SECCIÓN SEGUNDA De los requisitos académicos

CAPÍTULO XVII De las bajas de alumnos

SECCIÓN SEGUNDA De los requisitos académicos

Substance Use Disorders

1. Which Which of of the the following following is is not not an an important important factorfactor

in development of substance dependence?

(AIIMS Nov 2009)

A. Personality Personality B. B. Family hFamily history istory

C. Peer Peer pressure pressure D. D. IntelligenceIntelligence

2. Not Not included included in in definition definition of of substance substance abuseabuse

syndrome:

syndrome: (PGI May 2011)(PGI May 2011)

A. WithdrawaWithdrawal symptoml symptom

B. Use despite knowing Use despite knowing that it can that it can cause phycause physical/sical/

mental harm

C. olerance olerance to to drugdrug

D. Recurrent substance Recurrent substance abuseabuse

E. Use despite sUse despite substance rubstance related legal elated legal problemsproblems

3. All All of of the the following following are are criteria criteria for for substancesubstance

dependence

dependenceexcept except :: (AI 2012)(AI 2012)

A. Repeated uRepeated unsuccessful nsuccessful attempts attempts to quit to quit the subthe sub--

stance

B. Recurrent sRecurrent substance relubstance related legal prated legal problems/useoblems/use

of illegal

of illegal substancessubstances

C. CharacteristCharacteristic ic withdrawal withdrawal symptoms; symptoms; substancesubstance

taken to relieve withdrawal

D. Substance taSubstance taken in larger amouken in larger amount and for longernt and for longer

than intended

4. SymptomatiSymptomatic treatmenc treatment is not t is not required in required in with-with-

drawal of:

drawal of: (AI 1998)(AI 1998)

A. Cannabis Cannabis B. B. MorphineMorphine

C. Alcohol Alcohol D. D. CocaineCocaine

5. Drugs Drugs which which cause cause both both physical physical and and psychologi-psychologi-

cal depen

cal dependence are:dence are: (DNB NEET 2014-15)(DNB NEET 2014-15)

A. Opioids Opioids B. B. AlcoholAlcohol

C. Nicotine Nicotine D. D. All All of of the the aboveabove

Alcohol

6. Irresistible Irresistible urge urge to to drink drink alcohol alcohol is is known known as:as:

(DNB June 2011)

A. Kleptomania Kleptomania B. B. PyromaniaPyromania

C. Dipsomania Dipsomania D. D. richotillomaniarichotillomania

7. All All of of the the following following statements statements are are true true aboutabout

blackouts

blackoutsexcept except :: (AIIMS May 2014)(AIIMS May 2014)

A. Te person appears confused to the onlookersTe person appears confused to the onlookers

B. Remote memory is rRemote memory is relatively intact during theelatively intact during the

blackout

C. It is a discIt is a discrete episode of anterograrete episode of anterograde amnesiade amnesia

D. It is associated with alcIt is associated with alcohol intoxication.ohol intoxication.

8. A A patient patient taking taking 120 120 mL mL alcohol alcohol everyday everyday since since lastlast

12 years is brought to the hospital by his wife and is

diagnosed to have alcohol dependence syndrome.

Which o

Which of the followf the following drug ing drug should be ashould be avoided invoided in

the management?

the management? (AIIMS Nov 2014)(AIIMS Nov 2014)

A. Phenytoin Phenytoin B. B. DisulﬁramDisulﬁram

C. Naltrexone Naltrexone D. D. AcamprosateAcamprosate

9. All All of of the the following following are are true true about about alcohol alcohol depen-depen-

dence syndrome

dence syndromeexcept except :: (DNB NEET 2014-15)(DNB NEET 2014-15)

A. No toleranceNo tolerance

B. Withdrawal Withdrawal symptomssymptoms

C. CAGE CAGE questionnairequestionnaire

D. Physical dependence

10.

10. First First symptom to symptom to appear in appear in alcohol withdrawal alcohol withdrawal is:is:

(AIIMS May 2015)

A. Visual hallucVisual hallucinationsinations

B. Sleep Sleep disturbancedisturbance

C. remors

D. Delirium

11.

11. Most cMost common sommon symptom ymptom of alcohol of alcohol withdrawal withdrawal is:is:

(DNB NEET 2014-15, AI 2007)

A. Bodyache Bodyache B. B. remorremor

C. Diarrhea Diarrhea D. D. RhinorrheaRhinorrhea

12.

12. Which oWhich of the followf the following is cing is characteristiharacteristic of alcohoc of alcoholl

withdrawal?

withdrawal? (AIIMS 1991)(AIIMS 1991)

A. Hallucination Hallucination B. B. IllusionIllusion

C. Delusion Delusion D. D. DrowsinessDrowsiness

13.

13. Widmark Widmark formula formula is is used foused for:r: (AIIMS 1993)(AIIMS 1993)

A. Opium Opium B. B. CannabisCannabis

C. Alcohol Alcohol D. D. AmphetamineAmphetamine

14.

14. Male Male started started drinking drinking alcohol alcohol at at age age of of 20 20 years,years,

presently taking 3 quarters daily over 30 years,

complains that now he gets the kick in 1 quarter.

Probable diagnosis is:

Probable diagnosis is: (AIIMS Nov 2012)(AIIMS Nov 2012)

A. WithdrawaWithdrawall

B. Mellanby Mellanby phenomenonphenomenon

C. Reverse Reverse tolerancetolerance

D. Cross tolerance

15.

15. Psychiatric Psychiatric complications complications of of alcohol alcohol dependencdependencee

are:

are: (PGI 2001)(PGI 2001)

A. Anxiety Anxiety B. B. SuicideSuicide

C. Depression Depression D. D. SchizophreniaSchizophrenia

E. Mania

16.

16. Not Not a a feature feature of of delirium delirium tremens tremens is:is: (AI 2011)(AI 2011)

A. Confusion (clouConfusion (clouding of consciousness)ding of consciousness)

B. Visual Visual hallucinationshallucinations

C. Coarse Coarse tremorstremors

D. Oculomotor nerve palsy (Oculomotor nerve palsy (ophthalmoplegia)ophthalmoplegia)

17.

17. rue rue about about delirium delirium tremens:tremens: (PGI June 2005)(PGI June 2005)

A. Clouding of consciousnessClouding of consciousness

B. Coarse Coarse tremorstremors

C. Chronic Chronic delirious behdelirious behavioravior

D. Hallucination

E. Autonomic Autonomic dysfunctiondysfunction

18.

18. Wernicke’s Wernicke’s encephaloencephalopathy pathy involves involves which which partpart

of central nervous system:

of central nervous system: (PGI 2000)(PGI 2000)

A. Mammillary body Mammillary body B. B. TalamusTalamus

C. Frontal Frontal lobe lobe D. D. Arcuate Arcuate fasciculusfasciculus

19.

19. A A 45-year 45-year male male with with a a history history of of alcohol alcohol depen-depen-

dence presents with confusion, nystagmus and

ataxia. Examination reveals 6th cranial nerve

weakness. He

weakness. He is most likis most likely to be suﬀeely to be suﬀering from:ring from:

A. Korsakoﬀ’s psycKorsakoﬀ’s psychosis.hosis. (AI 2005)(AI 2005)

B. Wernicke Wernicke encephalopathy.encephalopathy.

C. De ClerambDe Clerambault sault syndrome.yndrome.

D. Delirium tremens.

20.

20. Wernicke’Wernicke’s s encephalopathy encephalopathy is is due due to to deﬁciency deﬁciency of:of:

(DNB NEET 2014-15)

A. Folic acid Folic acid B. B. TiamineTiamine

C. Ascorbic Ascorbic acid acid D. D. PyridoxinePyridoxine

21.

21. Which oWhich of the followif the following is incng is included in the luded in the classicalclassical

triad of Wernicke’s encephalopathy?

A. Peripheral neuropathyPeripheral neuropathy (DNB NEET 2014-15)(DNB NEET 2014-15)

B. Autonomic Autonomic dysfunctiondysfunction

C. Ataxia

D. Abdominal pain

22.

22. Not Not aﬀected aﬀected in in Wernicke’s Wernicke’s diseasdisease:e:

(DNB NEET 2014-15)

A. HypothalamuHypothalamus s B. B. TalamusTalamus

C. Hippocampus Hippocampus D. D. Mammillary Mammillary bodiesbodies

23.

23. An alcoholic patient comes An alcoholic patient comes to your to your office, heoffice, he

can’t tell his name. Tere is gross incoordination

in walking, and his eyes are deviated to one side.

What is the

What is the probable diagnosiprobable diagnosis?s? (Bihar 2006)(Bihar 2006)

A. WernickeWernicke’s encep’s encephalopathy halopathy

B. Korsakoﬀ’s Korsakoﬀ’s psychosispsychosis

C. Alcoholic Alcoholic hallucinosishallucinosis

D. Delirium tremens

24.

24. Feature(sFeature(s) ) of of Korsakoﬀ Korsakoﬀ psychosis:psychosis:

(PGI NOV 2014)

A. Confabulation Confabulation B. B. RetrogradRetrograde ame amnesianesia

C. Ophthalmoplegia Ophthalmoplegia D. D. DeliriumDelirium

25.

25. Korsakoﬀ Korsakoﬀ syndrome syndrome true true is/are:is/are:

(DNB NEET 2014-15)

A. Can be seen in chronic alcoholicsCan be seen in chronic alcoholics

B. Absence Absence of intellectuof intellectual declineal decline

C. Chronic Chronic amnestic amnestic syndromesyndrome

D. All of the All of the aboveabove

26.

26. All are All are relatively relatively normal inormal in Korsakn Korsakoﬀoﬀ’s ’s psychosispsychosis

except

except :: (MAHE 2003, KA 2003; J & K 2000)(MAHE 2003, KA 2003; J & K 2000)

A. Implicit memory Implicit memory B. B. IntelligenceIntelligence

C. Language Language D. D. LearningLearning

27.

27. rue rue statement statement about about Korsakoﬀ’s Korsakoﬀ’s psychosis psychosis is:is:

(Rohtak 2000; JIPMER 1999) (UP 1999; PGI 1997)

A. Severe Severe anterograde + anterograde + Mild retrograde Mild retrograde memorymemory

defect

B. Mild anterograde Mild anterograde + severe retrograde + severe retrograde memorymemory

defect

C. Only anterOnly anterograde mograde memory defectemory defect

28.

28. In In Korsakoﬀ Korsakoﬀ psychosis psychosis all all are are seenseenexcept except ::

A. Loss of remote memoryLoss of remote memory (JIPMER 1998)(JIPMER 1998)

B. Loss of intellectuLoss of intellectual function bual function but preservation oft preservation of

memory

C. Lack of insight, unable to Lack of insight, unable to understand the dis-understand the dis-

ability

D. Reversible state

29.

29. A A 35-year-old 35-year-old male male comes comes with with h/o h/o 10-years 10-years ofof

alcoholism and past history of ataxia with bilateral

rectus palsy. He was admitted and

rectus palsy. He was admitted and treated. Whattreated. What

changes can be expected to be seen in such cond

changes can be expected to be seen in such condi-i-

tion?

tion? (PGI June 2008)(PGI June 2008)

A. Progression to KorProgression to Korasakoﬀ’s psychosasakoﬀ’s psychosisis

B. Residual Residual ataxia in ataxia in 50% of 50% of patientspatients

C. Extraocular palsExtraocular palsy disappears y disappears in hoursin hours

D. Immediate relief frImmediate relief from symptomsom symptoms

30.

30. A A 30-year30-year-old -old male male with with history history of of alcohol alcohol abuse abuse forfor

15 years is brought to the hospital emergen

15 years is brought to the hospital emergency withcy with

‘complaints of fearfulness, misrecognition, talk-

ing to

ing to self, self, aggressive aggressive behavbehaviorior, tremulou, tremulousness andsness and

seeing snakes and reptiles that are not visible to

others around him. Tere is history of last drinking

alcohol two days prior to the onset

alcohol two days prior to the onset of the presentof the present

complaints. He is most likely suﬀering from:

(AIIMS Nov 2003)

A. Delirium tremensDelirium tremens

B. Alcoholic Alcoholic hallucinosishallucinosis

C. Schizophrenia

D. Seizure disorder

31.

31. A A 40-year-old 40-year-old man man presents presents to to casualty casualty with with his-his-

tory of regular and heavy use of alcohol for ten

years and

years and morning morning drinking drinking for one for one yearyear. Te . Te lastlast

alcohol intake was three days back. Tere is no

history of head injury or seizures. On examina-

tion, there is no icterus, sign of hepatic encepha-

lopathy or focal neurological sign. Te patient

had coarse tremors, visual hallucinations and

had

haddisorientation to time. Which of the disorientation to time. Which of the followingfollowing

is the best medicine to be prescribed for such a

patient?

patient? (AI 2004)(AI 2004)

A. Diazepam Diazepam B. B. HaloperidolHaloperidol

C. Imipramine Imipramine D. D. NaltrexoneNaltrexone

32.

32. A A chronic chronic alcoholic alcoholic patient patient stopped stopped alcohol alcohol intakeintake

for 2 days due to religious reasons, developed

symptoms of withdrawal on ﬁrst day. On second

day he had GCS followed by

day he had GCS followed by another episode ofanother episode of

GCS after few hours. Drug which should be given

to control the symptoms:

to control the symptoms: (AIIMS May 2013)(AIIMS May 2013)

A. Sodium valproate Sodium valproate B. B. PhenytoinPhenytoin

C. Diazepam Diazepam D. D. ClonidineClonidine

33.

33. In In alcohol alcohol withdrawal withdrawal drug drug of of choice choice is:is:

(DNB NEET 2014-15, PGI June 2007, AIIMS 1990)

A. Haloperidol Haloperidol B. B. ChlordiazepoxideChlordiazepoxide

C. Naltrexone Naltrexone D. D. DisulﬁramDisulﬁram

34.

34. Drugs Drugs used used for for treatment treatment of of delirium delirium tremens tremens is/is/

are:

are: (DNB NEET 2014-15, MCI (DNB NEET 2014-15, MCI screening)screening)

A. Diazepam Diazepam B. B. QuetiapineQuetiapine

C. Chlordiazepoxide Chlordiazepoxide D. D. Both Both A A and and CC

35.

35. All of the folloAll of the following agents arwing agents are used in the tree used in the treat-at-

ment of alcohol dependence

ment of alcohol dependenceexcept except ::

(DNB NEET 2014-15, AI 2011)

A. Flumazenil Flumazenil B. B. AcamprosAcamprosateate

C. Naltrexone Naltrexone D. D. DisulﬁramDisulﬁram

36.

36. In In patients patients of of substance-abuse, substance-abuse, drugs drugs used used are:are:

(PGI 2002)

A. Naltrexone Naltrexone B. B. NaloxoneNaloxone

C. Clonidine Clonidine D. D. LithiumLithium

E. Disulﬁram

37.

37. All All are are anticraving anticraving agent agent for for alcoholalcoholexcept except ::

(AIIMS May 2009)

A. Lorazepam Lorazepam B. B. NaltrexoneNaltrexone

C. opiramate opiramate D. D. AcamprosateAcamprosate

38.

38. Which of Which of the following the following is not is not used in used in delirium?delirium?

(PGI Dec 2005)

A. Haloperidol Haloperidol B. B. LithiumLithium

C. Diazepam Diazepam D. D. OlanzapineOlanzapine

E. Risperidone

Opioid

39.

39. Which of Which of the following the following is not is not an opioid an opioid peptide?peptide?

(AIlMS May 2005)

A. Endorphins Endorphins B. B. EpinephrineEpinephrine

C. Leu-enkephalins Leu-enkephalins D. D. Met-enkephMet-enkephalinsalins

40.

40. All All are are seen seen in in morphine morphine poisoningpoisoningexcept except ::

A. CyanosisCyanosis (AI 1997)(AI 1997)

B. Pinpoint Pinpoint pupilpupil

C. Hypertension

D. Respiratory depression

41.

41. Opioids Opioids can can cause cause which which of of the the following?following?

A. Physical dependencePhysical dependence (DNB NEET 2014-15)(DNB NEET 2014-15)

B. Psychological Psychological dependencedependence

C. Both A Both A and Band B

D. None of None of the abovethe above

42.

42. Usual Usual sign sign of of morphine morphine withdrawal withdrawal are are allallexcept except ::

(PGI May 2013, 1999, 1993)

A. Dryness of secretionDryness of secretion

B. Constipation

C. Miosis

D. Lacrimation, Lacrimation, diarrhea, rhdiarrhea, rhinorrheainorrhea

E. Generally occur Generally occur after 6-8 hours after 6-8 hours of last uof last usese

43.

43. Withdrawal Withdrawal of of which which of of the the following following causes causes yawn-yawn-

ing and piloerection ?

ing and piloerection ? (DNB NEET 2014-15)(DNB NEET 2014-15)

A. Morphine Morphine B. B. CannabisCannabis

C. Smoking Smoking D. D. AlcoholAlcohol

44.

44. A boy A boy is hais having diarrheving diarrhea, rhinora, rhinorrhea, swerhea, sweating andating and

lacrimation. What

lacrimation. Whatis the most probable diagnosis?is the most probable diagnosis?

A. Cocaine withdrawalCocaine withdrawal (AIIMS Nov 2010)(AIIMS Nov 2010)

B. Heroin Heroin withdrawalwithdrawal

C. Alcohol Alcohol withdrawalwithdrawal

D. LSD withdrawal

45.

45. reatment reatment of of opioid opioid dependence dependence includes:includes:

(PGI May 2011)

A. Naloxone Naloxone B. B. NaltrexoneNaltrexone

C. AcamprosaAcamprosate te D. D. BuprenorphineBuprenorphine

E. opiramate

46.

46. Which Which drug drug is is most most commonly commonly used used worldwide worldwide inin

maintenance treatment for opioid dependence?

(AI 2011)

A. Naltrexone Naltrexone B. B. MethadoneMethadone

C. Imipramine Imipramine D. D. DisulﬁramDisulﬁram

47. . Which Which of of the the followifollowing ng is is an an alternaalternative totive to

methadone for maintenance treatment of

methadone for maintenance treatment of opiateopiate

dependence?

dependence? (AIIMS May 2005)(AIIMS May 2005)

A. DiazepamDiazepam

B. Chlordiazepoxide B. Chlordiazepoxide C. Buprenorphine C. Buprenorphine D. Dextropropoxyphene D. Dextropropoxyphene 48.

48. NaltrexNaltrexone one is is used used in in opioid opioid addiction addiction because:because:

(AIIMS May 2010, 2007, 2006, AI 2007)

A. o treat withdrawo treat withdrawal symptomsal symptoms

B. o o treat overdose of treat overdose of opioids and prevent respira-opioids and prevent respira-

tory depression

C. Prevent Prevent relapserelapse

D. Has addiction potential; uHas addiction potential; used for detoxiﬁcationsed for detoxiﬁcation

of opioid

Cannabis

49.

49. After After use use of of some some drug, drug, a a person person develops develops episodesepisodes

of rage in which he runs about and indiscrimi-

nately injures a person who is

nately injures a person who is encountered in way.encountered in way.

He is probably addict of:

He is probably addict of: (AIIMS 1997)(AIIMS 1997)

A. Alcohol Alcohol B. B. CannabisCannabis

C. Opium Opium D. D. CocaineCocaine

50.

50. Which Which of of the the following following substances substances is is associatedassociated

with ﬂashbac

with ﬂashback phenomenon?k phenomenon? (KA 1999)(KA 1999)

A. CannabisCannabis

B. LSD

C. Psilocybin

D. All of the All of the aboveabove

51.

51. Amotivational Amotivational syndrome syndrome is is seen seen in:in:

(DNB NEET 2014-15, MH 2010, TN

(DNB NEET 2014-15, MH 2010, TN 1999)1999)

A. Cannabis Cannabis B. B. CocaineCocaine

C. Amphetamine Amphetamine D. D. HeroinHeroin

52.

52. Which Which of of the the following following substance substance intoxicationintoxication

causes conjunctival congestion, increased appe-

tite, dry mouth, tachycardia and

tite, dry mouth, tachycardia and synesthesia?synesthesia?

(MH 2009)

A. Cannabis Cannabis B. B. CaﬀeineCaﬀeine

C. Cocaine Cocaine D. D. CodeineCodeine

53.

53. Bad Bad trip trip is is seen seen with with which which of of the the following following drugs:drugs:

(DNB NEET 2014-15)

A. Cocaine Cocaine B. B. CannabisCannabis

C. LSD LSD D. D. HeroinHeroin

Others

54.

54. Correct Correct statement statement about about cocaine cocaine abuse:abuse:

(PGI May 2011)

A. Block uptake of dopamine in CNBlock uptake of dopamine in CNSS

B. Strong Strong physical physical dependencedependence

C. Increased Increased BPBP

D. Severe tolerance

E. Cause Cause impairment impairment of nerve of nerve conductionconduction

55.

55. Paranoid Paranoid delusions delusions are are associated associated with with use use of:of:

(AI 2012)

A. Cocaine Cocaine B. B. HeroineHeroine

56.

56. Jet Jet black black pigmentation pigmentation of of tongue tongue with with tactile tactile hal-hal-

lucination and visual hallucinations is a feature

of which substance use:

of which substance use: (RJ 1998)(RJ 1998)

A. Cocaine Cocaine B. B. CannabisCannabis

C. Heroin Heroin D. D. LSDLSD

57.

57. Paranoid Paranoid psychosis psychosis observed observed with with cocaine cocaine abuseabuse

can be explained by:

can be explained by: (AI 2011, 2012)(AI 2011, 2012)

A. olerance olerance B. B. IntoxicationIntoxication

C. Reverse Reverse tolerance tolerance D. D. WithdrawalWithdrawal

58.

58. Formication Formication and and delusion delusion of of persecution, persecution, both both areare

together seen in:

together seen in: (AIIMS May 2011, 2009)(AIIMS May 2011, 2009)

A. LSD psychosisLSD psychosis

B. Amphetamine Amphetamine psychosispsychosis

C. Cocaine Cocaine psychosispsychosis

D. Cannabis psychosis

59.

59. A A 16-year-old 16-year-old boy boy suﬀering suﬀering from from drug drug abuse abuse pre-pre-

sents with crossover of s

sents with crossover of sensory perceptions, suchensory perceptions, such

that, sounds can be seen and

that, sounds can be seen and colors can be heard.colors can be heard.

Which of

Which of the the following is following is the the most lmost likely agentsikely agents

responsible for drug abuse?

responsible for drug abuse? (AI 2012)(AI 2012)

A. Cocaine Cocaine B. B. LSDLSD

C. Marijuana Marijuana D. D. PCP PCP (phencycl(phencyclidine)idine)

60.

60. Psychosis Psychosis resulting resulting due due to to chronic chronic amphetamineamphetamine

intake most commonly resembles:

intake most commonly resembles: (Orissa 1999)(Orissa 1999)

A. DeliriumDelirium

B. Mania

C. Paranoid Paranoid schizophreniaschizophrenia

D. Dissociative disorder

61.

61. Used Used for for averting averting tobacco tobacco dependence dependence is:is:

(DPG 2008)

A. Buspirone Buspirone B. B. MethadoneMethadone

C. Bupropion Bupropion D. D. BuprenorphineBuprenorphine

62.

62. Most Most common common substance substance of of abuse abuse in in India India is:is:

(DNB NEET 2014-15, AIIMS May 2010, May 2007,

AI 2007)

A. obacco obacco B. B. CannabisCannabis

C. Alcohol Alcohol D. D. OpiumOpium

63.

63. Which Which is is not not a a feature feature of of nicotine nicotine withdrawal?withdrawal?

(DNB December 2011)

A. Depression Depression B. B. HeadacheHeadache

C. achycardia achycardia D. D. AnxieAnxiety ty

64.

64. Which Which is is not not a a feature feature of of caﬀeine caﬀeine withdrawal?withdrawal?

(DNB December 2011)

A. Headache Headache B. B. HallucinationHallucination

C. Depression Depression D. D. Weight Weight gaingain

ANSWERS

1. D. D. Te Te personality, personality, family family history history and and peer peer pressurepressure

all play a role in development of dependence.

Tere is no correlation between intelligence and

substance use.

2. A,

2. A, C.C.

he

he DSM-IVDSM-IV, , diagnodiagnosis sis of of substance substance abuseabuse

includes the following four criterion (1) recurrent

In document REGLAMENTO GENERAL JULIO 2012 (página 50-55)