MENTAL HEALTH I CD-10 CRITERIA EXAM
WITH ACTUAL EXAM QUESTIONS AND
ANSWERS
1- GENERAL ADULT PSYCHIATRY
1. According to ICD-10 criteria which of the following is considered to be the
minimum required weight loss to be significant as a diagnostic criteria for somatic
syndrome associated with depression?
D. Loss of 5% body weight in 1 month
2. The prevalence of catatonic phenomenon among patients with schizophrenia is
estimated to be around
C. 5–10%
3. Seasonal affective disorder (SAD) is a popular concept but not formally considered
as a separate category under current classificatory systems. Which of the following
statements is true with regard to this condition?
C. Early-morning light therapy is more effective than evening exposure
4. The 1-year prevalence of dysthymia is estimated to be around
C. 1–6%
1
,5. The most powerful predictors of recurrence of depressive episodes among
the following is
A. Previous episodes of depression and presence of residual symptoms
6. The proportion of patients who develop a depressive episode and then go on to
develop an episode of mania within 10 years is approximately
B. 1 in 10
7. Clinical depression and bereavement share many common features. Which of
the following clinical features points to clinical depression rather than
D. Psychomotor retardation
8. Which of the following is an early sign of prolonged grief?
C. Clinging behaviour
9. The term ‘specifier’ is used when describing psychiatric diagnoses. Which of the
following is correct with regard to this term?
B. It is used in DSM-IV only
10. Which of the following is true with regard to the longitudinal course of bipolar
disorder?
C. The interval between episodes decreases progressively
11. The most common psychiatric disturbance associated with Cushing’s disease is
A. Depression
2
,12. Polyuria can be a troublesome side-effect with lithium therapy. Which of the
following is NOT correct with response to lithium-related polyuria?
C. Once-daily dose produces more polyuria than multiple doses a day
13. Which of the following electrolyte disturbances simulate lithium-induced
changes in electrocardiogram?
D. Hypokalaemia
14. Lithium is associated with thyroid dysfunction in some cases. Which of the
following is false with respect to this association?
B. Thyroid enlargement is the most common clinical presentation
15. Compared with the general population, the risk of Ebstein’s anomaly in
children of mothers exposed to lithium during the first trimester of pregnancy is
B. 10–20 times higher
16. A 48-year-old man is prescribed sodium valproate for prophylaxis
against bipolar mania. He develops a confusional state despite liver function
tests being within the normal range. Which of the following conditions related
to valproate use is most likely to be associated with the above presentation?
A. Hyperammonaemia
17. All of the following patients are under carbamazepine therapy for bipolar
disorder. In which of the following patients will you discontinue the carbamazepine
treatment immediately?
C. A 44-year-old woman with neutrophil count less than 1000 per mm3
3
, 18. Which of the following predicts a good prophylactic effect of lithium in bipolar
disorder?
D. Good antimanic efficacy during acute episode
19. Which of the following situations associated with parental loss carries the
highest risk of developing depression as an adult?
C. Children of remarried mothers with conflicts after remarriage
20. Adverse life events are consistently associated with depression. Which of the
following statements with respect to the above relationship is NOT true?
E. No reverse causality exists between depression and life events
21. All of the following are characteristic features of a depression-prone individual
except
C. Attributing negative events to external, unstable but specific causes
22. Anti-obesity drug rimonabant is associated with significant psychiatric adverse
effects. Which of the following correctly describes the mechanism of action of
rimonabant?
A. Cannabinoid CB1 -receptor antagonist
23. Which of the following neurotransmitters is proposed to be involved in
increasing the significance (salience) of external stimuli in patients with
schizophrenia?
4
WITH ACTUAL EXAM QUESTIONS AND
ANSWERS
1- GENERAL ADULT PSYCHIATRY
1. According to ICD-10 criteria which of the following is considered to be the
minimum required weight loss to be significant as a diagnostic criteria for somatic
syndrome associated with depression?
D. Loss of 5% body weight in 1 month
2. The prevalence of catatonic phenomenon among patients with schizophrenia is
estimated to be around
C. 5–10%
3. Seasonal affective disorder (SAD) is a popular concept but not formally considered
as a separate category under current classificatory systems. Which of the following
statements is true with regard to this condition?
C. Early-morning light therapy is more effective than evening exposure
4. The 1-year prevalence of dysthymia is estimated to be around
C. 1–6%
1
,5. The most powerful predictors of recurrence of depressive episodes among
the following is
A. Previous episodes of depression and presence of residual symptoms
6. The proportion of patients who develop a depressive episode and then go on to
develop an episode of mania within 10 years is approximately
B. 1 in 10
7. Clinical depression and bereavement share many common features. Which of
the following clinical features points to clinical depression rather than
D. Psychomotor retardation
8. Which of the following is an early sign of prolonged grief?
C. Clinging behaviour
9. The term ‘specifier’ is used when describing psychiatric diagnoses. Which of the
following is correct with regard to this term?
B. It is used in DSM-IV only
10. Which of the following is true with regard to the longitudinal course of bipolar
disorder?
C. The interval between episodes decreases progressively
11. The most common psychiatric disturbance associated with Cushing’s disease is
A. Depression
2
,12. Polyuria can be a troublesome side-effect with lithium therapy. Which of the
following is NOT correct with response to lithium-related polyuria?
C. Once-daily dose produces more polyuria than multiple doses a day
13. Which of the following electrolyte disturbances simulate lithium-induced
changes in electrocardiogram?
D. Hypokalaemia
14. Lithium is associated with thyroid dysfunction in some cases. Which of the
following is false with respect to this association?
B. Thyroid enlargement is the most common clinical presentation
15. Compared with the general population, the risk of Ebstein’s anomaly in
children of mothers exposed to lithium during the first trimester of pregnancy is
B. 10–20 times higher
16. A 48-year-old man is prescribed sodium valproate for prophylaxis
against bipolar mania. He develops a confusional state despite liver function
tests being within the normal range. Which of the following conditions related
to valproate use is most likely to be associated with the above presentation?
A. Hyperammonaemia
17. All of the following patients are under carbamazepine therapy for bipolar
disorder. In which of the following patients will you discontinue the carbamazepine
treatment immediately?
C. A 44-year-old woman with neutrophil count less than 1000 per mm3
3
, 18. Which of the following predicts a good prophylactic effect of lithium in bipolar
disorder?
D. Good antimanic efficacy during acute episode
19. Which of the following situations associated with parental loss carries the
highest risk of developing depression as an adult?
C. Children of remarried mothers with conflicts after remarriage
20. Adverse life events are consistently associated with depression. Which of the
following statements with respect to the above relationship is NOT true?
E. No reverse causality exists between depression and life events
21. All of the following are characteristic features of a depression-prone individual
except
C. Attributing negative events to external, unstable but specific causes
22. Anti-obesity drug rimonabant is associated with significant psychiatric adverse
effects. Which of the following correctly describes the mechanism of action of
rimonabant?
A. Cannabinoid CB1 -receptor antagonist
23. Which of the following neurotransmitters is proposed to be involved in
increasing the significance (salience) of external stimuli in patients with
schizophrenia?
4
