Wednesday, January 6, 2016

MCQ on schizophrenia

1.What duration is needed for diagnosis of schizophrenia?
A.One  week
B.One  month
C.Six  months
D.One   year
2.If a person says that his neighbors  have fitted a machine in his brain , it is an example of
A.Bizarre delusions
B.Non-bizarre delusions
C.Illusion
D.None of the above
3.Which hallucinations are most commonly seen in schizophrenia?
A.Auditory
B.Visual
C.Olfactory
D.Touch
4. Which type of auditory hallucinations are typical of schizophrenia?
A.Two or more voices talking about the patient in third person
B.Running commentary
C.Hearing one’s own thoughts aloud
D.All of the above
5. Current etiological theories of schizophrenia hypothesize
A. Too much dopaminergic activity
B. Serotonin excess
C.Genetic transmission
D.All of the above
6. Which of the following is a negative symptom  of schizophrenia?
A.Delusions
B.Hallucinations
C.Apathy
D.Loosening of associations
7.Which of the following is a positive symptom of schizophrenia?
A.Hallucinations
B.Waxy Flexibility
C.Apathy
D.Poor self-care
8.Which of the following is associated with Negative symptoms in schizophrenia?
A.Chronic course
B.Better response to atypical antipsychotics
C.Poor prognosis
D.All of above
9. Clozapine  treatment requires monitoring for
A.Agranulocytosis
B.Hyperglycemia
C. Weight gain
D.All of the above
10.Which of the following is an example of bizarre delusion?
A.Delusion of jealousy
B.Delusion of reference
C.Delusion of control
D.Delusion of persecution
11.Which of the following is Typical antipsychotic drug?
A.Fluphenazine
B.Risperidone
C.Clozapine
D.Olanzepine
12Which of the following is Atypical antipsychotic drug?
A.Haloperidol
B.Trifluoperazine
C.Clozapine
D.Chlorpromazine
13.Which is the main treatment for schizophrenia?
A.Electro convulsive treatment
B.Yoga
C.Exercise
D.Antipsychotic drugs
14.A patient with schizophrenia is on antipsychotic drugs. He is brought by relatives in emergency with complaint of increasing restlessness, constantly moves about. You increase the dose of antipsychotic drugconsidering worsening os psychotic symptom, but the restlessness further worsens. The patient is having  the  antipsychotic induced side effect of
A.Tardive dyskinesia
B.Acute dystonia
C.Akathisia
D.Parkinsonism
15.A patient with schizophrenia is brought to OPD with excessive salivation, mask-like face, tremors and rigidity. The patient is having  the antipsychotic induced side effect of
A.Tardive dyskinesia
B.Acute dystonia
C.Akathisia
D.Parkinsonism
16.A patient   is brought by relatives in emergency with complaints of contraction of neck muscles, protrusion  of tongue and up rolling of eyes. On history, relatives report that patient is suffering from schizophrenia and is on Haloperidol 5 mg bid. He is having which antipsychotic induced side effect?
A.Tardive  dyskinesia
B.Acute dystonia
C.Akathisia
D.Parkinsonism
17.Who coined the term  schizophrenia?
A.Emil Kraepelin
B.Eugene Bleuler
C.Anna Freud
D.Carl Jung
18.Which features indicate Dementia rather than schizophrenia?
A.Onset after 65 years of age
B.Impaired cognitive functions
C.‘sun-downing’
D.All of the above
19. Which of  the following is correct about suicide in schizophrenia
A.10-15% patients with schizophrenia kill themselves by suicide
B.Patients with  who commit suicide do so ‘out of blue’, without any warning
C. In general suicide in schizophrenia is associated with major depressive disorder
D. All of the above
20.Which of the following is  the most serious side effect of Clozapine?
A.Agranulocytosis
B.Sedation
C.Hypersalivation
D.Weight gain
21.Which of the following  are  a risk factors  for tardive  dyskinesia?
A.Treatment  with typical antipsychotics
B.Treatment  on higher antipsychotic dose
C.Old people
D.All of the above
22.The most frequent period for onset of schizophrenia:
A.Childhood
B.Adolescence
C.Middle adulthood
D.Old age
23.The following one is a first rank symptom in schizophre­nia:
A.Hallucination
B.Thought insertion
C.Thought stopping
D.Negativism
24.One of these symptoms does not occur in schizophrenia:
A.Thought broadcasting
B.Persecutory  delusion
C.Disorientation to time, place and person
D.Hallucination
25.Which  of the following   indicates good prognosis in schizophrenia?
A.Long duration
B.Prominent mood symptoms
C.Family history of schizophrenia
D.Early  age  at onset

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