PSYCHIATRY: PRACTICE 1

                                    SINGLE BEST OPTION SERIES

                  INSTRUCTION: SELECT THE SINGLE BEST OPTION

 

1.         The term schizophrenia was introduced by ...........................to replace dementia praecoox
   a.       Eugen Bleuler
   b.      Emil Kraepelin
   c.       Thomas Szasz
   d.      Louis Pasteur
   e.      None of the above
   2.       The following are known catatonic behaviours except:
   a.       Waxy flexibility
   b.      Mutism
   c.       Excitement
   d.      Negativism
   e.      None of the above
   3.       Negative symptoms in patients with schizophrenia include the following except:
   a.       Neologisms
   b.      Paucity of speech
   c.       Blunting of emotional response
   d.      Marked apathy
   e.      Incongruity of emotional response
   4.       Which of the following is incorrect hebephrenic schizophrenia?
   a.       It is characterized by a marked regression to primitive, disinhibited and unorganized behaviour
   b.      The patients are usually active in an aimless non-constructive manner
   c.       The patients have good contact with reality
   d.      They may burst out laughing for no apparent reason
   e.      Incongruous grinning and grimacing are common in these patients and their behaviour is best described as silly or fatuous
   5.       Prolonged depressive episode arising in the aftermath of a schizophrenic illness is best referred to as:
   a.       Schizophrenia unspecified
   b.      Simple schizophrenia
   c.       Other schizophrenia
   d.      Post-schizophrenic depression
   e.      Cyclothymia
   6.       Which of the following is incorrect about catatonic schizophrenia?
   a.       Command automatisms may occur
   b.      It is dominated by prominent psychomotor disturbances
   c.       Patients with periodic catatonia do not usually respond well to antipsychotics
   d.      Patients in a state of catatonic stupor usually can be aroused from it dramatically by intravenous injection of short-acting barbiturates
   e.      The patients may display echopraxia
   7.       According to ICD-10, the following are needed to make diagnosis of hebephrenic schizophrenia except:
   a.       Flattening or shallowness or inappropriateness of affect
   b.      Disjointed, rambling, or incoherent speech
   c.       Aimless and disjointed behaviour
   d.      Hallucinations must dominate the clinical picture
   e.      Mild degree of delusion
   8.       Which of the following is incorrect about paranoid schizophrenia?
   a.       It is characterized by the presence of delusions of persecution or grandeur
   b.      The patients are usually older than patients with catatonia or hebephrenia when they break down
   c.       Typically, the patients are tense, suspicious and guarded
   d.      The patients do not usually conduct themselves very well socially
   e.      Delusions are usually prominent in these patients
   9.       The following are required to make a diagnosis of undifferentiated schizophrenia except:
   a.       The general criteria for schizophrenia must be met
   b.      There are insufficient symptoms to meet the criteria of other subtypes of schizophrenia
   c.       The general criteria of schizophrenia must have been met at some time in the past but not met at the present time
   d.      There so many symptoms that the criteria for more than one of the subtypes of schizophrenia are met
   e.      None of the above
   10.   According to ICD-10, to make a diagnosis of residual schizophrenia, the following are required to have been present at least in the preceding twelve months except?
   a.       Psychomotor slowing or underactivity
   b.      Definite blunting of affect
   c.       Passivity and lack of initiative
   d.      Poverty of either the quantity or the content of speech
   e.      None of the above