Correct Answer - B
B i.e. Thiopentone
Anesthetic agents safe to use in raised intracranial pressure (ICP)
are thiopentone, propofol & etomidateQ

Correct Answer - A
Pseudoseizure can occur in conversion disorder.
Paralysis, blindness and mutism are the most common conversion disorder symptoms
Anaesthesia and paresthesia especially of the extremities are the most common sensory
symptoms.
Other sensory symptoms includes deafness, blindness and tunnel vision.


Motor symptoms associated with it are: abnormal movements, gait disturbance, weakness
and paralysis.
One gait disturbance seen in this is ataxia abasia which is a wildly ataxic, staggering gait
accompanied by gross, irregular, jerky truncal movements and thrashing and waving arm
movements.


Ref: Kaplan and Sadock's Concise Textbook of Clinical Psychiatry, 3rd Edition By
Benjamin J. Sadock, Page 279

Correct Answer-A
By most estimates. cannabis (Indian hemp plant) remains the world's most commonly used
illicit drug.
Cannabis is perhaps the most widely used drug in India too, due to its easy availability.
Cannabis, a substance that has been traditionally used in India as an intoxicant.
t is produced from the plant cannabis saliva or Indian Hemp plant. It grows in the wild over
most parts of the country.


Ref: Kaplan & Sadock's Synopsis of Psychiatry 9th Edition, Page 444, 424-27; Park's
Social and Preventive Medicine 18th Edition, Page 635; Shorter Oxford Textbook of
Psychiatry 5th Edition, Page 332-342

Correct Answer - C
C i.e. Normal pupillary response

Ambivalence is the inability to decide for or
against, due to co-existence of two opposing
impulses for the same thing at the same time in
the same person. It is an important feature
schizophrenia. It is also seen with OCD, a
other borderline conditions


Abulia - Inability to make a decision generally.
Unlike ambivalence, there are no opposing
impulses present


Anhedonia - Loss of pleasure in previously
pleasurable activities.

INICET 25 RECALL IN group @doctorusmle

Correct Answer- A
A i.e.Conversion reaction
La belle indifferenceQ is in-appropiate attitude of calm or lack of
concern about one's disability. It is seen in conversion (dissociative)
disorderQ (but not specific), physical illness etc.

The given scenario suggests Reactive
Attachment Disorder.


Reactive Attachment Disorder:


Inhibited, emotionally withdrawn behavior
toward adult caregivers


◦ The child rarely or minimally seeks comfort
when distressed.
◦ The child rarely or minimally responds to
comfort when distressed.


A persistent social and emotional disturbance


◦ Minimal social and emotional
responsiveness to others.
◦ Limited positive affect.
• Episodes of unexplained irritability, sadness,
or fearfulness that are evident even during
nonthreatening interactions with adult
caregivers.


The child has experienced a pattern of extreme
of insufficient care. The disturbance is evider
before 5 years of age.

Correct Answer- B
B i.e. Bipolar MDP prophylaxis
Lithium: Indications:
. Established indications:
• Treatment of acute mania
. Prophylaxis of bipolar mood disorder.
. Possible clinical indications:
◦ Treatment of the schizo-affective disorder
◦| Prophylaxis of unipolar mood ilisorder
◦ treatment of cyclothymia
◦ Treatment if acute depression(as an adjuvant for refractory
depression)
◦ Treatment of chronic akoholism(in presence of significant depressive
symptoms) 6 psychoactive use disorders(e'g cocaine dePendence)
◦ Treatment of impulsive aggression
◦| Treatment of Keine-Levin syndrome