ECT: modified technique: practice question

A Psychiatry question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Psychiatry · ECT: modified technique

Sample item

In modified ECT, which pair of drugs is used along with the electric stimulus?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. A short-acting anaesthetic and succinylcholine

Modified ECT uses a short-acting anaesthetic (propofol, thiopentone or methohexital) and the muscle relaxant succinylcholine to prevent fractures and injury. Oxygenation is maintained, and atropine or glycopyrrolate may be given.

Option by option

  • A. Midazolam and curare only

    Curare is not the standard relaxant.

  • B. Lithium and haloperidol

    Lithium and haloperidol are not used for modification.

  • C. A short-acting anaesthetic and succinylcholine (correct)

    Correct. Anaesthetic plus succinylcholine is standard.

  • D. Atropine and diazepam only

    Atropine and diazepam alone would not relax muscles.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Psychiatry question

What is the answer to this Psychiatry question?

The best answer is C, A short-acting anaesthetic and succinylcholine. Modified ECT uses a short-acting anaesthetic (propofol, thiopentone or methohexital) and the muscle relaxant succinylcholine to prevent fractures and injury.

Why is "Midazolam and curare only" not the answer?

Curare is not the standard relaxant.

Why is "Lithium and haloperidol" not the answer?

Lithium and haloperidol are not used for modification.

Why is "Atropine and diazepam only" not the answer?

Atropine and diazepam alone would not relax muscles.

What concept does this question test?

It tests ECT: modified technique in Psychiatry. Oxygenation is maintained, and atropine or glycopyrrolate may be given.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study ECT: modified technique?

Learn each diagnosis by its core features and its first-line treatment. Then use the flashcards and the other Psychiatry questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.