dr-canada
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09.27.07 (11 months ago)
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Q1. Depression is associated with which of the following sleep patterns
-decreased REM latency
-decreased REM normal NREM
-decreased stage 2 NREM
-decreased stage 4 NREM
- decreased latency REM and decreased 4 stage sleep
Q2.What is the defense mechanism of bipolar personality disorder -Splitting
Q3.Which one of these constitute a part of mature ego defence mechanism -Humour
Q4. What is the drug interaction of St-John`s wort with SSRI
-serotonin syndrome
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Q5. An aged female with history of depression for two months comes to psychiatrist. She admits using St John’s Wort 300 mg for last 1 week in consultation with a naturopath. What should be done?
-Stop using St John’s Wort and add Sertraline
-Increase dosage of St John’s Wort to 1800 mg
-Coadminister St John’s wort at reduced dosage of 50% with Sertraline for its safe
-give paxel
Q6. Pt is on Lithium therapy becomes hypothyroid. What is the treatment?
-Reduce dose of lithium to 50%
-Start levothyroxine
-Stop lithium
Q7. Pt on Lithium therapy became weak, lethargic, and Intolerant to heat. What Investigation must be done?
-Lithium level
-Monitor TSH level
Q8. In Autistic disorder choose the best option
-More common in girls
-Autosomal recessive
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Q9. Handwashing ritual in 11 years old. Mother is very worried and does not treatment with any medication. Which one is the best option? which psychotherapy?
-Cognitive behavioral therapy /behavioural therapy
-Family therapy.
-biofeed-back
-psychodynamic psychotherapy
-relaxation therapy
Q10. Which of the drugs cause amnesia the most?
-Triazolam
-Diazepam
-phenytoin
-Imipramine
Q11. A person is brought into the police station found wandering aimlessly and he is unable to tell his name or any other personal information regarding time and place. Which of the following would not be part of your d/d?
-Malingering
-temporal lobe epilepsy
-dissociative fugue
-dissociative amnesia (amnestic disorder)
-factitious disorder
Q12. Which is not a part of normal grief reaction?
-physical symptoms
-preoccupation with suicide
-hearing voices
-consider himself responsible
Q13. Anti-depressant treatment should be carried on for how many months?
-2weeks
-6weeks
-2years
-indefinite time
Q14. Paranoia is not seen in
-pernicious anemia
-hypothyroidism
-mania
Q15. Which is true regarding suicide in adolescent?
-More common in summer
-Attempt to suicide is more common in F than in M.
-More common in M, ratio 4:1
-Suicide M:F=10:1 (checked)
Q16. question on Ego dystonic and Ego syntonic
(NB. Dystonic = OC Disorder D is for D, Syntonic = OC Personality)
Q17. 8 weeks pregnant patient with depression on Sertraline wants to stop medication. What will you do?
-do a detailed physical and mental examination
-continue antidepressant
-substitute another
-lower the dosage
Q18. CBT -goal of therapy should be directed
Q19. BPD -Valproic acid
Q20. clozapine -CBC
Q21. Symptoms of depression improved but mild -continue and inc. the dose of flu.
Q22. A patient with schizophrenia & is on treatment. He can not sit still (akathisia symptoms). What is the best treatment?
-Lorazepam
Q23. Dystonia
-More common in young male (checked)
-more common in female
Q24. 6 yr old child with seizure then followed by paralysis of arm along with confusion
-post ictal Todd’s paralysis
Q25. Characteristics of panic attacks-
-episodic and symptoms increase in intensity
-trigger
Q26. TCA side effect -hypotension
Q27. Differentiation b/w Alz. N pseudodementia -MMSE
Q28. Loosening of association A/W
-schizophrenia
-mania
Q29 Somatoform disorder- multiple somatic symptoms
Q30. Psycho stimulants are used in which of the following disorders?
- Attention deficit hyperactivity disorder
-Tic disorder
-childhood schizophrenia
Q31. Child adopted. Does not show stranger anxiety and goes off with strangers
Q32. F, 37 years has problems at work for several months, she also has episodes of hyperactivity & euphoria. These were preceded by episodes of sadness & inability to cooperate with her colleagues in spite trying hard to do her best. What is the diagnosis?
-Bipolar disorder
-Dysthymia
-Cyclothimia
-Masked depression
-Factitious disorder
Q33. Anorexia Nervosa A/E
-Bradycardia
-hypertension
-mediastinal air
-atrophic breast
-dental crown
Q34. What is Delusion?
-a persistent belief contradicting
-a fixed thought
Q35. Among antipsychotics what is correct?
-Haloperidol-
-Olanzapine properties
-Risperidone causes prolactinemia and increases sexual activity
-clozapine properties
Q36. 17yr old girl comes with depression. She is treated with Sertraline. Then she admits abusing amphetamine. What should be done-
-Stop Setrtraline and give paxel
-Give written instructions about amphetamine abuse
-Inform family
Q37. Pt on carbamazepine with new onset seizures, 3 attacks in last 2 weeks. Serum level of Carbamazepine is normal. What to do?
-CT scan and EEG
-Give another agent- phenytoin
Q38. 32 yrs old pt presented with decreased concentration, slowness of thinking apathy, socially withdrawn, short term memory loss with difficulty in learning new information then developed seizure. What is the diagnosis?
-AIDS-dementia complex
-Alzheimer’s disease
Q39. Tardive diskinesia features on haloperidol DOC- clozapin
Q40. Schizophrenia is most commonly associated to
-monozygotic twins
-dizygotic twins
-siblings
-family history
Q41. A man admitted for operation present with confusion on the 5th post-Op day. Which one is a feature of delirium?
-Depressed mood, preoccupation with suicide.
-thinks himself the best person and should be shifted to the best ward
-Is upset with shadows and constantly asks what time it is
-Thinks of buying everybody a jacket
Q42. Case of drug addiction with rhinorrhea, tearing, tachycardia, dilated pupils & high BP. Most likely cause is:
-Cocaine
-LSD
-Heroin
-opiod withdrawl
-Barbiturates
Q43. Child 9 years old studying in kindergarten is unable to read, write or even to color a picture. He becomes happy when he answers simple questions. What is your diagnosis?
-Autism
-Mental retardation
-Specific learning disability
-ADHD
Q44. Paranoid ideations in substance abuse, what is the drug- choices I dnt remember
Q45. A child having problem with words, cannot distinguish between turn and over. Also causes frequent grammer errors. What is the diagnosis?
-Language disorder
Q46. A 9yr old child eats glue, pencils etc. teacher controlled his behaviour by placing vegetables on his table he started eating that, this is an example of?
-ODD
-conduct disorder
-autism
-ADHD
POPULATION HEALTH & ETHICS
Q47. Drug compliance can be increased by
-alcoholism
-more no of drugs for t/t
-fear of doctor
-social problem
Q 48. 59 year old female for PHE. What will you advice
-self examination of breast
-Bone scan
Q 49. Which of the following has extra human host- pinworm
Q 50. Question on higher socio-economic condition and effect on health care system
Q51. A patient with history of occupational exposure 20 years back now presents for 6 months with cough and weight loss. CXR shows fibrosis of upper lobes. What is the diagnosis?
-Tuberculosis
-mesothelioma
-rapidly progressive silicosis
Q52. Which of the following CA is caused by vinyl chloride?
-Lung CA
-Esophagus CA
-pharyngeal CA
-Liver CA
-Bladder CA
Q53. What is the best way to appreciate health care quality during pregnancy and delivery in Canada
?
-Neonatal mortality rate
-Perinatal mortality rate
-Infant mortality rate
-Maternal mortality rate
Q54. Maximum radiation exposure takes from?
-Nuclear fallout
-natural background
-nuclear reactor
-X-ray
-uranium mine
Q55. In surveillance in worker for radiation hazard best will be
-Annual PE.
-Total body radiation count
-CBC every 6 months
-Chest X ray yearly
-eye examination for cataract yearly
Q56. All of the following foods can cause cancer except
-Monosodium glutamate
-fat
-alcohol
-smoking
Q57. Ethics question- a man suspects to be having probable gonorrhea. His wife works in lab. He doesn’t want her to know his specimen. What to do.
-ask him to tell his wife
-put a code no. on the sample, not his name.
-Don’t listen to him and straight inform his wife
-send him to another clinic
Q58. Rehabilitation after a car MVA means:
- primary prevention
- secondary prevention
- tertiary prevention
Q59. Occupational hearing loss is characterized by
- worst at high frequencies
-worst at low frequencies
-progressive even if exposure stopped
Q60. ONE of the following statements is wrong
-A layer of ozone develops near a photocopying machine in closed area
-Ice skating rink contains higher concentration of NO2 ??? was this choice here? Or was that a separate question?
Q61. Proper disposal of waste- what is the best and most efficient way to reduce lead poisoning?
-wash the hands thoroughly every time they eat.
-use disposable outfit
-wear masks
Q62.Greatest affect on mortality -accidents
Q63. MC cause of peri-natal mortality - prematurity (checked)
Q64.Regarding Pancreatic cancer, which of the following is not a risk factor
-caffeine
-pancreatitis
-alcohol
Q65. Clinical scenario on silicosis. Progression of symptoms for the last 6 months to 1 year. X Ray shows upper lobe fibrosis. Past history of silica exposure 20 years back.
-mesothelioma
-pulmonary tuberculosis
-rapid progression of silicosis of lung
Q66. Old man with CVA requires CPR. Terminally ill. No written will. Family wants full support. What to do in case of withdrawing support?
-apply rules and laws regarding euthanasia
Q67. In periodic health checkup, a 55 yr old has come for a yearly checkup and has no complaints. What should you advice?
-check urine glucose
-check occult blood test
Q68. The most important cause of increased complications of measles in developing countries
-Inadequate immunization
-Inadequate nutrition
Q69. Young patient with vegetative state, no relatives, and patient is suffering from a terminal illness no chance of recovery. According to what you decide not to pull off the ventilator? Age, coma
Q70. Death certificate, alcoholic, pleural effusion and died of acute respiratory failure, what is the cause of death
-respiratory failure
-pleural effusion
-alcohol
-cardiac arrest
Q71. Mother goes for checkup. She mentions she is against her adolescent daughter’s wishes and sternly told her not to use OCP when her daughter wanted to use them. She thinks that will help her grow promiscuous. Hearing this what should the physician do?
-Inform the mother that sexual activity in this age group is normal
-privately give OCPs to the girl without the mother’s knowledge
-
Q72. Which is the least cause of HIV infection?
-Homosexuality
-heterosexuality
-Prostitution
-Drug abuse (1999)
-Blood transfusion (1988)
Q73. You gave a new
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