21 Multiple Choice Questions (MCQs) with Answers on “Biological Method of Treatment” for Psychiatry Post Graduate Students:
1. In direct ECT, the intraocular tension is:
A. Increased
ADVERTISEMENTS:
B. Decreased
C. Unchanged
D. Increased only in patients with retinal detachment
2. ECT is absolutely contraindicated in:
ADVERTISEMENTS:
A. Pregnancy
B. Very ill patients
C. Raised intracranial pressure
D. Heart disease
ADVERTISEMENTS:
Absolute contra indication:
1. Raised IC tension. Relative contra indications are:
1. Recent MI
2. Severe HT
3. CVA
4. Severe pulmonary disease
5. Retrial detachment
6. Phaeochromocytoma
3. The commonest side-effect of modified ECT is:
A. Arrhythmia
B. Amnesia
C. Body ache
D. Convulsions
Both anterograde and retrograde memory distributions are common.
Others include – headache, confusion, emergent mania, CVS dysfunction, prolonged apnea/seizure.
Unilateral ECT – causes less memory disturbance.
4. ECT is not useful in the treatment of:
A. Chronic schizophrenia
B. Catatonic schizophrenia
C. Endogenous depression
D. Acute psychosis
Schizophrenia as such is not a primary Indication for ECT.
Indications for ECT would include:
Catatonic stupor
Catatonic excitement
Agitation/aggression not controlled with drugs.
5. Systemic desensitization is done in:
A. Hypochondriasis
B. Phobia
C. Depression
D. Mania
Other indications are obsessions-compulsions, and certain sexual disorders. Systematic desensitization (behaviors therapy) developed by Joseph Wolpe. This consists of 3 steps:
1. Relaxation training
2. Hierarchy construction
3. Desensitization of stimulus
Flooding, aversion therapy, and positive reinforcement are other forms of behaviors therapy
6. Behaviour therapy to change maladaptive behaviors using response as reinforce uses the principles of:
A. Classical conditioning
B. Modeling
C. Social learning
D. Operant conditioning
Classical conditioning or respondent conditioning (Ivan Pavlov)
Operant conditioning (BF Skinner)
7. Cognitive therapy is useful for:
A. Paranoia
B. Depression
C. Mania
D. Schizophrenia
Developed by Deck and Meichenbaum
Aims to correct maladaptive thinking.
8. The only definite contraindication to ECT is:
A. Aortic aneurysm
B. Brains tumor
C. Myocardial disease
D. Glaucoma
This is because of raised intracranial tension. Relative contraindications of ECT are:
Recent myocardial infarction
Severe hypertension Cerebrovascular accident
Severe pulmonary disease
Retinal determent
Phaeochromocytoma
9. ECT is the treatment of choice in:
A. Hysteria
B. Hypomania
C. Severe depression
D. Chronic schizophrenia
10. Psychotherapy is most useful in:
A. Endogenous depression
B. Phobia
C. MDP
D. Hysteria
11. Absolute contraindication of ECT is:
A. First trimester pregnancy
B. Second trimester pregnancy
C. Third Trimester p. jgnancy
D. Raised intracranial tension
Raised ICT is the only absolute contradiction.
12. Which of the following is true of ECT?
A. Treatment of depression
B. Contraindicated in pregnancy
C. Require more than 180 volts
D. All are true
Voltage used – 90 to 159 volts
Usual current strength – 200 to 1600 mA
ECT can be safely administered to a pregnant woman.
13. ECT is given as first line treatment in:
A. Emotionally unstable character disorder
B. Hysterical psychosis
C. Paranoid schizophrenia
D. Endogenous depression with severe suicidal risk Use of ECT in mania and schizophrenia is not a treatment of choice.
14. Dexamethasone suppression test can be used to diagnose:
A. Schizophrenia
B. Depression
C. Phobia
D. Personality disorder
In depression there is cortical hyper secretion and this can be defected by dexamethasone suppression test.
15. An absolute contraindication to ECT is:
A. Brain tumour
B. Glaucoma
C. Aortic aneurysm
D. Myocardial disease
16. Memory disturbance of ECT recovers in:
A. Few days to few weeks
B. Few weeks to few months
C. Few months to few years
D. Permanent
17. ECT causes:
A. Anterograde amnesia
B. Retrograde amnesia
C. Both of the above
D. None of the above
18. Desensitization form of behaviors therapy for:
A. Anxiety neurosis
B. Hypochondriacally neurosis
C. Phobic disorder
D. Depression
19. In which of the following is behaviour therapy helpful:
A. Schizophrenia
B. Agoraphobia
C. Personality disorders
D. Neurotic depression
20. Cardinal elements in behaviour therapy:
A. Systematic desensitization and flooding
B. Self-awareness of maladaptive patterns of learned behaviour
C. Modification of negative patterns of thinking
D. Exploration of repressed unpleasant experiences Systematic desensitization and flooding are techniques of behaviors therapy. Psychoanalytic therapy explores repressed experiences.
21. ECT is useful in one of these conditions:
A. Obsessive-compulsive neurosis
B. Dementia
C. Depression with suicidal risk
D. Personality disorder
Answer
1.B 2.C 3.B 4.A 5.B 6.A 7.B 8.B 9.C 10.D 11.D 12.A 13.D 14.B 15.A 16.B 17.C 18.C 19.B 20.B 21.C