A 54-year-old man with a chronic mental illness seems to be constantly chewing. He does not wear dentures. His tongue darts in and out of his mouth, and he occasionally smacks his lips. He also grimaces, frowns, and blinks excessively. Which of the following disorders is most likely in this patient?

A 21-year-old man is brought to the emergency room by his parents because he has not slept, bathed, or eaten in the past 3 days. The parents report that for the past 6 months their son has been acting strangely and "not himself.” They state that he has been locking himself in his room, talking to himself, and writing on the walls. Six weeks prior to the emergency room visit, their son became convinced that a fellow student was stealing his thoughts and making him unable to leam his school material. In the past 2 weeks, they have noticed that their son has become depressed and has stopped taking care of himself, including bathing, eating, and getting dressed. On examination, the patient is dirty, disheveled, and crying. He complains of not being able to concentrate, a low energy level, and feeling suicidal. Which of the following is the most likely diagnosis for this patient?

A 47-year-old woman is brought to the emergency room after she jumped off an overpass in a suicide attempt. In the emergency room she states that she wanted to kill herself because the devil had been tormenting her for many years. Her mood is observed to be dysphoric, and she has symptoms of anhedonia, decreased concentration, and anergia. After stabilization of her fractures, she is admitted to the psychiatric unit, where she is treated with risperidone and sertraline. After 2 weeks she is no longer suicidal and her mood is euthymic. However, she still believes that the devil is recruiting people to try to persecute her. In the past 10 years, the patient has had three similar episodes prior to this one. Throughout this time, she has never stopped believing that the devil is persecuting her. Which of the following is the most appropriate diagnosis for this patient?

A 40-year-old woman is arrested by the police after she is found crawling through the window of a movie star‟s home. She states that the movie star invited her into his home because the two are secretly married and “it just wouldn‟t be good for his career if everyone knew.” The movie star denies the two have ever met, but notes that the woman has sent him hundreds of letters over the past 2 years. The woman has never been in trouble before and lives an otherwise isolated and unremarkable life. Which of the following is the most likely diagnosis?

A nun is found in a distant city working in a cabaret. She is unable to remember anything about her previous life ? • Dissociative fugue

A 48-year-old woman becomes convinced that her next-door neighbor hates her and wants her to move. She states she has evidence, and when asked to explain, tells the psychiatrist that the neighbor gives her “looks," puts excessive junk in her mailbox, and leaves yard clippings on her side of the yard to harass her. • Persecutory

A 62-year-old man is arrested for disturbing people on their way to work by insisting they take his prepared reading materials with them. The topic of the materials was the man‟s special communications with God and his instructions for following him on a special path to heaven. • Grandiose

A 49-year-old man was arrested for beating up on his wife. He stated he had to punish her for having an affair—which she vehemently denied. The man‟s wife states to the police that the man has accused her of being interested in many other men over the course of their marriage. He now seems fixated on the topic. • Jealous

A 19-year-old college student came to his primary care doctor for help with a foul odor he believed he was unintentionally emitting. The student stated that the odor left him socially isolated and that he was miserable about it. The primary care doctor could detect no odor. • Somatic

The prevalence of schizophrenia in general population is:

What is the peak age of incidence of schizophrenia?

Schizophrenic patient admission to mental hospitals represent:

The concordance rate of monozygotic twins in schizophrenic patients equals:

Factors with good prognosis in patients with schizophrenia except:

Factors with bad prognosis in patients with schizophrenia except:

Typical or conventional antipsychotics include all of the following except:

Non-conventional or atypical antipsychotics include all of the following except:

True about late onset schizophrenia:

True about schizophrenia is all except:

Schizophrenia is characterized by all of the following symptoms except:

The characteristic clinical manifestation of schizophrenia is:

True about schizophrenia except:

Good prognosis in schizophrenia is indicated by:

Prognosis of schizophrenia is less favorable in the following clinical scenario:

Which of the following is the most common cause of premature death in schizophrenia?

Expressed emotionality is related to which of the following illnesses?

A patient of schizophrenia was started on neuroleptics (antipsychotics ), his psychotic symptoms began to improve however he developed sadness, would talks less to others, would mostly remain on bed. This presentation could be caused by all of the following except:

A patient is brought with 6 months history of odd behavior. There is history of a family member having disappeared some years back. He seems to be talking to himself and sometimes laughing loudly. The likely diagnosis is:

A patient with acute psychosis, who is on haloperidol 20 mg/day for last 2 days, has an episode characterized by tongue protrusion, oculogyric crisis, stiffness and abnormal posture of limbs and trunk without loss of consciousness for last 20 minutes before presenting to casualty. This improved within a few minutes after administration of diphenhydramine HCL. The most likely diagnosis is:

A patient who is taking antipsychotics for 3 weeks, presents with high grade fever, raised CPK and myoglobinuria. What is the most probable diagnosis?

Patients using which of the following drugs are at greatest risk of development of neuroleptic malignant syndrome?

What is the content of most common type of persistent delusional disorder?

A person aged 35 years is having firm belief about infidelity involving the spouse. He never allows her to go out of home alone. He often locks his house, while going to the office. In spite of all this, he is persistently suspicious about the character of his wife. The probable diagnosis is:

A 41-year-old woman working as an executive in a company is convinced that the management has denied her promotion by preparing false reports about her competenceand have forged her signature on sensitive documents so as to convict her. She files a complaint in the police station and requests for security. Despite all this she attends to her work and manages the household. What is the most likely diagnosis?

A 30-year-old unmarried woman from a low socioeconomic status family believes that a rich boy staying in her neighborhood is in deep love with her. The boy clearly denies his love towards this lady. Still the lady insists that his denial is a secret affirmation of his love towards her. She makes desperate attempts to meet the boy despite resistance from the family. She also develops sadness at times when her effort to meet the boy does not materialize. She is able to maintain her daily routine. She however, remains preoccupied with thoughts of this boy. She is likely to be suffering from :

A 20-year-old boy complains of hearing of voices and aggressive behavior for last 2 days. He had fever before the onset of these symptoms. The family members report that he has been muttering to self and gesticulating as if he is talking to someone. There is no history of any past psychiatric illness. The likely diagnosis is: