| Post Name | Assistant Professor in Psychiatry |
|---|---|
| Department | Medical Education |
| Question Paper Code | 067/2025/OL |
| Category Code | 716/2024 |
| Date of Test | 26 June 2025 |
| Exam Type | Online Examination |
| Total Questions | 100 |
1
Glial cells primarily involved in synaptic transmission are :
Answer
A. Astrocytes
2
The region of the prefrontal cortex involved in the manipulation of data during the working memory task is
Answer
A. Dorsolateral
3
Ligand-gated ion channels are the primary mechanism of signal transduction for
Answer
D. GABA
4
The FALSE statement about Neuropeptide Y (NPY) is :
Answer
C. Suicidal patients with depression have increased NPY levels in the frontal cortex
5
Anatomic connectivity between diļ¬erent brain areas is best studied by
Answer
C. Diļ¬usion Tensor Imaging
6
"Inside to outside" neurogenesis and neuronal migration are seen in
Answer
A. Neocortex
7
In the Hypothalamus, orexin-containing neurons are found in
Answer
C. lateral nucleus
8
The CORRECT statement about -rhythm in EEG is
Answer
B. Attenuated by eye opening
9
The best-documented eļ¬ect of endogeneous opioids is
Answer
B. Alleviating pain
10
Proinļ¬ammatory cytokines are all EXCEPT
Answer
B. Interleukin-2(IL-2)
11
The FALSE statement about the ICD-11 criteria of schizophrenia is :
Answer
D. There are subtypes of schizophrenia in ICD-11
12
The neurotransmitter system NOT linked to Psychosis is
Answer
B. Nor adrenaline
13
A FALSE statement about the use of the Positive and Negative Syndrome Scale (PANSS) is
Answer
D. A beginner can administer it without much training
14
The CORRECT statement regarding abnormalities in smooth pursuit eye movements and saccadic eye movement disinhibition in schizophrenia
Answer
B. Associated with activation of medial occipito-temporal cortex
15
The Calgary depression scale should be the ļ¬rst choice in the diagnosis and treatment of depression in schizophrenia, speciļ¬cally because
Answer
Question Cancelled
16
The following Copy Number Variation (CNV) locus has been identiļ¬ed to be associated with schizophrenia
Answer
D. Neurexin-1(NRXN1)
17
Regarding antipsychotic treatment in schizophrenia, the FALSE statement is
Answer
Question Cancelled
18
FALSE statement about clozapine treatment in schizophrenia
Answer
B. The Asian population may need a higher dose of clozapine
19
Which of the following factor is not a poor prognostic factor for bipolar disorder
Answer
C. Female gender
20
Which of the following is not a recommended ļ¬rst line pharmacologic treatment for acute mania
Answer
Question Cancelled
21
Which of the following is not a feature of a depressive episode that is more predictive of bipolar disorder?
Answer
D. High-density two-generation pedigrees
22
Low social dysfunction is a predictor of response to which therapy for depression
Answer
A. Interpersonal psychotherapy
23
Which among the following does not reļ¬ect the increase in nocturnal arousal in depression?
Answer
C. Decreased phasic rapid eye movement (REM) sleep
24
Life event most often associated with the development of depression is
Answer
A. Losing a parent before age 11 years
25
Aaron Beck postulated a cognitive triad of depression that consists of all of the following except
Answer
D. Views about family
26
Which of the following is not an element in the cognitive theory of depression?
Answer
C. General abstraction
27
Which anxiety disorder is equally prevalent in men and women?
Answer
B. Social anxiety disorder
28
Which of the following area is not implicated in both PET and fMRI studies of anxiety?
Answer
D. Dorsolateral prefrontal cortex
29
Which of the following is not an evidence-based recommended treatment for the monotherapy of generalised anxiety disorders either as ļ¬rst line or second line?
Answer
D. Moclobemide
30
Symptom speciļ¬ers for obsessive-compulsive disorder according to DSM 5 are all of the following, except
Answer
D. With partial insight
31
Which of the following is not a common comorbid psychiatric diagnosis in patients with OCD?
Answer
Question Cancelled
32
Which of the following is not a psychotherapeutic intervention in post traumatic stress disorder?
Answer
B. Interpersonal therapy
33
Which of the following is not a diļ¬erential diagnosis of post traumatic stress disorder?
Answer
B. Anxious avoidant personality disorder
34
A 7-year-old boy presents with persistent deļ¬ance, temper outbursts and intentionally annoying others. These behaviours have been ongoing for over 6 months and are signiļ¬cantly impacting his school and home life. Which of the following is the most likely diagnosis?
Answer
B. Oppositional Deļ¬ant Disorder (ODD)
35
In the context of childhood development, what is a key aspect of cognitive development during the concrete operational stage (roughly ages 7-11)?
Answer
C. Concrete logic
36
A 5-year-old child speaks only in 2-word phrases, avoids eye contact, and lines up toys repetitively. He does not respond to his name but enjoys spinning objects for long periods. The most likely diagnosis is
Answer
C. Autism Spectrum Disorder (ASD)
37
A 10-year-old girl has recurrent episodes of sudden, uncontrollable screaming and kicking lasting 10-20 minutes, often triggered by minor frustrations. During episodes, she is inconsolable and unaware of her surroundings but has no post-ictal confusion or incontinence. EEG and MRI are normal. The most probable diagnosis is
Answer
C. Disruptive Mood Dysregulation Disorder (DMDD)
38
A 78-year-old male with a known history of moderate Alzheimer's disease is brought to the emergency department by his family. They report a 2-day history of increased confusion, signiļ¬cant agitation, and stating he is seeing "people in his room" that others cannot see. He has been more restless than usual and has had diļ¬culty focusing on conversations. His vital signs are stable, but he appears visibly distressed. His current medications include donepezil and memantine Which of the following is the most appropriate initial step in managing this patient's acute change in mental status?
Answer
C. Conduct a thorough assessment to identify and treat potential underlying medical causes, including infection and metabolic disturbances
39
A 78-year-old woman with a history of well-controlled hypertension and mild osteoarthritis is brought by her daughter due to a sudden change in mental stage over the past 48 hours. She is disoriented to time and place, has ļ¬uctuating levels of alertness and is experiencing vivid visual hallucinations. Her physical exam is unremarkable except for mild tachycardia. Basic labs (CBC, CMP) are normal. Urinalysis shows 2+ leukocyte esterase and nitrites. What is the MOST likely diagnosis?
Answer
C. Delirium due to Urinary Tract Infection
40
A 75-year-old man with major depressive disorder and chronic kidney disease (eGFR : 30 mL/min) is being considered for an antidepressant. Which of the following is the safest ļ¬rst-line pharmacologic option?
Answer
C. Sertraline
41
Which of the following is a common barrier preventing women from seeking mental health treatment?
Answer
B. Stigma and fear of judgment
42
What factor is most likely to contribute to postpartum depression in women after childbirth?
Answer
B. Rapid hormonal changes
43
A 45-year old man reports loud snoring, frequent awakenings at night and excessive daytime sleepiness. His partner mentions he "stops breathing" during sleep. BMI is 32 kg/ and neck circumference is 42 cm. The most likely diagnosis is
Answer
B. Obstructive Sleep Apnoea (OSA)
44
A 60-year-old man complains of an "uncomfortable crawling sensation" in his legs at night, relieved only by walking. Symptoms worsen at rest and in the evening. Iron studies show serum ferritin of 18 ng/mL. The ļ¬rst-line treatment is
Answer
D. Iron supplementation
45
A 28-year-old male with a history of a generalized anxiety disorder (GAD) presents with persistent inability to maintain an erection suļ¬cient for sexual activity, despite normal morning erections and intact libido. He reports signiļ¬cant performance anxiety and avoids sexual encounters due to fear of failure. His symptoms began 6 months ago after a stressful work event. Physical exam and laboratory tests (including testosterone, prolactin, and fasting glucose) are unremarkable. Which of the following is the most appropriate next step in management?
Answer
C. Recommend cognitive-behavioural therapy
46
A 35-year-old female with panic disorder on sertraline 150 mg daily for 18 months reports complete absence of orgasm (anorgasmia) and reduced lubrication. Symptoms began 2 months after sertraline initiation. She uses cannabis weekly and cocaine occasionally. Physical exam, pelvic, ultrasound and labs (FSH, LH, prolactin) are normal. What is the most evidence-based management?
Answer
C. Recommend dose reduction to sertraline 50 mg daily
47
25-year-old male reports episodes of consuming large amounts of food in 2-hour periods, accompanied by a sense of loss of control. He feels guilty afterward but does not engage in vomiting, fasting, or excessive exercise. His BMI is 58 kg/ . What is the best diagnosis?
Answer
B. Binge Eating Disorder (BED)
48
Primary Somatoform Disorders are all of the following except
Answer
D. Facticious disorder
49
Common diļ¬erential diagnosis to be considered for conversion disorder
Answer
A. Multiple sclerosis
50
Commonest type of dissociative disorder is
Answer
B. Dissociative Amnesia
51
Somatic symptom and related disorders in DSM 5TR include all except
Answer
D. Body dysmorphic disorder
52
Somatic symptom disorder moderate has
Answer
B. Two or more of symptoms in criterion B fulļ¬lled
53
Reporting to the mental health review board within 72 hours is mandatory for
Answer
C. For children
54
Independent admission under MHCA 2017 comes under section
Answer
B. 86
55
POCSO Act was enacted by the Indian Government in
Answer
A. 2012
56
Three prominent statutory bodies under juvenile justice act are
Answer
D. All of the above
57
TORT is
Answer
D. All of the above
58
Potential fatal side eļ¬ect of antipsycotics
Answer
A. NMS
59
First line treatment option for depression
Answer
B. SSRI
60
Management of resistant schizophrenia
Answer
C. Clozapine
61
Becks cognitive triad consists of negetive views of
Answer
D. All of the above
62
Treatment of option in borderline personality disorder with self injurious behaviour
Answer
C. Dialectical therapy
63
The drug that increase siezure threshold during ECT
Answer
D. All of the above
64
Missed siezure can be due to
Answer
D. All of the above
65
Absolute contra indication for ECT
Answer
D. None of the above
66
The practice of blending ideas or techniques from various schools of psychological thought in order to provide more multifaceted, targeted treatment for patients is called
Answer
B. Eclecticism
67
Which of the following statement(s) is/are correct? (a) Avatar therapy is a form of psychotherapy for addressing auditory hallucinations (b) Mindfulness approach is used to address 'voices' in patients with psychosis (c) Acceptance and commitment therapy can be used to manage psychotic symptoms
Answer
C. All of the above (a, b, and c)
68
All of the following are true about Good Psychiatric Management (GPM) except
Answer
D. GPM approach cannot be applied in the emergency department settings
69
All of the following are considered as 'third wave' behavior therapy strategies except
Answer
B. Self-control approaches
70
Which of the following statement(s) is/are correct? w. Exposure and response prevention is used to treat OCD x. Socratic questioning of cognition and motivational interviewing are motivational techniques to engage in therapy y. listening to music, physical contact with pets and walking in nature are self- soothing activities to regulate emotional arousal. z. Role play is used in assertiveness training
Answer
D. all of the above w, x, y and z
71
Which of the following statement(s) is/are correct?
Answer
D. All of the above
72
A middle-aged man with alcohol dependence and diabetes mellitus was brought to the emergency department with 3 days history of fever, reduced food intake and sudden onset of confused behavior and diļ¬culty in walking. On examination his temperature was 100ĀŗC, pulse rate was 98/mt. he appeared tremulous, drowsy and disoriented. What are the probable diļ¬erential diagnoses in this patient?
Answer
D. All of the above
73
A 40 years old man was bought to the psychiatric emergency services as he was threatening to kill his wife and himself. He was carrying a knife in his hand. What shall be the order of priorities in your psychiatric management in this situation? x. Ensure a safe environment for clinical evaluation y. Rule out a medical etiology for the behavior z. A comprehensive psychiatric evaluation and appropriate treatment
Answer
C. [x, y, z]
74
Altruism, abstraction and deductive reasoning will develop in a normal child by
Answer
C. 11-14 years
75
Signiļ¬cant contribution to the study of temperament in children was provided by
Answer
A. Stella-Chess and Alexander Thomas
76
All of the following are projective tests except
Answer
C. Stanford-Binet test
77
Which of the following statement(s) is/are correct regarding Koro? x. It is a prior disease y. Patient becomes acutely anxious that the penis is shrinking into his abdomen z. It is very common in Papua, New Guinea
Answer
B. (y) only
78
Accurate comprehension of death requires the mastery of which of the following concepts?
Answer
D. All of the above
79
Erik H Erikson authored all of the following works except
Answer
B. Man's search for meaning
80
According to the ļ¬ve factor model of personality, the deļ¬ning traits of conscientiousness include all of the following except
Answer
D. Assertiveness
81
A 35 years old man with recent onset behavioral problems was brought to the emergency department with sudden onset of severe headache and irrelevant talk. What would be the brain imaging of choice as a primary investigation?
Answer
A. CT scan head - plain
82
Provision of Psychosocial First Aid (PSFA) during times of disaster management shall involve which of the following
Answer
D. All of the above
83
Which metabolic disturbance is least likely to cause delirium?
Answer
D. Hypokalemia
84
Which inļ¬ammatory marker is most consistently elevated in patients with delirium?
Answer
B. Interleukin-6 (IL-6)
85
Which of the following clinical features, if present early and prominently, argues against a diagnosis of Dementia with Lewy Bodies (DLB) according to the consensus criteria?
Answer
C. Prominent memory impairment
86
Which of the following CSF biomakers is most consistent with a diagnosis of Alzheimer's disease?
Answer
B. Decreased A 42, increased total tau and phosphorylated tau
87
A patient with bilateral hippocampal damage will most likely show which of the following?
Answer
C. Profound anterograde amnesia
88
Which of the following substances is most commonly associated with causing persistent psychosis even after cessation of use?
Answer
B. Cannabis
89
Which of the following genetic variants is most strongly associated with a protective eļ¬ect against developing alcohol use disorder due to accumulation of acetaldehyde?
Answer
C. ALDH22
90
According to ICD-11, how is a personality disorder primarily classiļ¬ed?
Answer
B. Based on severity and prominent trait domains
91
According to the Global Burden of Disease Study (GBD), which of the following psychiatric disorders is responsible for the highest number of years lived with disability (YLDs) worldwide?
Answer
C. Major depressive disorder
92
Which of the following psychiatric disorders has the highest lifetime prevalence in the general adult population?
Answer
C. Major depressive disorder
93
Which of the following psychiatric disorders is more commonly diagnosed in females than in males?
Answer
C. Major depressive disorder
94
Which of the following is NOT a component of the District Mental Health Programme (DMHP) in India?
Answer
C. Establishment of psychiatric hospitals in each district
95
According to the National Mental Health Survey (NMHS) 2015-16, what is the lifetime prevalence of any mental illness in India?
Answer
Question Cancelled
96
The National Mental Health Programme (NMHP) in India was launched in which year?
Answer
B. 1982
97
In hypothesis testing, a Type I error refers to
Answer
B. Rejecting the null hypothesis when it is true
98
Which of the following is most appropriate to measure the association between exposure and outcome in a cohort study?
Answer
C. Relative Risk
99
What is the primary goal of psychiatric rehabilitation?
Answer
C. Promoting maximum functioning and reintegration into society
100
Which of the following NGOs in India is well known for its community- based psychiatric rehabilitation and women-centered mental health services?
Answer
B. The Banyan
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