September 2008 [KT 173] M.D.

DEGREE EXAMINATION Branch XVIII Psychiatry Paper II CLINICAL PSYCHIATRY (Common to all Regulations) Q.P. Code : 202067 Time : Three hours Maximum : 100 marks Sub. Code: 2067

Draw suitable diagram wherever necessary. Answer ALL questions. I. Essay questions : (2 X 20 = 40)
1. Critically evaluate the indications for atypical anti-psychotics. Add a note on their adverse effects. 2. Describe the classification of male sexual dysfunction. Discuss the approaches to their evaluation and management.

II. Write short notes on :

1. Treatment of recurrent depressive disorder. 2. Management of disociative disorders. 3. Psychotropic medication in pregnancy and lactation. 4. Dysmorphophobia. 5. Relapse prevention in alcoholism. 6. Anxious (avoidant) personality disorders. 7. Evaluation and management of anorexia nervosa. 8. Indian studies on epidemiology of schizophrenia. 9. Cocaine and mental health. 10. Folie a deux _______________

(10 X 6 = 60)

March 2009 [KU 173] M.D. DEGREE EXAMINATION Branch XVIII PSYCHIATRY (Candidates admitted upto 2007-2008) Paper II CLINICAL PSYCHIATRY Q.P. Code : 202067 Time : Three hours Maximum : 100 marks Draw suitable diagram wherever necessary. Answer ALL questions. I. Essay questions : (2 x 20 = 40) 1. Describe onset, course and clinical features of schizophrenia. 2. Critically evaluate indications for electroconvulsive therapy and provide the standards for ECT practice. II. Write short notes on : 1. Treatment of male sexual dysfunction. 2. Co-morbidity in OCD. 3. Delirium tremens. 4. Dexamethasone suppression test. 5. Biofeedback therapy. 6. Impact of drug/alcohol abuse in schizophrenia. 7. Post traumatic stress disorder. 8. Unsocialized conduct disorder in children. 9. Metabolic side effects of psychotropic drugs. 10. Role of Naltrexone in de-addiction services. ***** (10 x 6 = 60) Sub. Code: 2067

September 2009 [KV 173] M.D. DEGREE EXAMINATION Branch XVIII PSYCHIATRY (Candidates admitted upto 2007-2008) Paper II CLINICAL PSYCHIATRY Q.P. Code : 202067 Time : Three hours Maximum : 100 marks Draw suitable diagram wherever necessary. Answer ALL questions. I. Essay questions : (2 x 20 = 40) 1. Management of co morbid anxiety and depression. 2. Classification of substance related disorders and management of opioid withdrawal. II. Write short notes on : 1. Implosion therapy. 2. Management of Agitation in the elderly. 3. Adverse drug reactions to a typical antipsychotics. 4. Monitoring of lithium levels. 5. Flashbacks in post traumatic stress disorder. 6. Delirium tremens. 7. Eye contact in MSE. 8. Nicotine patch. 9. Caregivers burden in schizophrenia. 10. Serotonin syndrome. ***** (10 x 6 = 60) Sub. Code: 2067

September 2010

[KX 173] M.D. DEGREE EXAMINATION Branch XVIII PSYCHIATRY CLINICAL PSYCHIATRY

Sub. Code: 2067

Paper II (for candidates admitted upto 2007-2008) and Part II / Paper I - (for candidates admitted from 2008-09 onwards) Q.P. Code : 202067 Time : Three hours Maximum : 100 marks

Draw suitable diagram wherever necessary. Answer ALL questions. I. Essay questions : (2 X 20 = 40)

1. Describe the classification of male sexual dysfunction. Discuss the approaches to their evaluation and management. 2. What are the teratogenic effects of psychotropic drugs? Describe the precautions of prescribing them in pregnancy and lactation. II. Write short notes on : 1. Treatment of refractory schizophrenia. 2. Relapse prevention in alcoholism. 3. Opiate withdrawal syndrome. 4. Electroconvulsive therapy. 5. Aggression. 6. Delusion. 7. Obsessive compulsive disorder. 8. Prognosis of schizophrenia in India. 9. Antisocial personality disorder. 10. Narcolepsy. ***** (10 X 6 = 60)

MAY 2011 [KY 173] M.D. DEGREE EXAMINATION BRANCH XVIII PSYCHIATRY CLINICAL PSYCHIATRY Q.P. Code : 202067 Time : 3 hours (180 Min) I. Elaborate on : 1. Describe Negative symptoms in Schizophrenia and discuss their management. 2. Describe the principles, rationale and practice of using Psychotropic medication in the elderly. II. Write notes on : 1. Mini Mental State Examination. 2. Phosphodiesterase inhibitors. 3. Methylphenidate. 4. Psychosocial management of dementia. 5. Psychological management of Obsessive Compulsive Disorder. 6. Fetal Alcohol Syndrome. 7. Relaxation training. 8. Specific phobias. 9. Autism. 10. Learning disability. ******* 4 4 4 4 4 4 4 4 4 4 10 10 10 10 10 10 10 10 10 10 7 7 7 7 7 7 7 7 7 7 Maximum : 100 marks Answer ALL questions in the same order.
Pages Time Marks (Max.) (Max.) (Max.)

Sub. Code: 2067

11 11

35 35

15 15

October 2011 [KZ 173] M.D. DEGREE EXAMINATION BRANCH XVIII PSYCHIATRY CLINICAL PSYCHIATRY Q.P. Code : 202067 Time : 3 hours (180 Min) I. Elaborate on : Maximum : 100 marks Answer ALL questions in the same order. Pages Time Marks (Max.) (Max.) (Max.) 11 11 35 35 15 15 Sub. Code: 2067

1. Write about Psychopharmacology of Haloperidol. 2. Write about conversion reaction and its management. II. Write notes on : 1. Agitated depression. 2. Acute psychosis. 3. Behaviour therapy. 4. Paranoid delusions. 5. Writers cramps. 6. Sleep deprivation. 7. Suicidal risk in Schizophrenia. 8. Olanzepine. 9. Food refusal. 10. Claustro phobia. *******

4 4 4 4 4 4 4 4 4 4

10 10 10 10 10 10 10 10 10 10

7 7 7 7 7 7 7 7 7 7

[LA 173]

M.D. DEGREE EXAMINATION BRANCH XVIII PSYCHIATRY CLINICAL PSYCHIATRY Q.P. Code : 202067 Time : 3 hours (180 Min) I. Elaborate on : Maximum : 100 marks Answer ALL questions in the same order. Pages Time Marks (Max.) (Max.) (Max.) 1. Discuss the classification, clinical manifestations and management of Dissociative disorders. 16 35 15

April 2012

Sub. Code: 2067

2. Discuss various subtype of Schizophrenia and long term outcome in relevance to Indian culture. II. Write notes on :

16

35

15

1. Classify Bipolar disorders and highlight the Clinical Features and management of Bipolar II disorder. 4 2. Describe the various forms of Nicotine replacement therapy in smoking cessation. 4 3. Clinical presentation and Long-term outcome of Anxious Avoidant Personality disorder. 4 4. Indication and contraindication for Electroconvulsive therapy in clinical psychiatric practice. 4 5. Clinical manifestation and co-morbid conditions in pathological Gambling. 4 6. Clinical features and investigation in Fragile X syndrome 4 7. Describe the various forms of psychological treatment for Obsessive Compulsive Disorder. 4 8. Concept of Non-Organic Insomnia and its management. 4 9. Clinical features, differential diagnosis and management of Separation Anxiety Disorder. 4 10. Indications and Adverse effects of Lamotrigine in clinical psychiatric practice. 4 *******

10 10 10 10 10 10 10 10 10 10

7 7 7 7 7 7 7 7 7 7

(LC 173)

APRIL 2013 M.D. DEGREE EXAMINATION BRANCH XVIII PSYCHIATRY CLINICAL PSYCHIATRY Q.P. Code : 202067

Sub. Code: 2067

Time: Three Hours I. Elaborate on:

Maximum: 100 marks (2X15=30)

1. Discuss the diagnostic considerations and various treatment options in the management of Acute Psychosis. 2. Discuss various Pervasive Developmental Disorders in children. Critically evaluate the management of Aspergers Disorder. II. Write notes on: 1. Sensory Deprivation 2. Parasomnias 3. Treatment of Generalised Anxiety Disorder 4. Schizotypal Personality Disorder 5. Panicogens 6. Newer Antidepressants 7. Detoxification in Opioid Dependence 8. Gansers Syndrome 9. Masked Depression 10. Quetiapine ******* (10X7=70)

[LD 173]

OCTOBER 2013 M.D. DEGREE EXAMINATION BRANCH XVIII PSYCHIATRY CLINICAL PSYCHIATRY Q.P. Code : 202067

Sub. Code: 2067

Time: Three Hours I. Elaborate on:

Maximum: 100 marks (2 x 15 = 30)

1. Discuss in detail the clinical challenges faced by a psychiatrist in diagnosing Malingering. 2. Describe the etiology, clinical features, differential diagnosis and treatment of Conduct Disorders in children and adolescents. II. Write notes on: 1. Separation Anxiety Disorders. 2. Suicide Prevention. 3. Oneiroid State. 4. Treatment Aspects of Rapid Cycling Mood Disorders. 5. Management of Resistant Schizophrenia. 6. Etizolam. 7. Relapse Prevention in Alcoholism. 8. Successful Aging. 9. Flooding. 10. Narcissistic Personality Disorder. ******* (10 x 7 = 70)