Q-1 Short Answer Questions (Any Four out of Five) 4x5 Marks 20 a. Describe clinical features and management of Paranoid schizophrenia. b. Neurobiology of addiction - emphasis on alcohol use disorder. c. Enumerate causes of Delirium and write a note on management of Delirium. d. Define Delusion. Discuss different types of delusions with examples. e. Discuss clinical features and management of Attention Deficit Hyperactivity disorder. SECTION B Q-2 Short Answer Questions (Any Four out of Five) 4x5 Marks=20 -a. What are common causes of Suicide? Write a note on management of patient with suicidal attempt. b. Describe the etiology and classification of Mental Retardation with an emphasis on the role of the Physiotherapist. -c. Cognitive behavioral therapy d. Write a note on Post-traumatic stress disorder. - e. Describe in brief about Electroconvulsive therapy.
Summary Guide
Section A (Pick any 4)
| Q | Topic | Key Points Covered |
|---|---|---|
| 1a | Paranoid Schizophrenia | Positive/negative symptoms, persecutory delusions, auditory hallucinations, antipsychotics, psychosocial Rx |
| 1b | Neurobiology of Addiction / AUD | Dopamine reward pathway, GABA/NMDA neuroadaptation, withdrawal mechanism, naltrexone/acamprosate/disulfiram |
| 1c | Delirium | I WATCH DEATH mnemonic for causes, hyperactive/hypoactive types, non-pharmacological + haloperidol management |
| 1d | Delusions | Definition + 10 types with examples (persecutory, grandeur, reference, control, infidelity, nihilistic, somatic, guilt, erotomania, poverty) |
| 1e | ADHD | DSM-5 subtypes, inattentive/hyperactive features, methylphenidate/amphetamines, behavioral therapy, MTA study |
Section B (Pick any 4)
| Q | Topic | Key Points Covered |
|---|---|---|
| 2a | Suicide - Causes & Management | Risk factors (depression, past attempt), SADPERSONS, medical stabilization, DBT, safety planning |
| 2b | Intellectual Disability | IQ classification table, Down syndrome/Fragile X/PKU, prenatal/perinatal/postnatal causes, physiotherapist's 9 roles |
| 2c | CBT | Beck's cognitive model, cognitive distortions, CBT triangle, 10 techniques, evidence-based indications |
| 2d | PTSD | DSM-5 four clusters (re-experiencing/avoidance/cognition/arousal), amygdala-hippocampus biology, TF-CBT/EMDR, sertraline |
| 2e | ECT | Mechanism, indications (treatment-resistant depression, catatonia), full procedure, side effects (cognitive/cardiovascular), >80% efficacy |