Psychiatry 1-50 Questions PDF

Psychiatry 1. What is the hallmark symptom of generalized anxiety disorder (GAD)? A) Flashbacks B) Paranoia C) Persistent and excessive worry D) Hypomania 2. Which neurotransmitter is primarily implicated in schizophrenia? A) Serotonin B) Acetylcholine C) Dopamine D) Norepinephrine 3. Wha...

Psychiatry 1. What is the hallmark symptom of generalized anxiety disorder (GAD)? A) Flashbacks B) Paranoia C) Persistent and excessive worry D) Hypomania 2. Which neurotransmitter is primarily implicated in schizophrenia? A) Serotonin B) Acetylcholine C) Dopamine D) Norepinephrine 3. What is the minimum symptom duration for diagnosing major depressive disorder (MDD) according to ICD-11? A) 1 week B) 2 weeks C) 1 month D) 3 months 4. ICD-11 categorizes bipolar disorder under which section? A) Mood disorders B) Neurodevelopmental disorders C) Schizophrenia spectrum disorders D) Anxiety disorders 5. What is a common side effect of SSRIs? A) Weight loss B) Sexual dysfunction C) Hypertension D) Sedation 6. Which of the following is not a negative symptom of schizophrenia? A) Avolition B) Anhedonia C) Hallucinations D) Alogia 7. Which symptom is not required for the diagnosis of mania? A) Increased energy B) Depressed mood C) Elevated mood D) Grandiosity 8. Which symptom is most characteristic of catatonia? A) Restlessness B) Mutism C) Insomnia D) Fatigue 9. Which of the following best describes a persecutory delusion? A) Believing that others are sending hidden messages through the media B) Believing that one is being conspired against, watched, or targeted for harm C) Believing that one has superhuman abilities D) Believing that one’s thoughts are being broadcast to others 10. What type of hallucination is most common in schizophrenia? A) Visual B) Tactile C) Auditory D) Olfactory 11. What is the most common cause of dementia worldwide? A) Frontotemporal dementia B) Alzheimer’s disease C) Vascular dementia D) Lewy body dementia 12. What is the term for a delusion in which a person believes that they are receiving special, personalized messages from the media (e.g., TV, radio)? A) Referential delusion B) Erotomanic delusion C) Persecutory delusion D) Somatic delusion 13. Which of the following medications is considered a mood stabilizer? A) Olanzapine B) Lithium C) Fluoxetine D) Alprazolam 14. What is the primary feature of somatic symptom disorder in ICD-11? A) A focus on physical symptoms B) Panic attacks C) Delusions D) Depressed mood 15. Which type of delusion involves the belief that the person is being watched, followed, or plotted against by others? A) Nihilistic delusion B) Persecutory delusion C) Erotomanic delusion D) Referential delusion 16. Which of the following is a common treatment approach for delusions in schizophrenia? A) Antipsychotic medications B) Selective serotonin reuptake inhibitors (SSRIs) C) Benzodiazepines D) Electroconvulsive therapy (ECT) 17. Which is a core feature of delirium? A) Chronic symptoms B) Fluctuating consciousness C) Flat affect D) Grandiosity 18. Which class of medication is most effective for treating panic disorder? A) SSRIs B) Beta blockers C) Benzodiazepines D) Antipsychotics 19. Which of the following best describes cyclothymic disorder? A) Severe mood swings B) Persistent subthreshold hypomanic and depressive symptoms C) Recurrent manic episodes D) Major depressive episodes with psychosis 20. What is a common cognitive feature of dementia? A) Psychomotor agitation B) Memory impairment C) Anhedonia D) Hallucinations 21. Which disorder involves intrusive memories and flashbacks related to trauma? A) Adjustment disorder B) PTSD C) Dissociative identity disorder D) Panic disorder 22. Which of the following types of delusion involves a belief that another person, typically of higher status, is in love with the person? A) Persecutory delusion B) Erotomanic delusion C) Nihilistic delusion D) Somatic delusion 23. What is the hallmark symptom of mania in bipolar disorder? A) Depressed mood and excessive sleep B) Irritability and frequent crying C) Elevated or irritable mood, increased energy, and impulsive behavior D) Severe memory impairment 24. Which of the following best describes agoraphobia? A) Fear of confined spaces B) Fear of public places C) Fear of heights D) Fear of social rejection 25. Which of the following is considered a negative symptom of schizophrenia? A) Hallucinations B) Delusions C) Affective flattening (reduced emotional expression) D) Disorganized speech 26. Which of the following is not a diagnostic criterion for ADHD? A) Difficulty sustaining attention B) Impulsivity C) Memory impairment D) Hyperactivity 27. Which of the following is a positive symptom of schizophrenia? A) Affective flattening B) Auditory hallucinations C) Reduced speech output D) Anhedonia (lack of pleasure) 28. Which type of amnesia is most common in dissociative disorders? A) Anterograde amnesia B) Retrograde amnesia C) Psychogenic amnesia D) Global amnesia 29. What is the most likely diagnosis for a patient with recurring binge eating episodes followed by compensatory behaviors? A) Bulimia nervosa B) Anorexia nervosa C) Binge-eating disorder D) Body dysmorphic disorder 30. Which of the following medications is considered first-line for generalized anxiety disorder? A) Sertraline B) Clozapine C) Alprazolam D) Haloperidol 31. What is the most commonly prescribed medication for bipolar disorder? A) Fluoxetine B) Lithium C) Diazepam D) Clozapine 32. Which neurotransmitter is primarily associated with depressive disorders? A) Dopamine B) Serotonin C) Acetylcholine D) GABA 33. Case: A 28-year-old male presents with delusions that his coworkers are conspiring against him. He reports hearing voices discussing him, even when alone, and displays disorganized speech. Symptoms have been present for 7 months. What is the most likely diagnosis? A) Schizoaffective disorder B) Schizophrenia C) Bipolar disorder with psychotic features D) Brief psychotic disorder 34. Case: A 32-year-old woman describes recurrent panic attacks characterized by palpitations, sweating, and a fear of dying. She now avoids crowded places for fear of having an attack. What is the most likely diagnosis? A) Generalized anxiety disorder B) Social anxiety disorder C) Panic disorder with agoraphobia D) Post-traumatic stress disorder 35. Case: A 45-year-old man complains of a persistently low mood, feelings of worthlessness, and lack of energy for 3 months. He has trouble concentrating and has lost interest in previously enjoyed activities. What is the most appropriate treatment? A) Antipsychotics B) Selective serotonin reuptake inhibitors (SSRIs) C) Benzodiazepines D) Lithium 36. Case: A 19-year-old college student reports an intense fear of social situations, avoiding speaking in public or attending gatherings due to fear of embarrassment. He experiences severe anxiety in such situations. What is the most likely diagnosis? A) Generalized anxiety disorder B) Social anxiety disorder C) Panic disorder D) Specific phobia 37. Which of the following is a hallmark characteristic of delusions? A) Persistent, irrational belief despite clear evidence to the contrary B) Sudden and brief episodes of confusion C) Intrusive thoughts and repetitive behaviors D) Severe emotional instability with mood swings 38. A 27-year-old woman complains of excessive worry about multiple aspects of her life, including finances and health, for the past year. She also experiences muscle tension and fatigue. What is the most likely diagnosis? A) Obsessive-compulsive disorder B) Generalized anxiety disorder C) Major depressive disorder D) Social anxiety disorder 39. Case: A 16-year-old male frequently eats excessively large amounts of food in secret, feeling guilty afterward, but does not purge or engage in compensatory behaviors. His BMI is above normal. What is the most likely diagnosis? A) Bulimia nervosa B) Binge-eating disorder C) Anorexia nervosa D) Body dysmorphic disorder 40. Case: A 30-year-old male reports being very preoccupied with his nose, describing it as "horribly deformed," although it appears normal to others. He frequently checks mirrors and avoids social interactions. What is the most likely diagnosis? A) Social anxiety disorder B) Obsessive-compulsive disorder C) Body dysmorphic disorder D) Delusional disorder 41. Case: A 22-year-old woman has a 2-year history of alternating periods of mild depressive symptoms and hypomanic episodes that do not meet the full criteria for major depressive disorder or mania. What is the most likely diagnosis? A) Bipolar I disorder B) Bipolar II disorder C) Cyclothymic disorder D) Persistent depressive disorder 42. Case: A 47-year-old man is brought to the ER after a suicide attempt. He has a history of grandiosity, decreased need for sleep, and periods of extreme irritability alternating with depressive episodes. What is the most likely diagnosis? A) Major depressive disorder B) Schizoaffective disorder C) Bipolar I disorder D) Borderline personality disorder 43. Case: A 25-year-old woman presents with recurrent episodes of overeating followed by self-induced vomiting and excessive exercise. She is preoccupied with her weight but is of normal BMI. What is the most likely diagnosis? A) Anorexia nervosa B) Bulimia nervosa C) Binge-eating disorder D) Body dysmorphic disorder 44. Case: A 35-year-old man complains of sudden episodes of intense fear, shortness of breath, chest pain, and dizziness that occur unpredictably and last about 15 minutes. What is the most likely diagnosis? A) Panic disorder B) Generalized anxiety disorder C) Specific phobia D) Acute stress disorder 45. Which of the following is a characteristic feature of grandiose delusions? A) Belief in having special powers or abilities that are far beyond what is realistic B) Belief that one is being persecuted or harmed by others C) Belief that one has a serious, undiagnosed medical condition D) Belief that others are controlling one’s thoughts 46. Case: A 40-year-old man reports a 6-month history of depressed mood, poor sleep, low energy, and difficulty concentrating. He denies suicidal ideation. What is the first-line treatment? A) SSRIs B) Benzodiazepines C) Antipsychotics D) Psychodynamic therapy 47. Case: A 25-year-old woman has recurrent, vivid flashbacks of a car accident that occurred 3 months ago. She avoids driving and experiences hypervigilance. What is the most likely diagnosis? A) Acute stress disorder B) Post-traumatic stress disorder (PTSD) C) Panic disorder D) Generalized anxiety disorder 48. Case: A 55-year-old man has persistent depressive symptoms that started 2 years ago but are not severe enough to meet the criteria for major depressive disorder. What is the most likely diagnosis? A) Bipolar II disorder B) Persistent depressive disorder (dysthymia) C) Cyclothymic disorder D) Adjustment disorder 49. Case: A 45-year-old man presents with a sudden onset of confusion, visual hallucinations, and tremors after stopping heavy alcohol use abruptly. What is the most likely diagnosis? A) Schizophrenia B) Delirium tremens C) Alcohol intoxication D) Substance-induced psychosis 50. What is the minimum duration of symptoms required for a diagnosis of generalized anxiety disorder? A) 1 month B) 3 months C) 6 months D) 12 months