I'll try to summarize the ques posted before & add in some that I remember:
1. Drug contraindicated in alcohol: Metronidazole
2. Percentage of antisocial personality disorder in prisoners
3. Which is not part of testamentary capacity?
4. Psychological amnesia: for crimes of passion
5. A man complaining of left hand weakness. Tests come back negative. How to test if someone is suffering from functional cause? Hoover's test
6. Annual conversion rate of MCI to other forms of dementia: 5-10% / 15-20% / 30-40%
7. Man with schizoaffective disorder previously adequately treated with Clozapine, but he recently had epileptic seizure. His Clozapine level is at the upper end of therapeutic range. What's the next step? Options: Stop Clozapine / Reduce Clozapine dose / Add Valproate
8. A 40+ year old man currently in depressive phase, but has history of mania ~ years ago. What's the best tx? Lithium / Valproate / Quetiapine / Lamotrigine
9. Clozapine not indicated as outpatient initiation for patient with? Options: DM / Hypertension / H/o paralytic ileus
10. Memantine contraindicated in? Options: eGFR 51ml/min/1.73m2 / Epilepsy / H/o myocardial infarction / HR 55bpm
11. 5 year old boy with severe learning disability, microcephaly, noisy & hypertelorism. Options: Cri-du-chat / Williams / Angelman
12. Which of the following is true about Williams syndrome? Options: Most causes are sporadic mutations / It's caused by mutation in chromosome 22 / It causes severe learning disability
13. REM behavioral disorder: More common in Lewy Body Dementia
14. Antipsychotic with best evidence base for initial use in Parkinson disease: Clozapine? (Quetiapine was one of the options too. The word "initial use" got me in dilemma actually)
15. 35-year-old man diagnosed as ADHD with moderate functional impairment. What's the best treatment? Options: Methylphenidate / Atomoxetine / Clonidine
16. Which of the following has the best ROC for alcohol screening? Options: AUDIT / CDT / GGT / MCV
17. Which of the following is true about non-epileptic convulsion? Options: 1/10 patients in specialist service have non-epileptic convulsion / 90% are women / Usually no urinary incontinence / May have preceding epileptic seizure in the past
18-20. Referring to the Fagan nomogram given, prevalence of an illness is 10%. Positive LR was 2 while negative LR was 0.5.
- If a person was screened negative, what's the probability he has the illness?
- Same ques as above, but prevalence changed to 30% instead of 10%.
- What contributed to the difference of probability in the example above?
Options: PPV & NPV has changed / PPV is heavily dependent on prevalence / Sensitivity & specificity have changed.
21-24. Excerpt about wanting to find out about old people in nursing home's sleep. Interview was done & electronic questionnaires were distributed to the carers.
- What was the aim of the study?
- What was the sampling method? (Options: Convenience / Purposive / etc)
- What was the strength of the study?
- What can be inferred from the result?
25-27. Funnel plot (assymetrical with missing dots near the broader end).
- What was missing in the above data? (Options: Big studies with negative result / Big studies with positive result / Small studies with negative result / Small studies with positive result)
- By filling up the missing area with new plots, what happened to the result? (Options: It is more representative of true finding / It underestimates the effect size / It overestimates the effect size)
- What was the bias causing the asymmetry: Publication bias.
28-29. Forest plot with unpublished result & published result and a total effect regarding comparison of Agomelatine vs placebo.
- What can be inferred from the data?
- What was the strength of the study: Including unpublished results.
30. A trainee has been asked to do an audit on their clinical practice. So he collected the data, presented his finding in the meeting. 8 weeks later, he re-audit again. What's missing from his audit? Options: Lack of intervention / Lack of new treatment option to improve the problem
31. What is the pathology in ADHD?
32. A new drug is found to have equal efficacy and safety with an old drug. How to evaluate the benefit of this one? I think it was cost minimisation analysis.
33. You're interviewing a child with PTSD secondary to child abuse. What's the approach for his other siblings?
Options: Not to ask about trauma directly unless disclosed by child / Have session with the siblings without the abuser (forgot other options)
34. A patient was previously on Paroxetine but stopped taking it abruptly for few days. He's now back with anxiety & agitation. What's the likely step?
Options: Start another antidepressant (forgot the drug given) / Restart Paroxetine and taper off slowly
35. "Empty chair" is associated with which psychotherapy? Answer: Gestalt therapy
36. A lady who was always neglecting her responsibilities at work and not cooperative with her colleagues was recently made redundant from work. She said it's because of her colleagues badmouthing about her rather than admitting her mistake. Options: Rationalization / Denial / Reaction formation / Displacement / etc
37. Risk of suicide after deliberate self-harm: 1 in 100
38. Narcolepsy is associated with which of the following? Options: Extracampine hallucinations / Myoclonic jerks / etc
39. Which is the most effective primary prevention of alcoholism? Options: Promote sensible drinking / Increasing the price of alcohol / etc
40. Treatment option for pathological gambling: Naltrexone? (unsure of answer)
41. Patient just recovered from manic episode. How long should he wait before he can drive again? Options: 1 month / 3 months / 6 months / 1 year / etc
42. The ability of a questionnaire to measure what it sets out to measure. What type of validity is this?
43. Something on test-retest reliability
44. Calculating specificity
45-46. Kaplan-Meier curve showing probability of not developing depression with time among smokers & non-smokers.
- What does the y-axis in the graph represent? (Answer: Probability of not developing depression)
- What conclusion can be drawn from the graph? (One of the options was, by 10 years, 95% of the non-smokers develop depression. Don't fall for the trick! Remember that the y-axis is actually the probability of NOT developing depression)
47. Common psychiatric disorder in SLE: Mania? (unsure)
48. Question on bulimia & anorexia
49. High heritability in: Schizophrenia? (unsure)
1. Abstinence after successful heroin detox with a supportive partner: Naltrexone
2. Completed alcohol detox 2 weeks ago & currently having craving. Pt wants to prevent relapse: Acamprosate
3. A lady chronic alcohol user currently presenting with confusion, ophthalmoplegia. Tx: Thiamine
4. Learning from imitation: Social learning
5. Encouragement by giving reinforcement unrelated to the desired behaviour: ?non contingent reinforcement
6. Assessment for mx of difficult behaviours: Functional analysis
7. Mother complains child having haematuria. Upon urinalysis, found red food colouring instead of blood in urine: Munchausen by proxy
8. Man been investigated for colon cancer but negative findings. He still insists having colon cancer, and now claims that he can't work anymore because of it. ? Factitious ?malingering?
9. Lady been investigated for illness many times but all negative findings. She insists doctors are missing something. Hypochondriasis
10. A young man just underwent rhinoplasty but now claims he's nose is even more malformed. Body dysmorphic disorder
11. A 6-year-old girl referred for repetitive hand movements starts losing ability to speak. ?Rett's
12. An 8-year-old boy is unable to interact well with his peers in school as he couldn't understand the conversations especially if the classroom is noisy. Once he understands instructions and knows what's expected from him, he's able to perform well. ?Normal development
13. An adopted girl's foster mother is concerned that she doesn't attach to her, but would start crying when she's put in the crib. ?Reactive attachment disorder
14. "Experimental event rate - (minus) control event rate": Absolute benefit increase
15. 1 / ABI = NNT
16. Questions on learning disability - Rett's syndrome, Landau-Kleffner's syndrome, etc.
17. A lady currently in 1st trimester of pregnancy having 1st episode mania. What's suitable tx? (Options: Fluoxetine / all types of anticonvulsants / the only choice of antipsychotic in the list was Haloperidol)
18. There were questions on the different types of dementia - including Alzheimer's, Binswanger's, Lewy Body Dementia, etc.
19-21. 3 questions on PCL-R: What is the History / Clinical / Affective component? (Options: Psychopathy / impulsivity / Needing activity to kill boredom / etc)
22-23. Key term for solution focused therapy & DBT
24-26. Types of family therapy
27. Fredreich ataxia, biswanger
Thanks to all the sharing here, we managed to get up to 76 recall questions LOL! That's like half of the exam Hope we all passed the exam, fingers crossed! Good luck everyone!