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SPMM 2 Multiple Choice Question With Accurate Answers
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SPMM 2 Multiple Choice Question With Accurate Answers
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SPMM 2 Multiple Choice Question With AccurateAnswers
Proportion of Europeans with mental health problems in past one year that
attend general practitioners is Right Ans - 33%
What proportion of people seen in primary care settings has a major
depressive disorder? Right Ans - 5-10%
Number of adults experiencing at least one mental health problem in their
lifetime Right Ans -
Number of patients with a depressive episode that develop a chronic course of
the illness Right Ans - 50% of patients still had a diagnosis of depression 1
year later (Simon et al., 2002) and at least 10% had persistent or chronic
depression
Number of persons aged >65 living in the community that have depression at
any given time Right Ans - Considering all depressive syndromes deemed
clinically relevant, the average prevalence was 13.3% - 1/7
Number of people living with a mental health problem at any given time in the
UK. Right Ans - 1/6
In PANSS scale for schizophrenia, which of the following is coded as a positive
symptom? Right Ans - In PANSS, Conceptual disorganization is classified
under positive symptoms. Unusual thought content is classified under
'General' psychopathology
What is the risk of schizophrenia in a child if both parents have
schizophrenia? Right Ans - Genetic risk of schizophrenia decreases as one
move from closer to distant relatives. If both parents have, schizophrenia the
risk is around 40 to 50%.
SSRI-induced sexual dysfunction occurs secondary to Right Ans -
Treatment with selective serotonin reuptake inhibitors (SSRIs) may lead to
sexual dysfunction in up to 70% of patients. 5HT2 stimulation is suspected to
,cause sexual dysfunction that may affect compliance with therapy and
ultimately treatment success.
Which of the following is true with regard to generalized anxiety disorder?
Right Ans - The feature of avoidance is not needed for diagnosis; GAD is often
punctuated by depressive episodes and co-existent with a number of
comorbid diseases.
Which of the following outcomes is often used to define treatment response in
OCD treatment trials? Right Ans - 'Response to treatment' after 6 - 12
weeks of treatment is defined as a fall of at least 35% in the pre-treatment
YBOCS score.
What percentage of patients with restless leg syndrome can present with
periodic limb movements during sleep? Right Ans - Up to 80% to 90% of
RLS patients can present periodic limb movements during sleep (PLMS).
Which one among the following is a core feature to make a diagnosis of
restless leg syndrome? Right Ans - RLS presents the following four
diagnostic criteria in patients aged 12 or older: Akathisia (distressing,
irresistible need to move legs), usually accompanied by paresthesias is a core
feature. Others include Motor restlessness, Symptoms worsen at rest and
Symptoms worsen at night.
Which one of the following is classified as a dyssomnia? Right Ans -
Dyssomnias are primary sleep disorders which cause either difficulty getting
off to sleep or remaining asleep (insomnia) or excessive sleepiness during the
day. They are divided into Primary insomnia, Primary hypersomnia, Circadian
sleep disorders, Narcolepsy, Breathing related sleep disorders and Sleep state
misperception. Parasomnias (disorders which intrude into the sleep process)
are subdivided according to the phase of sleep with which they are associated:
Arousal disorders (Confusional arousals, Sleepwalking, Sleep terrors), Sleep-
wake transition disorders (sleep starts, sleep talking etc), REM sleep
parasomnias (REM behavioural disorder, Nightmares, Sleep paralysis). There
are also other parasomnias are those which do not fall into these three
categories such as Sleep bruxism and Sleep enuresis
Diagnostic features of neurasthenia include all of the following except
Right Ans - CFS criteria US-CDCP (1994) suggests that to diagnose CFS (or
,neurasthenia in ICD10), patients must have persistent or relapsing
unexplained chronic fatigue. The fatigue must last for at least 6 months and
should appear not to be alleviated by rest.
Which of the following modes of treatments is not endorsed by evidence-
based guidelines for managing anorexia? Right Ans - While CBT and CAT
have a modest evidence base to support their use, IPT or DBT do not have any
supportive evidence for anorexia.
According to ICD 10, quasi-psychotic episodes with prominent symptoms of
anxiety are features of Right Ans - The term 'quasi psychotic episode' is
used only for schizotypal disorder in the contemporary classificatory systems.
The ICD10 schizotypal disorder is characterised by 'occasional transient
quasipsychotic episodes with intense illusions, hallucinations and delusion-
like ideas usually occurring without external provocation'. The presence of
transient stress-induced paranoid ideations in borderline PD (DSM) is
described as 'micro-psychotic' events.
A 35-year-old woman went to GP surgery one month after the death of her
husband. She is tearful, not able to sleep, has a poor appetite and is pining for
her husband. She hears voices of her husband at nighttime and feels his
presence. The most appropriate diagnosis is; Right Ans - The stage phase of
grief (bereavement) is characterized by acute anguish, which can last for
weeks and months. This phase consists of waves of somatic distress,
withdrawal, preoccupation, anger and guilt. (Kaplan and Sadock- Synopsis- pg
67)
Night terrors are associated with disturbance in which of the following stages
of sleep? Right Ans - Night terror is a NREM stage 3-4 disorder.
The most common neurological side effect seen when using fluoxetine is
Right Ans - Nervous system side effects including headache, anxiety,
nervousness, insomnia, drowsiness, sedation, tremor, dizziness, jitteriness,
and fatigue have all been reported when taking fluoxetine. The reported
incidence of each of these effects ranges between 4% and 20% of treated
patients. Among these insomnia is the commonest neurological side effect due
to fluoxetine, followed by tremors. The tremor shown by the patients taking
fluoxetine is physiological in nature and has a frequency of between 6 and 12
Hz. Placebo can cause headache as frequently as fluoxetine.
, Which one of the following statements about outcome of schizophrenia is
incorrect? Right Ans - Social recovery occurs in 1 in 7 patients over a 16-
years period after the onset
Which of the following statements is correct about people with dual role
transvestism? Right Ans - In dual role transvestism, the individual wears
clothes of the opposite sex in order to experience temporary membership in
the opposite sex. The individual experiences a sense of appropriateness by
wearing clothes of the other gender. There is no sexual motivation for the
cross-dressing. The individual has no desire for a permanent change to the
opposite sex. This must be differentiated from fetishistic transvestism where
cross-dressing results in sexual arousal often associated with masturbation or
sexual activity. This is classified as a paraphilia.
What is the lifetime risk of developing schizophrenia for a child born to a
patient with schizophrenia, if the other parent is healthy? Right Ans - If the
other parent of the child also has, schizophrenia then the lifetime risk for the
child is increased to 46%. The lifetime risk of schizophrenia in the
monozygotic twin sibling of the patient is increased to 48% and dizygotic twin
sibling of a patient is 17%. The lifetime risk for the sibling of a schizophrenic
patient is 9%.
Depression rating scales may overlap with negative symptoms of
schizophrenia. Which of the following rating scales is specific for measuring
symptoms of depression in those with schizophrenia? Right Ans - Calgary
depression scale was specifically developed to avoid measurement
redundancy with negative symptoms while evaluating depression in
schizophrenia patients. CES-D is a tool to measure depression in community
samples.
The risk of suicide one year after an act of self-harm is Right Ans - 1%
You are seeing a patient with chronic schizophrenia who has always
complained of dry mouth. Which of the following antipsychotic drug is least
likely to cause this adverse effect? Right Ans - Amisulpride
The proportion of patients diagnosed with schizophrenia that experience
recurrent relapse and continued disability is Right Ans - About 75%
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