MIST- MEDICAL INSTITUTE FOR SCREENING TEST

PSYCHIATRY AND ANAESTHESIA SUBJECT WISE TEST

Q.1) Patient brought to casualty and on examination there is tachycardia,
tachypnea, sweating, diarrhea and mydriasis? Person has developed withdrawal of?
a. Opioid
b. Amphetamine
c. Cocaine
d. Alcohol

Q.2) In a chronic alcoholic, which withdrawal symptoms develops after 7 hours

of last drink?
a. Hallucinations
b. Tremors
c. Seizures
d. Delirium

Q.3) At what blood alcohol concentration level person develops impaired driving
ability?
a. 30mg%
b. 30-80 mg %
c. 80-200 mg%
d. 300-400 mg%

Q.4) Drugs used for treating medication resistant schizophrenia is :

a. Haloperidol
b. Olanzapine
c. Aripiprazole
d. Clozapine

Q.5) Most common type of schizophrenia is:

a. Paranoid
b. Simple
c. Catatonic
d. Undifferentiated

Q.6) OCD is a disorder of:

a. Content of Thought
b. Possession of thought
c. Perception
d. Learning

Q.7) Excessive sexual desire in female is k/as?

a. Nymphomania
b. Satyriasis
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c. Fatichism
d. Voyerism

Q.8) Electra - complex is related to which phase of psychosexual development-

a. Oral
b. Anal
c. Phallic
d. Genital

Q.9) Loss of interest in things which were previously interesting:

a. Anergia
b. Anxiety
c. Anhedonia
d. Alexithymia

Q.10) MUS indicates:

a. Medically understandable symptoms
b. Mentally Unstable Symptoms
c. Medically undifferentiated symptoms
d. Medically unexplainable symptoms

Q.11) Misinterpretation of external stimuli is known as:

a. Delusion
b. Hallucination
c. Illusion
d. Déjà vu

Q.12) A patient of mania was started on Lithium therapy after 1 week there was partial
improvement in symptoms. Serum Lithium level was 0.5mEq/L, what will be the next
best step?
a. Prepare and plan dialysis
b. Add 2nd drug to Lithium
c. Maintain same dose and monitor
d. Increase the dose of Lithium

Q.13) A 24 year old 4 months Primi gravid has depression and suicidal ideas.
Which among the following therapy should be prescribed ?
a. Lithium
b. Sodium Valproate
c. Carbamazepine
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d. Electro convulsive therapy –ECT

Q.14) Long term semantic type memory includes all except?

a. Languages
b. Rules
c. Words
d. Tour to America

Q.15) An 18-year-old man is admitted to the psychiatric unit after his parents find
him in his room muttering to himself and convinced that people are going to hurt
him. During his stay in the hospital, the patient is frequently found standing in the
center of his room with both arms over his head, immobile. The patient can maintain
this position for hours at a time. Which of the following best describes this patient’s
posturing?
a. Negativism
b. Automatism
c. Waxy flexibility
d. Posturing

Q.16) A 32-year-old woman is brought to the emergency room when she complains
of chest pain. She is noted to be over talkative, euphoric, hyper vigilant and anxious,
with a pulse of 120 beats per minute and BP of 140/97. She has widely dilated
pupils. Her toxicology screen is positive. Which of the following drugs is she most
likely to have used?
a. Cocaine
b. Heroin
c. Phencyclidine (PCP)
d. Lysergic acid diethylamide (LSD)

Q.17) The following EEG recording belongs to which stage of sleep?

a. NREM 1
b. NREM 2
c. Deep Sleep
d. REM sleep
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Q.18) A 30 year old man who was recently started on haloperidol 10 mg/day, after 6
months patient developed involuntary chewing movement of lips There is no history
of any other drug intake or any signs of infection. The most likely diagnosis is:
a. Drug overdose
b. Neuroleptic malignant syndrome
c. Acute dystonia
d. Tardive dyskinesia

Q.19) Psychiatric illness most commonly seen in medical-surgical department/ward

is?
a. Dementia
b. Depression
c. Delirium
d. Schizophrenia

Q.20) Which of the following is NOT the 4 A’s given by Eugen Bluler ?
a. Autism
b. Anhedonia
c. Ambivalence
d. Loosening of association

Q.21) Marker of passive smoking or 2nd hand smoking is?

a. Cytisine
b. Ecognine
c. Cotinine
d. Hermaline

Q.22) Mild mental retardation is an IQ of:

a. 10-20
b. 20-35
c. 35-50
d. 50-70

Q.23) Visual hallucinations and neuroleptic sensitivity syndrome is

characteristric feature of ?
a. Alzheimer’s disease
b. Lewy body dementia
c. Pick’s disease
d. Vascular dementia

Q.24) According to which provision under the Mental Health Bill; the
mentally ill patient has the right of choosing his/her caregiver and further
course of management in future?
a. Advance directive
b. Mental will
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c. Future directive
d. Treatment directive

Q.25) Double depression means depression occurring with?

a. Cyclothymia
b. Dysthymia
c. Hyperthymia
d. Mania

Q.26) Delta waves on EEG is seen in:

a. Awake state with eyes open
b. Fully relaxed deep sleep
c. Awake state with eyes closed
d. Transition from wakefulness to sleep

Q.27) All are features of hypo-mania except:

a. Insomnia
b. Pressure of speech
c. Disorientation
d. Grandeur delusion

Q.28) Features of alcohol withdrawal are all except:

a. Epileptic seizure
b. Restlessness
c. Hallucination
d. Hypersomnolence

Q.29) A 27 year old female with bipolar disorder wants to get pregnant. Which drug
should be avoided except?
a. Lithium
b. Olanzapine
c. Clozapine
d. Valproate

Q.30) Best Prognosis in schizophrenia is seen in:

a. Paranoid type
b. Insidious onset
c. Hebephrenic type
d. Catatonic Type

Q.31) A 30-year-old lady who is to much happy, always very talkative, even to
strangers. She always feels herself superior to other colleagues in company. She
remains agitated and move from one task to another (hyperactive):
a. Mania
b. Depression
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c. Schizophrenia
d. Psychosis

Q.32) Which of the following is a feature of true hallucination?

a. It can occur in unconscious mind
b. It is dependent on will of observer
c. Insight is absent
d. Occurs in subjective space

Q.33) A female of 23 year of age has come to emergency after suicidal cut of wrist,
history of break up with boyfriend, similar history in past of such attempts. There is
no history of depression. She behaves very rudely with nurse but when she was
attended by handsome male resident doctor, she talked sweetly. Most Probable
diagnosis?
a. Schizophrenia
b. Schizoid personality disorder
c. Histrionic personality disorder
d. Borderline personality disorder

Q.34) A 50 year old male presents with a 3 year history of irritability, low mood,
lack of interest in surroundings and general dis-satisfaction with everything. He has
no significant disruption of sleep or appetite. This is likely to be;
a. Major depression
b. No psychiatric disorder
c. Dysthymia
d. Chronic fatigue syndrome

Q.35) Most common irreversible cause of dementia is –

a. Temporo parietal dementia
b. Fronto temporal dementia
c. Hypothyroidism
d. Multi infarct dementia

Q.36) A 24-year old male patient presents with a 10-year history of repeated eye
blinking and grunting. He complains that the symptoms have now increased in
frequency so much that he does not have any control over them and they have started
disturbing his routine activity and social life, making his depressed. The best
medication that would benefit his is
a. Carbamazepine
b. Methylphenidate c
c. Imipramine
d. Risperidone

Q.37) A 25 years old male disqualified in NEET 2018, disheartened with his result,
he hung himself from a branch of a tree. The branch of the tree breaks & he dies of
head injury. This is known as
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a. Complex suicide
b. Complicated suicide
c. Para suicide
d. Pseudo suicide

Q.38) Which of the following is the most effective treatment modality for post
traumatic stress disorder?
a. CBT
b. Hypnosis
c. Rational & emotional therapy
d. Eye movement desensitization & reprocessing

Q.39) A clinician asked the patient “how is your mood”, patient replied “I m a
stupid, dupid, rapid, id, ego, super ego….”, what could be the diagnosis?
a. Neologism
b. Tangentiality
c. Clanging
d. Derailment

Q.40) Which personality disorder is commonly seen in relatives of schizophrenia?

a. Paranoid
b. Schizotypal
c. Borderline
d. Schizoid

Q.41) The lady pulls her hairs repeatedly leads to noticeable hair loss, this is k/as?

a. Kleptomania
b. Trichobezoar
c. Trichotillomania
d. Trichophagia

Q.42) Drug not used in smoking cessation?

a. Varenicline
b. Buspirone
c. Bupropion
d. Nicotine gums

Q.43) MMSE in delirium is done to document?

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a. Clouding of consciousness
b. Perceptual disturbances
c. Psychomotor activity
d. Cognitive impairment

Q.44) Type 1 narcolepsy is k/as ?

a. Narcolepsy with cataplexy
b. Narcolepsy without cataplexy
c. Secondary narcolepsy
d. Traumatic narcolepsy

Q.45) Psychological Pillow is seen in which psychiatric disorder?

a. Narcolepsy
b. Severe depression
c. Catatonia
d. Mania

Q.46) This picture is used for ?

a. Thematic apperception test

b. Children apperception test
c. Projective personality test
d. None of the above

Q.47) In Opiod Substitution Therapy (OST) all of the following drugs can be used
except?
a. Morphine
b. Buprenorphine
c. Methadone
d. Naltrexone

Q.48) Patient is repeatedly checks their door lock because they have a doubt that they
have’nt closed the door properly ? this is k/as?
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a. Pathological Doubts
b. Obsession for contamination
c. Symmetry
d. Blassphamous thoughts

Q.49) Not a disorder of Stream of thought ?

a. Circumstantiality
b. Thought Block
c. Flight of ideas
d. Tangentiality

Q.50) Axis II of DSM IV TR represents what?

a. Clinical mental disorder
b. General Medical Condition
c. Mental Retardation
d. Global Assessment of Functioning

Q.51) All of the following are 1st rank symptoms except?

a. Thought Echo
b. Sudden Delusional idea
c. Somatic passivity
d. Made phenomenon

Q.52) Since last 1 month a non alcoholic patient started remaining sad, lost all
interest in his work, lost 6 kg’s of weight, unable to fall asleep, wanted to commit
suicide by hanging ? What is the best treatment for this condition?
a. Fluxoetine
b. Olanzapine
c. ECT
d. St. John’ s wort

Q.53) In alcohol withdrawal which vitamin is given along with benzodiazepines is:
a. Cynocobalamine
b. Niacin
c. Vitamin B1
d. Vitamin C
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Q.54) Formications and delusion of persecution are seen in the intoxication of ?
a. Opioid
b. Cannabis
c. LSD
d. Increased sleep

Q.55) Most common complication of OCD?

a. Mania
b. Depression
c. Schizophrenia
d. Epilepsy

Q.56) In Psychoanalysis, Depression develops due to fixation of psychosexual stage

at:
a. Oral stage
b. Anal stage
c. Genital stage
d. Oedipal stage

Q.57) A 30 years old individual developed habit of stealing objects from every
where he doesn’t like it but he can not resist himself from doing the act.? He is
suffering from ?
a. OCD
b. Trichotillomania
c. Kleptomania
d. Oniomania

Q.58) Scale used to rate Severity of alcohol withdrawal is?

a. CIWA-A
b. CIWA-B
c. COWS
d. CAM

Q.59) Most important feature of Organic amnestic syndrome is impairment of ?

a. Consciousness
b. Intelligence
c. Recent memory
d. Immediate memory

Q.60) Following depositions seen in Brain in patient’s of Alzheimer’s disease:

a. Alpha- Synuclein
b. Pick’s Bodies
c. Senile Plaque
d. BDNF
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Q.61) A patient 30 years old, has a left-sided inguinal hernia the patient also has
uncontrolled DM. Acc, to ASA guidelines under which category the patient belongs?
a. ASA I
b. ASA II
c. ASA III
d. ASA IV

Q.62) Properties of classes LMA are all except:

a. Difficult airway Management
b. Prevent against aspiration
c. Gastric inflammation
d. Easy Placement

Q.63) Spinal anaesthesia or Subarachnoid block is most commonly used to give

anaesthesia for cesarean section. It was first given by:
a. W T G Morton
b. Oliver Wandell Holmes
c. John Snow
d. August Bier

Q.64) Gold standard for correct endotracheal tube placement?

a. Acscultation
b. Visualisation of chest Rise
c. Capnography
d. ECG

Q.65) Capnography measures:

a. Conc. Of inhaled CO2
b. Conc. Of exhaled CO2
c. Conc. Of Electrolytes
d. BP of the patient

Q.66) Colour of O2 cylinder –

a. Black body white shoulder
b. White body black shoulder
c. Blue body
d. Orange body

Q.67) Pin Index for N2O?

a. 1,5
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b. 2,5
c. 3,5
d. 7

Q.68) A patient undergoing surgery under General Anaesthesia. The circuit of choice
for this is?
a. Mapleson A
b. Mapleson D
c. Mapleson F
d. Mapleson B

Q.69) Use of Sodalime in anaesthesia machines?

a. In Vapourisers
b. To Absorb CO2
c. To increase fresh gas flow
d. For Rebreathing

Q.70) Anaesthetic Agent causing Hepatitis?

a. Halothane
b. Etomidate
c. Desflurane
d. Isoflurane

Q.71) Anaesthetic agent of choices for paediatric age group?

a. Isoflurane
b. Sevoflurane
c. Desflurane
d. Halothane

Q.72) Fastest acting inhalational agent :

a. Nitrous oxide
b. Sevoflurane
c. Halothane
d. Isoflurane

Q.73) Dissociative Anaesthesia is associated with :

a. Dexmedetomidine
b. Ketamine
c. Propofol
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d. Thiopentone

Q.74) Absolute C/I of thiopentone :

a. Cardiotoxicity
b. Acute Porphyrias
c. Malignant hyperthermia
d. All

Q.75) DOC for daycare surgery:

a. Propofol
b. Ketamine
c. Fentanyl
d. Desflurane

Q.76) Best site for temperature monitoring Intra-operatively is?

a. Pulmonary a
b. Tympanic Membrane
c. Esophagus
d. Oral cavity

Q.77) MAC decreases in all of the following except?

a. Hypothermia
b. Acute alcohol intox
c. Pregnancy
d. Acute Amphetamine

Q.78) All of the following act on GABA receptor, except?

a. Propofol
b. Ketamine
c. Thiopentone
d. Etomidate

Q.79) 16th October is celebrated as world Anaesthesia day all over the world. In
whose memory it is celebrated
a. W T G Morton
b. Oliver Wandell Holmes
c. John Snow
d. August Bier
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Q.80) Identify the equipment given in below image:

Which of the following is false about this equipment?

a. It is called as AMBU
b. It can used to ventilate the patient even without oxygen supply
c. PEEP can delivered by it
d. There is a rebreathing of expired gases

Q.81) Identify the given below image:

Which of the following is not true?

a. It stores liquid oxygen
b. It stores oxygen at temperature zero degree Celsius
c. It is called vacuum insulated evaporator( VIE)
d. Oxygen stored at lower pressure than in cylinder

Q.82) Identify the below given image

Which of the following is the reason for its use in children?

a. Higher placed larynx
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b. Large and mobile epiglottis
c. Subglottic are is narrowest part of the airway
d. Large head size compare to chest size
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Q.83) A 2 year old child was posted for herniotomy. On examination child was not
even allowing touching by anaesthesiologist. It was decided to take child for
inhalational induction of anaesthesia. Which of the following will be the inhalational
agent of choice?
a. Sevoflurane
b. Isoflurane
c. Desflurane
d. Halothane

Q.84) Which of the following is not true of Mendelson syndrome?

a. It is chemical pneumonitis caused by aspiration
b. Severe if PH < 2.5 and aspirate volume > 25 ml
c. Symptoms are hypoxemia, hypotension and progession to respiratory distress
d. There is no role of antibiotic in management

Q.85) In Mallampati classification which of the following is a most difficult airway?

a. Class I
b. Class II
c. Class III
d. Class IV

Q.86) Which of the following is not false about propofol?

a. It is a water based preparation
b. Fospropofol is prodrug and is oil based preparation
c. It is agent of choice for day care surgery
d. It is cerebroprotective

Q.87) All of the following agents should not be used in patients of epilepsy except-
a. Sevoflurane
b. Enflurane
c. Atracurium
d. Vecuronium

Q.88) Component of EMLA is?

a. Prilocaine + procaine
b. Procaine + lignocaine
c. Prilocaine + lignocaine
d. Lignocaine + levobupivacaine
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Q.89) Awareness during anaesthesia can be assessed by?

a. ETCO2
b. BIS
c. IBP
d. NM monitor

Q.90) Which of the following decrease MAC?

a. Hypothermia
b. Younger age
c. Chronic alcoholics
d. Hypernatremia

Q.91) Sellick’s maneuver is used for?

a. To prevent alveolar collapse
b. To prevent gastric aspiration
c. To facilitate respiration
d. To reduce dead space

Q.92) Thorpe’s tubes are present in?

a. Rotameter
b. Soda lime canister
c. Cylinders
d. Gas pipelines

Q.93) Longest acting local anaesthesia is?

a. Bupivacaine
b. Lignocaine
c. Ropivacaine
d. None

Q.94) Second gravida POG 36 weeks with placenta previa came to emergency
department in shock with profuse bleeding. It was decided to take her up for
emergency cesarean section. Which of the following is anaesthesia of choice-
a. Spinal anaesthesia
b. Epidural anaesthesia
c. General anaesthesia with propofol
d. General anaesthesia with ketamine
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Q.95) A patient with a history of hypersensitivity to neostigmine is posted for
laproscopic cholecystectomy. While giving general anaesthesia which of the
following muscle relaxant can be used safely in this patient-
a. Atracurium
b. Vecuronium
c. Rocuronium
d. Pancuronium

Q.96) Which of the following is not true of ACLS guideline 2020 for adults?
a. Chest compression @ 100-120/min
b. Chest compression of 5 cm
c. Compression ventilation ratio of 30:2
d. Epinephrine 0.1 mg every 3-5 minute

Q.97) During VATS ( video assisted thoracoscopic surgery) one lung anaesthesia is
given in which only one lung is ventilated and other is collapsed. Which of the
following is the endotracheal tube of choice for one lung anaesthesia-
a. Red rubber tube
b. Double lumen tube
c. Laryngeal mask airway
d. Uncuffed tube

Q.98) Which of the following is not true about etomidate?

a. Cardiostable
b. No nausea and vomiting
c. Adrenal suppression
d. Myoclonus on injection

Q.99) All of the following are contraindications of thiopentone except?

a. Acute intermittent porphyria
b. Shock
c. Sulfa allergy
d. Head injury

Q.100) Treatment to be followed in case of inadvertent intra-arterial injection of

Thiopentone are all except?
a. Remove the cannula
b. Bolus of heparin
c. Brachial Block
d. Sympathetic block
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ANSWER KEY

1A 2B 3C 4D 5A 6B 7A 8C 9C 10 D
11 C 12 D 13 D 14 D 15 D 16 A 17 B 18 D 19 C 20 B
21 C 22 D 23 B 24 A 25 B 26 B 27 C 28 D 29 B 30 D
31 A 32 C 33 D 34 C 35 A 36 D 37 B 38 A 39 C 40 B
41 C 42 B 43 D 44 A 45 C 46 C 47 D 78 A 49 D 50 C
51 B 52 C 53 C 54 D 55 B 56 A 57 C 58 A 59 C 60 C
61 C 62 B 63 D 64 C 65 B 66 A 67 C 68 B 69 B 70 A
71 B 72 B 73 B 74 B 75 A 76 A 77 D 78 B 79 A 80 D
81 B 82 C 83 A 84 D 85 D 86 C 87 D 88 C 89 B 90 A
91 B 92 A 93 A 94 D 95 A 96 D 97 B 98 B 99 D 100 A