:MCQs

Which of the following has the least -1

:cholenergic effect
a) Imipramine
0
b) Prozac (fluexitine)
c) nortriptyline
1
d) duxepine
2
e) amitryptaline
3

IN BARBITURATE WITHDRAWAL, WHICH OF THE -2

FOLLOWING INDICATES THE WORST PROGNOSIS
a) convulsions
b) hyperthermia
0
c) slurred speech
1
d) anxiety and irritability
2
e) somnolence
3
4
which of the following does not cause dependence -3
a) barbiturates
1
b) diazepam
2
c) buspirone (buspar)
3
d) methadone
4
e) alprazolam (xanax)
5
years old boy very clean with very nice 8 -4
1
clothes, he is meticulous, started to become anxious
with palpitation and apprehension frequently
particularly before exams and at stress times. What is
?your diagnosis
2
a) obsessive compulsive disorder
0
b) anxiety disorder
1
c) schizophrenia
2
d) sexual abuse
3
e) none of the above
4

5- Which of the following is the LEAST common problem

referred to psychiatric evaluation of children ?
a) Aggression
b) Poor peer relationships
c) Temper tantrums
d) School failure
e) Enuresis
1
2
Female chronic schizophrenic on medication. -6
2
Came with abnormal movement in the face involving
?bucco-oral muscles. What to do next
a) Stop the phenothiazines
1
b) decrease the dose of the phenothiazines
2
c) increase the dose of the phenothiazines
3
.d) Stop phinothiazines and give antiparkinsonian drugs
4
e) Start antiparkinsonian drugs
5

Which of the following will benefit most from -7

tricyclic anti-depressants
a) young man with history of social problems
1
b) male 50 ys with features of depression
2
c) male with features of schizophrenia
3
d) female with a relative who has major depressive episode
4
e) female who feels guilty and unhappy
5
6
All of the following are risk of suicide except -8
a) female gender
1
b) male gender
2
c) age
3
d) depression
4
e) physical illness
5

9- In the treatment of manic episodes, which of the

following is LEAST useful in the first three to four
days of treatment?
a) Antipsychotics
b) Lithium ( bec> it needs time to act )
c) Benzodizepine
d) ECT
e) A quit, dimly-lit room to decrease stimulation
0
10- the toxic effect of lithium includes each of the
following EXCEPT:
a) slurred speech
b) coma
c) constipation
d) ataxia
e) nausea and vomiting

all of the following is true for huntington's chorea -11

:EXCEPT
a) onset in mid sixties
1
b) autosomal dominant
2
c) progressive disease
3
d) associated with depression
4
e) associated with dementia
5
which of the following has cross-tolerance with -12
diazepam
a) barbiturates
1
b) cocaine
2
c) alcohol
3
d) haloperidol
4
e) has no cross tolerance
5
the most dangerous withdrawal symptom can be -13
expected from
a) diazepam
1
b) clonazepam
2
c) chlordiazepoxide
3
d) lorazepam
4
e) oxazepam
5

an alcoholic man who was admitted to the hospital -14

because of shaking, increased pulse rate, sweating,
etc. he was also disoriented and with visual
hallucination. The most helpful medication is
a) haloperidol
1
b) chlordiazepoxide(dose 25-50mg) in ICU
2
c) chlordiazepoxide (dose 25-50mg) in the general ward
3
d) chlorpromazine
4
e) phenobarbitone
5
Affect is disturbed in all of the following except -15
a) Dysthymia
1
b) Hebephrenic schizophrenia
2
c) Bipolar disorder
3
d) melancholia
4
e) paranoid delusional psychosis
5
a man with both history of depersonalization and -16
derealisation for 3/12 what do you think
a) normal finding
1
b) give anxiolytic
2
c) needs urgent admission to psychiatric ward to keep him safe
3
d) needs neurological examination before anything
4
e) start psychotherapy
5
a woman complains of sleep disturbance, various -17
aches and pain, inability to experience usual
emotions- (including grief, joy, and pleasure), and she
also complaining of loss o interest. Her family notices
that she became dull, forgetful. On interviewing her
she has decreased concentration, and impaired
?memory. What is your diagnosis
a) Alzheimer disease
1
b) pseudodementia
2
c) multiple personality
3
d) generalized anxiety disorder
4
e) severely depressed
5

75ys man, hypertensive on methyldopa, diuretics -18

and KCl supplement, benzotropine, and vitamins
(including vitamin E), he was brought to the hospital.
The nurse said that he was complaining of sleep
disturbance for the last two days, and impaired
memory, and he was brought now because of
agitation. O/E he was disoriented, and confused,
?which drug is responsible for his confusional state
a) methyldopa
1
b) vitamine E
2
c) benzotropine
3
d) diuretics
4
e) none of the above
5
which of the following conditions, psychotherapy -19
:not indicated
a) phobic disorder
1
b) seasonal affective disorder
2
c)paranoid schizophrenia ( even this answer could be right )
1
d) organic brain syndrome
2
e) bipolar disorder
3
all of the following drugs can cause depression -20
except
a) propranolol
1
b) chlorpromazine
2
c) cimitedine
3
d) levodopa
4
e) methyldopa
5