INSTITUTE OF PSYCHIATRY

Internal Assessment of H/Os

31st October, 2008

1 Which of the following class of anti depressant is NOT preferred due to chances of
dangerous interactions and lesser effectiveness
1. TCAs
2. SSRIs
3. Other newer A.D
4. MAOIs

2 Safest Antidepressant in elderly patients would be

1. Escitalopram
2. Paroxetine
3. Clomipramine
4. Fluoxetine

3. Postural hypotension is MOST commonly seen as a side effect of

1. TCAs
2. Mood stabilizers
3. Anti epileptics
4. Anti psychotics

4. In case of recurrent depression , maintenance treatment is required for

1.4 wks
2.4 months
3.4 years
4. At least 5 years and possibly indefinitely

5. Which drug requires a strict monitoring of serum levels every 3 months and is
likely to cause sodium imbalances

1. Valproic acid
2. Clomipramine
3. Lithium
4. Lamotrigine
6. Which of the following class of drugs should be prescribed for the SHORTEST
possible time, in the LOWEST possible dose
1. Anti epileptics
2. Typical anti psychotics
3. TCAs
4.Benzodiazapines

7. Newer anti epileptics include

1.Carbamezipine
2.Gabapentin,topiramate
3.Clonazepam

8. SSRIs are preferred over TCAs because they have

1.Less GI symptoms
2.Less bleeding disorders
3.Less potential side effect and better tolerated
4.Better response in severely ill

9. Possibility of deliberate over dosage risk should be kept in mind when

prescribing
1.Lithium
2.Valproic acid
3.Comipramine
4.Sertraline

10. Drug used in children under 18 years of age for management of depressive
illness is
1.Fluoxetine
2.Mitrazapine
3.Paroxetine
4.Venlafaxine

11.Anti manic drugs are also known as

1.Anti epileptics
2.Mood stabilizers
3.Anti depressants
4.Antipsychotics
12. Tricyclic antidepressants

1. Should not be used in patients with glaucoma

2. can control epileptic fits
3. Are sometimes used as antiarrhythmics

13. If the seizures are to be effectively controlled without excessive sedation, the
most appropriate drug is

1. Carbamazepine
2. Clonazepam
3. Valproic acid

14. Which one of the following drugs is most likely to be f value in obsessive-
compulsive disorders (OCD)?

1. Amitriptyline
2. Bupropion
3. Clomipramine
4. Desipramine
5. Mirtazapine

15. A 28-year-old woman has sporadic attacks of intense anxiety, with marked
physical symptoms including hyperventilation, tachyeardia, and sweating. If she is
diagnosed as suffering form a panic disorder, the most appropriate drug to use is

1. Alprazolam
2. Chloral hydrate
3. Flurazepam
4. Meprobamate
5. Propranolol

16. Adverse effects of neuroleptic agents, such as galactorrhea, gynecomastia,

ejaculation disorders, are attributed to:
1. an antimuscarinic, anticholinergic effect
2. an inhibition of angiotensin receptors
3. an inhibition of dopamine, increase in prolactin
4. an increase of serotonin secretion
5. a stimulation of the alpha1 adrenergic receptors
17. A patient a few hours after having taken a neuroleptic agent such as haloperidol
presents an acute facial dyskinesia . The following drugs could correct this disorder:
1. propranolo
2. Procyclidine
3. trinitrite
4. naltrexone
5. dexamethasone

18. The following drug (s) decrease(s) or suppress(es) delusions and hallucinations:

1. diazepam
2. imipramine
3. phenobarbital
4. a phenothiazine such as chlorpromazine
5. a SSRI

19. The following drug (s) induce(s) adversely an increase of prolactin secretion
(with galactorrhea, amenorrhea…):

1. Oxazepam
2. Haloperidol
3. lorazepam
4. procalmadiol
5. mirtazapine

20. Antipsychotic drug with least extrapyramidal toxicity:

1. fluphenazine (Prolixin)
2. haloperidol (Haldol)
3. clozapine (Clozaril)
4. thiothixene (Navane)
5. chlorpromazine (Thorazine)

21. Most common antipsychotic neurological side effect:

1 tardive dyskinesia
2 perioral tremor
3 akathisia
4 pseudoparkinsonism

22. Side effects include anti-cholinergic, anti-adrenergic and extrapyramidal

1. chloral hydrate
2. lithium
3. haloperidol
4. meprobamate