1. Which of the following is NOT a characteristic feature of manic episede?

A. Elevated, expansive, irritable mood

B. Increased psychomotor activity

C. Thought echo, thought insertion or thought withdrawal

D. Flight of ideas

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2. Somatic syndrome in depression as per ICD-10 include:

A. Significant decrease in appetite or weight

B. Early morning awakening

C. Diurinal variation

D. Psychomotor aggitation

E. All the above

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3. Mood-congruent psychotic features in depressed patients include all, EXCEPT:

A. Nihilistic delusions

B. Delusion of guilt

C. Delusion of poverty

D. Delusion of love

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4. Which is the most appropriate ICD-10 diagnosis for a patient admitted with current episode of moderate depression and history of two manic episodes in the past?

A. Bipolar affective disorders current episode moderate depression

B. Recurrent depressive disorder

C. Manic-depressive psychosis- depression

D. Moderate depression

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5. Which of the following is NOT a diagnostic entity in ICD-10 classification?

A.Bipolar affective disorders

B. Recurrent depressive disorders

C. Recurrent manic disorders

D. Dysthymia

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6. ____________ is a disorder charecterised by persistant depressive features, not amounting to depressive disorder, which last for more than 2 years?

A. Cyclothymia

B. Dysthymia

C. Melancholia

D. Euthymia

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7. ______________ is a poor prognostic factor in mood disorders.

A. Acute or abrupt onset of illness

B. Typical Clinical Features

C. Well-adjusted premorbid-personality

D. Comorbid personality disorders

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8. The therapeutic blood level of sodium valproate in mood disorders is

A. 0.8 - 1.2 mEq/L

B. 10 - 20 mEq/L

C. 20 - 40 mcg/mL

D. 45 and 100 mcg/mL

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9. Mania repressents a ______________ to depression according to psychodynamic theory.

A. Reaction formualtion

B. Repression

C. Sublimation

D. Displacement

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10. ______________ is a tricyclic antidepressant drug.

A. Escitalopram

B. Imipramine

C. Paroxetine

D. Fluoxetine

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11. Which of the following antidepressant is known for its high anticholinergic side effects?

A. Mirtazapine

B. Sertraline

C. Amitriptyline

D. Fluoxetine

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12. ECT is indicated in which of the following conditions?

A. Severe depression

B. Hypomania

C. Autistic disorders

D. Tourette ssyndrome

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13. The usual therapeutic dose range of lithium carbonate in the treatment of bipolar disorders is:

A. 30-60 mg/day

B. 900-1500 mg/day

C. 2000-3000 mg/day

D. 15-30 mg/day

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14. Therapeutic blood level of lithium is:

A. 11 to 20 mg/dL

B. 1.5 to 2 mEq/L

C. 0.8 to 1.2 mEq/L

D. 150 to 200 mg/dL

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15. ______________ is a clinical term used to explain a major depressive disorder superimposed on an underlying dysthymia.

A. Agitated depression

B. Double depression

C. Secondary depression

D. Neurotic depression

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