Important MCQs in Residency Psychiatry 

Introduction:

Q. What are the three main categories historically considered on a continuum with depressive disorders?

1. Schizophrenia, Bipolar I, Cyclothymia
2. Bipolar I, Bipolar II, Schizoaffective
3. Unipolar Depression, Bipolar I, Dysthymia
4. Major Depressive Disorder, Cyclothymia, Manic Depression

Answer: 2) Bipolar I, Bipolar II, Schizoaffective

Schizophrenia and Bipolar Disorder:

Q. According to the dichotomous disease model, what characterizes schizophrenia?

1. Cyclical episodes
2. Chronic course with psychosis
3. Poor outcome with mood disorders
4. Good outcome with mania

Answer: 2) Chronic course with psychosis

Bipolar Disorder:

Q. In bipolar II disorder, what is the minimum duration required for a hypomanic episode as per DSM-5?

1. 1 day
2. 2 days
3. 3 days
4. 4 days

Answer: 4) 4 days

Also read: Diagnosis of Mood Disorders

Epidemiology:

Q. What is the lifetime prevalence of bipolar I disorder according to recent studies?

1. 0.4%
2. 0.6%
3. 1%
4. 2.4%

Answer: 3) 1%

Etiology-Genetic Factors:

Q. What is the heritability range of bipolar disorders according to twin studies?

1. 0.2 to 0.3
2. 0.4 to 0.6
3. 0.7 to 0.8
4. 0.9 to 1.0

Answer: 3) 0.7 to 0.8

Etiology: Neurobiological Factors

Q. Which brain region plays a crucial role in the development of bipolar disorder, both in mania and depression?

1. Temporal Lobe
2. Parietal Lobe
3. Prefrontal Cortex
4. Occipital Lobe

Answer: 3) Prefrontal Cortex

Also read: Assessment Of Uncooperative Patients

Psychopathology of Mania:

Q. What is the term used for an extremely severe expression of mania, involving delirium and disorientation?

1. Delusional Mania
2. Catatonic Mania
3. Euphoric Mania
4. Dysphoric Mania

Answer: 2) Catatonic Mania

Vegetative Disturbances:

Q. What is a characteristic symptom associated with a decreased need for sleep during mania?

1. Hypersomnia
2. Hyposomnia
3. Insomnia
4. Narcolepsy

Answer: 2) Hyposomnia

Cognitive Disturbances:

Q. What is the common cognitive deficit observed in bipolar disorders related to executive functioning?

1. Impaired Memory
2. Poor Attention
3. Executive Functioning and Verbal Memory
4. Psychomotor Speed

Answer: 3) Executive Functioning and Verbal Memory

Also read: Delusional Disorders : History, Classification

Psychosocial Factors/Theories:

Q. According to Karl Abraham, what might manic episodes reflect?

1. Fear of Aggression
2. Inability to Tolerate Developmental Tragedy
3. Fusion of Ego and superego
4. Defensive Reaction to Pain

Answer: 2) Inability to Tolerate Developmental Tragedy

Psychopathology of Mania—Disturbances of Symptoms:

Q. What symptom is characterized by rapid and abrupt changes in mood during mania?

1. Irritability
2. Elation
3. Lability
4. Hostility

Answer: 3) Lability

Neurobiological Factors-Structural Imaging:

Q. In structural imaging studies, which subcortical regions are more strongly correlated with bipolar I disorder?

1. Hippocampus and Amygdala
2. Thalamus and Basal Ganglia
3. Striatum and Pituitary
4. Inferior Frontal Gyrus and Cerebellum

Answer: 2) Thalamus and Basal Ganglia

Also read: Dysthymic Disorder Criteria And Clinical Features

Neurobiological Factors-Functional Imaging

Q. Which circuits, involved in executive functioning and working memory, show increased activation in bipolar disorder?

1. Limbic System
2. Amygdala and Basal Ganglia
3. Superior and Medial Frontal Cortex
4. Cerebellum

Answer: 3) Superior and Medial Frontal Cortex

Neurobiological Factors-Neuroinflammatory Factors:

Q. When are inflammatory factors, notably interleukin-6, elevated in bipolar disorders?

1. In adulthood
2. During adolescence
3. During childhood
4. After the age of 50

Answer: 2) During adolescence

Neurobiological Factors-Neurochemical Findings:

Q. In bipolar disorder, what alteration in brain-derived neurotropic factors (BDNF) may predict lithium responsiveness?

1. Increased BDNF levels
2. Decreased BDNF levels
3. Stable BDNF levels
4. Fluctuating BDNF levels

Answer: 2) Decreased BDNF levels

Neurocognitive Factors:

Q. What executive function, related to preventing impulsive responses, is often deficient in bipolar disorders?

1. Cognitive Flexibility
2. Attention
3. Response Inhibition
4. Psychomotor Speed

Answer: 3) Response Inhibition

Also read: Examination Of Uncooperative Patient

Psychopathology of Mania - Mood Disturbance:

Q. What is the term for rapid and abrupt changes in mood observed during mania?

1. Elation
2. Liability
3. Hostility
4. Irritability

Answer: 2) Liability

Psychopathology of Mania-Psychomotor Acceleration:

Q. What is the term for the rapid flow of thoughts leading to increased speech during mania?

1. Flight of Ideas
2. Clang Associations
3. Impulsive Behavior
4. Delirious Mania

Answer: 1) Flight of Ideas

Psychopathology of Mania-Vegetative Disturbances:

Q. What is a potential consequence of hypersexuality observed during manic episodes?

1. Decreased Interest in New Activities
2. Weight Gain
3. Increased Risk of Separations and Divorces
4. Hyposomnia

Answer: 3) Increased Risk of Separations and Divorces

Also read: Understanding Catatonia: Symptoms, Diagnosis & Treatment Options

Psychopathology of mania-cognitive disturbances:

Q. What term is used to describe a grandiose sense of confidence and achievements during mania?

1. Grandiosity
2. Denial
3. Insight
4. Delusion Formation

Answer: 1) Grandiosity

Download the PrepLadder app now and unlock a 24-hour FREE trial of premium high-yield content. Access Video Lectures, digital notes, QBank, and Mock Tests for FREE. And if you need any assistance in residency preparation, you can always seek our assistance.

Hope you found this blog helpful for your Psychiatry Residency Clinic Psychiatry Preparation. For more informative and interesting posts like these, keep reading PrepLadder’s blogs.