LocumSHO

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About LocumSHO

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  • Gender
    Male
  • Location
    Birmingham
  • Occupation
    Doctor
  • Status
    Revising Paper B

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  1. 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...
  2. 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.
  3. I thought it was more difficult than the June paper.
  4. 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).
  5. 15 February 2019.
  6. Developmental assessment of children Attachment theory Stages of moral development I'll post other links as and when I find them.
  7. You might want to take a look on jobs.nhs.uk (if you haven't done so already).
  8. Some other points I've just remembered: primary vs secondary delusions mechanism of action of atomoxetine what blood tests to do before starting agomelatine ICD-10 criteria - specifically, duration - how long do symptoms need to be present to make a diagnosis of depression, same question for mania, etc. assessment instruments - which one of these is a screening instrument (options given included YBOCS, Edinburgh post-natal depression scale, Hamilton depression scale, etc. I think the answer was the Edinburgh post-natal depression scale, the others are rating scales, i.e., they are used to assess changes in symptom severity, rather than to make the diagnosis in the first place). which one of these is a "precipitating factor" - bereavement, substance misuse, previous birth trauma, genetics, etc. (I think the answer is "bereavement" - the others would generally be regarded as pre-disposing or perpetuating factors) in what stage/phase of sleep do night terrors occur? EMI: what is the diagnosis in these cases: 5-yr-old child repeatedly wakes up agitated and distressed, 20-yr-old wakes up and is able to give vivid account of distressing dreams, 25-year-old has irresistible urges to sleep, etc. conditioning - chemotherapy causes nausea and vomiting, then patient experiences nausea when they see the nurse who administers chemotherapy, then they experience nausea when they see any nurse, then following an inpatient stay of several weeks duration, the conditioned response is no longer present (I thought the first one was an unconditioned stimulus - nausea and vomiting caused by chemotherapy, the next one was a conditioned response - on seeing the nurse who administers the chemotherapy, then generalisation - on seeing any nurse, then extinction - the response is no longer present at the end of an inpatient stay in hospital.
  9. My personal view - today's exam was less difficult than I expected. Not that I'm completely confident that I'm going to pass, but I felt the questions were mostly "straightforward" (compared to Paper B, where questions seem more tricky). Topics that came up - mechanism of action of various psychotropic drugs - including hypnotic drugs, anti-dementia drugs, what receptors/subtypes do they act at, etc. chemical classification of antipsychotic drugs - which of these is a butyrophenone, which is a dibenzodiazepine, dibenzothiazepine, etc. mechanism(s) underlying various side-effects neuropathology - difference(s) between Alzheimer's, vascular dementia, FTD, etc. genetics - modes of inheritance, chromosomal location of disorders, etc. stages of moral development attachment theory - e.g., what is the stage of development of a child around the age of 2yrs, when the child has accepted that he/she is a separate individual from his/her mother, with his/her own unique identity, and is becoming comfortable with this language development in children - at what age do they start to make vocalisations, what age do they start putting words together, etc. neuroradiology - findings in variant CJD, auditory hallucinations, depression, frontotemporal dementia, etc. changes in volume of distribution of drugs during pregnancy, changes with age, etc.# rat being conditioned to become frightened at sight of a nut by loud noise being played whenever the rat tries to reach for the nut - is that backward conditioning, operant conditioning, or classical, etc. different enzymes involved in synthesis/breakdown of different neurotransmitters. definition of "interoception" 15-yr-old smokes cannabis, experiences feeling of his limbs being stretched and twisted - what's this called? I think it was "paraschemazia". localization of interoception/empathy function in the brain - anterior cingulate cortex? when clinician offers a handshake, patient repeatedly offers and withdraws his own hand - 23 times - what's this called? I think a lot of this material is covered by MRCPsychMentor.com. I think it's a good resource for Paper A preparation, but perhaps not so much for Paper B - just my personal opinion. I'd like to hear other people's thoughts. Do share any questions you're able to recollect.
  10. Bear in mind that one third of the paper covers critical review - this is stated on the Royal College website. Also take a look at the other threads on this board, which list questions that came up last time (Oct '17). As I recall, there were a significant number of questions on the various different LD "syndromes" (Rett's syndrome, Prader-Willi, Smith-Magenis, etc). Also a number of different questions on the different types and sub-types of dementia, different types/causes of aphasia. Don't know why these have stuck in my mind - maybe because I was thinking "these could have been easy marks if I'd known them". But I still get the impression - even with the best revision in the world, there will still be some "unexpected" questions. I'm just going over MCQ question banks at this point - mrcpsychmentor.com, and the Oxford Specialty Training MCQ book.
  11. I previously sat Paper B, unsuccessfully. As I recall, there were a number of questions related to epidemiology of various psychiatric disorders, including ratio of male to female patients with each diagnosis, etc. I'm really not sure what sources the exam uses, but here are some links to the relevant pages on the CKS (Clinical Knowledge Summaries) website: Alcohol - problem drinking Attention deficit hyperactivity disorder Benzodiazepine and z-drug withdrawal Bipolar disorder Conduct disorders in children and young people Delirium Dementia Depression Depression - antenatal and postnatal Depression in children Eating disorders Generalized anxiety disorder Insomnia Obsessive-compulsive disorder Opioid dependence Poisoning or overdose Post-traumatic stress disorder Psychosis and schizophrenia Self-harm Sleep disorders - shift work and jet lag Tiredness/fatigue in adults