FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
APRIL 2016
POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
PSYCHIATRY
PAPER IV
PSY/APRIL/16/39/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 is r-TMS and its principle?
Indications and contraindications of r-TMS in Psychiatry.

2. What is difference between PET SPECT?
Clinical relevance of SPECT in psychiatry.
4+6
3. Legal status of suicide in India.
Role of NGO's in suicide prevention in India.
4+6
4. What is parasomnia?
REM sleep behavior disorders.
3+7
5. What is prodrome of schizophrenia?
How is it relevant in prevention of schizophrenia?
5+5
6. Clinical presentation and management of Neuroleptic
Malignant Syndrome.
5+5
7. Why Atypical Antipsychotics are called "Atypical"?
"Atypicality" of clozapine.
4+6
8. Clinical features and management of pre-menstrual dysphoric
disorder.
5+5
9. Current understanding of neurophysiological basis of
electroconvulsive therapy (ECT).
What are the advantages of unilateral ECT?
6+4
10. Influence of culture in manifestation of psychiatry disorders
and its outcome.
5+5