Last 5-Year PYQs in Psychiatry for INI-CET

Psychiatry is a scoring yet often underestimated subject in INI-CET. It blends clinical insights with behavioral science and requires conceptual clarity to ace. While the classifications, terminologies, and diagnostic criteria can seem abstract or confusing, your preparation doesn’t have to be.

The smartest way to simplify your revision is by focusing on Previous Years’ Questions. These help you identify examiner focus areas, reinforce core psychiatric concepts, and highlight the most test-worthy topics.

And here’s the good news—you don’t need to waste time on scattered resources. We’ve curated a list of high-yield Psychiatry PYQs from the last five years to help you revise strategically, quickly, and with more confidence.

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Psychiatry PYQs PDF

Q1. A patient with a history of chronic alcohol use (24 units per day for the past 10 years) presents with seizures, altered mental status, auditory hallucinations, and secondary delusions. His last alcohol consumption was 2 days ago. What is the appropriate management for this patient?

1. Diazepam
2. Thiamine
3. Naltrexone
4. Flupenthixol depot injection

1. 1, 4
2. 1, 2, 4
3. 1, 3, 4
4. 1, 2

Answer D: 1, 2

Q2. Match the following:

1. Eonism	A. Exposure of one’s genitals to an unsuspecting stranger
2. Exhibitionism	B. Sexual gratification by intercourse with dead bodies
3.Frotteurism	C. Sexual pleasure by wearing clothes of the opposite sex
4. Necrophilia	D. Sexual gratification by rubbing private parts against another person

1. 1-B, 2-A, 3-D, 4-C
2. 1-C, 2-A, 3-D, 4-B
3. 1-C, 2-D, 3-A, 4-B
4.  1-C, 2-B, 3-D, 4-A

 Answer B: 1-C, 2-A, 3-D, 4-B

Q3. A pregnant mother was on SSRIs. Which of the following risks is increased in the newborn?

1. Low APGAR score
2. ADHD
3. Persistent pulmonary hypertension
4. Delayed developmental milestones

1. A, C
2. A, B, C, D
3. B, C, D
4. A, B, C

 Answer 2: A, B, C, D

Q4. Which of the following statements accurately describes Korsakoff syndrome?

1. Triad of confusion, ophthalmoplegia, and ataxia
2. Loss of long-term memory but intact personality
3. Anterograde amnesia with loss of recent memory
4. Loss of implicit memory and immediate recall

Answer: 3) Anterograde amnesia with loss of recent memory

Q5. Match the following
  

A. Depression	1. The feeling goes away as soon as you leave the hospital
B. Suicide	2. State of emotional and physical exhaustion caused by prolonged stress, relieved after relaxation
C. Burnout	3. Difficult to diagnose due to shell of physician’s pride
D. Overworking	4. Women physicians, substance abuse, relationship troubles

1.  A-4, B-3, C-1, D-2
2.  A-2, B-1, C-4, D-3
3.  A-3, B-4, C-2, D-1
4.   A-1, B-2, C-3, D-4

  Answer: 3) A-3, B-4, C-2, D-1

Q6. Match the following

A. Twilight state	1. Subnormal intelligence
B. Oneiroid state	2. Impaired level of consciousness
C. Oligophrenia	3. Persecution
D. Paranoid ideation	4. Oneirophrenia

1. A-4, B-3, C-2, D-1
2.  A-3, B-1, C-4, D-2
3.  A-1, B-2, C-3, D-4
4. A-2, B-4, C-1, D-3

 Answer: 4) A-2, B-4, C-1, D-3

Q7. A young male who is shy and prefers social isolation appears to be emotionally cold and resides alone. There is no history of hallucinations or delusions. The most likely diagnosis is?

1. Paranoid personality disorder
2. Schizoid personality disorder
3. Antisocial personality disorder
4. Emotionally unstable personality

Answer: 2) Schizoid personality disorder 

Q8. Among the following, what is the most common symptom of adult obsessive-compulsive disorder?

1. Aggressive symptoms
2. Need for symmetry
3. Pathological doubt
4. Sexual symptom

Answer: 3) Pathological doubt

Q9. What does the given image represent?

1. Hypnogram
2. Electroencephalogram
3. Polysomnogram
4. Epworth sleep assessment

 Answer: A) Hypnogram

Q10. Abrupt stoppage of which of the following drugs causes irritability, rebound anxiety, and insomnia?

1.  Valproate
2.  Fluoxetine
3.  Olanzapine
4.  Venlafaxine

Answer: D) Venlafaxine

Q11. Which of the following is not true about rapid cyclers in bipolar disorder?

1.  Occurs commonly in men
2.  Commonly associated with concomitant hypothyroidism
3.  At least 4 distinct episodes per year
4.  Antidepressant’s use can increase the likelihood

Answer A - Occurs commonly in men

Q12. Which of the following is not included in diagnosing autism spectrum disorder?

1.  Abnormalities in social communication
2.  Cognitive dysfunction
3.  Abnormality in socialization
4.  Restricted pattern of behaviour and interest

 Answer  B - Cognitive dysfunction

Q13. Which of the following is not a component of Beck's cognitive theory of depression?

1. Cognitive distorsions
2. Automated thoughts
3. Introjection
4. Dysfunctional belief

 Answer C - Introjection

Q14. Mental Health Gap Action Programme (mhGAP) includes all of the following disorders except?

1. OCD
2. Depression
3. Schizophrenia
4. Childhood mental disorder

Answer  A - OCD

Q15. A young male who is shy and prefers social isolation appears to be emotionally cold and resides alone. There is no history of hallucinations or delusions. The most likely diagnosis is?

1. Paranoid personality disorder
2. Schizoid personality disorder
3. Antisocial personality disorder
4. Emotionally unstable personality disorder

 Answer: B) Schizoid personality disorder

Q16. In the physiology viva, the examiner inquires about the individual who initially recorded the first EEG. You respond by admitting that you are unaware of the answer. Sympathetic to your lack of knowledge, the examiner provides a hint indicating that the name resembles a common item found at McDonald's. With this clue, you are able to recall the name and provide the correct response. Which form of memory is involved in this situation?

1. Semantic memory
2. Implicit memory
3. Associative learning
4. Priming

Answer: D) Priming

Q17. Which of the following side effects would most likely be caused by a drug that specifically decreases the reabsorption of serotonin?

1.  Constipation
2.  Sexual dysfunction
3.  Sialorrhea
4.  Weight gain

 Answer: B) Sexual dysfunction

Q18. Which one of the options below is not classified as a form of subcortical dementia?

1. Pick’s disease
2. Parkinson’s disease
3. Huntington’s disease
4. Wilson’s disease

Answer: A) Pick’s disease

Q19. What should be the treatment approach for a 7-year-old child who has been experiencing bed-wetting about twice a week for the past year, following a thorough investigation to exclude any underlying organic cause?

1. Pharmacotherapy with imipramine
2. Psychodynamic psychotherapy
3. Bladder training, with the reward for delaying micturition during daytime
4. Bell and pad-based classification conditioning

Answer: D) Bell and pad-based classification conditioning

Q20. What is the likely diagnosis for a 10-year-old child experiencing selective mutism?

1. Childhood depression
2. Childhood psychosis
3. Childhood anxiety disorder
4. Hyperkinetic disorder

 Answer: C) Childhood anxiety disorder

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