NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
PSYCHIATRY
PAPER-II
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Time: 3 hoursPSY/J/20/39/II
Max. Marks:100
Important Instructions:
Attempt al questions in order.
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Each question carries 10 marks.Read the question careful y and answer to the point neatly and legibly.
Do not leave any blank pages between two answers.
Indicate the question number correctly for the answer in the margin space.
Answer al the parts of a single question together.
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Start the answer to a question on a fresh page or leave adequate space between two answers.Draw table/diagrams/flowcharts wherever appropriate.
Write short notes on:
1. What is factitious disorder? Write about the clues that may trigger the
2+8
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suspicion of factitious disorder.2. What are the risk factors for delusional disorders? Write the clinical 3+4+3
features and management of Capgras syndrome.
3. Diagnostic criteria for mild cognitive impairment. Write about its biomarkers 6+(2+2)
and treatment.
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4. Steps in starting lithium therapy and monitoring it.6+4
5. How wil you examine an uncooperative patient?
10
6. What is motivational enhancement therapy? Discuss the principles of
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3+7motivational enhancement therapy.
7. Write the criteria for treatment resistant OCD. Discuss the treatment options
3+7
for such a case.
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8. Pharmacological and non-pharmacological treatment of generalized5+5
anxiety disorder.
9. Differentiate between true and pseudo resistance. How do we define 3+2+5
treatment resistant depression? Enumerate 5 strategies at managing
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treatment resistant depression.10. Clinical features and management of a case of Kleine-Levin syndrome.
5+5
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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
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EXAMINATION HALL.