Psychiatry high yield

Global institute of medical scienc

1. GIMS – Key material for sure success
Global institute of medical sciences – Dr.G.Bhanu Prakash

number in ( ) at the end of topic indicates how many times a question is asked on that topic in various
exams Dr.G.Bhanu Prakash

1) "ANXIETY---anxiety is usually viewed as repressed or forgotten -fear
,features--hyperventilation,cold extremities,palpitations,pupillary
dilatation,…..ANXIETY NEUROSIS---acute restlessness & fear of impending
doom , anti -anxiety effect--chlorpromazine,TCA,BZD.,"------------((5))

2) "COCAINE---coined by FREUD.,jet black pigmentation of tongue with tactile
hallucination ,creeping sensation,COCAINE-BUGS---sensation of bugs crawling
all over the body"-----------((5))

3) "DELIRIUM---illusions with loss of consciousness,acute delerium-impaired
consciousness, visual hallucination, hyperactivity& Fragmentary Delusions,"-------
------((5))

4) "FREUD---introduced ---Cocaine , Psychoanalysis , concept of ""SUPER-
EGO"" , free association , "" OEDIPUS COMPLEX""--by sigmund freund"----------
((5))

5) "ANOREXIA NERVOSA---amenorroea-100%,phobic avoidance of normal
wt.,wt.loss seen,over perception of body image,self induced vomiting ,excessive
exercise,evident psychosis,least characteristic--decreased physical activity,false-
decreased appetite,"-----------((4))

6) "CANNABIS---medical purposes/uses-in-Epilepsy ,glaucoma,nausea,Flash
black phenomenon,.CANNABIS ADDICTION---symptomatic,Rx not
req.,JHAGNAN phenomenon seen,"-------------((4))

7) "DEFENSE MECHANISIMS ---MATURE defense mech.-->Projection &
Altruism,IMP.defense mech.-->Repression,RATIONALIZATION-->drinks due to
quarrel with wife ,"------------((4))

8) "DELIRIUM TREMENS---altered cons. ,tremors & visual hallucinations ,DOC.-
diazepam."---------((4))

9) "EGO---works on realitiy principle , EGO DEFENSE MECHANISMS---

2. GIMS – Key material for sure success
Global institute of medical sciences – Dr.G.Bhanu Prakash
""undoing""-seen in--OCN, Picasso synd.--Sublimation, Projection ,
Conversion,Reaction formation, "-----------((4))

10) "FUGUE---& DISOCIATIVE FUGUE--- seen in Schizophrenia ,
hysteria,epilepsy,wandering purposefully with some amnesia, "-----------((4))

11) "KORSAKOFF'S PSYCHOSIS ---long term memory loss ,fes.--loss of
Intellectual function but preservation of memory, lack of insight, unable to
understand the disability, it is a REVERSIBLE state, CONFABULATION
seen,Rx--VIT.B1(THIAMINE)"-------------((4))

12) "MENTAL RETARDATION ---commonest cause--Birth Asphyxia ( Intellectual
deficiency ),MENTALLY ILL---commonest mental illness in Chlidren --
Neuroses,"------------((4))

13) "NEUROSIS---defective childhood experiences & adjustments & mild mental
disorder , NEUROTIC DISORDERS---Anxiety, Hysteria, Phobia, OCN, "------------
-((4))

14) "BULIMIA NERVOSA---episodes of excessive&uncontrolled eating , carries
teeth , inducing vomiting,"----------((3))

15) "CATATONIA---FES.-automatic obedience,cataplexy,negativism,is seen in
Schizophrenia,CATATONIA STUPOROUS ---waxy flexibility is characteristic."-----
----((3))

16) "CONFABULATION---making stories to fill up gaps in memory loss , seen in
alcoholism ,korsakoff psychosis"--------((3))

17) "FLASH BACK PHENOMENON ---seen in Cannabis , Psilocybin , LSD.,"-------
--((3))

18) "HYPERKINETIC DISORDER ---LOW I.Q., low Attention SPAN, poor impulse
control, increase in Anger outburst, DOC-AMPHETAMINE.,"------------((3))

19) "LSD--Flash Blacks & Bad Trips , LSD Intoxication-->
panic,confusion,Hyperreflexia, "------------((3))

20) "NOCTURNAL ENURESIS ---DOC.-Imipramine, occurs in Stage IV sleep , "---
---------((3))

3. GIMS – Key material for sure success
Global institute of medical sciences – Dr.G.Bhanu Prakash

21) "OPIOID WITHDRAWAL---Rx nonaddicting drug -->Clonidine is used,
OPIUM WTHDRAWAL ---fes.-Lacrimation"---------((3))

22) "ORGANIC BRAIN SYND.---Visual Hallucination, Disorientation seen ,
bender gestalt test"---------((3))

23) "PANIC DISORDERS---DOC.--Diazepam, sudden attacks of anxiety with
fear"-----------((3))

24) "PSYCHOANALYSIS---coined by Freud , this Tech. Used in Hypnosis,"--------
-----((3))

25) "SUICIDAL TENDENCIES---least in married person, Due to Withdrawal from
Cocaine,Amphetamine,Alcohol, SUICIDE---most prone among -Adolecscent
Girls,"------------((3))


Psychiatry-Topics Asked more than Twice in MCI screening test

1) "AKATHISIA---restlessness/irresitible urge to move about & increased motor
activity,Rx-amantadine,benzhexol,propranolol,"----------((2))

2) "ALZHEMER'S DISORDER---Ach.-biochemical cause ,predisposing factors--
down's synd.,head trauma,low edu.group,"---------((2))

3) "ANTIPSYCHOTICS---longacting -Fluphenazin,"----------((2))

4) "BEHAVIOUR---TYPE A---time urgency ,impatiency,hard driving ,career
orientation,ambitiousness, COINED BY friedman & rosenman ,"---------((2))

5) "BEHAVIOR THERAPY---indicated for Phobia,cardinal elements--Systemic
desensitization & Flooding,"----------((2))

6) "BUSPIRONE---anti-anxiolytic,newer NONSEDATIVE ,non hypnotic axiolytic,"-
--------(2)

7) "CLOZAPINE---assosiated with agranulocytosis , causes sialorrhyroea,"---------
--(( 2))

4. GIMS – Key material for sure success
Global institute of medical sciences – Dr.G.Bhanu Prakash
8) "EEG---alpha waves--> awake & eyes closed ( stage I sleep) ( ATKD'S-
MNEMONIC-B,,,,A1,T1K2,D34(NREM),,,B-REMS)"-----------((2))

9) "FEAR---due to abnormal experiences of childhood , over consciousness &
excess perception of danger , least common in depressive psychosis ,"-----------
((2))

10) "FLUOXETINE---mech. of action--inhibition of serotonin uptake , side-effect--
Anxiety,loose stools,Nause is troublesome"-----------((2))

11) "GPI(GENERAL PARESIS OF INSANE) ---fes. Confabulation, Grandiose,
Delusions, Mental deterioration, "-----------((2))

12) "HALLUCINOGENS---Cocaine, Mescaline, LSD, Phencyclidine, "----------((2))

13) "HALOPERIDOL----acute drug dystonia after> 1day, causes Akathesia , used
in BALLISMUS aswell,"---------((2))

14) "HYPOCHONDRIASIS---Preoccupation with body diseases, Over conscious
about some illness, "----------((2))

15) "IMPOTENCE---it is also seen in D.M., diff. Between psy.Impotence &
Organic I.--is diagnosed by monitoring of Penile TUMESCENCE during sleep ,"---
--------((2))

16) "INTELLIGENCE QUOTIENT---I.Q.= (mental age X 100)/ chronological age
(%), I.Q. Test = Binet Stanfort Test"------------((2))

17) "NEUROLEPTICS---blood levels checked for toxicity , commonest side-
effect--Sedation , "---------((2))

18) "OEDIPUS COMPLEX---coined by sigmund Freud, seen in boys 3-5yrs of
age,"------------((2))

19) "PHENOTHIAZINEs---involuntary perioral movement , used in Rx of
depression , tardive dyskinesia is the side-effect,"------------((2))

20) POST-TRAUMATIC STRESS DISORDER ---most common after major life
threatening event/ e.g. any CAR accident,rape,earthquake,.. etc.-----------((2))

5. GIMS – Key material for sure success
Global institute of medical sciences – Dr.G.Bhanu Prakash
21) "PREMATURE EJACULATION --- Rx-SQUEEZE Technique, "------------((2))

22) "PSYCHONEUROSIS ---diagnosis by VERBAL ACCOUNTS.,"------------((2))

23) "PSYCHOSOMATIC DISORDERS ---e.g.--HTN,Peptic Ulcer disease,
Bronchial Asthama, Hyperventilation"------------((2))

24) "THOUGHT---DISORDERS--loosening of Association, THOUGHT
INSERTION---this is SCHEIDNER'S FIRST RANK SYMP."--------------((2))

25) "WITHDRAWAL SYMP.---PHYSICAL--absent-in Cannabis, Present in
Pethidine,Opium,Haloperidol,Alcohol, Rx required in for withdrawal symp.--
Cannabis, Cocaine,Alcohol,"------------((2))

PSYCHIATRY:-Occasionally Asked Topics

1) ABREACTION---used in Rx of phobia,-----------((1))

2) "AFFECT---disorders of affect , disturbances of affect--panic , apathy ,
phobia,"---------((1))

3) "AFFECTIVE DISORDERS---depression ,reaction form'n ,adjustment reaction
,"-------((1))

4) "AGGRESSION ---PASSIVE AGG.--spills half,"-------((1))

5) "AGORAPHOBIA---fear of open spaces , DOC.--alprazolam,"-------((1))

6) "ALEXITHYMIA---inability to recognize & describe feelings,"--------((1))

7) "AMBIVALENCE---coined by EUGEN BLEULER,"---------(1))

8) "AMNESIA---anterograde amnesia--caused by giving ECT.,good prognostic
indicator of head injury.,"---------((1))

9) "AMOTIVATIONAL SYNDROME ---seen in cannabis,"------((1))

10) "AMOXAPINE---antidepressant with side effects like -tardive dyskinesia &
neuroleptic malignant synd.,"-------((1))

6. GIMS – Key material for sure success
Global institute of medical sciences – Dr.G.Bhanu Prakash
11) AMPHETAMINES--- ,-----((1))

12) "ATTENTION DEFICIT DISORDER---seen with phenobarbitone ,"--------((1))

13) "AUTISTIC DISORDER---lesion is in Temporal lobe ,"-------((1))

14) "BALLISMUS---Rx haloperidol ,"-------((1))

15) "CHLORPROMAZINE ---?rigidity,mask like face,tremors,(uses/side effects),"--
----(1))

16) "CLAUSTROPHBIA---fear of CLOSED spaces ,"-------((1))

17) "COGNITVE BEHAVIORAL THERAPY ---is the Rx for Depression ,"-------((1))

18) "COPROLALIA---seen in TOURETTE'S SYND.,"-------((1))

19) CYCLOSERINE---anti -TB.-shows NeuroPsychiatric manifestation,--------((1))

20) "DÉJÀ VU---seen in normal persion ,temporal lobe epilepsy,psychosis,"--------
((1))

21) DISORIENTATION---seen in Organic brain synd.,------------((1))

22) Diethyl Propion---1st. Choice in wt. reduction prog.,---------((1))

23) "DRUG DEPENDENCE ---is due to withdrawal symptoms ,"---------((1))

24) "EXHIBITIONISM---shameless exposure of genitals ,"-------((1))

25) "FETISHISM---obtaining Sexual excitement with inanimate objects ,

26) FREE ASSOCIATION---coined by FREUD.,------((1))

27) "GANSER'S SYND.---inappropriate answer...... , "--------------((1))

28) HASHISH---active substance—TetraHydroCannabinol,----------((1))

29) "HEROIN---withdrawal fes.--Yawing, muscle cramps, Hypersomnia, HTN.,"---
------((1))

7. GIMS – Key material for sure success
Global institute of medical sciences – Dr.G.Bhanu Prakash

30) "HICCOUGH---Intractable--DOC-chlorpromazine/Largactil , "--------((1))

31) ILLUSIONS---,------((1))

32) "IMIPRAMINE---antidepressant ,DOC--in nocturnal enuresis , "--------((1))

33) INSOMNIA---Familial Fatal Insomnia--seen in PRION disease,-------((1))

34) KLEPTOMANIA---Irresistible ure to STEAL things of LITTLE value,---------
((1))

35) "La Belle Indifference---seen in Dissociative disorders ,"--------((1))

36) LUCID INTERVAL---seen in INSANITY,------------((1))

37) least addictive---DihyroxyPropoxyphene,-----------((1))

38) MAOIS---induced hypertensive crisis-Rx-->reversed with Phentolamine,-------
---((1))

39) "MANDRAX---is combination of HYPNOTIC + ANTI-HISTAMINE,"----------
((1))

40) "MASOCHISM---sexual partner are aroused & gratified by whipping ,"----------
--((1))

41) "MEMORY---RECENT--CENTRE--HIPPOCAMPUS ,"-------------((1))

42) "METHADONE---used in maintainance of Rx of opium dependence/
?Withdrawal ,"-------------((1))

43) "MORPHINE---addiction , Withdrawal is done with Clonidine ,"---------------
((1))

44) MYXEDEMA---ass. with depression ,-----------((1))

45) "MUNCHAUSEN SYND. ---factitious disorder ,"---------((1))

46) "NARCOLEPSY---symp.--Cataplexy , Sleep acttacks, Sleep paralysis, "--------

8. GIMS – Key material for sure success
Global institute of medical sciences – Dr.G.Bhanu Prakash
---((1))

47) "NIGHT TERRORS-seen in NREM sleep--TOC.-clonazepam,"-------------((1))

48) "NYMPHOMANIA---not a compulsive & habit forming disorder , "---------((1))

49) ORGANIC AMNESTIC SYND. ---most common cause—Concussion,----------
((1))

50) OTHELLO SYND.---Delusion of Infidelity on part of Sexual partner,-----------
((1))

51) PARANOID DISORDER ---Pseudocommunity,---------((1))

52) PERSONALITY DISORDERS ---BORDERLINE-sucidal tendencies,--------((1))

53) PHENCYCLIDINE---ass. With DEPERSONALISATION,-----------((1))

54) "PICASSO SYND.---painter obsession developed into artistic painting, "-------
-((1))

55) PROJECTION---mature defense mech.,------------((1))

56) "PSYCHIATRIC MANIFESTATION ---seen in Hypothyroidism,
Hyperthyroidism, Acute Intermittent Porphyria, Inability for Erection, Inability to
take deep breath , Pain,"--------((1))

57) "PSYCHOTHERAPY ---PSYCHOANALYTICAL ---Insight therapy, Behavioral
therapy & SUPPORTIVE therapy, "--------------((1))

58) PUNISHMENT---inflicting pain to get rid of a bad habit ,--------------((1))

59) "PUNCH DRUNKENNESS ---is ass. With BOXING.,"--------------((1))

60) BRIEF REACTIVE PSYCHOSIS ---after loss of loved-one's,--------------((1))

61) REINFORCEMENT---+ve R.-? Conditioned learning,----------------((1))

62) "SLEEP DEPRIVATION---leads to decreased mental altertness,"----------((1))

9. GIMS – Key material for sure success
Global institute of medical sciences – Dr.G.Bhanu Prakash
63) SLEEP-WALKING-somnabulism--seen in NREM STAGE 3/4 Sleep,-------(1))

64) "STUPOR---DEPRESSIVE--loss of power in all 4 limbs, Waxy Flexibility of
muscle tone in limbs,"-------------((1))

65) "SUPERSTITION---a False belief unexplained by reality ( Shared by a
number of persons/people ) ,"---------((1))

66) SUPER-EGO---coined by Sigmund Freund,--------((1))

67) "TARDIVE DYSKINESIA---due to Reserpine,HALOPERIDOL,"--------((1))

68) "THINKING---ABSTRACT--similarity between chair & table->both has 4
legs,"-------((1))

69) "THIORIDAZINE---side-effect--Pigmentary Retinopathy,"--------((1))

70) "THERMATIC PERCEPTION TEST ---by Wechslers , "---------((1))

71) WERNICKE'S ENCEPHALOPATHY ----Rx-Thiamine supplement,---------((1))

72) EIGHT STAGE CLASSIFICATION OF HUMAN LIFE---BY ERIKSON