MCQs of Psychiatry FCPS Part 1 November 2015

PSYCHIATRY
PAPER 2
18TH NOV, 2015 (ONLINE)

1. Propylthiouracil is drug of choice for

A. Hyperthyroidism
B. Thyrotoxicosis
C. Grave’s Disease
D. Grave’s Disease in Preganancy
E. Grave’s Disease in SLE

2. In a 12 years old male, having myoclonic seizures, what will you advice

A. Carbamazepine (Ans)
B. Phenytoin
C. Ethosuximide
D. Phenobarbitone

3. Direction of sound is detected by

A. Organ of Corti (Ans)
B. Basilar Membrane
C. Inferior olivary Nucleus
D. Superior Colliculus

4. Cultural Latah Syndrome

A. Mostly in middle aged females
B. Startle Reaction (Ans)
C. In Middle East Countries
D. Severe disorder

5. Gustatory Area is supplied by

A. Anterior Cerebral Artery
B. Posterior Cerebral Artery
C. Middle Cerebral Artery (Ans)
D. Anterior Communicating Artery
E. Posterior Communicating Artery

6. Seizures, 3 spikes per second , management

A. Ethosuximide (Ans)
B. Phenytoin
C. Carbamazepine
D. Phenobarbitone
E. Amitryptiline

7. Epinephrine is contraindicated for treatment of postural hypotension if patient is already taking which of the following drug

A. Imipramine
B. Amitryptaline
C. Dopamine
D. Atropine
8. Imprinting

A. in birds (Ans)
B. Psychological Problem
C. Learning Method

9. Mature defence Mechanism

A. Denial
B. Regression
C. Projection
D. Introjection
E. Altruism (Ans)

10. Patient is having Choreo-athetosis, lesion in

A. Caudate (Ans)
B. Putamen
C. Basal Ganglia
D. Thalamus

11. Ventral Spinthalamic Tract carries

A. Propioception
B. Pain
C. Temperature
D. Itch (Ans)
E. Vibration

12. Complete Brain stem lesion, which is not affected

A. Respiratory Centre response to decrease PCO2
B. Withdrawal reflex to prick on toe (Ans)
C. Babinski’s Sign

13. Male, history of progressive memory impairement over 4 months, afebrile, died of bronchopneumonia, on autopsy brain substance was normal, on microscopy sponging appearance (in formic acid), most likely

A. HIV encephalopathy
B. Herpes Virus Encephalopathy
C. Creudz felt Jacob disease
D. Alzheimer disease
E. Alcoholic disease

14. Neurofibrillary tangles in

A. Picks Disease
B. Hungtingtons Disease

15. Chorea, hereditary disease with CAG repeat, patient is most likely having deficiency of which neurotransmitter

A. Dopamine
B. Serotonin
C. GABA (Ans)

16. Brain lesion with Caudate Nucleus involvement, apathy, patient will have

A. Chorea
B. Athetosis
C. Hemiballismus

17. Patient is having complain of urinary retention, abnormal gait, dilated ventricles seen on imaging, most likely

A. Normal Pressure Hydrocephalus
B. Wernickes Encephalopathy
C. Progressive Supranuclear Palsy

18. Neuromodulators

A. Release Directly in blood
B. Release from sites other than synaptic spaces

19. Adaptation phase in which child learn being distant from mother and familiar with surrounding things
(not remember the options exactly)

20. Which drug if given IV in clinical dose will cause increase heart rate and pupillary dilation

A. Epinephrine (Ans)
B. Atropine
C. Dopamine
D. Acetylcholine

21. Coordination of visual stimulus and changing it into auditory relative, by

A. Angular Gyrus (Ans)
B. Supramarginal Nucleus

22. Trigeminocortical Fibres relay in thalamus in

A. VPM (Ans)
B. VPL
C. Dorsal Nucleus

23. Feeding centre is inhibited by

A. VPM (Ans)
B. VPL
C. Anterior Hypothalamus
D. Posterior Hypothalamus

24. Severe Hyperkalemia associated with

A. Suxamthonium given in recent burn
B. Metabolic Alkalosis

25. Anion gap decrease in

A. Hypoalbuminemia
B. Metabolic Alkalosis
C. Lactic Acidosis
D. Ketoacidosis
E. Salicyclate Poisoning

26. Hyporeflex of Achille’s tendon in

A. Hyperthroidism
B. Hypothroidism (Ans)
C. Lesion of Internal Capsule

27. No motor or sensory loss, no reflex change, lesion in

A. Internal capsule
B. Rubrospinal tract
C. Spinothalamic tract
D. Cerebral Cortex
E. Broadman Area 4

28. Pituitary adenoma, most likely effect

A. Binasal hemianopia
B. Bitemporal Hemianopia (Ans)
C. Homonymous Hemianopia

29. Craniopharyngioma affecting middle of optic chiasma result in

A. Rt nasal and Left temporal
B. left nasal and Rt temporal
C. Bitemporal Homonymous Hemianopia (Ans)
D. Binasal Hemianopia

30. Lesion in Right Optic tract

A. left Homonymous Hemianopia (Ans)
B. Right Homonymous Hemianopia
C. Bitemporal Hemianopia

31. Release of Norepinephrine

A. Most of sympathetic postganglionic (Ans)
B. All post ganglionic sympathetic
C. Presynaptic at adrenal medulla
D. All postganglionic parasympathetic

32. For olfactory stimulus, substance should be

A. Both water and lipid soluble (Ans)
B. Only lipid soluble
C. Only water soluble

33. Carbidopa, given in Parkinson along with levodopa act on

A. Dopa decarboxylase (ans)

34. Lesion in brain, left hemiplegia, no sensory loss, involve which area of internal capsule

A. Anterior division of posterior limb (Ans)
B. Posterior Division of Anterior Limb
C. Anterior Division of Posterior limb + Genu
D. Genu
E. Posterior division of anterior limb + Genu

35. Lesion in brain, sensory ataxia, recovery with unpleasant sensation, involve

A. Thalamus (Ans)
B. Hypothalamus
C. Amygdala
D. Cerebellum

36. Centre of Fear

A. Hypothalamus
B. Amygdala (Ans)
C. Thalamus

37. Heat Cramps due to

A. Hyperthermia
B. Sodium loss (Ans)
C. Water loss
D. Shivering
E. Sweating

38. Patient with family history of IHD and Breast Cancer want prophylaxis to prevent Osteoporosis, you will advice

A. Calcium n Vit D
B. Bisphosphonates
C. Combined Hormonal Replacement Therapy
D. Raloxifene

39. To facilitate action of atropine, TCA block which of the following receptor

A. Alpha
B. Beta 1
C. Beta 2
D. Dopaminergic
E. Cholinergic

40. Grinding of teeth by children in sleep is called

A. Bruxism (Ans)
B. Narcolepsy
C. Somnabulism

41. Lady having tremors, problem in writing, family history of similar complain, what u will advice

A. Amitryptiline
B. Ropirinole
C. Dopamine
D. Propranol

42. Patient with K/c of depression, on TCA since 2 years when changed to SSRI, as developed tremors, showed good response to change of treatment, had 2 sessions of ECT but still having complain of tremors, what will you give

A. No further ECT
B. Add Anticholinergic
C. New Combination of SSRI
D. Lower the dose of SSRI

43. Patient presented with complain of tremors, no liver disease, no kayser Fleischer ring, normal thyroid profile, no neck swelling, no palpitation, treatment

A. Pencillamine
B. Ceruloplasmin
C. Propranolol
D. Benztropine

44. Cause of Priapism

A. Trazodone (Ans)
B. Atropine

45. Drug act on Neuromuscular Junction

A. Cocaine
B. Dopamine
C. Tubocurarine (Ans)

46. Subdural Heamorrhage involve

A. Dural bridging veins (Ans)
B. Middle Meningeal Artery
C. Middle Cerebral artery

47. Na- 155, K-3, due to increase level of

A. Aldosterone (Ans)
B. ANP
C. ADH
D. Angiotensin

48. 20 years old, command hallucinations, apathy, drug advice

A. Olanzapine
B. Chlorperazine
C. Lithium

49. Patient, 40 yrs old brought by his father, complaining son has episodes of rage and mania, followed by crying and asking for forgiveness, what you will prescribe to stabilize mood

A. Lithium
B. Carbamazepine

50. 25 yrs old mother, delivered mentally challenged baby, most likely due to use of which of the following

A. Alcohol
B. Anticonvulsants
C. Antidepressants
D. Barbiturates

51. Impairement of making recent memory, most likely cause
(hippocampus was not in the option)

A. Tumor in Hypothalamus
B. Hydrocephalus
C. Demyelination of cord

52. Amino acid required for formation of neurotransmitter, deficient in Parkinson disease

A. Tyrosine
B. Histamine
C. Alanine

53. Ph is measure of

A. negative log of H+ conc (Ans)

54. Septum Pellucidum separates

A. fornix , ant commissure , thalamus
B. Fornix, ant commissure, lateral and 3rd ventricle
C. fornix, corpus callosum, ant commissure
D. corpus callossum, ant commissure, thalamus

55. Facial Nerve in temporal bone give

A. Deep Petrosal Nerve
B. Lingual Nerve

56. Dementia and Delirium, common feature

A. decrease in Intelligence
B. Decrease in Memory

57. Patient having 15 years of Diabetes, have decrease visual acquity and white spots and exudates on retina, most likely cause is

A. Diabetes Mellitus (Ans)
B. Central Retinal Artery Occlusion
C. Central Retinal Vein Occlusion
D. Hypertension

58. Lambert Eaton scenario, diagnosis

A. Antibodies aginst Ca channels
B. Antibodies against Acetylcholine receptors

59. Thyroid hormone

A. Thyroxine bind to thyroglobulin in thyroid (Ans)

60. Regarding segmental demyelination

A. Myelin disappears from nodes of ranvier
B. axon fragments and sprouts

61. Regarding Acetylcholine synthesis

A. from postganglionic sympathetic to sweat glands

62. Which neurotransmitter synthesized from post ganglionic sympathetic

A. Norepinephrine (Ans)
B. Acetylcholine

63. Schwann cells for PNS myelination, For CNS

A. Glial cells
B. Oligodendrocytes (Ans)
C. Astrocytes

64. Left Homonymous Hemianopia cause by lesion in

A. Optic Chiasm
B. Optic tract (Ans)
C. Optic Nerve

65. Medial geniculate body

A. lateromedially to thalamus
B. not related to thalamus
C. attached to main mass of thalamus (Ans)

66. drugs inducing Rapid Eye Movement sleep

A. Benzodiazepines
B. Barbiturates
C. Hypnotics
D. No drug can do it (Ans)

67. A 60 yrs old male, sailor, brought by his wife on return from his visit from far East Asia. Wife complains he is developing problem in remembering minor things in daily life, unable to recall home address, most likely he is having

A. Alzhiemer’s Disease
B. HIV encephalopathy
C. Wernicke’s Encephalopthy

68. Barbiturates

A. Hepatic enzyme inducer (Ans)
B. Increase REM

Regards… Dr. Rida Hanif



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