Common Psychiatry Objective Type Questions And Answers

16-An 85-year-old lady with advanced Alzheimers dementia inhaled a foreign body. A bronchoscopy is proposed. Which of the following apply with regard to obtaining consent for the procedure: 
1) psychogeriatric opinion is needed before consent can be obtained
2) If the mini mental score is above 20/30, consent can be taken from patient
3) The procedure does not require a written consent
4) Relatives/next of kin will have to consent the patient
5) The doctor will be able to consent for the patient
Answers-3

17-A 50-year-old male with a history of alcohol excess, presents with a 2 week history of confusion. Which of the following strongly suggests a diagnosis of Korsakoff's psychosis?
1) delusional jealous beliefs
2) epileptic seizures
3) impaired long term memory
4) inventing recent events
5) visual hallucinations
Answers-4

18-A 27-year-old female presents with persistent fatigue, myalgia, poor concentration and irritability following a flu like illness 18 months previously. A diagnosis of chronic fatigue syndrome is made. What is the appropriate initial management of this patient?
1) Antidepressants
2) Cognitive behavioural therapy
3) ECT
4) Reversion therapy
5) Psychoanalysis
Answer-2

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Psychiatry Multiple Choice Questions And Answers

11- A 17 year old female is referred with a six month history of amenorrhoea and weight loss, for which no organic cause can be found. Which of the following features would support a diagnosis of anorexia nervosa?
1) Delusions of poisoning
2) Hypetrichosis
3) Hypergonadotrophic hypogonadism
4) Delsuion of being overweight
5) Watery diarrhoea
Answers-4

12- Characteristic features of schizophrenia include:
1) incongruity of affect
2) auditory hallucinations with clouding of consciousness
3) memory impairment
4) feelings of panic in buses and shops
5) grandiose
Answers-1

13- A 63-year-old man was found collapsed. A Department of Psychiatry outpatient Card was found in his jacket, together with a bottle of procyclidine tablets. He was febrile (38.2°C), conscious but unresponsive to commands. The blood pressure was 160/105 mmHg and there was marked muscle rigidity. What is the most likely diagnosis?
1) acute catatonic schizophrenia
2) bacterial meningitis
3) cerebral malaria
4) neuroleptic malignant syndrome
5) procyclidine overdose
Answers-4

14- Which of the following is true regarding Depersonalisation Syndrome?
1) precedes the onset of schizophrenia
2) is a feeling that other people have changed
3) is associated with depression
4) is an indication for Electrocunvulsive Therapy (ECT)
5) characteristically precedes derealisation
Answers-3

15- Regarding puerperal psychosis which of the following statements are true?
1) usually begins after the second week of the puerperium
2) often takes the form of schizophrenia
3) recurrence of perperal psychosis in subsequent pregnancies is the rule
4) the onset is usually insidious
5) the prognosis is usually good
Answers-5

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Psychiatry Objective Type Questions And Answers

6- A 22 year old woman complains of haemoptysis, abdominal pains and pyrexia for a month.
She is admitted to hospital and found to be apyrexial and not distressed.
There are numerous crusted, linear lesions on her forearms. What is the most likely diagnosis?
1) Acute intermittent Porphyria
2) Factitious disorder
3) Systemic lupus erythematosus
4) TB
5) Wegener's granulomatosis
Answers-2

7- A 52-year-old male is admitted after taking an overdose. Which single feature best suggests a high risk of future suicide?
1) Making plans before the overdose to avoid discovery
2) Ingestion of alcohol with the overdose drug
3) Ingestion of more than one drug
4) Ingestion of more than 100 tablets
5) Previous history of overdose
Answers-1

8- A student is worried that she may not be able to take her final University examinations in three months time because she says she becomes faint and dizzy when she does examinations. What is the most appropriate course of action?
1) Advise her to withdraw from examinations on medical grounds
2) 24 hour ECG monitoring
3) Arrange counselling, with relaxation training
4) Prescribe diazepam
5) Prescribe fluoxetine
Answers-3

9- An 18 year old man had repeated episodes of breathlessness and palpitations, lasting about 20 minutes and resolving gradually. There were no abnormal physical signs. What is the most likely cause of these features?
1) Drug abuse
2) Panic disorder
3) Paroxysmal supraventricular tachycardia
4) Personality disorder
5) Thyrotoxicosis
Answers-2

10- Which of the following features is characteristic of early Alzheimer's disease?
1) ataxic gait
2) impaired short term memory
3) myoclonic jerks
4) urinary incontinence
5) visual hallucinations
Answers-2

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18 Top Psychiatry Objective Type Questions And Answers

1- In obsessional neurosis:
1) patients have good insight
2) patients often act on their aggressive impulses
3) Low intelligence is a common feature
4) the onset is usually after the age of 50 years
5) there is often a history of faulty toilet training
Answers-1

2- A 70-year-old woman presented with episodic impairment of consciousness.
Which of the following is the most likely cause?
1) Alzheimer type dementia
2) chronic sub-dural haematoma
3) Creutzfeldt-Jacob disease
4) depressive stupor
5) normal pressure hydrocephalus
Answers-2

3- A 21 year old woman is known to suffer from anorexia nervosa. Which of the following metabolic disturbances would be a characteristic finding?
1) a decrease in Cortisol levels
2) an increase in LH levels
3) hyperkalaemia
4) impaired glucose tolerance
5) raised androgen levels
Answers-4

4- Which of the following is a characteristic feature of transient global amnesia?
1) Alkaptonuria
2) Cystinuria
3) Glycogen storage disease
4) Lactose intolerance
5) Maple syrup urine disease
Answers-5

5- Psychiatric illness rather than an organic brain disorder is suggested by:
1) Onset for the first time at the age of 55 years
2) A family history of major psychiatric illness
3) Impaired short term memory
4) No previous history of psychiatric illness
5) Clouding of conciousness
Answers-2


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