FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2017
POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
PSYCHIATRY
PAPER IV
PSY/J/17/39 /IV
Time 3 hours
Max. Marks 100
Important instructions:
• Attempt all questions in order.
• Each question carries 10 marks.
• Read the question carefully 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 all the parts of a single question together.
• 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 are the salient features of Mental Health Care Act?
Critical comment about advanced directives.
7+3
2. What are different psychiatric issues related with pregnancy?
Management of post partum psychosis.
5+5
3. What is stress diathesis model, and its implications in causation and
prevention of psychiatric disorders?
3+7
4. Influence of migration and urbanization on mental health.
5+5
5. What is malingering?
Challenges faced by psychiatrist in its diagnosis and
management.

6. Management of deliberate self harm (DSH).
What is current legal status of suicide in light of Mental Health
Care Act?
7+3
7. Enumerate various screening tools for psychosis.
Explain any two of them in brief.
4+6
8. Define insomnia disorder.
How would you evaluate and treat a case of primary insomnia
disorder?

9. What is obsession?
Non pharmacological management of OCD (Obssessive
Compulsive Disorder).
2+8
10. What is rTMS and its principle?
Its role in management of various psychiatric disorders.
3+7