Assistant Professor in Psychiatry (NCA- Viswakarma) Question Paper and Answer Key

Question Paper Code: 41/2024/OL
Category Code: 359/2023
Exam: Assistant Professor in Psychiatry (NCA- Viswakarma)
Date of Test 06-04-2024
Department Medical Education

Question1:-The suprachiasmatic nucleus is influenced by activity, light and which one of the following neurotransmitters ?
        Correct Answer:- Option-B

Question2:-Which one of the following does not belong to the negative symptom domain ?
        A:-labile affect
        Correct Answer:- Option-A

Question3:-Lesions of which of the following lobe is infamous for causing disinhibited behavior ?
        A:-Frontal lobes
        B:-Temporal lobes
        C:-Occipital lobes
        D:-Parietal lobes
        Correct Answer:- Option-A

Question4:-Delusion is a disorder of
        D:-None of the above
        Correct Answer:- Option-A

Question5:-Which of the following is a gold standard for the assessment of delirium ?
        A:-Mania rating scale
        B:-Patient health questionnaire
        C:-Clinical evaluation
        D:-Clock drawing test
        Correct Answer:- Option-C

Question6:-Which of the following is not a component of the reward circuit ?
        A:-Ventral tegmental area
        B:-Prefrontal cortex
        D:-Occipital lobe
        Correct Answer:- Option-D

Question7:-By making a patient stand with eyes shut and hands outstretched, one can check
        A:-Temporal lobe function
        B:-Occipital lobe function
        C:-Frontal lobe function
        D:-Cerebellar function
        Correct Answer:- Option-D

Question8:-Which of the following suggests an illusion ?
        A:-Occurs in the presence of an external stimulus
        B:-Disorder of thinking
        C:-Disorder of memory
        D:-Diagnostic of Schizophrenia
        Correct Answer:- Option-A

Question9:-A 32 years of male patient, amidst conversation uses a term "dipediculoperibronchomatosis". The doctor could not understand it. When asked, the man replies that he used the word to refer to numbness in his legs. Which of the following terms represents this phenomenon ?
        B:-Sense of presence
        Correct Answer:- Option-C

Question10:-Which is true about GABA ?
        A:-Refers to Gamma Acetylbutyric acid
        B:-Is a cannabinoid neurotransmitter
        C:-It is an inhibitory neurotransmitter
        D:-Plays a major role in encoding memory
        Correct Answer:- Option-C

Question11:-Which of the following is the least indication for hospitalization in Schizophrenia ?
        A:-Diagnostic clarification
        B:-Stabilization of medication
        C:-Patient's safety purposes
        D:-For educating the patient
        Correct Answer:- Option-D

Question12:-Which one of the following is not a poor prognostic factor for Schizophrenia ?
        A:-Insidious onset
        B:-Late onset
        C:-Poor premorbid functioning
        D:-Cognitive impairment
        Correct Answer:- Option-B

Question13:-A 20 year old man was recently diagnosed with schizophrenia. He has a body mass index of 30, fasting triglycerides of 250 mg/dL and fasting glucose of
200 mg/dL. Which of the following is least likely to worsen his metabolic profile ?
        Correct Answer:- Option-D

Question14:-A patient with schizophrenia has been stabilized on medication but is complaining that he is so tired and sleepy all the time that he no longer wants to
take it. Which of the following switching options might be the least likely to cause sedation ?
        Correct Answer:- Option-A

Question15:-A 16 year old female is brought to the hospital by her mother because she is complaining that her neighbours spy on her and submit their observations to
the government. After evaluation she is diagnosed with schizophrenia and prescribed respiratory dome. Which of the following is the appropriate target therapeutic dose for this patient ?
        A:-0.5 mg/day
        B:-3 mg/day
        C:-6 mg/day
        D:-12 mg/day
        Correct Answer:- Option-B

Question16:-Which of the following is a negative symptom ?
        A:-Patient complaining of hearing voices
        B:-Patient complaining of seeing dark shadows
        C:-Patient withdrawing from social activities
        D:-Patient showing emotional lability
        Correct Answer:- Option-C

Question17:-Which of the following is considered a typical antipsychotic ?
        Correct Answer:- Option-B

Question18:-Which of the following statements is true about delusional disorder ?
        A:-One or more delusions of at least 1 month duration which cannot be attributed to other psychiatric disorders
        B:-Patients with grandiose and jealous delusions have relative poor prognosis
        C:-Delusions are often bizarre
        D:-Patients moods are consistent with the content of their delusions
        Correct Answer:- Option-C

Question19:-Factors increasing the risk of recurrence of bipolar disorder during pregnancy include all except
        A:-Late age of onset of illnesses
        B:-Abrupt discontinuation of treatment
        C:-Personal history of perinatal affective episodes
        D:-Family history of perinatal affective episodes
        Correct Answer:- Option-A

Question20:-Which of the following is not a feature of disruptive mood dysregulation disorder ?
        A:-Severe recurrent temper outbursts manifested verbally or behaviorally that are grossly out of proportion in intensity or duration to teh situation or provocation
        B:-The temper outbursts are consistent with developmental level
        C:-The temper outbursts occur, on average, three or more times per week
        D:-The mood between temper outbursts is persistently irritable or angry most of the day, nearly every day and the observable by others
        Correct Answer:- Option-B

Question21:-Amitriptyline belongs to which of the following group of antidepressants ?
        Correct Answer:- Option-C

Question22:-Martin Seligman's theory of depression proposed that life experiences could give rise to a cognitive set termed
        B:-Negative theory
        C:-Learned helplessness
        D:-Attribution theory
        Correct Answer:- Option-C

Question23:-Which of the following is not an antidepressant ?
        Correct Answer:- Option-D

Question24:-Mr. K, a 30-year-old medical postgraduate student had extracurricular interests in bike riding and writing. He had broken relationship with his girlfriend.
Three months later he lost interest in his hobbies and was convinced that he won't be able to function in the society. He thought life was not worth living and
consumed 80 tablets of phenobarbitone to end his life. He is most likely suffering from
        A:-Adjustment disorder
        B:-Depressive disorder
        C:-Post-traumatic stress disorder
        Correct Answer:- Option-B

Question25:-A 60-year-old man is brought with complaints that he has become increasingly irritable, sleepless, has started spending large amounts of money and
shows increased sexual behavior. The most probable mental health cause would be
        B:-Psychosexual developmental disorder
        C:-Impulse control disorder
        D:-Obsessive compulsive disorder
        Correct Answer:- Option-A

Question26:-A 40-year-old female presence with not having any interest in anything, initialistic attitude, ideas of hopelessness and a sad appearance with suicidal ideas and plants. The most appropriate management is
        B:-Behavior therapy
        Correct Answer:- Option-C

Question27:-Xenophobia refers to a phobia in which there is
        A:-Fear of heights
        B:-Fear of strangers
        C:-Fear of spiders
        D:-Fear of oceans
        Correct Answer:- Option-B

Question28:-State which of the following statements are true ?
i. SSRIs are first-line agents in treating anxiety disorders.
ii. Long-term use of benzodiazepine monotherapy is needed for anxiety disorders.
iii. There is strong evidence for the use of antipsychotics in anxiety disorders.
iv. CBT is effective in all anxiety disorders.
        A:-i, ii and iii
        B:-i, ii and iv
        C:-i and iv
        D:-i, ii, iii and iv
        Correct Answer:- Option-C

Question29:-Which is the brain nucleus, which plays a critical role in forming conditioned fear associations and in organizing fear response ?
        B:-Septal nucleus
        C:-Nucleus accumbens
        D:-Nucleus Basalis of Meynert
        Correct Answer:- Option-A

Question30:-Which of the following statements are true ?
        A:-Functional neuroimaging studies have shown increased activity in the cortico-striato-thalamo-cortical tracts in Obsessive Compulsive Disorder
        B:-Clomipramine is the most potent tricyclic/tetracyclic agent against OCD
        C:-Tourette's syndrome is frequently seen comorbidly with OCD
        D:-All of the above
        Correct Answer:- Option-D

Question31:-Which is not a component of Habit reversal training ?
        A:-Awareness training
        B:-Competing response training
        C:-Social support
        D:-Training in progressive muscle relaxation
        Correct Answer:- Option-D

Question32:-Features of PTSD include all except
        A:-Reliving experiences
        B:-Avoidance of reminders
        D:-None of the above
        Correct Answer:- Option-C

Question33:-EMDR is
        A:-Eye Movement Deprocessing and Resensitization
        B:-Eye Movement Desensitization and Reprocessing
        C:-Ego Management Deprocessing and Resensititzation
        D:-Ego Management Desensitization and Reprocessing
        Correct Answer:- Option-B

Question34:-Which of the following scales are not notified in the Procedure Guidelines of RPWD Act for assessment of Intellectual Disability ?
        A:-Binet Kamat Test
        B:-Vineland Social Maturity Scale
        C:-Malin's Intelligence Scale for Indian Children
        D:-Bhatia Battery Test of Intelligence
        Correct Answer:- Option-D

Question35:-Non-stimulant medications used in the treatment of ADHD include :
i.   Atomoxetine
ii. Dexmethylphenidate
iii. Clonidine
iv. Bupropion
        A:-ii, iii, iv
        B:-i, ii, iii
        C:-i, iii, iv
        D:-i, iii
        Correct Answer:- Option-C

Question36:-Heller's syndrome is a pervasive developmental disorder
        A:-seen only in girls
        B:-with regression after 2 years of normal development
        C:-with no delay in language development
        D:-with no stereotypies
        Correct Answer:- Option-B

Question37:-The cognitive domain which is not affected in neurocognitive disorder is
        A:-Executive function
        B:-Perceptuo-motor function
        C:-Social cognition
        D:-None of the above
        Correct Answer:- Option-D

Question38:-Regarding immunomodulators used for dementia, which is the false statement ?
i. Aducanumab and lecanemab have been approved for treatment of early dementia
ii. They are effective in causing significant slowing of cognitive decline
iii. They cause adverse events like altered sensorium, headache, seizures, etc.
iv. They halt the disease progression
        A:-i, ii, iii
        B:-i, iii
        C:-all of the above
        D:-none of the above
        Correct Answer:- Option-A

Question39:-Spot the false statement
        A:-Somatic complaints are seen more frequently in elderly with depression
        B:-Elderly persons have a lower risk of suicide
        C:-Primary insomnia is more common among older adults
        D:-Many medications used in older adults can cause psychiatric symptoms
        Correct Answer:- Option-B

Question40:-Which is true regarding premenstrual dysphoric disorder ?
        A:-Onset within a few days before the onset of menses
        B:-Lasts for two weeks after menses
        C:-Feelings of euphoria
        D:-Breast tenderness, bloating and weight gain may be seen
        Correct Answer:- Option-D

Question41:-Match the following.
i.   Postpartum depression                
ii. Postpartum blues                        
iii. Postpartum psychosis                 
iv. With postpartum onset                
a. Seen in 30-75% postpartum women
b. Risk of suicide and infanticide high
 c. Onset within 4-6 weeks of delivery
d. Feelings of inadequacy and guilt
        A:-i-c, ii-d, iii-a, iv-b
        B:-i-b, ii-c, iii-a, iv-d
        C:-i-d, ii-a, iii-b, iv-c
        D:-i-b, ii-a, iii-d, iv-c
        Correct Answer:- Option-C

Question42:-REM sleep behaviour disorder is a feature suggestive of which condition ?
        A:-Alzheimer's disease
        B:-Pick's disease
        C:-Creutzfeldt Jakob disease
        D:-Lewy Body disease
        Correct Answer:- Option-D

Question43:-Stimulus control therapy involves the following steps except
        A:-Go to bed only when sleepy
        B:-Use the bed only for sleeping
        C:-Even if unable to sleep, do not leave the bed
        D:-Awaken at the same time every morning regardless of total sleep time
        Correct Answer:- Option-C

Question44:-Which of the following medicines can cause priapism ?
        Correct Answer:- Option-B

Question45:-Match the following :
i.    Sexual dysfunction in couples                   
ii.   Vaginismus                                             
iii. Premature ejaculation                              
iv. Female orgasmic disorder                        
a.   Squeeze technique
b.   Masturbation
c.   Sensate focus therapy
d.   Dilators
        A:-i-c, ii-d, iii-a, iv-b
        B:-i-b, ii-c, iii-d, iv-a
        C:-i-d, ii-a, iii-b, iv-c
        D:-i-a, ii-c, iii-d, iv-b
        Correct Answer:- Option-A

Question46:-Regarding lab investigations in anorexia nervosa, all are true except
        A:-Leukopenia with relative lymphocytosis
        B:-hyperkalemic alkalosis in binge-eating, purging type
        C:-hypotension and bradycardia with ST segment and T-wave changes in ECG
        D:-mild hypothyroidism
        Correct Answer:- Option-B

Question47:-In DSM-5, which is not included as a codable dissociative disorder ?
        A:-Dissociative fugue
        B:-Dissociative amnesia
        C:-Dissociative identity disorder
        D:-Depersonalization/derealization disorder
        Correct Answer:- Option-A

Question48:-Dissociative convulsions are coded in ICD-11 under
        A:-Functional neurological symptom disorder
        B:-Conversion disorder
        C:-Dissociative neurological symptom disorder
        D:-Depersonalization/derealization disorder
        Correct Answer:- Option-C

Question49:-Somatoform disorders are included in ICD-11 as
        A:-Illness anxiety disorder
        B:-Bodily distress disorder
        C:-Somatic symptom disorder
        D:-Body dysmorphic disorder
        Correct Answer:- Option-B

Question50:-Management of somatic symptom disorder includes all except
        A:-Group psychotherapy
        C:-Frequent, regular physical examination
        D:-Treat incidental physical examination findings
        Correct Answer:- Option-D

Question51:-Issues in the management of psychosomatic disorders include
        A:-Potential drug-drug interactions of psychotropic agent
        B:-Contraindications for use of psychotropic agents
        C:-Side effects of psychotropic agents
        D:-All of the above
        Correct Answer:- Option-D

Question52:-Teratogenic effect of Lithium
        A:-Cleft lip
        B:-Spina bifida
        C:-Ebstein's anomaly
        Correct Answer:- Option-C

Question53:-Psychoanalysis online written by
        B:-Jill Savege
        D:-None of the above
        Correct Answer:- Option-B

Question54:-Indications for family and couple therapy are
        A:-When problems exist across generational boundaries
        B:-at significant times of families life cycle
        C:-when a couple asks for therapy
        D:-all of the above
        Correct Answer:- Option-D

Question55:-Dialectilcal behavioral therapy developed by
        B:-Eric Berkne
        D:-Marsha Linehan
        Correct Answer:- Option-D

Question56:-Selection criteria for STAPP
        A:-Presence of circumscribed chief complaint
        B:-Evidence of a meaningful relationship in childhood
        C:-Motivation for change
        D:-All of the above
        Correct Answer:- Option-D

Question57:-Guided imagery therapy was systematized by
        A:-Carl Jung
        B:-Johannes Heinrich
        C:-Hanscarl Leuner
        D:-Ken Wilber
        Correct Answer:- Option-C

Question58:-Objectives for emergency intervention are
        A:-To safeguard life of the patient
        B:-To reduce the anxiety of patient and family members
        C:-To enhance emotional security of others in the environment
        D:-All of the above
        Correct Answer:- Option-D

Question59:-Which of the following is not a psychiatric emergency ?
        A:-Violence or excitement
        B:-Drug withdrawal
        C:-Suicide attempt
        D:-Severe depression
        Correct Answer:- Option-D

Question60:-Differential diagnosis of violent behavior include
        A:-Cerebral infection
        B:-Electrolyte imbalance
        C:-Antisocial personality disorder
        D:-All of the above
        Correct Answer:- Option-D

Question61:-The single most predictive factor for elder abuse
        A:-Alcohol abuse by caretaker
        B:-Financial dependency
        C:-Social isolation
        D:-Inexperience in care giving
        Correct Answer:- Option-A

Question62:-Which among the following is not a hallucinogen ?
        Correct Answer:- Option-C

Question63:-Consent - all are true except
        A:-is entirely voluntarily given
        B:-patient can withdraw consent at any stage
        C:-withdrawal of consent will affect the interest of the patient
        D:-the only exception to treating without consent will be in an emergency situation
        Correct Answer:- Option-C

Question64:-Rights of persons with mental illness include
        A:-right to access mental health care
        B:-right to confidentiality
        C:-right to legal aid
        D:-all of the above
        Correct Answer:- Option-D

Question65:-Declaration of Helinski-all are true except
        A:-guidelines on research involving human subjects
        B:-developed by WHO
        C:-it declares that the physician will act in the patient's best interest when providing medical care
        D:-Primary goal of generating new knowledge can never take precedence over rights and interests of individual research subjects.
        Correct Answer:- Option-B

Question66:-Grounds available for nullity of marriage in Hindu Marriage Act are
        D:-all of the above
        Correct Answer:- Option-D

Question67:-Salient features of RPWD 2016 are
        A:-greater number of disabilities recognized
        B:-clearer definitions
        C:-assessment of disability and certification
        D:-all of the above
        Correct Answer:- Option-D

Question68:-Disorders currently under clinical trial assessing the benefits of Psilocybin are all except
        A:-Major depressive disorder
        B:-Tobacco use disorder
        C:-Bipolar disorder
        D:-Chronic pain
        Correct Answer:- Option-C

Question69:-All are true in the management of neuropsychological sequelae of head injury except
        A:-Doses of psychotropics should be prudently increased
        B:-ECT is contra indicated
        C:-Pathological emotions respond to SSRIs
        D:-Secondary mania is treated with mood stabilizers
        Correct Answer:- Option-B

Question70:-Anticraving drug that can be given for hepatically compromised alcohol dependent patients is
        Correct Answer:- Option-A

Question71:-Maximum does of aripiprazole depot
        A:-100 mg/month
        B:-200 mg/month
        C:-300 mg/month
        D:-400 mg/month
        Correct Answer:- Option-D

Question72:-All are anti epileptics except
        Correct Answer:- Option-C

Question73:-Types of TMS are all except
        A:-repetitive TMS
        B:-patterned Rtms
        C:-paired pulse intra cortical
        D:-all of the above
        Correct Answer:- Option-D

Question74:-Absolute contraindication for ECT
        B:-raised ICT
        C:-recent MI
        D:-none of the above
        Correct Answer:- Option-D

Question75:-Pharmacotherapy of resistant OCD include
        C:-augmentation with lithium
        D:-all of the above
        Correct Answer:- Option-D

Question76:-Mini Mental Status examination was created by
        A:-Marshal Folstein
        B:-Andre Rey
        C:-Paul-Alexandre Osterrieth
        D:-Edith Mayer Taylor
        Correct Answer:- Option-A

Question77:-Which is NOT a component of tetrad of symptoms in Gerstmanns syndrome ?
        A:-Left right disorientation
        C:-Finger agnosia
        D:-Emotional lability
        Correct Answer:- Option-D

Question78:-DBT was developed by Marsha Linehan for
        A:-Borderline personality disorder
        B:-Bipolar disorder
        Correct Answer:- Option-A

Question79:-Anaclitic depression was described by
        A:-Rene Spitz
        B:-Rene Decartes
        C:-Aaron Beck
        D:-Albert Ellis
        Correct Answer:- Option-A

Question80:-The experience of being unfamiliar with a person or situation that is actually very familiar is known as
        A:-Presque vu
        B:-Déjà vu
        C:-Jamais vu
        D:-Mandela effect
        Correct Answer:- Option-C

Question81:-The risk of clozapine induced agranulocytosis during the first year of treatment is
        Correct Answer:- Option-C

Question82:-Tobacco affects clozapine metabolism through
        Correct Answer:- Option-B

Question83:-Level 3 of STAR*D trial advices augmentation with
        A:-Cognitive therapy
        Correct Answer:- Option-C

Question84:-The type of validity that is concerned with how well a measure covers the construct that is being measured is known as
        A:-Concurrent validity
        B:-Internal validity
        C:-Content validity
        D:-Criterion validity
        Correct Answer:- Option-C

Question85:-Strange situation experiments to understand attachment was devised by
        A:-Jean Piaget
        B:-Mary Ainsworth
        C:-Erik Erikson
        D:-Erik Hesse
        Correct Answer:- Option-B

Question86:-Lithium in pregnancy is classified in
        A:-Category X
        B:-Category C
        C:-Category D
        D:-Category B
        Correct Answer:- Option-C

Question87:-Which is NOT a mature defense mechanism ?
        Correct Answer:- Option-D

Question88:-D cycloserine is a partial agonist at
        A:-Dopamine receptor
        B:-NMDA receptor
        C:-Nicotinic acetylcholine receptors
        D:-AMPA receptor
        Correct Answer:- Option-B

Question89:-Sleep spindles and k complexes are characteristic of
        A:-NREM 1
        B:-NREM 2
        C:-NREM 3
        D:-NREM 4
        Correct Answer:- Option-B

Question90:-Psychological pillow is seen in
        Correct Answer:- Option-C

Question91:-Briquets syndrome is a
        A:-Somatization disorder
        B:-Personality disorder
        C:-Eating disorder
        D:-Hoarding disorder
        Correct Answer:- Option-A

Question92:-World Alzheimers Day is celebrated on
        A:-October 10
        B:-March 30
        C:-May 24
        D:-September 21
        Correct Answer:- Option-D

Question93:-Magnans sign is seen in persons using
        Correct Answer:- Option-C

Question94:-Disulfuram causes inhibition of
        A:-Alcohol dehydrogenase
        B:-Aldehyde dehydrogenase
        C:-Acetalydehyde dehydrogenase
        D:-Acetate Co A ligase
        Correct Answer:- Option-B

Question95:-Ebstein anomaly is associated with
        A:-Sodium valproate
        Correct Answer:- Option-B

Question96:-Token economy is a technique based on the principles of
        A:-Classical conditioning
        C:-Operant conditioning
        Correct Answer:- Option-C

Question97:-Admission of a minor under MHCA 2017, is under the section
        A:-Section 86
        B:-Section 87
        C:-Section 89
        D:-Section 90
        Correct Answer:- Option-B

Question98:-Post injection delirium syndrome is associated with long acting injection of
        Correct Answer:- Option-C

Question99:-Landmark epidemiological study of schizophrenia in India is
        B:-STEP BD
        Correct Answer:- Option-C

Question100:-Cronbachs alpha measures
        A:-External validity
        B:-Internal validity
        C:-Criterion validity
        D:-Internal consistency
        Correct Answer:- Option-D

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