Free psychiatry MCQ exam model for clinical students

Explanation:

• Agoraphobia → Correct because patients fear situations where escape is difficult.

• Social phobia → Incorrect because it involves fear of social situations.

• Specific phobia → Incorrect because it involves a single object or situation.

• Panic disorder → Incorrect because it involves recurrent panic attacks.

• Generalized anxiety disorder → Incorrect because it involves persistent worry.

Explanation:

• False belief held with strong conviction → Correct because delusions are fixed false beliefs resistant to reasoning.

• False sensory perception → Incorrect because this defines hallucination.

• Abnormal mood state → Incorrect because it describes affective disorders.

• Disorder of memory → Incorrect because it refers to amnesia.

• Illogical speech → Incorrect because it refers to thought disorder.

Explanation:

• Haloperidol → Correct because it rapidly controls agitation and psychosis in acute mania.

• Fluoxetine → Incorrect because it is an antidepressant.

• Lithium → Incorrect because it is used for long-term mood stabilization.

• Diazepam → Incorrect because it is an adjunct, not primary treatment.

• Sertraline → Incorrect because it may worsen mania.

Explanation:

• Extrapyramidal symptoms → Correct because dopamine blockade causes movement disorders.

• Nephrotoxicity → Incorrect because it is not common.

• Agranulocytosis → Incorrect because it is rare and seen with clozapine.

• Hepatotoxicity → Incorrect because it is uncommon.

• Pulmonary fibrosis → Incorrect because it is unrelated.

Explanation:

• Mental disorders → Correct because psychiatry focuses on diagnosis and management of mental illnesses.

• Neurological disorders → Incorrect because these are primarily managed by neurology.

• Personality traits only → Incorrect because psychiatry deals with pathological conditions.

• Brain tumors → Incorrect because they are neurosurgical conditions.

• Developmental anatomy → Incorrect because it is not psychiatry.

Explanation:

• Hallucinations → Correct because auditory hallucinations are common in schizophrenia.

• Flight of ideas → Incorrect because it is seen in mania.

• Phobia → Incorrect because it is an anxiety disorder.

• Amnesia → Incorrect because it is seen in dissociative disorders.

• Confabulation → Incorrect because it is seen in Korsakoff syndrome.

Explanation:

• Awareness of having a mental illness → Correct because insight reflects recognition of illness and need for treatment.

• Ability to remember events → Incorrect because this is memory.

• Understanding of others’ emotions → Incorrect because this is empathy.

• Level of intelligence → Incorrect because it is cognitive ability.

• Ability to concentrate → Incorrect because it is attention.

Explanation:

• Bipolar disorder → Correct because it involves episodes of mania and depression.

• Schizophrenia → Incorrect because it is a psychotic disorder.

• Obsessive–compulsive disorder → Incorrect because it is an anxiety-related disorder.

• Generalized anxiety disorder → Incorrect because it is an anxiety disorder.

• Autism spectrum disorder → Incorrect because it is a neurodevelopmental disorder.

Explanation:

• Cognitive behavioral therapy → Correct because exposure and cognitive restructuring are effective.

• Psychoanalysis → Incorrect because it is long-term and less effective.

• Electroconvulsive therapy → Incorrect because it is used for severe depression.

• Hypnosis alone → Incorrect because it is not first-line.

• Drug therapy only → Incorrect because psychotherapy is essential.

Explanation:

• Electroconvulsive therapy → Correct because it produces rapid improvement in severe depression.

• Antidepressants only → Incorrect because onset of action is slow.

• Psychotherapy only → Incorrect because it is insufficient in emergencies.

• Anxiolytics → Incorrect because they do not treat depression.

• Antipsychotics → Incorrect because they are not primary treatment.