Here are the answers to questions 16-23 from the Rajiv Gandhi University of Health Sciences psychiatry paper:
Q16. A type of hallucination involving false, strange, unpleasant perceptions of taste is:
- Answer: B. Gustatory
- The marked answer (A. Auditory) is incorrect. Auditory hallucinations involve false hearing. Gustatory hallucinations specifically involve taste.
Q17. A possible side effect of MAOIs is:
- Answer: A. Hypertensive crisis ✓ (marked correctly)
- MAOIs inhibit the breakdown of tyramine, which can trigger a sudden, dangerous rise in blood pressure - known as a hypertensive crisis - especially when tyramine-rich foods (cheese, wine) are consumed.
Q18. Indication for group therapy EXCEPT:
- Answer: C. Antisocial personality disorder ✓ (marked correctly)
- Antisocial personality disorder is generally a contraindication for group therapy, as such individuals may manipulate or negatively influence the group. The others (alcohol use, emotional trauma, PTSD) are all valid indications.
Q19. Treatment modality encouraging patient's active decision making:
- Answer: D. Therapeutic community ✓ (marked correctly)
- Therapeutic communities are based on democratic, participatory principles where patients take active roles in their own and others' treatment decisions.
Q20. Drug of choice for generalized anxiety disorder (GAD):
- Answer: C. Benzodiazepine ✓ (marked correctly)
- Benzodiazepines (e.g., diazepam, lorazepam) are classic first-line agents for GAD, though SSRIs/SNRIs are now often preferred for long-term management.
Q21. Personality disorder characterized by detachment and social withdrawal:
- Answer: C. Schizoid ✓ (marked correctly)
- Schizoid personality disorder is defined by pervasive detachment from social relationships and a restricted range of emotional expression.
Q22. Most prominent characteristics of borderline personality disorder (BPD):
- Answer: A. Unstable relationships and impulsivity ✓ (marked correctly)
- BPD is classically characterized by unstable interpersonal relationships, emotional dysregulation, impulsivity, and fear of abandonment.
Q23. Branch of psychiatry dealing with legal and criminal offenses:
- Answer: D. Forensic Psychiatry ✓ (marked correctly)
- Forensic psychiatry sits at the intersection of psychiatry and law, covering criminal responsibility, competency assessments, and expert testimony.
Summary of corrections needed:
| Q | Marked | Correct |
|---|
| 16 | A (Auditory) | B (Gustatory) |
| 17-23 | All correct | ✓ |