Previous Year Q

(PSYCHIATRY)
FMGE
❑ Jan 2024 : 3 Questions
❑ July 2023: 12 questions
❑ Jan 2023 : 6 questions
❑ June 2022 : 6 questions
❑ Dec 2021 : 5 questions
❑ June 2021 : 8 questions
❑ Dec 2020 : 6 questions
❑ 2017 PAPER : 5 QUESTIONS
FMGE Recall
Psychiatry
Jan 2024
 FMGE JAN 2024 PSYCHY
Q1. Patient has had manic and depressive episodes
and needs treatment. Which of the following causes
least weight gain?
A. Risperidone
B. Quetiapine
C. Ziprasidone
D. Chlorpromazine
Ans 1. Ziprasidone
• Ziprasidone causes least weight gain amongst all atypical
antipsychotics
 FMGE JAN 2024 PSYCHY
Q2. A 60 year old male patient believes that his
thoughts and feelings are controlled by some external
agency. This is?
A. Nihilistic delusion
B. Delusion of influence
C. Delusion of persecution
D. Othello syndrome
Ans 2. B Delusion of influence
• Being in control means delusion of influence
 FMGE JAN 2024 PSYCHY
Q3. A patient presented in emergency with chest pain and
no medical cause was found and patient told 10 days ago
he was robbed on gun point in his house. When doctor
wanted to discharge him he refused to go back to his home.
His family member told his pre morbid condition before
this incident was normal. Likely diagnosis?
A. Acute stress reaction
B. Delirium
C. Schizophrenia
D. Avoidant personality
Ans 3. A Acute stress reaction
• After a major trauma, symptoms of avoidance and anxiety for less
than 1 month duration , points towards diagnosis of acute stress
reaction.
FMGE Recall
Psychiatry
July 2023
Core Psychiatry : 7 questions
Psychopharmacology : 5 questions
DAMS PSYCHIATRY : MCQ OF THE DAY
FMGE July 2023

Q1. Postpartum day 5, a female presents with complaints of

restlessness, difficulty in sleep, sadness and irritation. What is
the most probable diagnosis? (REPEAT FROM NEET)

A. Dysphoric mania
B. Post partum Psychosis
C. Postpartum blues
D. Post Partum Depression
Ans 1 C
Disorder Onset Symptoms Mother’s feelings Treatment
toward baby
Postpartum blues Immediately after Sadness, mood No negative Supportive,
or “baby blues” birth up to 2 lability, feelings usually self-
weeks tearfulness limited
Postpartum Within 1-3 Depressed mood, May have Antidepressant
depression months after birth weight changes, negative feelings medications
sleep toward baby
disturbances, and
excessive anxiety
Postpartum Within 2-3 weeks Depression, May have Antipsychotic
psychosis after birth delusions, and thoughts of medication,
thoughts of harm harming baby lithium, and
possibly
antidepressants
DAMS PSYCHIATRY : MCQ OF THE DAY
FMGE July 2023
Q2. A patient in OPD is very much obsessed with particular things. He
seems to be stubborn and frugal in nature. As per Sigmund Freud’s
psychosexual stages of development, Fixation would have happened in
which stage?

A. Oral
B. Anal
C. Phallic
D. Latent
Ans 2. B
FREUD’S PSYCHOSEXUAL STAGES OF DEVELOPMENT
Stage Age ORGAN OF GRATIFICATION Psychiatric syndromes that result from
fixation (and regression) to this stage
Oral 0-1.5y Breast sucking and biting Schizophrenia, Alcoholism, Dependent PD

Anal 1.5-3y Faeces holding and giving OCD, OCPD, stubbornness, frugality
Phallic 3-5y Males : Hysteria, Perversions
Oedipal Complex (mother)
Castration anxiety
Females :
Electra complex (father)
Penis Envy
Latency 5-12y None NEUROSIS
Genital >12y Genitalia Neurosis
DAMS PSYCHIATRY : MCQ OF THE DAY
FMGE July 2023

Q3. Which of the following is not a feature of pseudohallucination?

A. Not vivid
B. Outer objective space
C. Not in voluntary control
D. Can occur with a stimulus
Ans 3. B
DAMS PSYCHIATRY : MCQ OF THE DAY
FMGE July 2023

Q4. Capgras syndrome can be associated with which of the

following condition?

A. Vascular dementia
B. Alzheimer’s disease
C. Dementia with lewy body
D. Frontotemporal dementia
Ans 4 C
• Dementia with lewy body, commonly has CAPGRAS SYNDROME
DAMS PSYCHIATRY : MCQ OF THE DAY
FMGE July 2023

Q5. Which of the following is a key feature of depression?

A. Loss of interest in pleasurable activities

B. Low mood
C. Suicidal thoughts
D. Loss of appetite
Ans 5 B
• Low mood is key symptom of depression
DAMS PSYCHIATRY : MCQ OF THE DAY
FMGE July 2023

Q6. A young man gets sudden and irresistible urge to carry out an act.
This is known as:

A. Illusion
B. Compulsion
C. Impulse
D. Delusion
Ans 6. C
• Sudden irresistible urge to carry out an act is impulse
DAMS PSYCHIATRY : MCQ OF THE DAY
FMGE July 2023

Q7. A 65 year old man with a history of chronic alcohol use presents to his
primary care clinic. Now he is admitted with features of vision loss,
confusion and unsteady gait. He cannot recall about the recent events.
Which vitamin deficiency is responsible for his symptoms?

A. Ascorbic acid
B. Thiamine
C. Folate
D. Retinol
Ans 7. B
• History is suggestive of alcohol related “Wernicke’s Korsakoff
syndrome” that is due to deficiency of thiamine
 OVERLAPPING
QUESTIONS WITH
PHARMACOLOGY
 DAMS PSYCHIATRY : MCQ OF THE DAY
FMGE July 2023
Q8) A female patient of bipolar disorder is on lithium
for last 1 year. Which of the following side effects is
least likely to occur?
A. Hypothyroidism
B. Tremors
C. Tardive dyskinesia
D. Diabetes insipidus
Ans 8 C
• Tardive dyskinesia is extrapyramidal side effect of antipsychotic
DAMS PSYCHIATRY : MCQ OF THE DAY
FMGE July 2023

Q9. A 38 year old female, presents to OPD with complaints of persistent sadness,
sleeping problems, loss of interest in activities and poor appetite for past few
months. As per her condition, she is diagnosed with major depressive disorder.
Which drug is the most appropriate for initial treatment?

A. Lithium
B. Buspirone
C. Haloperidol
D. Fluoxetine
Ans 9 D
• This is a case of depression, where DOC is SSRI, which is fluoxetine
here
DAMS PSYCHIATRY : MCQ OF THE DAY
FMGE July 2023

Q10. A person developed sudden hypertensive episode after taking wine.

Family members informed that he was already on any psychiatric
medication. Which of the following drug the person must be taking?

A. SSRI
B. Trazadone
C. MAO inhibitors
D. Amitriptyline
Ans 10. C
• Cheese reaction with MAO INHIBITORS
DAMS PSYCHIATRY : MCQ OF THE DAY
FMGE July 2023

Q11. A person has consumed multiple tablets of benzodiazepine.

What is the treatment for overdose?

A. Naltrexone
B. Acamprosate
C. Fomepizole
D. Flumazenil
Ans 11 D
• BZD overdose treatment is flumazenil
DAMS PSYCHIATRY : MCQ OF THE DAY
FMGE July 2023
Q12. A man presented to hospital with drowsiness, ataxia and blurred
vision. On history taking, it was found that he brought two bottles of
alcohol from a local liquor shop. What is the antidote for the
treatment?

A. Flumazenil
B. Diazepam
C. Ethyl alcohol
D. Naltrexone
Ans 12. C
• This is a case of methyl alcohol poisoning, for which the DOC is ethyl
alcohol
FMGE RECALL-2023 ( JANUARY)
PSYCHIATRY
6Q
Q 1. Which of the following is not suggestive of a medical cause of
mental illness?
A. Elderly age
B. Acute onset
C. Loss of consciousness
D. Auditory hallucination
Ans 1. D
Organic mental disorder
1. Disease/disorder arising due to
disease of the brain
1. Onset: Acute
3. Age: Seen in old age
4. Consciousness : Impaired
5. Hallucinations: Prominent visual
hallucinations
6. Neurological deficit: Present
e.g., delirium, dementia, wernicke’s, e.g., Schizophrenia, bipolar mood
korsakoff psychosis.
Functional mental disorder
1. Disease/disorder with no such basis
2. Onset: Gradual
3. Age: Seen in young age
4. Consciousness: Preserved
5. Hallucinations: mainly auditory
types
6. Neurological Deficit: Absent/
None
disorder, etc.
Q 2. A 27 year old female having bipolar disorder was on lithium.
Which of the following statement is incorrect?
A. Hemodialysis is not useful in lithium toxicity
B. Lithium decreases thyroid function.
C. Thiazides increase lithium toxicity
D. Lithium is avoided in pregnancy due to its teratogenic effects
Ans 2. a
• In lithium toxicity, hemodialysis is used

• Lithium is known to cause hypothyroidism

• Thiazide decrease lithium clearance and hence increase serum lithium

levels and increase its toxicity

• Lithium has known teratogenicity : Ebstein’s anomaly

Q 3. On MSE, patient is asked to subtract 7 from 100. What does it
assess?
A. confusion
B. Attention
C. orientation
D. Concentration
Ans 3. D
• Although serial 100-7 subtraction test is for both attention and concentration

• But concentration is a better answer here than attention

Q 4. What is a common effect of cannabis/ marijuana intake?
A. Depression
B. Physical dependence
C. A state of dreaminess with altered consciousness
D. Anxiety
Ans 4 C
• Depression and anxiety like symptoms are more seen in cannabis
withdrawal
• Physical dependence is seen with cannabis but not very likely
• A state of dreaminess with altered consciousness is most likely
answer here
Q 5. A 25 year old patient presented with complaint that aliens are
communicating with him they are sending an electromagnetic
radiation to his brain and aliens are asking him to kill his distant
relatives. His relative said he has this disease from last 20 years, The
patient does not work on farm and stopped going in social functions,
patient is aware of time, place and person. What is the most likely
diagnosis?
A. Depression
B. Mania
C. Delusional disorder
D. Schizophrenia
Ans 5. D Schizophrenia
• “that aliens are communicating with him they are sending an
electromagnetic radiation to his brain and aliens are asking him to kill
his distant relatives” (Auditory hallucinations commanding the
patient : first rank symptom)
• Duration more than 6 months (20 years chronic continuous)
• Social impairment
Q 6. A 35 year old man was taking medication for depression, but had
sexual dysfunction. Which drug will you switch him on to address this
problem?
A. Escitalopram
B. Venlafaxine
C. TCA
D. Bupropion
Ans 6 D Bupropion
• Bupropion is NDRI drug that increases sexual desire

• It causes least amount of sexual dysfunction amongst all

antidepressants just like mirtazapine
FMGE RECALL-2022 ( JUNE)
PSYCHIATRY
6Q
Q1: Continuous rigorous washing of hands is suggestive of:
A. Obsessive compulsive disorder
B. Generalized anxiety disorder
C. Adjustment disorder
D. Panic disorder
Q2: A patient underwent surgery and a mass of hair was found in her
stomach. Which specialist should be consulted with?
A. Dermatologist
B. Cardiologist
C. Psychiatrist
D. Neurologist
Q3: The disorder characterised by sexual gratification by inflicting
pain on the partner is called:
A. Sadism
B. Masochism
C. Voyeurism
D. Fetischism
Q4: A patient presented to the psychiatry OPD. On being asked what's your
name', patient repeated the same question. This phenomenon is called?
A. Echolalia
B. Echopraxia
C. Perseveration
D. Posturing
Q5: A female patient wants to get rid of her tobacco addiction, which drug
should be used?
A. Vareniclline
B. Naloxone
C. Naltrexone
D. Bupropion
Q6: A pregnant female with bipolar disorder presented for the treatment.
Which of the following drug should be avoided in this patient?
A. Lithium
B. Lamotrigine
C. Risperidone
D. Haloperidol
FMGE RECALL DECEMBER -2021
PSYCHIATRY
5Q
Q. 1 Excessive sexual desire in male is k/as?
A. Nymphomania
B. Satyriasis
C. Fetishism
D. Voyeurism
Q.2 Patient had covid infection 1 year ago. Now since last 3 months
he has a fear that he might die due to covid again and has symptoms
of fear with associated sweating, palpitations and feeling of
impending doom, episodic that lasts for 20 minutes. What is the
probable diagnosis?
A. Post Traumatic Stress Disorder
B. Panic disorder
C. Depression
D. Mania
Q.3 A patient presents to psychiatry emergency with symptoms of
tachycardia, tachypnoea, sweating, diarrhoea and doctor asked for
poisoning, what could be the most probable substance ?
A.Alcohol
B. Opioid
C.Cocaine
D.Cannabis
Q. 4 After 72 hours of stoppage of alcohol which of the following
withdrawal symptoms patient likely to develop?
A.Tremors
B. Seizures
C. Hallucinosis
D. Delirium tremens
Q 5. Since last 3 months a non alcoholic patient started believing that
his daughter wanted to kill him? What can it be?
A. Schizophrenia
B. Bipolar disorder
C. Delusional disorder
D. Xenophobia
FMGE JUNE 2021
8Q
Q1. A middle aged person with symptoms of anxiety and
loneliness was diagnosed with depression. He is to be
prescribed with a medication, which is a serotonin
norepinephrine reuptake inhibitor. Identify the drug.

A.Fluoxetine
B.Venlafaxine
C.Phenelzine
D.Citalopram
Q2: A 28 year old mother was diagnosed with mild depression,
she has a 3 month old child. Which among the following
therapy should be prescribed ?

1. Cognitive behavioural therapy (CBT)

2. Cognitive behavioural therapy + anti depressant
3. Antidepressant alone
4. Electroconvulsive therapy
Q3: Which among the following is a not a
symptom of panic attack ?

A.Suicidal thoughts
B. Sudden anxiety
C. Palpitation
D. Tremors
Q4: Which among the following deficiency is the
reason for cognitive impairment in the old age ?

A. Vitamin C
B. Vitamin B12
C. Vitamin B6
D. Vitamin B2
Q5: A chronic alcoholic patient, suddenly withdrew his
alcohol consumption. Later he developed tremors, global
confusion, ataxia and other associated symptoms. Which
among the following is the most appropriate treatment ?

A. Methylcobalamine 1500 IV
B. Thiamine 100mcg IV/IM
C. Methylmalonyl + lorazepam
D. Benzodiazepines
Q6. Most common symptom of alcohol
withdrawal –

A.Tremors
B. Hallucinations
C. Seizure
D. Delirium
Q7. A pregnant mother was given lithium, the
child will be born with

a. Cleft palate
b. Neural tube defect
c. Ebstein’s anomoly
Q8. A patient admitted with tachycardia
arrythmia and scratch marks on the skin. This
patient is most probable causing substance is?

a. Cocaine
b. Heroin
c. Cannabis
d. Alcohol
FMGE RECALL -2020
PSYCHIATRY
6Q
Q 1. A patient presented with history of visual
hallucinations and disorientation. He was a chronic
alcoholic and last intake was 2 days back? What is the
likely diagnosis?
a. Alcohol withdrawal seizures
b. Alcohol withdrawal delirium
c. Alcoholic hallucination
d. Schizophrenia
Q 2. A 21-year-old girl suspects that the college principal is making a
conspiracy against her and is planning to fails her in the upcoming
exam. She feels that other teachers have also joined the conspiracy
and students are helping them too? What is this known as
a. Delusion of persecution
b. Delusion of reference
c. Delusion of infidelity
d. Othello syndrome
Q 3. A 13-year-old boy was brought to the child psychiatrist for
misbehaving frequently at home and in school with the teacher, often
bullies the younger kids and has been caught stealing money on
multiple occasions. What is the likely diagnosis?
a. Antisocial personality disorder
b. Attention - deficit hyperactivity disorder
c. Conduct disorder
d. Oppositional defiant disorder
Q 4. A 31-year-old female with history of recent divorce presents to
emergency with complaints of palpitations sweating, heaviness and
pain in chest. She has multiple similar episodes in last few weeks and
is not able to sleep properly from past few days. The blood
investigations, and ECG are normal. In the past too, investigations
revealed no abnormality what is the next best step?
a. Admit for detailed investigation
b. Start counselling sessions
c. Use benzodiazepines for symptoms relief
d. Use beta blockers
Q 5. Excessive fear of getting contaminated, repeated
washing, repetitive checking behaviour and excessive doubts
are features of:
a. Panic attacks
b. Agoraphobia
c. Obsessive compulsive disorder
d. Generalized anxiety disorder
Q 6. A 37-year-old man reports that after suffering from sudden
financial loss, he developed certain symptoms. He started feeling
fearful that someone is about to harm him, he could not sleep or eat
properly. He also began to hear voices of a female and that voice
would abuse him and say that he was useless and should kill himself.
His symptoms stopped after approximately one week. There was no
relevant past history of, drug abuse. What is the likely diagnosis?
a. Schizophreniform disorder
b. Brief psychotic disorder
c. Schizoaffective disorder
d. Schizophrenia
Psychiatry FMGE 2017
Q1. Indoor management of
anorexia nervosa is done on
priority in patients with:
A.Binge eating symptoms
B.Weight loss >75%
C.Amenorrhea
D.Depression
Answer B Weight loss >75%
CRITERIA FOR ADMISSION TO HOSPITAL in anorexia
nervosa:
•Extremely low body weight: less than 85% of ideal body
weight or a BMI < 17.5.
•Acute medical instability.
•Rapid, excessive weight loss (~10% weight loss within 3
months).
•Psychosis or significant risk of suicide.
•Other serious psychiatric co-morbidities.
•Failure of outpatient treatment.
•Involuntary admission is considered when compulsory
refeeding is needed to medically stabilize patient and/or
decision making capacity is impaired.
Q2. Copycat suicide is seen at age
of:
A.Adolescence
B.Child age
C.Adult age
D.Old age
2. Answer B Child age
Q3. Disulfiram is a type of:
A.Aversion therapy
B.Anti-craving therapy
C.Maintenance therapy
D.alcohol withdrawal therapy
3. Answer A aversion therapy
Q4. In a non-diabetic non-hypertensive
patient having some extra beats in pulse.
Doctor informed it is benign. But patient is
still going for investigations from doctor to
doctor and worried about having a major
disease. This is a type of:
A. Conversion disorder
B. Hypochondriacal disorder
C. Somatoform pain
D. Depression
4. Answer B Hypochondriacal
disorder
Q5. A 6-year-old child with no interest
in daily activity and not engaging with
other children of his age group is
likely to be suffering from:
A.Autism
B. ADHD
C. Depression
D.Bipolar disorder
5. Answer A Autism

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