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Psychiatry Test rohanyadav2103@gmail.com Switch account Your email will be recorded when you submit this form * Indicates required question Which of the following is a first-rank symptom of schizophrenia according to Schneider? * 1 point Delusion of persecution Social withdrawal Blunted affect Thought broadcast The most common psychiatric disorder encountered in primary care is: * 1 point Bipolar disorder Schizophrenia OCD Depression A patient believes that television news readers are sending special messages specifically to him. This is: * 1 point Delusion of control Delusion of reference Delusion of persecution Delusion of nihlism Which neurotransmitter is primarily implicated in Parkinsonian side effects due to antipsychotic drugs? * 1 point Serotonin Dopamine GABA ACetylcholime The most appropriate first-line pharmacotherapy for panic disorder is: * 1 point Haloperidol Lithium SSRI Carbamazepine Which of the following is NOT a symptom of mania? * 1 point Grandiosity Increased goal directed activity Flightof ideas Thought blocking The most common substance of abuse worldwide is: * 1 point Canabis Alcohol Opioids Coccaine A patient develops tremors, rigidity, fever, autonomic instability, and elevated CPK after antipsychotic treatment. The diagnosis is: * 1 point Serotonin syndrome Malignant hyperthermia Neuroleptic malignant syndrome Delirium tremens Which defense mechanism is considered mature? * 1 point Projection Denial Sublimation Splitting Delirium is characterized by: * 1 point Clear consciousness Stable cognitive impairment Disturbance of attention and awareness Persistent delusions Which antidepressant has the highest risk of dietary interactions due to tyramine sensitivity? * 1 point Fluoxetine Sertralime Phenalzine Escitalopram The hallmark feature of Obsessive-Compulsive Disorder is * 1 point Hallucinations Intrusive thoughts recognized as one's own Delusions Dissociative episodes Which of the following is the antidote for opioid overdose? * 1 point Flumazenil Atropine Naltrexone Naloxone The most common side effect of lithium therapy is * 1 point Hyperthyroidism Agranulocytosis Fine tremors Hypertension A 7-year-old child has persistent inattention, hyperactivity, and impulsivity across school and home settings. Most likely diagnosis? * 1 point Autism Spectrum disorder ADHD Learning disorder Conduct dissocial disorder Which of the following is a negative symptom of schizophrenia? * 1 point Delusions Hallucinations Avolition Thought insertion A patient repeatedly checks whether the door is locked despite knowing it is irrational. This behavior is: * 1 point Delusion Hallucination Obsession Compulsion In Alcohol Withdrawal Delirium (Delirium Tremens), the drug of choice is * 1 point Fluoxetine Lithium Haloperidol Lorazepam/ Diazepam Which personality disorder is most strongly associated with repeated self-harm? * 1 point Paranoid Schizoid Borderline Obsessive compulsive personality disorder The gold standard treatment for severe depression with psychotic symptoms and suicidal risk is: * 1 point ECT CBT Antidepressant monotherapy Benzodiazepines Which cognitive domain is primarily assessed by the Digit Span Test? * 1 point Executive functioning Attention span and working memory Language Visuospatial functioning A patient hears voices discussing his actions in the third person. This phenomenon is: * 1 point Reflex hallucinations Running commentary hallucinations Functional hallucinations Illusions Which of the following drugs is FDA-approved for Alcohol Use Disorder relapse prevention? * 1 point Clozapine Naltrexone Buspirone Methylphenidate The Mini-Mental State Examination (MMSE) is primarily used to assess: * 1 point Personality disorder Anxiety severity Substance dependence Cognitive impairment A patient with recurrent depressive episodes and at least one episode of mania is diagnosed as having: * 1 point Cyclothymia Persistent depressive disorder Bipolar I disorder Bipolar II disorder Never submit passwords through Google Forms. This content is neither created nor endorsed by Google. - Contact form owner - Terms of Service - Privacy Policy Does this form look suspicious? Report Solve

Here are the answers to all 25 questions:
  1. Thought broadcast - Schneider's first-rank symptoms include thought insertion, thought withdrawal, thought broadcast, made feelings/impulses/actions, somatic passivity, delusional perception, and third-person auditory hallucinations.
  2. Depression - Depression is by far the most common psychiatric disorder in primary care settings.
  3. Delusion of reference - The belief that external stimuli (TV, radio, newspapers) are sending special messages to oneself is a classic delusion of reference.
  4. Dopamine - Antipsychotics block D2 receptors in the nigrostriatal pathway, causing Parkinsonian side effects (tremor, rigidity, bradykinesia).
  5. SSRI - SSRIs (e.g., sertraline, paroxetine) are first-line pharmacotherapy for panic disorder per all major guidelines.
  6. Thought blocking - Thought blocking is a negative/formal thought disorder symptom, NOT a feature of mania. The others (grandiosity, increased goal-directed activity, flight of ideas) are all classic manic symptoms.
  7. Alcohol - Alcohol is the most widely abused substance globally by prevalence and burden of disease.
  8. Neuroleptic Malignant Syndrome (NMS) - The tetrad of hyperthermia, rigidity, autonomic instability, and elevated CPK following antipsychotic use = NMS.
  9. Sublimation - Sublimation (channeling unacceptable impulses into socially acceptable behavior) is a mature/adaptive defense mechanism. Projection, denial, and splitting are immature/primitive.
  10. Disturbance of attention and awareness - Delirium is defined by acute fluctuating disturbance in attention and awareness (DSM-5), not by clear consciousness or stable deficits.
  11. Phenelzine - Phenelzine is an MAOI. MAOIs + tyramine-rich foods = hypertensive crisis ("cheese reaction"). SSRIs like fluoxetine, sertraline, and escitalopram do not carry this risk.
  12. Intrusive thoughts recognized as one's own - The hallmark of OCD is ego-dystonic obsessions - intrusive, unwanted thoughts the patient recognizes as their own but cannot control.
  13. Naloxone - Naloxone is the immediate antidote for opioid overdose (competitive opioid receptor antagonist). Naltrexone is for relapse prevention, not acute reversal.
  14. Fine tremors - Fine hand tremors are the most common side effect of lithium. Hypothyroidism (not hyperthyroidism) and nephrogenic diabetes insipidus are other important side effects.
  15. ADHD - Persistent inattention and hyperactivity/impulsivity in multiple settings (school AND home) in a child is the classic presentation of ADHD.
  16. Avolition - Avolition (lack of motivation/goal-directed behavior) is a negative symptom. Delusions, hallucinations, and thought insertion are positive symptoms.
  17. Compulsion - Repetitive, purposeful behavior performed in response to an obsession (checking the door) despite recognizing it as irrational = compulsion.
  18. Lorazepam/Diazepam - Benzodiazepines are the drug of choice for delirium tremens, as they enhance GABA activity and prevent seizures/autonomic instability.
  19. Borderline Personality Disorder - Recurrent self-harm and suicidal gestures are a hallmark feature of BPD (DSM-5 criterion 5).
  20. ECT (Electroconvulsive Therapy) - ECT is the gold standard for severe depression with psychotic features, catatonia, or high suicidal risk due to its rapid onset of action.
  21. Attention span and working memory - The Digit Span Test (forward and backward) primarily assesses immediate attention and working memory.
  22. Running commentary hallucinations - Voices that discuss or comment on the patient's actions in third person = running commentary, which is also a Schneiderian first-rank symptom.
  23. Naltrexone - Naltrexone (opioid antagonist) is FDA-approved for alcohol use disorder relapse prevention (reduces craving/reward). Acamprosate and disulfiram are also approved options.
  24. Cognitive impairment - The MMSE is a standardized screening tool for cognitive impairment and dementia (max score 30; <24 suggests impairment).
  25. Bipolar I disorder - Bipolar I = at least one full manic episode (with or without depressive episodes). Bipolar II = hypomanic + major depressive episodes, with NO full mania.
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