Alcohol-Related Disorders MCQs

Apperception means awareness of meaning of a stimulus as modified by one’s own experiences , thoughts and emotions . For example, when hungry, people would more likely interpret ambiguous stimuli as something related to food. This is the basis for projective personality tests like Rorschach inkblot test Thematic Apperception test Children Apperception test. Reference : Morgan and King's Introduction to Psychology, 7th edition, Chapter 13 Psychological Assessment and Testing, Page number 550.

Hallucinogens derived from natural source are psilocybin mescaline, harmine, harmaline, ayahuasca, salvia divinorum. While synthetic hallucinogens are ketamine, phencyclidine, LSD. Reference: Kaplan and Sadock's Synopsis of Psychiatry, 11 th edition, Chapter 20.5, Hallucinogen-related disorders, Page number 648.

The μ-opioid receptors are involved in the Regulation and mediation of analgesia Respiratory depression Constipation Drug dependence The K-opioid receptors with Analgesia Diuresis Sedation The Δ-opioid receptors, with analgesia . Reference: Kaplan and Sadock's Synopsis of Psychiatry, 11 th edition, Chapter number 20, Stimulant-related disorders, Page number 677.

Othello’s syndrome is also known as morbid jealousy in which an individual believes that his or her spouse or partner is unfaithful. De Clerambault syndrome, also known as erotomania, is a condition in which that patient believes that an exalted or well-known person is in love with him or her. (Option C) In Cotard’s syndrome, the person believes that he or she is dead or some part of his or her body is rotten or doesn’t exist. (Option B) In Capgras’ syndrome, the patient believes that a person who is close has been replaced by an exact double. (Option A) Reference: PGNIP2, Cijo Alex, 2 nd Edition, Chapter 3, page no. 27

Perseveration is a formal thought disorder in which there is repetition of a particular response , such as a word, phrase, or gesture , despite the absence or cessation of a stimulus , usually caused by brain injury or other organic disorder rather than a psychopathology It is clear that this is not a problem of volition, which helps differentiate it from verbal stereotypy, which is a frequent spontaneous repetition of a word or phrase that is not in any way related to the current situation In verbal stereotypy , the same word or phrase is used regardless of the situation, whereas in perseveration a word, phrase or idea persists beyond the point at which it is relevant Echolalia refers to meaningless repetition of another person's spoken words Reference: Fish's Clinical Psychopathology, third edition, Chapter 4 Disorders of Thought and Speech, Page no. 45

This patient has a dysthymic disorder. There are a number of studies that show positive responses to antidepressants with these patients. Venlafaxine and bupropion are generally believed to be the treatments of choice for dysthymic disorder , though there is a subgroup of patients that will respond to the MAOIs as well. Reference : Kaplan and Sadock's Synopsis of Psychiatry, Eleventh Edition, Chapter 8th, Mood disorders, Page no. 381.

The most appropriate treatment is the immediate administration of thiamine. This patient presents with Wernicke encephalopathy, characterized by the triad of delirium, ataxia and ophthalmoplegia Thiamine must be given prior to glucose in patients suspected of having this disorder. Reference: Kaplan and Sadock's Synopsis of Psychiatry, Eleventh edition, Chapter 20.2, Alcohol-related disorders, Page no. 637.

Hyperactivity, over sexual and drug indulgence, decreased need for sleep. All signs and symptoms are relevant to mania. Reference: Kaplan and Saddocks Synopsis of Psychiaitry, 11th Edition, Chapter 8, Page No.: 358