PAPER-2
DECEMBER 2020 JUNE 2020
1) Discuss the role of the non-pharmacological treatments in 1. What is factitious disorder? Write about the clues that may trigger the
management of Schizophrenia. Discuss the role of family therapy in suspicion of factitious disorder.
Schizophrenia.5+5 2. What are the risk factors for delusional disorders? Write the clinical
2) Discuss in detail various neuropsychiatric disorders associated with features and management of Capgras syndrome.3+4+3
chronic alcohol use/dependence. 3. Diagnostic criteria for mild cognitive impairment. Write about its
3) Define cognitive behavioral therapy. Describe with brief examples biomarkers and treatment.6+(2+2)
behavioral techniques used in cognitive behavioral therapy.2+8 4. Steps in starting lithium therapy and monitoring it.6+4
4) Diagnosis and management of neuroleptic malignant syndrome. 5. How will you examine an uncooperative patient?
5) What are subcortical dementias? How can they be differentiated from 6. What is motivational enhancement therapy? Discuss the principles of
cortical dementia?5+5 motivational enhancement therapy. 3+7
6) What are the indications and side effects of Valproate in psychiatric 7. Write the criteria for treatment resistant OCD. Discuss the treatment
disorders?3+7 options for such a case. 3+7
7) Define treatment resistant mania. Discuss its possible causes, and its 8. Pharmacological and non-pharmacological treatment of generalized
management.2+(2+6) anxiety disorder.5+5
8) Etiology, clinical features and management of narcolepsy.2+4+4 9. Differentiate between true and pseudo resistance. How do we define
9) Enumerate the neuropsychiatric manifestation of Parkinsonism. How treatment resistant depression? Enumerate 5 strategies at managing
will you manage them?4+6 treatment resistant depression.3+2+5
10) How is genetic counselling undertaken - describe its steps and 10. Clinical features and management of a case of Kleine-Levin syndrome. 5+
components. What is the importance of genetic counselling in 5
psychiatric disorders? 5+5
DECEMBER 2019 JUNE 2019
11) Write clinical features, pharmacological management and prognosis of 11. Write in detail about the safety of psychotropic drugs in
post-traumatic stress disorder. pregnancy and breastfeeding.
12) Write DSM 5 diagnostic criteria for delirium. Discuss the role of 12. What is treatment resistant depression? Discuss the
psychiatrist in management of delirium. psychopharmacological management of treatment resistant depression.2
13) Write neuropharmacology of Opioids. Describe features of Opioid +8
withdrawal and its pharmacological management. 13. What is panic disorder? Discuss the Pharmacological and
14) Classify epileptic seizures according to International classification. nonpharmacological management of panic disorder.2+(4+4)
Describe epileptic personality change. 14. What is Tardive Dyskinesia? How can this be prevented?
15) What are the risk factors for suicide? Write about public health Discuss its management in brief.3+2+5
strategy and goals for suicide prevention. 15. What are the functions of frontal lobe? Describe the clinical
16) What is serotonergic syndrome? Discuss its clinical features and syndromes associated with frontal lobe dysfunction and their
management. management.4+(4+2)
17) Write about clinical features and management of post-partum 16. Enumerate the psychiatric indications, side-effects of clozapine
depression. and their management.2+3+5
18) Define Phobia. Write different types of phobia. Write in detail about 17. What do you understand by the term cognitive behavior
behavior therapy for phobia. therapy (CBT)? Discuss in detail about the main components
19) What are serotonin dopamine antagonists? Write indications for of CBT?2+8
clozapine and side effects of clozapine. 18. What are the clinical features of Wilson’s disease? What are
20) What are the cognitive errors in depression? Write in short about CBT the diagnostic signs? Describe the management of Wilson’s
for depression. disease.2+3+5
19. What are treatable dementias? How is treatable dementia
DECEMBER 2018 different from pseudo dementia?5+5
21) Define dementia. Enumerate causes of cortical and sub- cortical 20. What is rapid cycling mood disorder? Discuss its
dementias. Differentiate between cortical and sub-cortical dementias pharmacological management.2+8
with clinical significance.1+3+6
22) What are culture bound syndromes? Write briefly about Dhat and JUNE 2018
possession Syndromes.4+(3+3) 21. Clinical presentation and management of hallucinogen related
23) What is neuroleptic malignant syndrome (NMS)? Discuss about the disorders.5+5
clinical features & management of NMS. 2+(4+4) 22. What is interpersonal therapy? Discuss its indications and
24) What is Gilles de la Tourette’s syndrome? What are the co-morbid principles.2+3+5
psychiatric conditions in children with this disorder? Discuss its 23. Differentiate between suicide and parasuicide. Discuss
management.3+3+4 principles of suicide prevention.5+5
25) What are the psychiatric consequences of traumatic brain injury? 24. Trichotillomania: its clinical presentation and management.5+5
Discuss its clinical features and management.2+(4+4) 25. Define obsession. Briefly discuss various forms and content of
26) What are negative symptoms of schizophrenia? Write about obsessions with examples.2+8
differential diagnosis and management of “negative symptoms” of 26. Etiopathogenesis and management of delirium.4+6
schizophrenia. 3+(3+4) 27. What is multiple sclerosis? Discuss briefly psychiatric
27) Define treatment resistant OCD. What are the factors responsible for presentations in multiple sclerosis and their management.2+(4+4)
refractoriness to first line treatment of OCD? Discuss management of 28. Clinical presentation and management of borderline personality
resistant OCD. 2+3+5 disorder.5+5
28) What are the essential features of PTSD diagnosis? Write about clinical 29. What is treatment resistant schizophrenia? Discuss differences
between true and pseudo resistance. Outline management of
PAPER-2 Page 1
27) Define treatment resistant OCD. What are the factors responsible for presentations in multiple sclerosis and their management.2+(4+4)
refractoriness to first line treatment of OCD? Discuss management of 28. Clinical presentation and management of borderline personality
resistant OCD. 2+3+5 disorder.5+5
28) What are the essential features of PTSD diagnosis? Write about clinical 29. What is treatment resistant schizophrenia? Discuss differences
features and treatment of PTSD. 3+(3+4) between true and pseudo resistance. Outline management of
29) What are common side effects of lithium therapy? How is lithium treatment resistant schizophrenia.2+3+5
toxicity diagnosed? How do you manage lithium toxicity? 2+3+5 30. Pharmacological and non-pharmacological management of
30) What are the most common extrapyramidal side effects of First generalized anxiety disorder.5+5
Generation Anti-psychotics? Name the rating scales used to measure
their severity. Briefly write about their management.2+2+6 JUNE 2017
31. A 37 year old married woman with no family or past history of
DECEMBER 2017 psychiatric disease with prominent anankastic traits in premorbid
31) Enumerate the differences between delirium and personality has presented with gradually progressive excessive
dementia. Discuss clinical features and management of worries and apprehensions, feeling anxious, restlessness,
Alzheimer’s dementia.5+5 headache & chest pain with occasional sadness:
32) What is cognitive behavior therapy? How would you a) Outline differential and provisional diagnosis.
describe its various components? Describe various steps b) Pharmacological and non-pharmacological management.5+5
of cognitive behavior therapy in management of 32. a) What is alcohol withdrawal delirium?
depression?2+3+5 b) What are the differential diagnoses to be considered?
33) What is a mood disorder? How do you differentiate c) What investigations will you advise and why?
between mania and schizophrenia? Describe treatment of d) Management of alcohol withdrawal delirium.1+2+2+5
chronic mania. 3+3+4 33. a) What are the psychiatric disorders associated with diabetes
34) Describe clinical features and differential diagnosis of mellitus?
opioid use disorders. How do you manage a case of opioid b) How do they affect course of diabetes mellitus?
dependence in community? 5+5 c) What are the principles of management of psychiatric
35) Enumerate psychiatric emergencies in adults. How do you disorders existing with diabetes mellitus?3+2+5
assess and manage a case of suicidal attempt? 4+6 34. A 24 year old male with schizophrenia has been started on olanzepine.
36) What are schizophrenia spectrum disorders? Describe a) What is the likely chance of his developing metabolic syndrome?
treatment and rehabilitation of a case of chronic b) Preventive strategies used for its prevention.2+8
schizophrenia. 4+6 35. a) What is Psycho education?
37) What are anxiety disorders? How do you differentiate b) What are the components of Psycho education?
between various types of anxiety disorders including those c) Its application in management of psychiatric disorders.2+5+3
secondary to medical disorders? Describe non pharmacological 36. a) Concept of family burden in relation to psychiatric disorders.
management of phobic disorders. 2+4+4 b) Enumerate the instruments used for its assessment.
38) What is a dissociative disorder? Enumerate different dissociative c) Approaches to manage family burden.4+2+4
disorders. How do you manage a case of dissociative fit of 37. General approaches to the assessment and management of
unconsciousness? 3+3+4 patients presenting with sexual dysfunction.5+5
39) What is stress? What are the consequences of stress in a 38. Compare utility of lithium and valproate for the treatment of
work place? How do you manage mental health bipolar disorders.
morbidities in work place?3+3+4 39. a) What is psychotherapy?
40) What are the various brain stimulation methods used in b) What are the various types of psychotherapies?
psychiatry? Describe mechanism of action, indications and c) Principles and application of supportive psychotherapy.1+2+7
adverse effects of electro-convulsive therapy.4+6 40. Psychosocial approaches to assessment and management of
dementia.5+5
DECEMBER 2016
41) a) What do you understand by treatment resistance in JUNE 2016
depression? 41. a) Etiology of anorexia nervosa.
b) Management of treatment resistant depression.3+7 b) Management plan for a 15 year old female diagnosed with
42) a) What are the contexts in which psychiatric problems may arise anorexia nervosa with special emphasis on non pharmacological
in a patient with HIV? interventions.3+7
b) What are the clinical presentations seen in patients diagnosed 42. a) What are the cognitive deficits in schizophrenia?
with HIV?5+5 b) Management of a case of 26 year old man presenting with 3
43) A 24 year old recently married woman with no family history of years history of schizophrenia with no prior treatment.3+7
psychiatric disorder has bipolar disorder with history of 4 episodes 43. a) What are the different etiological theories of depression?
of mania in last 4 years, each time reaching pre-morbid level of b) Cognitive theory of depression.4+6
functioning in the inter-episodic period. The reason for relapse is 44. a) What are culture bound syndromes?
poor drug compliance. Discuss pharmacological and b) Culture bound syndromes in India.4+6
nonpharmacological management of the case. 4+6 45. a) How is lithium toxicity diagnosed?
44) What is delirium tremens? How would you manage it? 3+7 b) Management of lithium toxicity as per the severity.3+7
45) a) Pathophysiology of movement disorders in psychiatry. 46. a) Differentiate the features between cortical and subcortical
b) Medication induced extra-pyramidal syndrome. 4+6 dementia.
46) a) What are adjustment disorders? b) Psychiatric changes seen in dementia.6+4
b) Classification, differential diagnosis and management of 47. a) Relationship of psychiatric disorders with epilepsy.
adjustment disorders.1+(3+3+3) b) Salient features for diagnosing a true seizure.6+4
47) a) What is Dialectical Behavior Therapy? 48. a) Various stages of human sexual response cycle.
b) Its rationale, techniques and phases of treatment. 1+(2+3+4) b) Non pharmacologic management of premature ejaculation.6+4
48) Define parasomnias. Describe briefly at least three disorders 49. Clinical evaluation, laboratory work up and management of a patient
associated with REM sleep.1+9 suspected of neuroleptic malignant syndrome.4+2+4
50. a) Define obsession and compulsion.
PAPER-2 Page 2
47) a) What is Dialectical Behavior Therapy? 48. a) Various stages of human sexual response cycle.
b) Its rationale, techniques and phases of treatment. 1+(2+3+4) b) Non pharmacologic management of premature ejaculation.6+4
48) Define parasomnias. Describe briefly at least three disorders 49. Clinical evaluation, laboratory work up and management of a patient
associated with REM sleep.1+9 suspected of neuroleptic malignant syndrome.4+2+4
49) You plan for a clozapine trial in a patient with schizophrenia. How 50. a) Define obsession and compulsion.
would you initiate and monitor the treatment? What are common, less b) What are the forms and contents of obsessions?
common and rarer side effects of clozapine?2.5x4 c) Management of OCD.2+2+6
50) What do you understand by vascular dementia? What are the
common clinical features of vascular dementia? Outline its JUNE 2015
treatment. 4+4+2 51. a) Define aphasia.
b) Classify aphasia.
DECEMBER 2015 c) Conduction aphasia.2+3+5
51) a) Enumerate medical causes of anxiety disorder. 52. a) Genetic causes of intellectual disabilities.
b) Clinical features & management of organic anxiety b) Neuro-psychiatric manifestations of tuberous sclerosis.5+5
disorder.3(3+4) 53. a) Factors responsible for outcome of Traumatic Brain Injury (TBI).
52) a) Neuro-psychiatric manifestations of Multiple Sclerosis. b) Neuro-psychiatric sequelae of TBI.5+5
b) Characteristic laboratory abnormalities of Multiple 54. a) Clinical features & pathological findings of Lewy Body Dementia.
Sclerosis.7+3 b) Enumerate differential diagnosis, course and prognosis of Lewy
53) a) Differentiate dementia from delirium. Body Dementia.5+5
b) Assessment & management of dementia.(3+4) 55. a) The biological causes of schizophrenia.
54) a) What are ‘negative’ symptoms of schizophrenia? b) Genetics of schizophrenia.5+5
b) Differential diagnosis & management of ‘negative’ 56. a) Effects of opioids at various receptors.
symptoms of schizophrenia.(3+4) b) Management of opioid withdrawal and long term prophylaxis of
55) a) How would you plan psychoeducation for bipolar disorder? opioid dependence in Indian scenario.3+(4+3)
b) Reasons & management for non-adherence in bipolar 57. a) Psychological defense mechanisms attributed as causation of
disorder.4+6 OCD(Obsessive Compulsive Disorder).
56) a) Effects of alcohol on brain & body. b) Psychological treatments for a patient of OCD.4+6
b) Psychiatric disorders associated with alcohol.4+6 58. a) How do you define “treatment–resistant” schizophrenia?
57) a) What is Cognitive - Behavior Therapy (CBT)? b) Management protocol (both pharmacological & psychological) in
b) CBT for Anxiety disorders.3+7 case of treatment resistant schizophrenia.3+7
58) a) What is ‘Treatment Resistant’ depression? 59. a) How will you initiate treatment with Lithium Carbonate in a patient
b) Its assessment & management.(3+4) with bipolar affective disorder?
59) a) How would you conduct ‘Suicide Risk Assessment’? b) Complications associated with Lithium treatment. 5+5
b) Management of person with high suicide risk.4+6 60. a) Enumerate physiological stages of male sexual cycles and various
60) What is agorophobia? Discuss its comparative nosology & sexual disorders in each cycle.
management.2+(3+5) b) Management of premature ejaculation. 6+4
DECEMBER 2014 JUNE 2014
61) What is cannabis psychosis? Describe its psychopathology. How has it 61. What is cognitive-behavior therapy (CBT)? Discuss the constructs of CBT
been described in Indian research?2+5+3 and describe in brief the use of CBT in any one psychiatric disorder.
62) Describe any two psychological instruments you can use in 62. What are the differences between positive symptoms and negative
schizophrenia along with their purpose. symptoms in schizophrenia? Discuss management of negative symptoms
63) What are the psychological and social factors determining in schizophrenia.
body weight? 63. Discuss clinical features and differential diagnosis of generalized
64) What are gender identity disorders? How will you manage a girl who anxiety disorder.
demands sex change operation?2+8 64. Discuss briefly biological, psychological and sociological causes of
65) Describe in detail the principles of sleep hygiene. alcohol dependence.
66) What are benzodiazepines? How are they classified? Describe their 65. Define obsessions and compulsions.• Discuss the
applications and risks. pharmacological and non-pharmacological treatment of OCD
67) What is somatisation disorder? Describe its management. 66. Define delirium. Discuss common causes of delirium and their
68) What features point to a possible medical cause of psychiatric management in a general hospital setting.
symptoms and why? 67. Write important characteristics of Type D personality. Discuss
69) Discuss the differential diagnosis of obsessive compulsive briefly about its relevance and implications.
disorder. 68. What is treatment resistant depression?
70) Define akathisia. How will you diagnose and treat it? Discuss briefly assessment and treatment of treatment resistant
depression.
DECEMBER 2013 69. Discuss briefly clinical presentations, differential diagnosis and
71) What is Gilles de la Tourette’s syndrome? Enlist co-morbid psychiatric management of fronto-temporal dementia.
conditions in children with this disorder. Write salient points of its 70. What are the common causes and methods of committing suicide in
management. India? Discuss management of suicidal attempt in a young lady brought
72) Define and describe one eating disorder found in children or to Emergency services in your hospital.
adolescents.
73) What is school refusal? What are the different modalities of treatment
of school refusal?
74) What are the differences between suicide and para suicide? Define and
describe with examples.
75) What is violent behavior? How does it differ from criminal
behavior? Describe briefly causes of violent behavior.
PAPER-2 Page 3
behavior? Describe briefly causes of violent behavior.
76) Describe the impact of migration and urbanization on mental health of
the Indian society.
77) What is community Psychiatry? How will you organize and review
mental health services in a community?
78) What is disability? How is it assessed in Psychiatry in India? Describe
briefly the benefits available for disabled psychiatric patients in India.
79) Discuss the magnitude of mental health problems and resources in
India.
80) How will you conduct assessment for criminal responsibility? 10
DECEMBER 2012
81) Classify pervasive developmental disorders according to DSM- IV.
Describe in brief the clinical features and management of autistic
disorder.
82) What is child abuse? Discuss its clinical presenting features and
management?
83) Define dyslexia. Describe its characteristic features and
management.
84) Describe the various components of rehabilitation in psychiatry. What
are the various techniques used in psychiatric rehabilitation.
85) Define prevention. Explain briefly the levels of prevention.
Discuss the role of primary prevention in mental retardation.
86) What is informed consent? Describe its components and
importance in psychiatry.
87) What is National Mental Health Program? What are its objectives?
What are the steps taken to achieve these objectives?
88) Define ethics. Describe the principles and recommendations of Indian
Psychiatric Society (IPS) mentioned under the Code of Ethics for
psychiatrists.
89) What is selective mutism? Describe its clinical features and
management.
90) Discuss the mental health legislation in India. What are the future
developments?
DECEMBER 2011
91) Describe the clinical features of Rett’s disorder, its etiology, differential
diagnosis and management.
92) Write in detail about the clinical features, etiology and co
morbidity of Down’s syndrome.
93) What is Community Psychiatry? What are its types and basic tenets?
94) What is anorexia nervosa? Write in brief about its clinical
features, etiology, complications and management.
95) Describe the issue of confidentiality in Psychiatry and various related
special circumstances.
96) What is Mental Health Authority? Describe its functions.
97) What is school refusal? Describe the pharmacological & non-
pharmacological management of school refusal.
98) What is domestic violence? What are the characteristics of
perpetrator & psychiatric morbidity in victims in Indian context?
99) What is token economy? Write in brief about its background,
techniques, clinical relevance and efficacy.
100) What is involuntary hospitalization? Write in detail about various
procedures of involuntary hospitalization under the MHA, 1987.
PAPER-2 Page 4
