AIIMS 3 Years Psychiatry Past Papers PDF 2015-2017

Summary

This document is a collection of past AIIMS 3 years psychiatry questions from 2015 to 2017, useful for medical students preparing for the exam. It covers various topics and concepts in psychiatry, and will help students understand and prepare for the exam. Important questions with solutions are included for a deeper understanding of the subject matter.

Full Transcript

AIIMS 3 YEARS PSYCHIATRY QUESTIONS 2015-2017 AIIMS NOV 2017 Q1: A young male patient is on 5mg haloperidol for many days, recently for last 4 days of duration he has inner restlessness and urge to move. Diagnosis A. Akathisia B. tardive dyskinesia C. rabbit syndrome D. acute dystonia...

AIIMS 3 YEARS PSYCHIATRY QUESTIONS 2015-2017 AIIMS NOV 2017 Q1: A young male patient is on 5mg haloperidol for many days, recently for last 4 days of duration he has inner restlessness and urge to move. Diagnosis A. Akathisia B. tardive dyskinesia C. rabbit syndrome D. acute dystonia Q2) Which of the following is the test for immediate memory? A. Serial (100-7) subtraction test upto 5 steps B. Digit span forward upto 7 digits with 2 skips allowed C. Digit span backwards uoto 5 digits with 2 skips allowed D. Serial (20-1) subtraction test upto 5 steps 3. A patient believes he is the most important person in the world than anyone so his neighbours and family is trying to harm him as they are jealous of him. His wife says otherwise and says he behaves like this recently only before he was working as a school teacher peacefully and brought to OPD. He is suffering from? (***) a. Delusion of grandiosity b. Delusion of persecution c. Delusion of grandiosity and persecution d. Delusion of grandiosity, persecution and reference 4. Basis of Reliability of information of patient provided by informants depend on all except: (***) a. Biological relationship b. Educational status c. Observational skills d. Duration of stay with patient 5. An IT employee after taking up the job is feeling guilty, hopeless and not able to concentrate on work. His symptoms started 3 years back when he entered college. Likely diagnosis? (***) Compiled by Dr Sachin Arora, MD, Psychiatry Faculty, DAMS (Delhi Academy of Medical Sciences) AIIMS 3 YEARS PSYCHIATRY QUESTIONS 2015-2017 a. Depressive disorder b. Dysthymia c. Adjustment disorder d. Cyclothymia Q6. The given sleep Polysomnograph is of (***) a. REM sleep b. NREM stage 1 c. NREM stage 2 d. NREM stage 3 7. A young patient was admitted to hospital with acute psychosis. He wakes up and asks for his wife who was there in the same room in the same area. Upon seeing her, he started beating her thinking that it was nurse who was masquerading as his wife. He also said she was the same nurse who gave her wrong medication 2 days back as well to make him ill, because she wanted to harm him but who was actually his wife. Likely diagnosis? (***) a. Capgras syndrome b. Fregoli syndrome c. Delusion of subjective doubles Compiled by Dr Sachin Arora, MD, Psychiatry Faculty, DAMS (Delhi Academy of Medical Sciences) AIIMS 3 YEARS PSYCHIATRY QUESTIONS 2015-2017 d. Othello syndrome AIIMS MAY 2017 Q1) A 12 year old girl presented to the OPD with abdominal colic, nausea, diarrhoea and lethargy and headache for last 1 year. Her irritability and anger increased since last few months and she presented to emergency with weakness of lower limbs. What is the diagnosis? A. Conversion disorder B. Acute intermittent porphyria C. Lower Limb paralysis D. AIDP with migraine Q2) A 24y old female with epilepsy gets repeated thoughts to cut off her fingers with a knife. She goes onto into detailed planning as to how do the same. These thoughts are distressing but do not urge her to do the action nor does it cause anxiety. The thoughts stay for 5-10 minutes after which she gets a seizure and the thoughts disappear and don’t come back again and she feels better. Diagnosis? A. Obsession B. Thought crowding C. Forced thinking D. Thought insertion Q3) Mutism and akinesis in a patient who appears awake and even alert is best described as: A. Stupor B. Oneroid C. Twilight D. Delirium Compiled by Dr Sachin Arora, MD, Psychiatry Faculty, DAMS (Delhi Academy of Medical Sciences) AIIMS 3 YEARS PSYCHIATRY QUESTIONS 2015-2017 Q4: Which of the following mood stabiliser has anti-suicidal role? a. Lithium b. Carbamezipine c. Valproate d. Lamotrigine Psychiatry (Nov AIIMS 2016) Q1: True about Maslow’s hierarchy of needs(***): A. Safety, Self-actualization, Belonging, Esteem, Physiology B. Self-actualization, Belonging, Esteem, Safety, Physiological C. Esteem, Belonging, Self-actualization, Physiological, Safety D. Physiological, Safety, Belonging, Esteem, Self-actualization Q2) In a patient diagnosed with OCD which of the following statements is true? (***) A-Repression and Reaction formation are the defence mechanisms in this B- Drug of choice is SSRI C- Risperidone can be used as an augmenting agent D- Systemic Desensitization is the psychotherapy of choice Which of these statements are true? A. A and C B. A, B and C C. A and D D. All of the above Q3) A place was hit by earthquake, an old lady survived but lost all the belongings and her house in the earthquake. She complained of anxiety and constant fear but improved when help was provided. Which of the following is correct?(***) a. Condition is Acute Stress Reaction b. She doesn't need to consult a psychiatrist c. Fluxoetine is the treatment of choice d. Projection is the defence mechanism used A. a and c are true B. a, b and c are true C. a and d are true Compiled by Dr Sachin Arora, MD, Psychiatry Faculty, DAMS (Delhi Academy of Medical Sciences) AIIMS 3 YEARS PSYCHIATRY QUESTIONS 2015-2017 D. All are true Q4) The court has decided that the accused needs psychiatric evaluation. Many Discrepancies were noted between the statements told in the court and to the doctor. The suspicion should point max toward? (***) A- Malingering B- factitious disorder C- Antisocial behavior D- Dissociates fugue Q5) Which of the following is not a component of polysomnography assessment? a. EEG b. EOG c. Pulse oximetry d. Intra-arterial O2 assessment PSYCHIATRY MAY 2016 AIIMS Q.1 MMSE evaluates which of the following : a. Thought b. Cognition c. Insight d. Mood and effect Q.2 Semantic memory includes all except memory of : a. Words b. Rules c. Events d. Language Compiled by Dr Sachin Arora, MD, Psychiatry Faculty, DAMS (Delhi Academy of Medical Sciences) AIIMS 3 YEARS PSYCHIATRY QUESTIONS 2015-2017 Q.3 A 41 year old female patient presents to AIIMS emergency department with feeling of intense ghabraahat, palpitation, profuse sweating and sense of impending doom. All of the following tests should be done in emergency except : a. Hemoglobin b. Blood sugar level c. ECG d. T3/T4/TSH Q.4 In psychiatry , personal history does not include : a. Food preference b. Marital history c. Academic history d. Occupational history Q.5 All are true about obsession except : a. May be seen in schizophrenia b. Ego dystonic c. Persists on resistance and cause depression and anxiety d. Disorder of content of thought AIIMS NOV 15 Q. 1 A 30 – years old pregnant woman comes to your clinic with decreased sleep, increased appetite and hyperactivity for 2 weeks. A diagnosis of mania is made. Further probing reveals four episodes of major depression in the past two years. What drug will you prescribe to the patients? a. Haloperidol b. Lithium c. Promethazine d. Clonazepam Compiled by Dr Sachin Arora, MD, Psychiatry Faculty, DAMS (Delhi Academy of Medical Sciences) AIIMS 3 YEARS PSYCHIATRY QUESTIONS 2015-2017 Q. 2. A 23 – year –old young boy with schizophrenia is well maintained on risperidone for the last 2 months. He has no family history of the disease. Minimum for how long will you continue treatment in this patient? a. 5 years b. 6 months c. 2 years d. 12 months Q. 3. A young female on antidepressants presents to the emergency with altered sensorium and hypotension. ECG reveals wide ORS complexes and right axis deviation. What is the next best step? a. Sodium bicarbonate b. Hemodialysis c. Fomepizole d. Flumazenil Q. 4 A male patients with bipolar disorder gets his symptoms controlled on medications everytime he takes them. Symptoms of mania appears as he tapers down the drugs. What type of treatment can improve compliance in this patients? a. Psychoeducation b. CBT c. Supportive psychotherapy d. Insight- oriented psychotherapy Q. 5 Which of the following is not a part of cognitive triad of Beck? a. Hopelessness b.Worthlessness c. Helplessness d. Guilt Q. 6. In pervasive developmental disorders of childhood, all are true except? (***) Compiled by Dr Sachin Arora, MD, Psychiatry Faculty, DAMS (Delhi Academy of Medical Sciences) AIIMS 3 YEARS PSYCHIATRY QUESTIONS 2015-2017 a) Impaired behaviour b) Impaired communication c) Impaired cognition d) Impaired social interaction AIIMS MAY 2015 Q.1. A person with violent behaviour and agitation was diagnosed to have schizophrenia and was receiving haloperidol. Following this he developed rigidity and inability to move his eyes. Which of the following drug should be added to his treatment intravenous? a. Promethazine b. Haloperidol c. Resperidone d. Diazepam Q.2. A 12-year old male patient presents with a 10-year history of repeated eye blinking and grunting. He complains that the symptoms have now increased in frequency so much that he does not have any control over them and they have started disturbing his routine activity and social life, making him depressed. The best medication that would benefit him is: (***) a. Carbamazepine b. Methylphenidate c. Imipramine d. Risperidone Q.3. Which of the following is a key symptom in alcohol withdrawal? a. Visual hallucinations b. Sleep disturbance c. Tremors d. Delirium Q.4. A person with histrionic shy, anxious avoidant personality comes under which cluster a. A b. B c. C Compiled by Dr Sachin Arora, MD, Psychiatry Faculty, DAMS (Delhi Academy of Medical Sciences) AIIMS 3 YEARS PSYCHIATRY QUESTIONS 2015-2017 d. D Q.5. Feeling of uncertainity and excessive sense of responsibility seen in a. Generalized anxiety disorder b. OCD c. PHOBIA d. Personality disorder Q.6. A woman comes to the psychiatrist with history of spending a lot of time in washing her hands. She is distressed about it but sayss that she cannot stop the practice and spends a lot of time on it. This has started affecting her social life as well. Which is the best treatment? a. Cognitive behavioral therapy b. Exposure and response prevention c. Systematic desensitization d. Pharmacological agents Q.7. All are features of catatonia except : a. Akathisia b. Ambitendancy c. Akinesia d. Agitation Q.8. A smoker Is worried about the side effects of smoking. But he does not stop smoking thinking that he smokes less as compared to other and takes a good diet. This thinking is callsed as a. Self exemption b. Cognitive behavior c. Self-protection d. Distortion Answers along with video solutions of all these questions are available in emedicoz app. Share your feedbacks, instagram id : dr.sachin_damspsy Compiled by Dr Sachin Arora, MD, Psychiatry Faculty, DAMS (Delhi Academy of Medical Sciences)

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