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    Revising Paper B

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  1. "Optimal dose of selective serotonin reuptake inhibitors, venlafaxine, and mirtazapine in major depression: a systematic review and dose-response meta-analysis."
  2. Right, that's cool... What are career opportunities like for psychiatrists in Chennai/Tamil Nadu in general? That's something I'd be interested to know more about... Would be grateful for advice on that... :-)
  3. @ psy19 - If you're already a consultant psychiatrist, I'm curious why you're doing this exam?? :-)
  4. Which of the following is most appropriate for imaging of white matter tracts: CT MRI fMRI Diffusion tensor imaging SPECT Which of the following reduces serum lithium levels furosemide ibuprofen verapamil theophylline (one more option, can't remember - whatever it was, probably was the right answer! But I got it wrong...) Most common ECG changes with Lithium treatment first degree heart block Wolff-Parkinson-White syndrome T-wave inversion - I think this was the right answer two other options that I can't quite remember Which of these is an intracellular second messenger Calcium Oxytocin Histamine Adenylyl cyclase (I think this was the right answer) One of the histopathological abnormalities in Alzheimer's disease - I think the answer to this one was Hirano bodies Other questions on Tau protein in Alzheimer's disease Questions on Erikson's stages of psychosocial development, Kohlberg's stages of moral development, Eisenberg's stages of prosocial reasoning. 22-year-old most likely to be in? Trust vs mistrust Industry vs inferiority Intimacy vs isolation (I think this was the right answer) Initiative vs Guilt Autonomy vs Shame/doubt 15-year-old having difficulty making friends at school, finds it difficult to conform, uncertainty regarding sexuality - I think at age 15, the stage of psychosocial development would be "Identity vs role confusion". Rate-limiting factor in alcohol metabolism. Which of these is a metabotroic receptor Questions re: Sodium valproate - risk of teratogenicity, mechanism of action. CATIE trial - what proportion of male patients met the criteria for metabolic syndrome? Questions re: DNA methylation, etc.
  5. "Self-management interventions for people with severe mental illness: systematic review and meta-analysis." "Dietary intake of people with severe mental illness: systematic review and meta-analysis."
  6. I'd be grateful for help with critical appraisal of journal papers. Please advise if this topic should be discussed on a different board. I recently did a "critical appraisal" presentation (at our local teaching programme for our junior doctors) on "Experiences of in-patient mental health services: systematic review" (published in the June 2019 issue of the British Journal of Psychiatry - Volume 214, Issue 6). I used the critical appraisal checklist provided on the CASP website. There are, of course, other similar checklists available from other sources, e.g., the checklist provided on the SIGN website. Reflecting on my presentation afterwards, I felt there had been room for improvement. Presenting the "findings" of the systematic review was straightforward, but assessing/critiquing the "rigour" of their methodology was a little harder. In the end, I essentially highlighted the strengths and limitations of the review as identified by the authors themselves, I felt I didn't have many points of my own to add. In the weeks/months ahead, I hope to present a few more such "critical appraisal" presentations. I will be looking for systematic reviews and/or meta-analyses published in the "big name" journals, e.g., the British Journal of Psychiatry, JAMA Psychiatry, etc., published within the last 1 or 2 years, and that are likely to be of some clinical relevance, and critically appraise these papers with a view to preparing presentations for our local junior doctor teaching programme. It would be greatly appreciated if others here could provide any assistance/suggestions.
  7. It is tested in Paper A. I'm preparing for Paper A on 18 June '19. This will be my third attempt. They like to ask about diagnostic criteria for the different personality disorders, as well as diagnostic criteria for manic/hypomanic episodes.
  8. "Revision Notes in Psychiatry"
  9. I don't know what the right answer was. I think I chose the option about the lack of a new hypothesis? (I know the exam was just yesterday, but I've already forgotten which option I selected)... Overall, though, I think I (mostly) picked the same answers that you guys have noted. Still, it seems that you guys have recalled the "easy" questions... there were some that were quite difficult... seems we can't recall those questions... LOL... Anyway, we'll find out in a month's time... And keep posting whatever you recall...
  10. How did you find today's paper? I found it less difficult than the last time I did it. The pass mark will probably be set quite high. I felt some of the questions were poorly worded, although I was able to work out what the questions were about. One of the EMQ's - I think it was something alone the lines of "Experimental event rate - (minus) control event rate" - I think that was "absolute benefit increase" (if I'm not mistaken). There was another question on audit cycles, they linked that to the funnel plot, which I wasn't sure why they linked it to the funnel plot (the question describes a scenario where a trainee has been asked to do an audit, they undertake the data collection, analysis, presentation, implementation of changes, and re-audit and then the question asked something along the lines of "which step in the audit cycle is missing from Figure 2?", and I would have thought the question should have asked what step was missing from the scenario described? There were a few questions on bipolar depression - patient with a history of bipolar disorder, presents with depression, he's not on medication, what would you prescribe. There was another question - I can't quite remember - I think it was about prescribing in pregnancy for a patient with a diagnosis of bipolar affective disorder. There were a number of questions on patients complaining of symptoms, no pathology found, options including hypochondriacal disorder, factitious disorder, malingering, Munchausen's by proxy, somatisation disorder, etc. There were questions on the different types of dementia - including Alzheimer's, Binswanger's, Lewy Body Dementia, etc. Questions on learning disability - Rett's syndrome, Landau-Kleffner's syndrome, etc. What is the pathology in ADHD? A new drug is less expensive than the old drug, equal efficacy and safety, how do evaluate the benefit of this one, I think it was cost minimisation analysis. Please also add any other questions you're able to recall.
  11. I thought it was more difficult than the June paper.
  12. There were at least two questions on memory - "Procedural memory is a type of which of the following: (i) short-term memory? (ii) working memory? (iii) reconstructive memory? (iv) long-term memory? (v) episodic memory? " and "Which of the following types of memory is storage of information in 'pure' form, without reference to time or place? (i) semantic memory? (ii) episodic memory? [I can't remember all the options given]" There were at least two questions on personality disorders - one was - "Which of the following is a feature/criterion for diagnosis of antisocial personality disorder (I think the answer was low frustration tolerance)", another question was "transient stress-related paranoid ideation, or severe dissociative symptoms" (borderline personality disorder).
  13. 15 February 2019.
  14. Developmental assessment of children Attachment theory Stages of moral development I'll post other links as and when I find them.
  15. You might want to take a look on jobs.nhs.uk (if you haven't done so already).