Question 1

Mark the incorrect statement about Thiamine

Accepted Answer

Milled rice and grains are rich in thiamine

Answer

Maternal thiamine deficiency can lead to infantile beri beri

Answer

Alcohol interferes with thiamine absorption and causes increased urinary excretion

Answer

All statements are correct

Question 2

Mark the incorrect statement about thiamine deficiency

Accepted Answer

Dry beri beri present as asymmetrical peripheral neuropathy

Answer

Additional loss of memory and confabulation psychosis is known as Wernicke - Korsakoff syndrome

Answer

All statements are correct

Answer

Wernicke encephalopathy consists of horizontal nystagmus , ophthalmoplegia , cerebellar ataxia , mental impairment

Question 3

Mark the incorrect statement about thiamine deficiency

Accepted Answer

All statements are correct

Answer

Laboratory diagnosis is usually made by functional activity of transketolase

Answer

Thiamine 200 mg tds is given in acute deficiency with either cardiovascular or neurological signs

Answer

Glucose infusions may precipitate Wernicke's disease in a previously unaffected patient or cause a rapid worsening of an early form of the disease

Question 4

Thiamine is a co- factor for

Accepted Answer

All of the above

Answer

Pyruvate dehydrogenase

Answer

alpha - ketoglutarate

Answer

Transketolase

Question 5

False about bulimia nervosa is

Accepted Answer

Self perception of being too thin

Answer

SSRI , Cognitive behaviour are treatment modalities

Answer

Recurrent episodes of binge eating

Answer

Non pharmacological treatment includes psychoeducation, self monitoring , counselling

Question 6

Causes of serotonin syndrome includes all except

Accepted Answer

All are causes

Answer

Poisoning

Answer

Less commonly due to therapeutic action of drugs

Answer

Interaction between multiple drugs

Question 7

The central triad of features in serotonin syndrome includes all except

Accepted Answer

All are included

Answer

Autonomic hyperactivity

Answer

Neuromuscular abnormalities

Answer

Altered mental state

Question 8

A patient with a normal BMI comes with history of binge eating followed by inappropriate compensatory behaviours . As per DSM5 , you can make a diagnosis of bulimia nervosa if these occurs , on average , for at least

Accepted Answer

Once a week for 3 months

Answer

Throughout a week for 1 month

Answer

Twice a week for 3 months

Answer

Thrice a week for 3 months

Question 9

Hysterical conversion reaction - All are correct except

Accepted Answer

More commonly seen in men than women

Answer

Associated with emotional distress

Answer

All statements are correct

Answer

Unexplained somatic symptoms , pain , fatigue , dizziness

Question 10

All are associated with conversion reaction except

Accepted Answer

All are associated

Answer

Primary and Secondary gain

Answer

Astasia abasia

Answer

La- bella difference

Question 11

As per DSM -5 which of the following is not classified under dissociative disorders

Accepted Answer

Conversion disorder

Answer

Multiple identity disorder

Answer

Depersonalization disorder

Answer

Derealization disorder

Question 12

Which of the following is negative dissociative symptom?

Accepted Answer

Amnesia

Answer

Derealization

Answer

Fragmentation of identity

Answer

Depersonalization

Question 13

Amnesia combined with sudden wandering from home after stressful event

Accepted Answer

Dissociative fugue

Answer

Dissociative identity disorder

Answer

Dissociative amnesia

Answer

All of the above

Question 14

Ganser syndrome is a type of

Accepted Answer

Dissociative disorder

Answer

Wernicke syndrome

Answer

Hysterical conversion reaction

Answer

Serotonin syndrome

Question 15

Identify the sign related to bulimia nervosa

Accepted Answer

Russel sign

Answer

Blocq sign

Answer

Cotard sign

Answer

Ekbom sign

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