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Everything posted by dcosta_doc

  1. when there is stats in this world no one can have a peaceful time... the critical appraisal bit was crazy as ever; where all five options look the same and your brain goes daze fortunately they did repeat the one about 1. comapring the scale-SCQ,CCQ and SCS for autism and there were 4 question related to them althouhg one on them was changed 2. the forest plot about the efficacy of clozapine and other antipsychotic also featured- and another 4 set of question related to it. rosenbergs, kane08 and so one- this is there in both spmm n birmingham 3. the cage table with cut off at different level also featured once again- and again 4 to 5 question related to that; including as the cut off increases what happens to sensitivity anbd specificity
  2. lyonization- every paper has the tricky; rare question and this time it was about lyonization options were more supersedingly vague otello syndrome alport's klinefelter manchausens cotards i checked this one and the answer is klinfelter and the other name for this is X-inactivation; now how the hell is this related to psychiatry?
  3. this silence can mean only two things either people have done extremely well and are now having a peaceful and relaxed time; or it was terrible and they are speechless!!! i hope its the former!
  4. poor us exam goers already stressed out with the amount of stats; and now an additional headache created by the great SPMM with its unique answers; and that too for all the money we have paid these guys really need to pull their socks for all the money they charge we don't pay them to create more confusion in our minds just before going for exams they better get their acts right otherwise........ (I know these are empty threats just because we are on the other side of the ''MRCPsych'')
  5. there was one about cluttering; what is it? option include similar to stammering - - - I don't remember what I answered; does anyone remember this one?
  6. This question did not have reduces craving for alcohol so the right choice was works in a dose dependent fashion you are right, this question did not have reduce craving as an option I too marked the dose dependant bit
  7. I think one of them was antisocial pd as he stole once and hit his wife, the others I am in agreement was about narcissistic and emotionally unstable pd borderline type. thanks for reminding; there was another MCQ about dissocial personality with the description of stealing and hitting wife as above. it did not feature among these EMI it featured as a separate mcq
  8. there was a forest graph on various RCT comparing placebo against lithium for relapse rate they had given the various studies - I think around 6 or 7 comparing the two and obviously lithium was shown to be superior rascals never asked what type of graph in any question(and I was so longing for such a question and to score one mark) they asked 6 question on calculating 1. overall risk of relapse in the placebo group which I thought was the number of relapse over the total number of people in the placebo 2. eer in the lithium group 3. arr in the overall study 4. proportion who relapsed in lithium group 5. NNT 6. and one more I think about which study was better or something on that line
  9. Brilliant.....more English to learn! sorry not trying to mock......just frustrated......you are absolutely right(I did check on this one)
  10. in one of the previous recalls an option about deleted segment from maternal source also featured- the answer Angelmann
  11. than comes my most favourite (but I wasn't happy with it becoz I had just 5 min before I marked it-) EMI on personality disorder the scenario were almost similar to the ones given in the courses 1. I am sure was paranoid personality- guy having problem with all his neighbour, doesn't trust relatives, problem with job, and some issue with council 2. borderline- this scenario was described as if a full mental status was performed for a 136 but of course we can never miss a borderline 3. narcistic personality- this description was similar to the one in the courses, man having left several job, fallen out with family, sons in high flying jobs, loads of money in stock, and all the I m the best type picture
  12. there was an emi that expected to mark the different features in: 1. William syndrome 3 options required(I remember socialable was one of my answers, there were other option like self harm, LD, seizures and so on) 2. I think the next one was prader willi- and I remember choosing the self harm bit(but you had to choose two options here too, don't remember which was the other one I picked) 3. tuberous sclerosis
  13. sorry Gurpal for drifting from the topic: another question linked to a research study about medical students in year one and following them up in a year in year two. they were evaluated for their view about motivation in medical career(this wasn't at all similar to the study about Asian students and the negative view towards them) so the question linked to this include 1. what is the study trying to understand 2. what type of study is it- (I marked it as cohort) 3. and than the joke of all joke a completely distorted definition of '''opportunity cost''- 5 options were given and none of them sound anything close to what we thought opportunity cost was
  14. thanks to MRCPsych as at the end I will be more of an Englishmen and a statistician.......they finally realised its not worthwhile making a Psychiatrist! or rather, there are too many psychiatrist and we exam goers were ideal candidates to become psy patients......already feeling the 'PTSD' coming
  15. the question about what is the psychological process in a celibacy repression altruism - - - I dint know what a celibacy was until 8th October 2013; thank god I answered this paper and realised this new English word
  16. statistic graph on the income level of the countries and the prevalence of mental illness this was a repeat and had all the question related to it 1. which country is an outliner- Italy 2. which country has the highest inequality(or equality)-USA 3. what the study is aiming to understand- income inequality and prevalence of mental illness
  17. I thought quetiapine was one of the option in this one too
  18. have you heard of the sacraments of matrimony and holy order(priesthood) the relationship of maintenance and relapse is similar; both cant be present at the same time in other words- maintenance is an exit or last stage(once married you are finished!); while relapse is an entry (revolving) point(once a priest you keep doing sacraments all your life) hope that helps
  19. we will handle SPMM and its adamant nature after exams I have added a post completely dedicated to it for the time being the answer is reducing craving!
  20. admit this patient first; obviously depending on severity (looks like double severity ) you might have to think of ECT as well CBT+SSRI if that's the only option given
  21. give her some lamotrigine and see how she will improve maudsley favours using lithium or lamotrigine in bipolar 2
  22. okay now this confusion arouse because of some papers that evaluated the prevalence according to the DSM 3 and most were following it until recently- it was around 37-47% at that time with the application of the DSM4 the actual figures dropped as many dint fit the criteria- it dropped to between 7-15% (don't know what will happen when they apply DSM5- lets wait and watch and hopefully clear the exam by then ) trust me and go for anything in that zone- 7 to 15% and you shouldn't be wrong! cheers
  23. don't get drawn in confusion at the last minute; stick to your concepts you learnt over your intense preparation for the past few weeks systemic review and metaanalysis are highest in rank and there is no arguments on that!!! best of luck; keep your cool and focus on your strengths and most important listen to your ''gut feeling''....99.9% times you are right! your test to be a good psychiatrist starts from here!
  24. acamprosate man!!! time knows its use in reducing craving for alcohol but SPMM dares to deny it..... this is just one example I am trying to take each of their question 'with a pinch of salt''; unfortunately my entire salt bottle has emptied......and I am fuming!
  25. Definite Alzheimer's disease: The patient meets the criteria for probable Alzheimer's disease and has histopathologic evidence of AD via autopsy or biopsy. Probable Alzheimer's disease: Dementia has been established by clinical and neuropsychological examination. Cognitive impairments also have to be progressive and be present in two or more areas of cognition. The onset of the deficits has been between the ages of 40 and 90 years and finally there must be an absence of other diseases capable of producing a dementia syndrome. Possible Alzheimer's disease: There is a dementia syndrome with an atypical onset, presentation or progression; and without a known etiology; but no co-morbid diseases capable of producing dementia are believed to be in the origin of it. Unlikely Alzheimer's disease: The patient presents a dementia syndrome with a sudden onset, focal neurologic signs, or seizures or gait disturbance early in the course of the illness. These are the criteria laid down there is no mention of disturbance in consciousness (although its something we assume clinically) don't bother about the English in ''more than two'' or ''more than one'' (more than one is obviously two- it cant be 1.5 ) the tricky bit is that neuroimaging is also not mentioned; and I wonder if that option should not have been there. now if it comes in exam the same way, I will go for the neuroimaging one because the criteria says clinical and neuropsychological examination. hope that helps!