DNB QUESTIONS BASIC SCIENCES Relevance of serotonergic

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DNB QUESTIONS
BASIC SCIENCES
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Relevance of serotonergic system in psychiatric disorders
Neuroplasticity and anti depressant response
Dopamine synthesis and pathways
Types of synaptic connections. Define synapse. Describe excitation potential
Reticular formation and role in arousal
Applied anatomy of visual pathways
Limbic system
Papez circuit
Amygdala
Amygdaloid complex- prevalence in psychiatric illness
Hippocampus- anatomy and connections. Role in alzheimer’s ds
Suprachiasmatic nucleus
Cytochrome P450
Dopamine receptors
Cholinergic receptors
Opioid receptors
Serotonergic receptors
Gate control hypothesis of pain
Somatostatin
NMDA receptors
GABA receptor
Muscarinic receptors
Cholecystokinin
Neuronal plasticity and psychiatric ds
Neural peptides in psychiatry
Melatonin
Long term potentiation
Endogenous zeitgebers
Endogenous opioids
2nd and 3rd messengers
Receptors
Endorphins
DST
Opioid peptides- anatomical and physiological aspects
NEUROIMAGING AND GENETICS
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Various brain imaging in psychiatry and implications
CT in schizophrenia
MRI in schizophrenia
SPECT, PET, fMRI, MRS
Functional imaging in hysteria
Types of inheritance and importance
Genetic markers in psychiatry
Genetics of affective ds, schizophrenia, alcoholism
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Human genome project and racial difference
c-fos gene
Gene expression and anti depressant
Non sense codon
Reverse genetics
Adoption studies
Genetic engineering
Describe epigenetics and stages of life cycle in relation to it
Linkage analysis
DEMENTIA, DELIRIUM
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Etiology of dementia
Reversible dememtia
AIDS dememtia
Mild cognitive disorders
Diagnosis of early dementia
Subcortical and cortical dementia
Alzheimer’s
Hippocampus relation to alzheimers
Degenerative dementia
Multi infarct dementia
Classification of dementia
Pseudo dementia
Temporal lobe and syndromes causing amnesia
Difference frm functionl amnesia
Surgical trtment of dementia
Care giver burden
Frontal lobe dementia
Senile and presenile dementia- mngt
Huntington’s dementia
Approach and mngt of delirium
Neuroanatomy and physiology of aging
Causes of organic amnestic syndrome
Pick’s disease
Amnestic disorder
Neurofibrillary tangles- structure and significance in psychiatry
SUBSTANCE ABUSE
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Alcohol related psychiatric and medical and sexual complications
Substance abuse
Primary prevention of drug dependence
Delirium tremens
Nicotine dependence and mngt
Drugs of abuse excreted in urine
Fetal alcohol syndrome
Trtment of chronic alcoholism
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Cannabis induced psychiatric disorders
Course of social drinking in the world and scientific approach to it
Harm reduction strategies in substance abuse
Cognitive deficits in alcohol dependence
Non pharma mngt of alcohol dependence
Opioid withdrawal
Inhalant use
BT in alcohol dependence
Family burden in pts with substance abuse
Substitution mangt of opioid dependence
Alcohol dementia
Korsakoff psychosis
Wernicke’s encephalopathy
BZD withdrawal syndrome
Counseling principles and application to specific drugs of abuse
SCHIZOPHRENIA
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Incidence of schizophrenia
Relapse prevention in schizophrenia
Pseudo hallucination
Schizoid personality disorder
Negative symptoms and its mngt
Cerebellum in schizophrenia
Dopamine hypothesis
Major epidemio studies
Non pharma mngt of drug resistant schizophrenia
Biological basis of positive and negative symptoms
Disorders of attention in schizophrenia
Hypofrontality in schizophrenia
Cerebral lateralization in psychosis
Early interventions in schizophrenia
Neuro soft signs in schizophrenia
Gender and schizophrenia
Mngt of resistant schizophrenia
Cognitive impairments in schizophrenia
Conceptual issues in diagnosis of schizo affective ds
Virology of schizophrenia
Vulnerability concept of schizophrenia
Prevention of schizophrenia
Catatonia
Late onset schizophrenia
Deficits of information processing in schizophrenia
Cognitive remediation therapy in schizophrenia (SCARF)
Evoked potentials in schizophrenia
Capgras syndrome
Neurodevelopmental theory of schizophrenia
Assessment of disability using DAG and IDEAS in schizophrenia
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Difference between wernicke’s aphasia and FTD
Delusional misidentification syndromes
Organic causes of catatonia
AFFECTIVE DISORDERS
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Newer antipsychotic s and anti convulsants in BPAD
Newer perspectives regarding neurobiology of depression
Rapid cycling
Neurobiology of depression
Neurotransmitters in affective disorders
Resistant depression mngt
Therapy in depression
Role of melatonin in mood ds
Mixed anxiety depressive ds
Mngt of mixed affective states
Pseudodementia
MRI in depression
Gender and depression
Trtment of recurrent depressive disorder
Subsyndromal depression- clinical relevance
Kindling hypothesis of mood ds
Masked depression- C/F and mngt
SUICIDE
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Lethality in suicide
Phenomenology of completed suicide
Suicide pact
Suicide attempt
Psychological basis of suicide
Strategies of suicide prevention
Deliberate self harm and mngt
Stages of suicide prevention
Helplines in suicide prevention
Suicide in medical conditions
Risk factors for suicide
Mngt of suicidal pt
ANXIETY DISORDERS
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Gilles de la tourette
Social phobia
Biological theories of phobia
Signal anxiety, basic anxiety
Trtmnt of OCD
Psychopathology in OCD
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Biological basis of OCD
Treatment resistant OCD
Surgical trtmnt of OCD
Non pharma mngt of OCD
Hyperventilation syndrome
Agoraphobia
Treatment of panic ds
Trichotillomania- non pharma mngt
Stress disorders
Institutional neurosis
Anti convulsants used in anxiety
Etiology of panic ds
Dysmorphophobia
Critical evaluation of understanding of conversion hysteria
Current concepts of hysteria in ICD and DSM
Primary gain in hysteria
Mngt of somatization
Mngt of globus hystericus
Newer understanding of somatization
Disaster and mental illness with mngt
Defense mechanisms in OCD
Fugue state: classification and clinical features
Pathophysiology of hyperventilation syndrome
Neurobiology of PTSD
Suffocation alarm hypothesis of panic ds
Organic basis of anxiety
Stress and coping mechanisms
Neurophysiology and pathways of stress
Pathways and stages of stress
EATING DISORDERS
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Anorexia nervosa- assessment of outcome
Medical complications of eating ds
Bulimia and difference wit anorexia
Assessment of outcome in anorexia
Impulse control ds and relation to other psychiatric ds
Biological basis of homosexuality
PERSONALITY DISORDERS
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Evaluation of current diagnosis and classification of PD
Classification of PD
Borderline PD
Transsexualsm and mngt
Erectile dysfunction and mngt
Pharma and non pharma trtmnt of BPD
Sexual aversion ds
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Type A personality- relevance in psychiatry
Organic personality ds Type C personality.
Relevance in psychosomatic medicine
Mngt of ASPD
Drug trtment of personality ds
CULTURE
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Dhat syndrome
Culture shock
Culture bound syndromes
Role of culture in understanding and managing psychiatric illness
Role of socio cultural factors in incidence and outcome of mental illness
What is social causation? How do social factors affect mental health?
CHILD PSYCHIATRY
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Rett ds, asperger syndrome
ODD, conduct ds
Psychopathology and psychotherapy in adolescent
Psychiatric emergencies in adolescent
Risk taking behavior in adolescent
DSH in adolescent
Juvenile delinquency
Developmental tasks of adolescent
Thumb sucking
Fragile X, down syndrome
Psychological aspects of adoption
Assessment of behavioral problem in children
PDD
Autism like states
Non pharma mngt of autism
Transient tic ds
Gifted child
Childhood depression
Childhood schizophrenia
School refusal, school phobia
SLD, alexia
Developmental dyslexia
Scholastic backwardness
ADHD- course, prognosis, pharma and non pharma mngt, comorbodity
ADHD drug side effect
Adult ADHD
Child sexual abuse
Paedophile
PTSD in children
Childhood asthma- psychosocial factors
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D/D of mutism
Selective and elective mutism
Genetically determined MR
Self help groups of mentally retarded
Amino acid metabolism in etiology of MR
Genetics of phenylketonuria
Behavioral principles in MR mngt
Services for MR in community
Causes of MR and prevention
Diagnostic criteria for MR
Epidemiological aspect of MR
Clinical and psychological evaluation of MR
Psychopharmacology in children
Parenting
Nocturnal enuresis- types, pharma and non pharma mngt
Child abuse- types, presenting features
Childhood neurotic traits
Importance of parent child relation in etiology of mental illness
Infantile sexuality and importance in psychosexual development
Recent advances in mentalization and therapy and techniques to enhance it
Management of mild MR
Etiological classification of MR
PREGNANCY
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Lithium in pregnancy
Psychotropic medicines in breast feeding
Post partum psychosis
Psychiatric ds in pregnancy and child birth
Post natal depression
Puerperal psychosis
Etiology of post partum psychiatric ds
Anti psychotic and lactation
Reproductive endocrine function and behavior
Motherhood and illness
Peri menopausal depressive ds
Pre menstrual dysphoric ds
Infertility and psychiatry
SLEEP DISORDERS
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Neurophysiology of sleep
REM sleep
Somnambulism
Stages of sleep
Sleep apnoea
Circadian rhythm
Sleep deprivation and its consequences
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Parasomnias
Sleep ds in children
Narcolepsy
EEG and EMG changes with sleep
FORENSIC PSYCHIATRY
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MHA 1987 and comparison with ILA
Criminal responsibility
Admission procedures under MHA
Valid will
Role of psychiatry unit in general hospital
Administrative psychiatry
Mental health authorities
Law of R torts
Detention of pts in mental homes
Appointment of guardians and manager for mentally ill
Marriage and divorce in mentally ill
Rights of mentally ill
Implementation of MHA
Homosexuality and law
Psychiatric ethics
Fitness to stand trial
Diminished responsibility
RTI act and fiduciary relationship
Ethical issues in drug trial
Ethics in human cloning
Ethics in organ transplant
Prejudice
Lie detection tests in forensic
Civil responsibility
Criminality and mental illness
Informed consent
Seclusion and restraint
Compulsory detention under MHA
Confidentiality privilege
Testamentary capacity
Domestic violence
NDPSA
COTPA
Disability act
Insanity as defense
Mental handicap
Mental health care act 2010
Right to refuse trtmnt
COMMUNITY PSYCHIATRY
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Consultation liason psychiatry
Stigma and mental illness (oxford)
What factors initiated community psychiatry?
DMHP, NMHP
Role of NGOs in child labor in india
How to conduct epidemiological surveys of psychiatric co morbidity in india
Therapeutic community
Involvement of multipurpose workers in mental illness
Role of mental hospital in NMHP
School mentl health
Mental health issues of homeless
Half way home
Epidemiological community survey (CTP)
Mngt of psych disability in community
Day care centre
Principles of community psychiatry
Setting up community health centre in rural set up
Intervention model for mental health services in jail
Consumer protection act
Community based rehabilitation
Role of psychiatrist in terminally ill pt
Steps in assessing prevalence of mental morbidity in a population
Merits and demerits of western and eastern family structure
Rehab of chronically ill in community
STATISTICS
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ANOVA
Sensitivity and specificity
Statistical tests of difference
Control group
Sampling techniques
Reliability and validity
Meta analysis
Tests of significance
Std deviation
Chi square test
Student t test
Null hypothesis
Non parametric tests
Multivariate analysis
Normal probability curve
Type I and II errors
Qualitative research- essential features, strength and limitations
NEUROLOGY
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Epileptic psychosis
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Pseudoseizures
Uncinate fits
Stupor- causes
Differentiate akinetic mutism from catatonic schizophrenia
Landau kleffner syndrome
Mngt of status epilepticus
Anatomy and physiology of temporal lobe
C/F of TLE
Post ictal states
Recent classification of epilepsy
Seizures in alcoholic pt
Seizure monitoring during ECT
Unilateral ECT
ECT and memory disturbance
ECT in mental ds
Comparison of ECT with pharmacotherapy
Current concepts of mechanism of ECT
ECT device and administration
EEG in psychiatry
10-20 electrode system in schizophrenia
Activation proceduresduring EEG
Classification of seizures
EEG changes in Prion ds
rTMS
Vagal nerve stimulation
PSG in psychiatric ds
Evoked potentials
Cognitive potentials
Plasmapheresis
SSPE
Frontal lobe functions
Frontal lobe syndromes
Prefrontal lobe
Temporal lobe functions
Temporal lobe syndromes causing amnesia
Kluver bucy
Parietal lobe- anatomy and associated lesions
Parietal lobe function tests
Psychiatric aspects of traumatic brain injury and mngt
Association cortex
Parkinson’s ds
Corpus callosum- functions, syndrome of separation
Argyll Robertson pupil
NPH
Blood brain barrier
Brain death
Hypofrontality
Cerebral laterality and psychosis
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Lissencephaly
Role of caudate in control of behavior
Post concessional syndrome
Psychiatric sequelae of stroke
PME
TIA
Classify demyelinating ds and details of multiple sclerosis
Neuroanatomical basis of aphasia
Thalamus and pain
Progressive supranuclear palsy
Suprabulbar palsy
Wilson’s ds
Mucopolysaccharidosis
Uremic encephalopathy
Liver failure
Herpes simplex encephalitis
Conduction aphasia
Classify aphasia. Give causes and examination
Movement ds
Disconnection syndromes
Hemisphere asymmetry
Split brain experiments and importance in hemisphere difference of various functions
Functions of non dominant hemisphere
Migraine
Neuropsych manifestation of chronic subdural hematoma and mngt
D/D of headache
Tension headache
Psychogenic headache
Post encephalitic syndrome
Apraxia
Applied anatomy of middle cerebral artery
Amotivational syndrome
Effect of hypoxia on the brain and associated syndromes
What is disinhibition? Types and neural system involved
Syncope
Neurocysticercosis
Post stroke depression
Depresson with parkinson’s ds
Hypoglycemia and psychiatry
Psychobiology of movement ds
Spinal fluid tap
PSYCHOSOMATIC MEDICINE
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Theories to explain psychosomatic ds
Psychogenic back aches
Porphyrias
Pheochromocytoma
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Hyperparathyroidism
SLE
Atropine poisoning
Mitral valve prolapsed
Diabetes – psychiatric and sexual problems
Relation between stress and diabetes
Vitamin B deficiency and psychiatry
Thyroid
Irritable bowel syndrome
Ulcerative colitis
Pain clinic
HIV related problems in psychiatry
Pre and post counseling of AIDS
Psychiatrist role in AIDS prevention
Health educationmmeasures for HIV pts
DIOGENES syndrome
Psychiatry aspects of brain tumor
Neurasthenia
Sheehan syndrome
Drug induced psychosis
Executive stress syndrome
Psychiatric aspects of parkinson’s ds
Thyroid crisis
Cushing ds
Chronic fatigue syndrome
Prion ds
Hypertensive crisis
Essential hypertension
Asthma
Nutritional deficiency in psychiatry
Psychiatry in myocardial infarction
Psychiatry in skin ds
Psychiatry and organ transplant
Psychiatry in water and electrolyte imbalance
Psychiatry in renal transplant
Impotence in 40 yr old man
Etiology of secondary sexual dysfunctions
Psychiatry in CVS ds
Coronary artery ds and personality ds
Steroid psychosis
Psychiatry in ICU
Chronic pain
Endocrine ds and psychiatry
Burn pt and psychiatry
Psychotic ds due to general medical condition
Organic mood ds
Psychiatry and hysterectomy
Role of lifestyle and behavior in cancer
PSYCHOLOGY
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Predictors, causes, types, neuroanatomy and physiology of aggression
Assessment of dangerousness of a person
Role of psychologist in general hospital setting
Describe intelligence. Describe 1 standardized test and merits and demerits
Concept of normality
Gestalt psychology
Theories of intelligence
Problems in using intelligence tests
Temperament
Cognition
Tests of attention
Personality
Role of genetics, biological and psychological factors in personality development
Merits and demerits of personality theories
Learning theory
Classical and operant conditioning- applications
Negative reinforcement
Maslow hierarchy of needs
Aspects of attitude
Neurophysiology of memory, theories of forgetting
Principles of behavioral psychology
Role of motivation in behavior
Psychometric assessment of organicity
Theories of emotions
Perception and apperception
Disorders of attachment
Concept formation in learning
Social learning theory
Role of memory in learning process
Current research findings in area of memory
Neurophysiological correlates of memory
Emotional intelligence
Uses of psychological ssessment in clinical practice
Sociometry
Working memory
Memory assessment
Concept of mind
Motivation, development and application in family planning prog
Sensory deprivation
Maternal deprivation
Contribution of humanistic theories to psychotherapy practice
Identity diffusion
Controversies regarding intelligence
Psychological autopsy
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Disorders of attachment
Characteristics of healthy development
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Developmental psychopathology
Developmental tasks of adolescence
Piaget theory of cognitive development
Language development
Critical period of language development
Development of emotion
Psychosexual development of individual
Development of self
Cognitive development in children
Social development in children
Overprotection in development of child
Emotional development
Hallucination- define and differefence from pseudo hallucination
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Defense mechanisms in dreaming
Theories of attachment and related ds
Topographical and structural model
Free association
Ego ideals
Conflicts
Transactional analysis
Defense mechanism. describe in details
Ego affect, defenses and defects
Reaction formation, isolation
Cathexis
Collective unconscious
Transference and neurosis
Regression of personality
Account of psychoanalytic theory of personality
Neo Freudians, commonalities and differences in their theories
Psychodynamics of dissociative ds and psychological interventions
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GHQ, BPRS
Steps in development in psychometric tests
Projective tests for personality assessment
Rorschach, TAT
Indicators of mood ds in Rorschach
Critically evaluate tools of personality assessment
Raven’s progressive matrices
Neuropsychological tests of executive function
Culture free intelligence tests
Weschler’s scale, WAIS
Rating scales for depression
IQ measurement
Tests for thought disorder
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Binet kamat test
Measurement of insight
Assessment of psychiatric disability
Computer based testing of patients
Validity, reliability and sensitivity of psychological tests
Components of neuropsychological tests
IDEAS- components and method of assessment
PHARMACOLOGY
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Tardive dyskinesia
Involuntary movements in never treated psychiatric pts
Cellular mechanism of anti depressant
Drug interactions
Lithium prophylaxis in bipolar
Long acting neuroleptics
Psychopharma in children
Atomoxetine,Methylphenidate
Disulfiram, Naltrexone, Acamprosate
Lamotrigine,Topiramate
Valproate, CBZ
Doses of AED and common side effects
Mirtazepine, Desvenlafaxine,
Rivastigmine
Reversible MAOI, Moclobemide
Ziprasidone, CPZ, Amisulpride
Hematological side effects of psychotropic drugs
Newer agents for bipolar prophylaxis
Beta bockers
Calcium channel blocker
Non psych indication of lithium
Newer drugs in Alzheimer
Teratogenic effects of psychotropic drugs
Sexual side effects of anti depressants
Cognition enhancers
Psychotropic drugs and QT interval
Anti kindling drugs
MOA of atypical anti psychotics
Newer anti convulsants
NMS, Serotonin syndrome
Atypicals- a critical appraisal
Tremors
Lithium toxicity
Anti depressant interaction with other drugs
Causes and mngt of dystonia
AED induced cognitive deficits
Pharmacokinetics of psychotropic drugs
Psychiatric side effects of anti hypertensives
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Therapeutic window
Drug induced movement disorder
MOA of lithium
Newer anti depressant
Serotonin challenge test
Cellular mechanisms linked to action of anti depressant
Neurolept threshold
Psychosurgery
PSYCHOTHERAPY
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Resistance
Biofeedback
Systematic desensitization
Clinical application of cognitive therapy
Systems theory of family therapy
BT for premature ejaculation
Self actualization therapy
Interpersonal therapy
Token economy
Grief therapy
CBT for OCD
CBT for depression
CBT schizophrenia
CBT substance abuse
Flooding- principles and application
Cognitive training
Logotherapy
Play therapy
Existential therapy
Non specific factors in therapy
brain washing
Social skills training
Supportive psychotherapy
Brief psychotherapy
Rational emotive therapy
Principles of CBT and BT
Hypnosis
Stress management and relaxation therapy
INDIAN PSYCHIATRY
688.
689.
690.
691.
692.
Tobacco dependence in india and relation to psychiatric disorders
Incidence of psychosis in india
Factors influencing course and outcome of schizophrenia in india
Epidemiology of suicide in india and role in suicide prevention
Community psychiatry in india
693.
694.
695.
696.
697.
698.
699.
700.
701.
702.
703.
704.
705.
706.
707.
708.
709.
Intelligence tests for children in india
Concept of mentl health in ancient india
Findings of Indian studies on schizophrenia
Indigenous healing and psychiatry
Milestones achieved in 20th century
Ashramadharma
Varnashrama
Contributions of MV govindaswamy
Yoga in psychiatry
Caste system in india
Meditation
Indian guna theory in personality theories
Primary prevention of MR in india
Bhagwad gita and psychotherapy
Indian adaptation of psychotherapy
Psychiatric problem of adolescent in India
Professional man power requirement in Indian psychiatry
HISTORY
710.
711.
712.
713.
714.
715.
Freud, Anna freud
Bowlby, Horney, Piaget
Clifford Beers, Erikson
Carl rogers, Meyer
Jung, Klein, Sullivan
Kahlbaum, Kraepelin
MISCELLANOUS
716.
717.
718.
719.
720.
721.
722.
723.
724.
725.
726.
727.
728.
729.
730.
731.
732.
733.
734.
Elderly abuse
Psychiatry in general practice
Gender and mental illness
Quality assessment in mental health
Animal models in psychiatry
Life events in mental illness
Biopsychosocial model of disease (CTP)
Molecular biological investigations
Biochemical tests in psychiatry
Psychoimmunology
Interactions of immune system wit CNS
Primary secondary and tertiary prevention in psychiatry
Types and components and techniques of rehabilitation
Ethnography and psychiatry
Preventive intervention
Evidence based medicine- steps of practice
What is co morbidity? Discuss relevance in psychiatry (paper III)
Evidence based psychiatry
Telepsychiatry
735.
736.
737.
738.
739.
740.
741.
742.
743.
744.
745.
746.
747.
748.
749.
750.
751.
752.
753.
Explanatory models of illness
Environmental pollution and psychopathology
Quality of Life
Spectrum concept of psychiatric ds
Incidence and prevalence of psychiatric disorders
Abnormal illness behavior
Difference between ICD and DSM
ICD classification of mental illness
DSM V concept
Infertility
LOS (CTP)
Bereavement
Grief reaction
Pathological grief
Role of psychiatrist in dying patient
Psychological implications of dying
Difference between ICD and DSM
ICD-10 classification of disease
DSM-V
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