Sleep Disorders is part of the Specific Psychiatric Conditions section of Psychiatry. Practise 19 exam-style MCQs for NEET PG, FMGE, INI-CET and NEET SS, each with the correct answer and a detailed explanation.
Sleep Disorders MCQs cover the sleep-wake disorders examiners favour — narcolepsy's hypothalamic basis and instant REM sleep, and paradoxical insomnia where perceived sleeplessness outstrips objective findings — high-yield NEET PG psychiatry.
Sample Sleep Disorders MCQs with answers
Sample MCQ #1
Counter-transference is commonly encountered in all of the following conditions, except:
AFactitious disorder
BBorderline personality disorder
CSomatic symptom disorder
DPrimary insomnia
Show Answer & Explanation ▾
✓ Correct Answer: D. Primary insomnia
Countertransference is the process where the physician unconsciously displaces onto the patient patterns of behaviors or emotional reactions as if he or she were a significant figure from earlier in the physician's life Signs of countertransference: Missed appointment by the psychiatrist Boredom Sleepiness in a session Counter transference by physicians is commonly encountered in disorders in which frequent complaints, non-remitting symptoms are seen: Psychosomatic diseases (Somatic Symptom disorder, Factitious disorder) Personality disorders (Cluster B personality disorders) Impulse Control disorders Reference : Kaplan and Sadock’s Synopsis of Psychiatry, Eleventh edition, Chapter 5, Examination and Diagnosis of the psychiatric patient, Page 194
Sample MCQ #2
A 75 year old man flown to america from Siberia (war zone), to stay with his son. He is having nightmares and flashback. He was brought to hospital by his son. It was informed that he is getting irritated, insomnia and easily forgetting incidences. What is the most probable diagnosis?
APTSD
BMania
CDementia
DPhobia
Show Answer & Explanation ▾
✓ Correct Answer: C. Dementia
Its old age related disease and patient is forgetting the incidences. Reference: Kaplan and Saddocks Synopsis of Psychiaitry, 11th Edition, Chapter 21
Sample MCQ #3
A 54-year-old man sees a physician complaining of a depressed mood and inability to sleep for the past 3 weeks. He tells the physician that in the past when he has had similar episodes, he was placed on a monoamine oxidase inhibitor, which proved effective. The physician diagnoses the patient with major depression and agrees to use an MAOI. Which of the following foods must be completely avoided by this patient while on this medication?
ALiquorice
BSoy sauce
CChocolate
DCheddar cheese
Show Answer & Explanation ▾
✓ Correct Answer: D. Cheddar cheese
There is a list of foods that should be avoided due to small amounts of tyramine and rare association with hypertensive episodes while a patient is taking a monoamine oxidase inhibitor , but only a few that must be completely avoided. To be completely avoided: Aged cheese Red wine Cured meats To be consumed in small quantities: Anchovies Beets Caviar Chocolate Coffee Colas Curry powder Figs Liquorice Mushrooms Rhubarb Snails Soy sauce Worcestershire sauce Reference : Jacobson, Pg no. 121-22.
Sample MCQ #4
Which statement regarding serotonin(5-HT2A) Agonism is correct?
A5-HT2A-receptors decrease extrapyramidal side effects
B5-HT2A-receptors have no role in sleep regulation
C5-HT2A-receptors increase dopamine release
D5-HT2A-receptors increase glutamate release
Show Answer & Explanation ▾
✓ Correct Answer: D. 5-HT2A-receptors increase glutamate release
5-Hydroxytryptamine (5-HT2A ) receptors excite cortical pyramidal neurons, increase glutamate and decrease dopamine release .( OPTION D IS CORRECT & OPTION C IS WRONG) These receptors are involved in the mechanism of sleep and hallucinations. Blockade of 5-HT2A receptors leads to release of dopamine. 5-HT2A antagonism decreases extrapyramidal side effects. Reference: Stahls Essential Psychopharmacology, Fourth edition, Chapter 7th, Page no. 294.
Sample MCQ #5
Narcolepsy is due to abnormality in ?
AHypothalamus
BNeocortex
CCerebellum
DMedulla oblongata
Show Answer & Explanation ▾
✓ Correct Answer: A. Hypothalamus
Ans. A. Hypothalamus Narcolepsy is unique in that those who suffer from it tyPicaly fall almost instantaneously into REM sleep. It is thought that narcolepsy is caused by a malfunctioning of the hypothalamus in brain.
Sample MCQ #6
Which of the following is a key feature of Paradoxical Insomnia?
ASleep disturbance with no subjective complaint
BInability to sleep despite having a sleep-deprived body
CPerception of insomnia despite objective evidence of normal sleep patterns
DCataplexy during daytime sleep attacks
Show Answer & Explanation ▾
✓ Correct Answer: C. Perception of insomnia despite objective evidence of normal sleep patterns
Explanation: A hallmark feature of Paradoxical Insomnia is that individuals perceive insomnia (difficulty falling or staying asleep) even though objective sleep studies (like polysomnography) show that their sleep is actually normal. This creates a dissociation between the subjective experience of sleeplessness and objective evidence of sleep.
What you can practise in Sleep Disorders
19 Sleep Disorders MCQs on Specific Psychiatric Conditions — each with detailed explanations
Previous-year question practice across NEET PG, FMGE, INI-CET and NEET SS
Progress and performance tracking to measure retention
Sleep Disorders MCQs cover the sleep-wake disorders examiners favour — narcolepsy's hypothalamic basis and instant REM sleep, and paradoxical insomnia where perceived sleeplessness outstrips objective findings — high-yield NEET PG psychiatry.
How many Sleep Disorders questions are there, and which exams do they cover?
MedLadder includes 19 curated MCQs for Sleep Disorders under Psychiatry (Specific Psychiatric Conditions), covering NEET PG, FMGE, INI-CET and NEET SS preparation.
