Empathy is best exhibited when a doctor:

a) Solves the problems of the patient promptly.

b) Solves the problems of the patient promptly.
c) Sympathises with the patient and his family.
d) Mobilises financial and social support for the patient.
e) Feels sorry for the patient’s plight.
An informational care(IC) session is to:
a) Inform the patient and his family about the latest
developments as regards the treatment being offered.
b) Remove the myths and misconceptions that the patient or his
family may have about the patient’s disease.
c) Update the patient on the facilities available in the hospital he
is being treated at.
d) Take informed consent about the procedures that the patient
is to undergo.
e) Seek information about from his friends and family.
If a patient develops a fatal disease, it is best to:
a) Ensure that it is kept a secret.
b) Inform the family but not the patient.
c) Inform the patient but not the family.
d) Provide clear, crisp and evidence based information to the
patient according to his needs and demands.
e) Give full information to the patient and his family as soon as
it is known.
It is best to start the communication with a patient by:
a) An open ended question.
b) Asking about his presenting complaints.
c) Collecting data about his name, age and address.
d) A leading question.
e) A closed ended question.
The classical basic four pillars of medical ethics are;
a) Equity, Confidentiality, Informed Consent and Autonomy.
b) Free treatment, Ethical Care, Professional approach, Positive
outcome.
c) Justice, Respect for Sexual boundaries, Refusal of gifts
offered by the patient.
d) Autonomy, Beneficence, Non- maleficence and justice.
e) Informed Consent, Confidentiality, regular Follow up,
Effective treatment.
The confidentiality of patient’s clinical data can be breached:
a) After the patient’s death.
b) In order to settle an insurance claim.
c) If the parents approach the doctor.
d) When a patient authorizes to do so.
e) To help the patient’s employer find a suitable job.
A counseling session aims at:
a) Providing advice and guidance to patients.
b) Helping people help themselves.
c) Discovering the psychological conflicts of a patient.
d) Treating the diseases of mind.
e) Improve the moral values of a patient.
Transference is:
a) Transfer of emotions from conscious to the unconscious.
b) Emotional responses of a doctor towards his patient.
c) An unethical interaction between a patient and a doctor.
d) An expression of a patient’s desire for extra attention.
e) Shifting of a patient’s feelings fro father or other during
childhood on to his or her doctor.
The fear and anxiety of a child who starts to cry on seeing a doctor
or a nurse after he has received drips and injections fro a week is
an example of:
a) Operant conditioning.
b) Post traumatic stress.
c) Classical conditioning.
d) Vicarious learning.
e) Aversion.
The professionalism in a doctor can best assessed by:
a) Maintaining a record of his successes in his profession.
b) The impression that he carries amongst his colleagues and
those he has treated in the past.
c) His or her knowledge of recent advances in his field.
d) Recording his or her punctuality, conscientiousness, integrity
and availability to patients.
e) Polite speech and pleasant beside manners.
Holistic medicine:
a) Deals with diseases of the mind.
b) Is largely the same as allopathic medicine.
c) Focuses on using psychological methods of treatment in
preference to physical methods.
d) Differs from traditional medicine as it denies the separation
of mind, body and spirit.
e) Aims foremost at treating the individual’s diseased parts of
the body as a whole.
A bad news about a clinical situation should be ideally provided:
a) On the bedside.
b) In the presence of all the family members of the patient.
c) After ensuring that all the staff members involved in care are
present.
d) By the treating doctor in formal session in a setting of
exclusivity.
e) By a psychiatrist or a psychologist.
The key part the brain involve in memory is:
a) Thalamus.
b) Cerebral cortex.
c) Hippocampus.
d) Hypothalamus.
e) Medical Geniculate Body.
To improve conceptual learning;
a) Read the text aloud.
b) Highlight the headings.
c) Try and memories by rote learning.
d) Use metacongitive techniques.
e) Discuss what you have read with a friend.
Perception is:
a) Perceiving all objects in one’s field of vision.
b) A physiological process primarily involved in improving
comprehension.
c) An integral part of all special senses.
d) The process of attempting to understand and making sense of
the stimuli in the environment.
e) Greatly influenced by previous memory.
A mini mental state examination (MMSE) score of less than 12
suggests:
a) Depression.
b) Dementia.
c) Impairment of concentration.
d) Poor IQ.
e) Anxiety.
The autonomic nervous system is involved in the:
a) Stimulation of the appetite centre.
b) Control of temperature.
c) Control the automatic controls of the nervous system.
d) Fight/ flight response.
e) Maintenance of posture.
Homeostasis is a state of:
a) A perfect flow of lons to and fro the semi-permeable
membrane.
b) Regulation of external motives.
c) Harmony between the body and the soul.
d) An equilibrium between the internal and the external
environment.
e) A balance between internal demands and external supplies.
According to Maslow’s hierarchy of needs.
a) The biological motives and social motives are essential fro
survival.
b) Sexual motives are stronger than security motives.
c) The basic physiological needs can be sacrificed over the
needs for belongingness.
d) Self actualization is required the full potential of an
individual.
e) Self actualization is a barrier for achievement of success.
A patient in an ITC who says that he can see men in white masks
carrying his coffin, when there is no body in the room is
experiencing.
a) Visual hallucinations illusions.
b) Extrasensory perceptions.
c) Delusions.
d) Depersonalization.
High Emotional Intelligence involves:
a) Regular use of techniques to help suppress one’s emotions.
b) An awareness and adequate control on one’s own emotions.
c) Enhancing one’s intellectual capacity.
d) Avoidance to verbalize one’s emotions.
e) A rich genetic endowment.
Freud’s psychodynamic theory of personality development
suggests:
a) Five stages of psychosexual development namely Oral, Anal,
Phallic, Latency and Genital.
b) Three stages of development namely Phallic, Genital and
Adolescent.
c) Generativity, Oral and Anal stages.
d) Latency, Sensorimotor and Autonomy Stages.
e) Formal Operational Role Confusion and Despair.
A patient in a Coronary Care Unit is expected to:
a) Experience anxiety, gloom and a sense of loss as a normal
psychological reaction.
b) Experience delusions and hallucinations.
c) Develop excessive drowsiness.
d) Use defense mechanism of projection and displacement.
e) Remain calm and composed if he or she has no psychiatric
disorder.
Type a personalities are more prone to develop;
a) Renal diseases.
b) Autoimmune disorders
c) Psychiatric disorders.
d) Heart diseases.
e) Bronchial asthma.
Using the Maslow’s concept of pyramid of needs in a hospital
setting, a doctor is best suited to look after a patient’s:
a) Self- Actualisation.
b) Self respect and esteem needs.
c) Basic physiological needs.
d) Love and belongingness.
e) Safety needs.
Erickson’s theory of Psychosocial Development proposes:
a) Five stages.
b) Three stages.
c) Four stages.
d) Eight stages.
e) Six stages.
Culture is:
a) The man- made part of the environment.
b) Collection of all the nature’s gifts to mankind.
c) A determinant of genetic diseases.
d) A fixed set of values and norms in a society.
e) A set of religious and societal recommendations that all
members of the society must adhere.
Health Belief Models (HBM) are:
a) A set of culturally appropriate names given to diseases.
b) A set of old values and outdated norms that can cause
diseases.
c) The scientifically proven social causes of diseases.
d) A number of social variables that shape the health behaviour
of a society.
e) Merely descriptions of symptoms in the patient’s own
language.
Patients who suffer from stigma of psychiatric disorders:
a) Receive a quick and an urgent referral to mental health
facilities.
b) Are often socially rejected and ridiculed.
c) Prefer to share their problems with their friends.
d) Mostly belong to urban settings with higher literacy rates.
e) Are mostly encouraged by the society to undertake low
profile jobs.
A normal and a healthy individual is the one who:
a) Is free of all possible diseases.
b) Has never been ill, does not take any medicines and all his
laboratory and radiological tests are negative.
c) Dynamic, personally content, socially responsible,
occupationally effective, economically emancipated and free
from pain and discomfort.
d) Takes regular walks, eats and sleeps well and leads a
disciplined life.
e) Has high moral values, follows the norms and customs of the
society and is popular with everybody around him or her.
Tobacco smoking amongst young students is most often on
account of:
a) Underlying psychiatric disorders.
b) Nicotine addiction.
c) Urge to harm themselves.
d) To seek novelty/ thrill and or to imitate/ copy their favorite
actor or personality.
e) Enhance concentration in studies.
Defence Mechanisms are:
a) Body’s immunological responses to external threats.
b) Cognitive methods of dealing with stress.
c) Conscious methods used by individuals to overcome grief
and depression.
d) Techniques used by an individual to respond to physical and
psychiatric disorders.
e) Psychological processes employed by an individual to cope
with their anxiety and distress.
A patient who presents with fatigue, pain, low mood, inability to
cop and feelings of apprehension with changes in appetite and
sleeping patterns is most likely to suffer from:
a) Acute psychosis.
b) Abnormal grief reaction.
c) Mixed anxiety and depression.
d) Somatisation disorder.
e) Panic disorder.
In Emergency Departments:
a) Only patients should be allowed to enter with the families to
stay out.
b) Incase of a serious injury the family should only be informed
after the patient has been fully revived.
c) Psychosocial support of the patient and the family/
accompanying relatives must be ensured.
d) All patients should be preferably admitted or at lea5t detained
overnight.
e) Patients and family members must be discouraged to express
their anger and frustration in front of the Emergency staff.
In children admitted in pediatric wards with disability of a
permanent nature or a serious illness the mostly common
psychological reaction seen in parents is:
a) Repression.
b) Projection.
c) Anxiety.
d) Denial.
e) Depression.
The gadgets, wires, tubes, machines, masks in CCUs and ICUs
mostly make the patient feel:
a) Confident and relaxed now that he is in a sophisticated and
well equipped setting.
b) As if he or she was in a `chamber of horror` and thus
experience fear, isolation and alienation.
c) Psychotic and suicidal.
d) Confused and disoriented.
e) Angry and hostile.
Human beings undergoing a normal grief reaction are most likely
to pass through the stages to:
a) Introjections, Hostility, Projection and Guilt.
b) Repression, Displacement, and Dissociation.
c) Sadness, Gloom, Distress.
d) Anger, Depression and guilt.
e) Shock, denial, anger, blame, bargaining and acceptance.
In a patient who has been diagnosed with panic disorder, the best
choice of treatment is:
a) Informational care session followed by counseling and drug
treatment with antidepressants.
b) Regular use of benzodiazepines for at least six months.
c) Relaxation training exercises and use of hypnotics.
d) Reassurance that he is perfectly alright and has nothing to
worry.
e) Admission in CCU to rule out a heart condition.
A 35 year old married female presents with a feeling of `gas` in the
abdomen, alongwith complaints that involve nearly all systems of
the body. None of her complaints can be explained on medical/
anatomical/ pathophysiological basis: She is most likely to be
experiencing:
a) Malingering.
b) A rare medical disorder.
c) Psychosis.
d) Somatisation.
e) Obsessive compulsive disorder.
A medical student near his exams is finding it difficult to go to
sleep at night for the last many days. He is most likely to respond
to:
a) Use of hpnotics for two months.
b) Use of sleep hygiene techniques.
c) Short course phenobarbitone.
d) A combination of sedative antidepressants and hypnotics.
e) Deep breathing exercises.
Physical conditions that are most commonly to be associated with
stress are:
a) Malignancies.
b) Renal calculi.
c) Cardiovascular and psychiatric disorders.
d) Thromboembolism.
e) Sexually transmited diseases.
The set of life events that are most likely to cause clinical
depression are:
a) Failure in an exam and negative reaction of the family.
b) Death of spouse, divorce, martial separation.
c) Immigration and maladjustment.
d) Poor economic conditions and lack of housing.
e) Birth of a baby girl and negative reaction of in- laws.
Behavioral sciences can be best described as:
a) A branch of psychiatry to study diseases of mind.
b) A science and art of discovering a patient’s inner most
secrets.
c) A discipline to study the behaviour in a scientific fashion.
d) A study of human behaviour using principles of psychology,
sociology and anthropology in conditions of health and
disease.
e) A study of human mind.
The factor that can best improve the communication between a
patient and his doctor is:
a) Active listening.
b) A well decorated clinic.
c) Doctors ability to impress the patient with his knowledge.
d) Provide logical answers to all the questions that the patient
asks.
e) Social skills of the physician.
In a patient who has a long standing chronic intractable pain the
most likely intervention that will help him is:
a) A combination of relaxation and cognitive techniques with
treatment of underlying psychological states.
b) A combination of NSAIDS and benzodiazepines.
c) Regular use of Narcotic anaesthetics.
d) Neuronal blocks using steroids and local anesthetics.
e) Acupuncture.