13 Multiple Choice Questions (MCQs) with Answers on “Other Psychotic Disorders” for Psychiatry Post Graduate Students:
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1. A one-month-old history of abnormal hallucination and delusion in a patient indicates a diagnosis of:
A. Psychosis
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B. Schizophrenia
C. Paranoia
D. Depression
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2. A 30-year-old unmarried woman from a low socioeconomic status family believes that a rich boy staging in her neighborhood is in deep love with her. The boy clearly derives his love towards this lady. Still the lady insists that his denial is a secret affirmation of his love towards her. She makes desperate attempts to meet the boy despite resistance from her family. She also develops sadness at times when her effect to meet the boy does not materialize. She is able to maintain her daily routine. She however remains preoccupied with the thoughts of this boy. She is likely to be suffering from:
A. Delusional disorder
B. Depression
C. Mania
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D. Schizophrenia
3. A 41-year-old women working as an executive director is convinced that the management has denied her promotion by preparing false reports about her competence and has forged her signatures on sensitive documents so as to convict her. She files a complaint in the police station and requests for security. Despite all this she attends to her work and manages the house hold, she is suffering from:
A. Paranoid schizophrenia
B. Late onset psychosis
C. Persistent delusional disorder
D. Obsessive compulsive disorder
In spite of delusional component, the socio- occupational functioning is maintained.
Miscellaneous:
Father of psychosomatic medicine – Franz Alexander Psychosomatic disorder-term coined by Jellinis. Cloninger’s classification of alcohol include type I and type II: The classification is based on genetic and environmental causes. Heinroth, 1918.
4. Drug of choice in delusional parasitosis is:
A. Imipramine
B. Pimozide
C. Clomipramine
D. Lithium
Delusional parasitosis is a type of delusional disorder where the content of delusion is predominantly the presence of hypochondriacal delusions. It is also called as monosymptomatic hypochondriacal psychosis or hypochondriacal paranoia. Here the patient has delusions of worm infections. Treatment consists of primordial, supportive psychotherapy.
5. The following are psychotic disorders:
A. Schizophrenia
B. Delusional disorder
C. Mania
D. Obsessive-compulsive disorders Obsessive-compulsive disorder is classified under ‘Neurotic’, stress-related and somatoform disorder in ICD-10
6. “Pseudocommunity” is observed in:
A. Depression
B. Paranoid disorders
C. Hysteria
D. Schizoid personality
7. Schizotypal disorder:
A. Episodes of manic disorder
B. In coordinate speech
C. Dissociation
D. None of the above
Odd eccentric behavior with steriotypic thinking and constricted affect.
8. A characteristic feature of induced psychosis is:
A. Suicidal Tendency
B. Acceptance of another person’s delusions
C. Autistic tendency
D. Mood disturbance
9. The most common postpartum psychosis is:
A. Mania
B. Depression
C. Dementia
D. Schizophrenia
i. Postpartum psychosis prevalence – 1.5 to 4.6/1000
ii. Postpartum psychosis has to appear following 6 weeks after delivery.
10. Allodyniais:
A. Painful response without stimulus
B. Painful response to a normal non-painful stimulus
C. Both of the above
D. None of the above
11. The wife of a man in a hilly area has died 7 days back. He has since seen his dead wife twice and she asked him to die, the diagnosis is:
A. Normal grief
B. Grief reactive psychosis
C. Schizophreniform
D. Acute panic disorder
12. A 22-year-old person who shows aggressive behaviour for the past 2 weeks also has auditory hallucinations not heard by anyone else and shows suspicions behaviour. The diagnosis is:
A. Schizophrenia
B. Depression
C. Mania
D. Acute psychosis
It this case, patient has psychotic symptoms for 2 weeks and the symptoms are not suggestive of schizophrenia.
13. A patient came with complaints of having a deformed nose and that nobody took him seriously because of this deformity. He has visited several cosmetic surgeons there was nothing wrong with his nose. He is most likely suffering from:
A. Delusional disorder
B. Hypochondriasis
C. Somatization
D. Munchausen’s syndrome
Answer
1.A 2.A 3.C 4.B 5D.6.B 7.D 8.B 9.B 10. B 11.B 12.D 13.A