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MCQs in Psychiatry & Psychology37 18. Anti -Psychotic drug that does not have parenteral preparation is A. Risperidone B. Arpiprazole C. Quetiapine D. Olanzapine 19. Cannabinoid receptor-2 is located on A. Endothelium B. Liver cells C. WBC D. Adipose tissue 20. All of the following about Leibowitz Social anxiety scale are true except A. Has 24 items B. Has Four subscales C. Score ranges from 0-12 D. Is a diagnostic instrument 21. Impulsive behavior could be attributed to which of the following A. Anterior cingulate cortex B. Striatum C. Orbitofrontal cortex D. Venteromedial prefrontal cortex 22. L-methylfolate is used as augmentation in treatment of depression because A. It increases synthesis of monoamines B. Increases release of monoamines C. Reduces reuptake of monoamines D. Delays metabolism of monoamines 23. Mood stabilizers used in bipolar disorder prevents mitochondrial dysfunction by all mechanisms except A. Increasing anti-apoptotic proteins B. Decreasing pro-apoptotic proteins C. Facilitate release of cytochrome C D. Increasing levels of antioxidants 24. Complications of chronic cannabis use are all except A. Psychosis B. Memory dysfunction C. Impaired spermatogenesis D. Increased lipolysis 25. Deficits in theory of mind is seen in all except A. Autism Spectrum Disorder B. Schizophrenia C. Attention Deficit hyperactive disorder D. OCD 26. Naloxone is often combined with Buprenorphine for which benefit A. Increases efficacy of buprenorphine B. Increases half-life of buprenorphine C. Prevents abuse of buprenorphine D. Prevents the adverse effects of buprenorphine. 27. Wandering womb syndrome was earlier term for A. Somatic symptom disorder B. Catamenial Epilepsy C. Postpartum psychosis D. Dissociative disorder 28. Withdrawal seizures are seen with A. Cannabis B. Opioid C. Alcohol D. Cocaine MCQs in Psychiatry & Psychology 38 29. Mild Mental Retardation is in the range of - A. 50-70 B. 50-100 C. 80-120 D. 35-50 30. Most common type of dementia is A. Alcohol induced dementia B. HIV dementia C. Alzheimer’s dementia D. Neurosyphilis 31. Drug preferred in resistant schizophrenia is A. Arpiprazole B. Ziprasidone C. Olanzapine D. Clozapine 32. Life time risk of Schizophrenia as per IPSS study is A. 0.1% B. 1% C. 3% D. 5% 33. Biomarkers for chronic alcoholism are all except A. MCV B. Carbohydrate deficient transferrin C. Serum Creatinine D. Uric Acid 34. Yale Brown Cornell scale is used to assess A. OCPD B. Eating disorder C. Social Anxiety disorder D. Hoarding disorder 35. SOCRATES-Stages of Change Readiness and Treatment Eagerness Scale is used for which of these A. Substance use B. OCD C. Gender Identity Disorder D. Personality disorder 36. Lurasidone has specific action on A. D1 B. 5HT7 C. M1 D. H1 37. Vernicline dose is A. 0.5-2 mg B. 7-21 mg C. 25- 70 mg D. 150-250 mg 38. Haloperidol was invented by A. DJ Richards B. Heinrich Keberle C. Paul Janssen D. Craig Katz 39. Cigarette smoke induces CYT P450 1A2 thus reducing plasma concentration of which antipsychotic A. Iloperidone B. Olanzapine C. Lurasidone D. Quetiapine MCQs in Psychiatry & Psychology39 40. Asenapine is contraindicated in dementia due to death related to A. Arrhythmias B. Cerebrovascular accidents C. Renal shutdown D. Metabolic acidosis 41. FDA approved uses of bupropion are all except A. Major Depressive Disorder B. Seasonal Affective Disorder C. Nicotine de-addiction D. Sexual dysfunction 42. Oxytocin has all the following effects except A. Improves Social memory B. Promotes wakefulness C. Facilitates Attachment D. Reduces anxiety 43. Which rash is more common with Lamotrigine use A. Urticarial rash B. Exanthematic maculopapular eruption C. Stevens-Johnson syndrome D. Toxic epidermal necrolysis 44. Which of the following drugs cause maximum QTc prolongation A. Risperidone B. Haloperidol C. Quetiapine D. Ziprasidone 45. Which of the following is NOT a mature defense mechanism A. Anticipation B. Intellectualization C. Suppression D. Sublimation 46. Imposter syndrome can be seen in A. Dissociative Disorder B. Gender Identity Disorder C. Alcohol Dependence D. Post traumatic Stress Disorder 47. Secondary depression is caused by all of the following except A. Infectious mononucleosis B. Biotin deficiency C. Iron deficiency D. Hyperparathyroidism 48. Victor Frankl wrote which of the following book A. Man’s search for the meaning B. Understanding human nature C. On becoming a person D. The myth of the birth of the hero 49. Lithium can be used as treatment for all of the following conditions except A. Aplastic anemia B. Genital Herpes C. Psoriasis D. Huntington’s disease 50. Foreign accent syndrome is seen in A. Personality disorder B. Psychotic disorder C. Organic brain disorder D. Conversion disorder MCQs in Psychiatry & Psychology 40 51. Which of the following is NOT a Schneider’s second rank symptom of schizophrenia A. Tactile hallucinations B. Perplexity C. Delusion of Control D. Delusion of Persecution 52. Medical uses of Cannabis are all except A. Weight reduction B. Pain C. Epilepsy D. PTSD 53. Indomethacin is useful in which of these A. Priapism B. Akathasia C. Neuroleptic malignant syndrome D. Postcoital headache 54. Unstable, unregulated excessive glutamate release by synapses in specific brain region mediated by voltage gated sodium and calcium channels in BPAD is termed as A. Brain flash B. Bipolar storm C. Glutamate rush D. Impulse burst 55. SSRI that has least chance of developing discontinuation syndrome is A. Fluvoxamine B. Fluoxetine C. Paroxetine D. Sertraline 56. Paroxetine is categorized in which group for use in pregnancy A. Category B B. Category C C. Category D D. Category X 57. Sertraline is associated with which of these adverse effect A. Intestinal necrosis B. Macular degeneration C. Torsades de pointes D. Disseminated intravascular coagulation 58. 32 year old woman diagnosed with major depressive disorder was put on fluoxetine 60 mg with good response for last nine months. She now feels numb and cannot enjoy things and also can’t cry if she wants to. What would be your next step A. Increase dose B. Decrease dose C. Change to another antidepressant D. Add one more antidepressant of another class