PAPER-3
DECEMBER 2020 JUNE 2020
1) Clinical features and management of Tourette disorder.5+5 1) 1. What are the common errors while conducting psychiatric interview in
2) What is Confidentiality and what are the conditions in Psychiatry in children and adolescent?
which Confidentiality can be waived?4+6 2) Assessment and certification of mental illness as per RPWD Act, 2016. 6+4
3) What is grief? Discuss the phases and different types of grief. 3) Phenotypic and genotypic findings in autism spectrum disorders.5+5
4) Clinical features and challenges in management of geriatric 4) Role of psychiatrist in insanity defense assessment.
depression.4+6 5) What are the objectives of the District Mental Health Program of India?
5) Etiology and management of enuresis.4+6 How has it been implemented?3+7
6) Clinical features and treatment of schizotypal personality disorder.6+4 6) What is aging? Discuss briefly the psychological and biological
7) Clinical features and management of treatable intellectual disabilities.6 changes associated with aging.2+(4+4)
+4 7) Define rehabilitation. Discuss principles of rehabilitation in psychiatry.2+8
8) What is IDEAS, its domains and scoring? Discuss the various categories 8) What is Autism Spectrum Disorder? Discuss its etiological theories and the
of psychiatric disorders included as per the Rights of Persons with write the other medical conditions associated with it.3+(5+2)
Disability Act?5+5 9) What are common violations of human rights in persons with mental
9) Clinical features and management of bulimia.5+5 illness? Discuss how the Mental Health Care Act, 2017 has made
10) Role of psychiatric social workers in diagnosis and management of provisions for protection of human rights of persons with mental illness 4
psychiatric illness.5+5 +6
10) Give an account of the set of prodromal signs and symptoms before the
DECEMBER 2019 onset of psychosis. Write about the interventions that can be taken in
11) Write about childhood depression and principles of management of prodromal phase of schizophrenia in young person who is yet to develop
childhood depression. the disorder
12) What are the cognitive disorders in elderly? Write about reversible
conditions resembling dementia. JUNE 2019
13) What are genetic etiological factors in ADHD? Write pharmacological 11) What is nocturnal enuresis? Describe its pharmacological and non-
management of ADHD. pharmacological management in detail.2+(4+4)
14) Write clinical features of disruptive mood dysregulation disorder, its 12) What is Asperger’s disorder? Describe the assessment,
differential diagnosis and treatment. differential diagnosis and its management.2+(2+3+3)
15) Write about basic ethical principles of psychiatry practice. 10 13) What is Type C personality? Write its relevance in physical
16) Describe current National Mental Health Program in India. Write its and psychiatric disorders.4+6
objectives in detail. 14) What do you understand by Community Psychiatry? What are
17) Discuss about recent advances in management of OCD. 10 its basic principles? How is it useful in the management of
18) Write about clinical features, complications and management of schizophrenia?2+3+5
anorexia nervosa. 15) What is Metacognitive therapy? Describe its application in Psychiatry.2+8
19) Describe clinical features and treatment of borderline personality 16) What is late onset psychosis? How is it different from early
disorder. onset psychosis? Discuss the management of late onset
20) Discuss the role of half way homes and community based psychosis.2+2+6
treatment in chronic schizophrenia. 17) What is National Mental Health Programe? What are the
objectives and goals of District Mental Health Programe?2+8
DECEMBER 2018 18) Discuss the legal issues of divorce and adoption in India in a
21) Define child sexual abuse. Write about POCSO Act and its mentally ill patient.5+5
implication in psychiatric practice.1+9 19) What is deliberate self-harm? How will you assess the lethality
22) Describe various neuropathological and neurochemical changes of attempt? Discuss the medico-legal aspects and management.2+2+6
associated with Alzheimer’s disease. Briefly discuss about 20) What are the clinical features of anorexia nervosa? Discuss
management of Alzheimer’s disease.(3+3)+4 various complications associated with it. Write the management of
23) Assessment, management and differential diagnosis of a child with anorexia nervosa.
learning disability.4+4+2
24) What is “IDEAS”? Discuss its assessment and relevance in Psychiatry.2 JUNE 2018
+(4+4) 21) What is psychiatric rehabilitation? What are various techniques
25) What is delirium tremens? Write its clinical features and of rehabilitation in schizophrenia?2+8
management.3+(4+3) 22) What are ethical principles related to confidentiality? In which
26) What is group therapy? Write its principle components and types in situations confidentiality may be broken? Briefly discuss its legal angle
detail.3+(3+4) related to privacy.4+3+3
27) What is meant by Fitness to stand trial? Discuss its assessment and 23) What is criminal responsibility? Discuss principles of assessment of
describe the legal implications.2+(4+4) criminal responsibility.2+8
28) What is UNCRPD? Critically review the positive and negative 24) What are clinical features of elderly depression? Discuss
aspects of Mental Health Care Act, 2017.2+(4+4) principles of pharmacological management of depression in the
29) Write about clinical features of childhood depression. How do they elderly.5+5
differ from adult depression? Discuss the management of childhood 25) Implications of MHCA 2017 in public and private health sector.
depression.3+2+5 26) What is elderly abuse? Discuss principles of its management.
30) Write in details about Opioid substitution therapy. Discuss its current 27) What are features of nicotine withdrawal? Discuss the
status in India. Write briefly about the concept of Harm reduction.6+2+ management of tobacco dependence.4+6
2 28) Write about clinical features and psychopharmacological
management of ADHD.4+6
DECEMBER 2017 29) What is selective mutism? Discuss its clinical features and
31) Describe the methodology used in recently conducted management.2+3+5
PAPER-3 Page 1
2 28) Write about clinical features and psychopharmacological
management of ADHD.4+6
DECEMBER 2017 29) What is selective mutism? Discuss its clinical features and
31) Describe the methodology used in recently conducted management.2+3+5
National Mental Health Survey. What are the highlights of 30) What are goals and objectives of National Mental Health Policy? Discuss
this survey in terms of prevalence of mental disorders and about steps to deal with problem of suicide as per this policy.
available health services?4+6
32) Describe the etiology, clinical features, differential JUNE 2017
diagnosis and pharmacological management of attention 31) a) What are the reasons for forensic psychiatry evaluations?
deficit hyperkinetic disorders.2+2+2+4 b) What are the steps in forensic psychiatry assessment?
33) What is Intellectual Disability disorder as per DSM-5? c) What is criminal responsibility?3+5+2
What are different levels and their basis? How do you assess it in a 32) a) What are the basic principles for ethical research in human subjects?
clinical setting?3+3+4 b) Outline the issues specific to Psychiatry.7+3
34) What is erectile dysfunction? How do you differentiate it 33) Current status of National Mental Health Programme of India.
from premature ejaculation? How do you manage a case 34) a) What are clinical features of depression in elderly?
of erectile dysfunction?3+3+4 b) Differential diagnoses, and
35) How do you differentiate between ‘baby blues’ and post c) Pharmacological and non-pharmacological management of depression
partum depression? How do you manage a case of post in elderly.2+3+5
partum psychosis? 35) A 9 year old male child has been brought by his parents with complaints
36) What are component of district mental health programme? of poor scholastic performance. What are the approaches to assessment
How do you plan to set up this facility in a backward district of India?5+ and management of such a child?
5 36) a) What is the concept of recovery?
37) Enumerate mental disorders of old age. How do you b) What are the evidence based strategies for psychosocial rehabilitation
assess and manage sleep disorders in old age?4+6 of schizophrenia?3+7
38) What is testamentary capacity and how do you assess it? How do you 37) On the World Health Day this year, the theme was“Depression: let us
assess competence to stand trial?5+5 talk”.
39) What are the behavioral addictions in young age? Are they a) Why this theme was chosen?
similar to drug addiction? How do you assess and manage b) What is the likely impact of choosing this theme?
internet addiction disorder?3+3+4 c) Role of advocacy in psychiatric disorders.2+2+6
40) What do you mean by rehabilitation in psychiatric 38) Suicide is one of the leading causes of mortality. Comment on approaches
disorders? Describe its goals and how do you achieve to suicide prevention from public health perspective.
them in India. 39) A 17-year-old girl has been brought by parents with history of significant
weight loss, amenorrhoea and fear of gaining weight. Her current BMI is
DECEMBER 2016 17 kg/m2. Write briefly on approaches to assessment and management of
41) a) What do understand by the term Intellectual Disability? this girl. 5+5
b) Its transition from DSM-IV to DSM-5.5+5 40) Organization of Mental Health Services in India.
42) Treatment of Nocturnal enuresis.10
43) a) What do you understand by elderly abuse and neglect? JUNE 2016
b) Its management.5+5 41) a) Assessment and management of a child having learning disability.
44) Fundamental principles of ethics in psychiatry.10 b) Current status of learning disability in Indian legislation.
45) a) What are the principles of rehabilitation in psychiatry? 42) a) How the legislation for tobacco control in India has evolved?
b) Various techniques used in rehabilitation in psychiatry.5+5 b) What are the current legislations in force in this regard?5+5
46) What is meant by the term “Minimal Cognitive Deficit”? What 43) a) What is euthanasia?
is its relation to dementia?7+3 b) Current status of euthanasia in India.
47) a) Write the concept of prevention. c) Ethical implications of euthanasia.2+3+5
b) Various types of prevention in reference to psychiatry.3+7 44) a) What were the two important programs which helped in
48) What is school refusal? Write its prevalence, clinical formulation of National Mental Health Programme (NMHP)?
features, differential diagnosis and management.1+(1+2+2+4) b) What are the objectives of NMHP?
49) What is National Mental Health Policy of India? What are its c) What are the changes proposed in re-strategized NMHP?
characteristic features?2+8 d) District Mental Health Programme.2+3+2+3
50) What is involuntary hospitalization? What are the various 45) a) Opioid substitution therapy.
ways by which a patient can be admitted involuntary to a b) Its current status in India.7+3
psychiatric hospital? 46) a) What is testamentary capacity?
b) Mention briefly the demerits and factors affecting testamentary
DECEMBER 2015 capacity.3+7
51) a) What is Attention - Deficit Hyperactivity Disorder? 47) a) What is informed consent?
b) Its assessment & management.3(3+4) b) Different constituents of informed consent.2+8
52) a) Clinical features of ‘Childhood Depression’ & its 48) a) What is assertive community treatment?
differentiation from depression in adults.(2+2) b) What are the different outcome measures to gauge the
b) Differential diagnosis & management of childhood depression. Psychiatric Community Services?
53) a) What is ‘School Refusal’? 49) a) What is deliberate self harm?
b) Differential diagnosis & management of school refusal. b) How will you assess and manage a 24 year old girl brought to
54) What is ‘Mental Health Authority according to Mental Health emergency with history of consuming 15 tablets of Diazepam
Act, 1987? Describe its structure & function.2+(4+4) (5mg)? 2+(4+4)
55) a) What is ‘Informed Consent’? 50) a) What is disability, impairment and handicap?
b) Its components & importance in psychiatry.3+7 b) What is the importance of assessing disability in psychiatric
56) a) Various components of rehabilitation in psychiatry. disorders?
b) How would you plan rehabilitation in a patient with residual c) Write in detail the instrument used to assess functioning/disability in
schizophrenia?4+6 DSM-5.
PAPER-3 Page 2
b) Its components & importance in psychiatry.3+7 b) What is the importance of assessing disability in psychiatric
56) a) Various components of rehabilitation in psychiatry. disorders?
b) How would you plan rehabilitation in a patient with residual c) Write in detail the instrument used to assess functioning/disability in
schizophrenia?4+6 DSM-5.
57) a) What is ‘IDEAS’?
b) Discuss its assessment & relevance in Psychiatry.2(4+4) JUNE 2015
58) a) What are psychiatric disorders of old age? 51) a) Specific learning disabilities (SLD).
b) Assessment & management of depression in old age.3(3+4) b) How will you assess SLD in your locality while conducting school mental
59) a) Development of ‘Community Psychiatry’ in India. health programme?6+4
b) Its current status in our country.5+5 52) a) How will you assess a case of child sexual abuse?
60) a) What is ‘National Mental Health Policy’? b) Outline the management and define your role as a mental health
b) Discuss its importance in our country.5+5 professional in the light of Protection of Children from Sexual Offence
(POCSO) Act 2012. 5+(3+2)
DECEMBER 2014 53) a) National Mental Health Programme (NMHP).
61) What is testamentary capacity? What is the role of a psychiatrist in b) How will you organize your District Mental Health Programme (DMHP)?
determining capacity? 4+6
62) What are the clinical features of dementia? Describe the main classes 54) a) Define ethics.
of drugs used to treat Alzheimer’s dementia. b) Principles of ethics.
63) Principles of managing mentally ill patients in the community. c) Ethical codes recommended by Indian Psychiatric Society
64) Etiology and management of elective mutism in children. 55) a) Levels of prevention in psychiatric disorders.
65) Clinical syndromes commonly associated with epilepsy. b) Primary prevention of mental illness.4+6
66) Different phases of clinical trials of a drug. 56) a) Clinical manifestation of depression in a geriatric patient.
67) Define serotonin syndrome and discuss its treatment. b) How does it differ from normal adult depression?
68) What are the components and principles of social skills c) Enumerate the principles of management in case of geriatric
training in schizophrenia? depression.3+3+4
69) What is therapeutic alliance? How will you manage transference and 57) a) Enumerate various psycho-social aspects of ageing
counter transference? b) Robert Butler’s concept of “Ageism” in our modern day society. 3+7
70) Describe mechanisms proposed for action of ECT. 58) a) Define criminal responsibility.
b) How will you asses a case (referred by court) of a person accused of
DECEMBER 2013 murder and pleading defense on the ground of treatment of
71) What are bereavement, grief and mourning? Describe the stages of schizophrenia in the past.2+8
grief and their clinical relevance. 59) a) Different types of Hindu adoption practiced in India.
72) Discuss clinical features, differential diagnosis and management of b) Role of mental health professional in foster care.5+5
body dysmorphic disorder. 60) a) What is factitious disorder?
73) Define obesity and its measurement. What are its related psychiatric b) Diagnosis and management of factitious disorder by proxy.
issues?
74) What is multiple sclerosis? What are its psychological complications? JUNE 2014
75) What is the relationship between immune system and the HPA axis? 61) What are the objectives of National Mental Health Programme of India?
Describe immune changes in depression and its clinical applications. Discuss briefly achievements and failures of the program.
76) Define tobacco dependence. Describe brief intervention for tobacco 62) Discuss principles of psychiatric assessment in organ donors and organ
dependence. recipients.5+5
77) What are the effects of rising blood alcohol levels on the body? 63) Define dyslexia. Discuss clinical presentations and management
Describe difference between alcohol withdrawal and complicated of dyslexia.
alcohol withdrawal. 64) Discuss epidemiology, clinical features and management of conduct
78) Discuss management of depression in a patient with cardiac illness. disorders.
79) Describe the cognitive triad of depression and its role in management. 65) What is ethics? How does it differ from law? Discuss the important ethical
80) Discuss the interface between Parkinson’s disease and Psychiatry. issues in psychiatric practice.
66) Enumerate psychiatric complications of epilepsy and discuss in detail
DECEMBER 2012 management of psychosis in epilepsy.
81) Discuss the various neuropsychiatric sequelae of head injury. 67) Describe salient features of the Mental Health Care Bill, 2013. Discuss a
82) Discuss the symptoms, comorbidity and treatment of Irritable brief critique of the Bill.
Bowel Syndrome (IBS). 68) What is psychiatric rehabilitation? Discuss a plan to rehabilitate a 40 year
83) Describe the neuropsychiatric disorders associated with HIV infection old male patient with schizophrenia for 15 years.
and outline the treatment modalities used for the management of 69) Discuss diagnosis and treatment in a 75 year old male patient presenting
these disorders. with depressive symptoms for duration of 3 months.
84) Discuss briefly about the acute and chronic harmful effects 70) Discuss assessment and management of depression in diabetes mellitus.
(neuropsychiatric) of cannabis abuse.
85) Describe types of pain. Briefly discuss hospice care and
euthanasia.
86) What is delirium? Enumerate its causes and describe its
management.
87) Describe common drug induced movement disorders in
psychiatric practice.
88) Enumerate various lifestyle risk factors in relation to psychosomatic
disorders. Discuss the clinical implications of each.
89) Describe the clinical features of frontal lobe syndromes. 10
90) Discuss psychiatric presentations of systemic lupus
erythematosus (SLE).
PAPER-3 Page 3
DECEMBER 2011
91) What is delirium tremens? Write its clinical features and treatment.
92) What is Type A personality? What is its relevance in health and
psychosomatic disorders?
93) Describe various neuropathological and neurochemical changes
associated with Alzheimer’s disease.
94) Discuss the signs and symptoms, risk factors and treatment of
neuroleptic malignant syndrome.
95) Describe clinical features and management of migraine.
96) Define Complex Partial Seizures (CPS). Describe its various clinical types
in detail. Mention its management.
97) Discuss the long term pharmacological management (preventive)
of alcohol dependence.
98) Write various differentiating features of dementia and pseudo-
dementia.
99) Describe the clinical features and management of Tourette’s disorder.
100) What is apraxia? Describe different types of apraxia.
PAPER-3 Page 4
