Increase in volume of distribution (increased fat)
Which of the following instruments is validated for predictive screening for chronic post-traumatic stress disorder (PTSD) in those who are exposed to traumatic events?
Holmes and Rahe Social Adjustment scale
Life Events and Difficulties Scale
Trauma Screening Questionnaire
Appraisal of Life Events Scale
Abbreviated Injury Scale
Trauma Screening Questionnaire
The number of patients who die from hypertensive crises (including fatal ‘cheese reaction’) when monoamine oxidase inhibitors such as tranylcypromine are prescribed is approximately
1 in 1000 patients
1 in 100 patients
1 in 10 000 patients
1 in 100 000 patients
1 in 10 patients
1 in 100 000 patients
The amount of societal violence rate that can be ascribed to psychiatric illness is
1 in 10
1 in 20
1 in 5
1 in 2
1 in 100
1 in 20
The most common known inherited cause of learning disability is
Down’s syndrome
Fragile X syndrome
Cri du chat syndrome
Galactosaemia
Hypothyroidism
Fragile X syndrome
Which of the following scales can be used to record the behavioural and psychological features associated with dementia in elderly people?
Neuropsychiatric inventory
Schedule for clinical assessment in neuropsychiatry
Bristol scale
Cornellscale
Abbreviated mental test
Neuropsychiatric inventory
Which of the following is true with regard to lithium toxicity?
Severity is highly correlated with serum levels
Neurotoxicity occurs only above therapeutic serum levels
Fine tremor is a sign of toxicity
Lithium levels often rise even after cessation of treatment
Most patients are left with some residual neurological damage
Lithium levels often rise even after cessation of treatment
Which of the following antidepressants demonstrate the highest affinity for muscarinic acetylcholine receptors of the human brain?
A. Amitriptyline
B. Clomipramine
C. Amoxapine
D. Trazodone
E. Desipramine
A. Amitriptyline
The term filicide refers to
Killing of father by son
Killing of a sister by another
Killing of husband by wife
Killing of a child by mother
Killing of a parent by child
Killing of a child by mother
BTW:
Patricide refers to the act of killing one’s father.
Sororicide is the act of killing one’s sister.
Matricide is the killing of one’s mother
mariticide is killing of one’s spouse.
Fraternicide refers to killing one’s brother.
Which of the following groups of school children develops a higher prevalence of psychopathology as adults than the others listed?
Victims of bullying
Perpetrators of bullying
Children who do not bully and are not victimized by others
Children who frequently bully others and get victimized by others
Children who report bullying to teachers and authorities
Children who frequently bully others and get victimized by others
The average annual decline on the MMSE scores for patients with a natural course of Alzheimer’s dementia is
1–2points/year
3–4 points/year
5–6 points/year
7–9points/year
9–11 points/year
3–4 points/year