Last 5-Year PYQs in Psychiatry for FMGE

Preparing for FMGE becomes easier when you focus on frequently asked questions. Psychiatry, being a high-yield and scoring subject, often features direct repeats in the exam. Practicing the last 5-year PYQs in Psychiatry helps you identify important topics, strengthen concepts, and boost your confidence for the actual test.

Download FMGE Last 5-Year PYQs – Subject-wise PDFs

FMGE Last 5-Year PYQs Dermatology PDF	FMGE Last 5-Year PYQs Biochemistry PDF	FMGE Last 5-Year PYQs Anatomy PDF
FMGE Last 5-Year PYQs Anesthesia PDF	FMGE Last 5-Year PYQs Pediatrics PDF	FMGE Last 5-Year PYQs Ophthalmology PDF
FMGE Last 5-Year PYQs Microbiology PDF	FMGE Last 5-Year PYQs Medicine PDF	FMGE Last 5-Year PYQs OBG PDF
FMGE Last 5-Year PYQs FMT PDF	FMGE Last 5-Year PYQs ENT PDF	FMGE Last 5-Year PYQs Physiology PDF
FMGE Last 5-Year PYQs Pathology PDF	FMGE Last 5-Year PYQs Pharmacology PDF	FMGE Last 5-Year PYQs PSM PDF
FMGE Last 5-Year PYQs Surgery PDF	FMGE Last 5-Year PYQs Radiology PDF	FMGE Last 5-Year PYQs Orthopaedics PDF
FMGE Last 5-Year PYQs Psychiatry PDF

Q1. A doctor asked the patient what her age is and she told him that she is married to an older man, and she has 2 kids of 15 and 18 years, and she is 39 years old. What is the disorder present?

1. Derailment
2. Circumstantial speech
3. Flight of ideas
4. Tangentiality

Answer B: Circumstantial speech

Q2. A lady presents to the hospital after having a fight with her husband. She reports that she is unable to speak. However, all neurological and physical examinations are normal, and she does not seem concerned about her health status. What is the most likely diagnosis?

1. Malingering
2. La belle indifférence
3. Adaptation
4.  Somatic symptom

Answer B: La belle indifférence

Q3. A 55-year-old man presents to the hospital with auditory hallucinations and inability to recognize his own family members. He reports his last alcohol intake was 48 hours ago. What is the most likely diagnosis?

1. Delirium tremens
2. Alcoholic hallucinosis
3. Alcohol-induced psychosis
4. Schizophrenia

Answer A: Delirium tremens

Q4. A 65-year-old patient presents with a unique psychological phenomenon in which they believe that a close family member has been replaced by an imposter with an uncanny resemblance. This is commonly seen in which type of dementia?

1. Alzheimer's disease
2. Lewy body dementia
3. Vascular dementia
4. Frontotemporal dementia

Answer: B - Lewy body dementia

Q5. A 35-years-old patient presents with complaints of sudden and irresistible urges to take action. This is the characteristic of which symptom?

1.  Impulse
2. Hallucination
3. Delusion
4. Pseudohallucination

Answer: A - Impulse

Q6. A 30-year-old patient presents with persistent feelings of sadness, fatigue, loss of appetite and lack of motivation for the past several weeks. On further assessment, the patient reports a decreased interest in activities that were once enjoyable and a general sense of hopelessness. Which of the following is the key symptom of depression?

1.  Suicidal ideations
2. Low mood
3. Loss of interest in pleasurable activity
4.  Loss of Appetite
   

Answer: B- Low mood

Q7. A patient presented with alopecia of unknown origin and abdominal discomfort. What could be the most likely diagnosis based on the image below, which was retrieved from the stomach following a surgery?

1. Trichobezoar
2. Splenic rupture
3. Pancreatic necrosis
4. Carcinoma stomach

Answer:  A- Trichobezoar

Q8. A patient is showing stubbornness, rigidity and frugality. In which stage we can see this kind of behaviour due to fixation according to psychosexual stages of development?

1. Anal
2. Oral
3. Phallic
4. Genital
   

Answer:  A- Anal

Q9. All of the following are features of pseudohallucinations, except?

1. They occur without external stimulus
2. They are perceived in the outer objective space
3.  They are not vivid
4. They are done voluntarily

Answer: B- They are perceived in the outer objective space

Q10. A 36-year-old male patient on psychiatric medication developed a sudden hypertensive episode after taking wine. He is on antidepressants. Which of the following drug the person be taking?

1. MAO inhibitors
2. Amitriptyline
3.  SSRI
4. Trazodone
   

 Answer:  A - MAO inhibitors (monoamine oxidase inhibitors)

Q11. A 38-year-old female presented to a psychiatrist with symptoms of low mood, loss of interest, loss of appetite and difficulty sleeping for 2 months. The diagnosis of a major depressive disorder is made by the psychiatrist. Which drug is best for the above-mentioned disorder?

1. Buspirone
2. Lithium
3. Divalproex
4. Fluoxetine
   

Answer:  D - Fluoxetine

Q12. A 62-year-old male with a history of chronic alcohol consumption is admitted to the hospital with features of confusion, vision loss and an unsteady gait. He is unable to remember the most recent incidents. Which vitamin deficiency is responsible for his symptoms?

1. Ascorbic acid
2. Retinol
3. Thiamine
4. Folate
   

Answer:  C - Thiamine (Vitamin B1)

Q13. Which of the following is not a management approach used for a violent patient in psychiatry?

1. BZD
2. CBT
3. ECT
4. Haloperidol

Answer B: CBT

Q14. Double depression is:-

1. Major depressive disorder from 2 years
2. Depression with OCD
3. Depression with dysthymia
4. Depression with anxiety attack

Answer C: Depression with dysthymia

Q14.  What is the psychiatric disorder most frequently observed in patients with medical or surgical conditions?

1.  Depression
2.  Schizophrenia
3. Delirium
4. Dementia

Answer:  C - Delirium

Q15. Which of the following is not considered a negative symptom of schizophrenia?

1. Over activity
2. Anhedonia
3. Alogia
4. Apathy

 Answer: A - Over activity

Q16. What is the most frequently encountered acute organic mental disorder?

1. Delirium
2. Dementia
3. Amnesia
4.  Anxiety disorder

Answer:  A - Delirium

Q17. What could be the diagnosis for a child who exhibits below-average mathematical skills despite having a normal IQ and age-appropriate learning abilities and remains unaffected by a year-long private mathematics tutoring?

1. ADHD
2. Mathematics learning disorder
3. Aspergers syndrome
4. Specific learning disorder

 Answer: D) Specific learning disorder

Q18. What is the probable diagnosis for a 30-year-old male who underwent appendectomy 7 hours ago and is currently experiencing auditory hallucinations and confusion about the source of the voices? The patient maintains orientation, and his vital signs are stable. Upon inquiry, his wife reveals that he occasionally consumes alcohol.

1. Delirium tremens
2.  Acute transient psychotic disorder
3.  Delirium
4.  Alcoholic hallucinosis

Answer: D) Alcoholic hallucinosis.

Q19. A concerned grandmother brings an 18-year-old boy to you, reporting that he had multiple episodes of body jerking the day before his final exam. There were no signs of confusion or tongue biting after the episodes, and his medical tests came back normal. Which of the following conditions should be taken into consideration?

1. Malingering
2. Factitious disorder
3. Somatisation syndrome
4. Hypochondriasis

 Answer: A) Malingering

Q20. What is the diagnosis of a 40-year-old man who has been experiencing excessive and uncontrollable worry about daily life activities, finances, and his health for the past two years? He also presents with restlessness, fatigue, disturbed sleep, and waking up once due to a fear that his family was involved in an accident.

1.  Depression
2. Illness anxiety disorder
3.  Somatoform disorder
4. Generalized anxiety disorder

Answer: D) Generalized anxiety disorder

Q21. Jet black pigmentation of the tongue with tactile hallucinations is a feature of:

1. Heroin
2. Opium
3. Alcohol
4. Cocaine

Answer: D) Cocaine

Q22. Which neurotransmitters are implicated in depression?

1. GABA and dopamine
2. Serotonin and norepinephrine
3. Dopamine and serotonin
4. GABA and norepinephrine

Answer: B) Serotonin and norepinephrine

Q23. What is the probable diagnosis for a 24-year-old woman who experienced sudden chest pain and palpitations lasting approximately 20 minutes, with a history of three similar episodes in the past, despite normal investigation results? 

1. Acute psychosis
2. Panic attack
3. Post-traumatic stress disorder
4. Mania

Answer:  B - Panic attack

Q24. All are stages of grief or loss, except:

1. Denial
2. Anger
3. Bargaining
4. Agitation

Answer:  D - Agitation

Q25. True for lithium:-

1. Delayed absorption
2. Narrow therapeutic index
3.  Protein-bound
4. Can be given safely in renal dysfunction

Answer:  B - Narrow therapeutic index