1. Which of the following is NOT a facilitative message?
\4
a.
b.
c.
d.
e.
Run on question
Self disclosure
I want message
Silence
Interpretation
2. 3. Which of the following is an open-ended question?
a.
b.
c.
d.
e.
Tell me about yourself?
Could you tell me the name of the prime minister?
It seems as if you feel people are against you?
What do you find stressful in your job?
Do you have trouble falling asleep?
3. During a clinical interview the following statement is made by the clinician:
So you have been anxious since these changes occurred at your work place.
Which of the following interview technique best describes the above
statement?
a.
b.
c.
d.
e.
Facilitation
Open-ended question
Closed-ended question
Interpretation
Refl ecting
4. Do you ever hear voices commenting on what you are doing? This question
is usually asked to ascertain the presence of which one of the following?
a.
b.
c.
d.
e.
Bleulers primary symptoms
Schneiders fi rst-rank symptoms
Command hallucinations
Catatonic symptoms of schizophrenia
Negative symptoms of schizophrenia
5. Which one of the following is NOT an advisable fi rst response when a patient
discloses past sexual abuse at a clinical encounter?
a.
b.
c.
d.
Postpone discussing the issue
Ask if she wants to say anything more about this now
Ask if she has ever disclosed this to anyone
Ask if she sees a link between this and her current difficulties
6. A depressed patient does not smile or laugh when a joke is shared by a fellow patient. She
shows a defect in which of the following aspects of mental state examination?
a. Stability of affect
b. Reactivity of affect
c. Congruence of affect
d. All of the above
7. Which of the following theories was NOT proposed by Sigmund Freud?
a.
b.
c.
d.
e.
The topographical model of mind
Affect trauma theory
Individual psychology theory
The structural model of the mind
Psychosexual stages of development
8. Which of the following is true about primary process thinking?
a.
b.
c.
d.
e.
It fulfils the reality principle
It fulfils the pleasure principle
It is associated with delay in gratification
It is ruled by rational thinking
It is ruled by the concept of time
9. Which of the following is NOT a concept proposed by Melanie Klein?
a.
b.
c.
d.
e.
Paranoid schizoid position
Reaction formation
Splitting
Depressive position
Projective identification
10. With which of the following developmental phases is Margaret Mahler associated?
a.
b.
c.
d.
e.
Anal phase
Autistic phase
Conventional morality phase
Individuality vs inferiority phase
Operational stage
11. Avoiding the awareness of some painful aspect of reality by negating sensory data is
called
a.
b.
c.
d.
e.
Reaction formation
Projection
Denial
Suppression
Repression
12. Which one of the following terms was coined by Mary Ainsworth?
a.
b.
c.
d.
e.
Goodness of fit
Anaclitic depression
Transitional object
Separation individuation
Secure base
13. Which of the following statements about attachment theory is INCORRECT?
a.
b.
c.
d.
e.
Abused children do not develop attachments to their abusive parents.
The attachment of the fi rstborn child is decreased by the birth of a second.
Stranger anxiety develops by 8 months.
Separation anxiety occurs by 1018 months of age.
Children brought up in extended families or with multiple caregivers are able to establish
many attachments.
14. Which of the following is NOT a mature defence mechanism?
a.
b.
c.
d.
e.
Isolation
Altruism
Humour
Anticipation
Sublimation
15. A boy recognizes that the amount of water remains the same when transferred from a tall
narrow glass to a wide-mouthed glass. Which stage of Piagets developmental model is
he likely to have attained?
a.
b.
c.
d.
e.
Sensorimotor stage
Preoperational stage
Concrete operational stage
Formal operational stage
Conventional stage
16. Choose a suitable test to assess frontal lobe functions in a man suffering from head
injury:
a.
b.
c.
d.
e.
Rey Osterreith test
MMSE
Wisconsin Card Sorting Test
Stanford Binet Scale
WAIS
17. When Little Albert was conditioned to be afraid of white rats he also came to fear white
lab coats and other white objects. This phenomenon is known as
a.
b.
c.
d.
e.
Extinction
Satiation
Generalization
Discrimination
Punishment
18. A 40-year-old lady is waiting to see her dentist after three painful extractions. She could
hear the noise made by the dentists drill. This makes her feel anxious. This anxiety could
be termed as which one of the following?
a.
b.
c.
d.
e.
Unconditioned stimulus
Conditioned stimulus
Conditioned response
Unconditioned response
None of the above
19. Chris was confronted by a snake while hiking in a tropical forest. He later argued that the
fear he experienced was due to the tremors, muscle tension and sweating that occurred
immediately upon seeing the snake. Which of the following theories is he using to
explain the origin of his emotions?
a.
b.
c.
d.
e.
CannonBard theory
JamesLange theory
Two-factor theory
Opponent-process theory
SchachterSinger theory
20. Which of the following schedules would most probably produce the greatest resistance to
extinction?
a.
b.
c.
d.
e.
Fixed interval
Fixed ratio
Variable ratio
Differential ratio
None of the above
21. Marks neighbours were robbed when they were on holiday. On hearing the news, he said
to his wife, They are such a careless lot. They must have left their doors unlocked. This
will never happen to us. He blamed the neighbours to minimize the apparent likelihood
of a similar mishap to himself.This is best explained by
a. Defensive attribution
b. Fundamental attribution error
c. Actorobserver bias
d. Stereotyping
e. Self serving bias
22. The phase of human sexual response that occurs after desire is called
a.
b.
c.
d.
e.
Resolution phase
Plateau phase
Orgasmic phase
Excitement phase
Ejaculatory phase
23. A college student who last swam when he was 12 years old is surprised by his ability to
swim when pushed into the pool during a party. Which of the following cognitive
capacity could explain the above phenomenon?
a.
b.
c.
d.
e.
Procedural memory
Retrospective memory
State-dependent memory
Eidetic memory
Working memory
24. Margaret is 73-year-old. According to Erikson, she is most probably in the stage of
a.
b.
c.
d.
e.
Integrity verses despair
Intimacy verses isolation
Trust versus distrust
Autonomy verses shame and doubt
Industry versus inferiority
25. A commercial sex worker receives an educational session regarding safe sexual practices
from a health professional. She does not make any immediate change in her attitude or
behaviour but agrees with the importance of such safe practice. Which of the following
phases of Prochaskas Transtheoretical Model of Change is she in?
a.
b.
c.
d.
e.
Preparation
Precontemplation
Contemplation
Action
Maintenance
26. In Harlows classical study of rhesus monkeys, the baby rhesus monkeys preferred softclothed, non-feeding surrogate mothers to hard, wire mesh, but food-providing surrogate
mothers. This illustrated the concept of
a.
b.
c.
d.
e.
Imprinting
Individuation
Insecure attachment
Contact comfort
Object relation
27. A girl of age 2 years searches for her father when he leaves the room and is delighted
when he enters the room. Which of the following phenomena explains this behaviour?
a.
b.
c.
d.
e.
The girl has achieved object permanence
The girl has achieved semiotic function
The girl has achieved syllogistic reasoning
The girl has achieved hypothetico deductive reasoning
The girl has achieved the principle of centration
28. Harry was recently diagnosed with an advanced carcinoma of the lung. He goes through a
phase where he blames himself for the illness and asks why me?. Which one of the
following stages of reaction to impending death is he in?
a.
b.
c.
d.
e.
Denial
Anger
Bargaining
Depression
Acceptance
29. All of the following factors predict poor outcome in conduct disorders except
a.
b.
c.
d.
e.
Late-onset conduct problems
Multiple and varied symptoms and behaviours
Parental psychiatric disorder
Parental criminality
Associated hyperactivity
30. During clinical assessment of temper tantrums in a child the most important initial step is
to
a.
b.
c.
d.
e.
Assess IQ of the child
Elicit family history of temper tantrums
Explore parental limit setting behaviour
Explore suicidal ideas in the child
Record family history of criminality
31. Controlled evaluations of family therapy in child psychiatric conditions have
demonstrated significant beneficial effects for which of the following?
a. Anorexia nervosa in adolescents
b.
c.
d.
e.
Pervasive developmental disorder
Hyperkinetic disorder
School refusal
Specific reading disorder
32. Reactive attachment disorder is a recognized category in both ICD-10 and DSM-IV.
Which of the following criteria used for diagnosing this condition is mentioned in DSMIV but not ICD-10?
a.
b.
c.
d.
e.
Markedly disturbed inappropriate social relatedness
The disturbance does not meet the criteria for pervasive developmental disorder
Onset before 5 years of age
A history of signifi cant neglect
The disturbance in relationships is a direct result of abnormal care-giving
33. On the basis of cognitive theory, certain cognitive distortions are formulated to explain
both behavioural features and bodily symptoms of various psychiatric disorders. Which
of the following themes is correctly matched with the disorder?
a.
b.
c.
d.
e.
Hopelessness: panic disorder
Sense of failure: agoraphobia
Attentional bias towards threat: generalized anxiety disorder
Black and white thinking: schizophrenia
Minimization of positive appraisal: specific phobias
34. The acronym FRAMES in brief intervention for alcohol dependence stands for all
except
a.
b.
c.
d.
e.
Feedback
Roll with resistance
Advice
Empathic interviewing
Self-efficacy
35. In the treatment of borderline personality disorder, which of the following does Stage 2 of
dialectical behaviour therapy target?
a.
b.
c.
d.
e.
Severe behavioural dyscontrol
Quiet desperation
Problematic patterns in living
Incompleteness
None of the above
36. Justin is a medical student who faints every time he encounters medical situations
involving blood or injury. His therapist trains him to tense the muscles of the arms, legs,
and torso at the earliest signs of faintness. This type of therapy is called
a.
b.
c.
d.
e.
Applied relaxation
Applied tension
Autogenic training
Biofeedback
Self-hypnosis
37. In a family therapy session, the mother is asked to comment on the relationship between
her husband and their eldest son. After this, the family members are asked to comment on
the mothers response. This method is called
a.
b.
c.
d.
e.
Paradoxical injunction
Circular questioning
Socratic questioning
Role reversal
Sculpting
38. Which of the following is not a goal of family therapy?
a. Improving communication
b. Improving agreement on roles of each member
c. Improving cognitive style
d. Decreasing conflict among members
e. Decreasing distress in the member considered to be the patient
39. Traps, dilemmas, and snags are techniques typically used in
a.
b.
c.
d.
e.
Cognitive analytical therapy
Cognitive behavioural therapy
Rational emotive therapy
Interpersonal therapy
Psychodynamic psychotherapy
40. Dialectical behavioural therapy uses all of the following techniques except
a.
b.
c.
d.
e.
Cognitive behavioural techniques
Mindfulness techniques
Aphorisms
Role reversal
Dialectical techniques
41. Which of the following is the first step involved in crisis intervention?
a.
b.
c.
d.
e.
Patient is encouraged to consider solutions
Assess the patients problems and assets
Test the solutions
Reduce arousal
Consider future coping mechanisms
42. Dawn is known to have moderate learning disability. She hits her head very often with
her right hand. Her therapist teaches Dawn to engage in knitting with her right hand. This
gradually replaced her maladaptive behaviour. The process through which the therapist
replaced a maladaptive behaviour with an adaptive constructive one is through the
principles of
a.
b.
c.
d.
e.
Positive behavioural programming
Massed negative practice treatment
Functional communications training
Habit reversal programme
None of the above
43. Which of the following in the least likely outcome in a patient undergoing CBT for
hypochondriasis?
a.
b.
c.
d.
e.
Decrease in hypochondriacal thoughts
Better social role functioning
Less distress at thoughts of illness
Decrease in health-related anxiety
Remission of hypochondriacal somatic symptoms
44. Habit reversal components include all the following except
a.
b.
c.
d.
e.
Training to be aware of onset
Training in thought stopping
Training in initiating competing response
Relaxation
Social support
45. Covert sensitisation is best used in the treatment of which of the following
a.
b.
c.
d.
e.
Alcohol dependence
Panic disorder
Generalized anxiety disorder
OCD
Major depressive disorder
46. Parent management training is based on the principles of
a. Psychoanalysis
b.
c.
d.
e.
Learning theory
Systems theory of family therapy
Object relations theory
Play therapy
47. Which of the following is the first step in systematic desensitization?
a.
b.
c.
d.
e.
Constructing a hierarchy
Relaxation training
Exposure in vivo
Exposure in vitro
Flooding
48. Which of the following is a technique for automatic thought modification?
a.
b.
c.
d.
e.
Guided discovery
Recognizing mood shifts
Checklists for automatic thoughts
Imagery
Examining the evidence
49. During the psychotherapy sessions, the therapist notes that Lisa uses a number of defence
mechanisms that are classifi ed as mature defences according to Vaillant. Which of the
following is a mature defence?
a.
b.
c.
d.
e.
Suppression
Repression
Dissociation
Passive aggression
Denial
50. Focusing on a detail out of context while ignoring other, more salient features in the
situation is called
a.
b.
c.
d.
e.
Arbitrary interference
Selective abstraction
Overgeneralization
Dichotomous thinking
Personalization
51. A 40-year-old man presents to a mental health center complaining that his neighbors have
been spying on him. He reports a complicated delusion: the Federal Reserve Bank is
conspiring to take away his home. He denies any hallucinations or mood changes, and he
has been able to work as a truck mechanic without loss of function. Which of the
following diagnoses is most appropriate?
a.
b.
c.
d.
e.
Schizophreniform disorder
Major depression with psychotic features
Schizoaffective disorder
Delusional disorder
Schizophrenia
52. A 45-year-old woman with no psychiatric history presents with disheveled appearance,
almost mute speech, and thought blocking of several months duration. She also fears that
her internal organs have been stolen by a transplant surgeon to be used in a military robot.
Which of the following diagnoses is most appropriate?
a.
b.
c.
d.
e.
Schizoaffective disorder
Borderline personality disorder
Delusional disorder
Schizophrenia
Bipolar disorder
53. A first-grade teacher is concerned about a 6-year-old girl in her class who has not spoken
a single word since school started. The little girl participates appropriately in the class
activities and uses gestures and drawings and nods and shakes her head to communicate.
The parents report that the little girl talks only in the home and only in the presence of her
closest relatives. Which of the following is the most likely diagnosis?
a. Autism
b. Expressive language disorder
c. Oppositional defiant disorder
d. School phobia
e. Selective mutism
54. A 5-year-old boy shows no interest in other children and ignores adults other than his
parents. He spends hours lining up his toy cars or spinning their wheels but does not use
them for make-believe play. He rarely uses speech to communicate, and his parents
state that he has never done so. Physical examination indicates that his head is of normal
circumference and his gait is normal. Which of the following is the most likely diagnosis
for this boy?
a.
b.
c.
d.
e.
Obsessive-compulsive disorder
Asperger syndrome
Childhood disintegrative disorder
Autism
Rett disorder
55. Which of the following behavioural treatment is useful in trichotillomania?
a. Massed negative practice
b.
c.
d.
e.
Habit reversal
Biofeedback
Imaginal flooding
Exposure and response prevention
56. Jim is in a constant state of anxiety and also has brief, sudden periods of panic. He also
believes these periods of panic will occur when he's in a public location; therefore, Jim is
afraid to leave his house. Jim's diagnosis is
a.
b.
c.
d.
agoraphobia.
panic disorder.
panic disorder with agoraphobia.
panic disorder without agoraphobia.
57. John has a lack of interest in friends or lovers and experiences very little emotion. He can
be described as having which of the following personality disorders?
a.
b.
c.
d.
avoidant
schizoid
borderline
paranoid
58. Which of the following personality disorders describes a person who has an extremely
unstable self image, is moody, and does not develop stable relationships?
a.
b.
c.
d.
borderline
histrionic
narcissistic
schizoid
59. A 20-year-old man repeatedly cross-dresses in privacy. He experiences sexual arousal
during cross-dressing but has a normal sexual relationship with his girlfriend otherwise.
Which of the following is the appropriate diagnosis?
a.
b.
c.
d.
e.
Disorder of gender identity
Disorder of sexual preference
Disorder of sexual orientation
Disorder of chromosomal sex
Sexual dysfunction of arousal phase
60. A patient with a family history of affective disorders presents with elated mood and
grandiose delusions believing that he is King Solomon. These episode lasts for only 7
days. Which of the following is the most appropriate diagnosis?
a. Bipolar disorder type 1
b. Bipolar disorder type 2
c. Mixed affective state
d. Cyclothymia
