Nahid Hakim

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About Nahid Hakim

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    Dr.Nahid Hakim

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  • Gender
    Female
  • Location
    Plaistow
  • University
    dhaka university
  • Graduation
    2003
  • Occupation
    Doctor
  • Status
    Revising Paper B

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  1. Hi, Dr. Hayat, 1.clozapine should be augmented by amisulpride (according to evidence base) 2.wernickes- answer is cerebellar signs and opthalmoplegia, because commonly presented signs 3.autistic children not being to perceive things as a whole answer maybe cohesion theory,but certainly not hypersystemization,because it is ability to perceive repeating patterns in things, eg. music,seen in high functioning autistic children. 4.haloperidol and sertraline OD, answer is NMS, because of cardinal signs fever and rigidity
  2. Hi, Dr.Hayat, here are some recall questions. My problem is I can recall only if I see a part of the question. Please post whatever you can recall, or if you can add some stems to my questions. New questions have a 40 % chance of repeat. 1.Haloperidol and sertraline OD ,presented with high fever,tachycardia, high BP, muscle rigidity, fluctuation of consciousness, diagnosis NMS Serotonin syndrome 2.Why are you scowling at me on disagreements ? Interview technique clarification 3.You did not mention meeting with manager ? She was excited about the meeting a year ago Confrontational 4.38 year old gentleman with depression. What antidepressant has no sexual side effects ? Citalopram Mirtazapine 5. turning into an exciting opportunity what seemed to be a challenging task 6.Test for executive function in mild cognitive impairment Clock drawing Information from informant on activities of daily living 7. ECG changes Tall peaked T wave Abnormal QRS morphology Pericarditis Citalopram and QT prolongation Hypokalemia in vomiting and laxative diarrhoea anorexic girl – U wave 8. common psychiatric disorder after diagnosis of cancer Adjustment disorder 9. what is true regarding risk assessment Historical factors more important than clinical factors HCR 20 most commonly used Structured professional judgement more important than clinical judgement 10. regarding predicting repeating offences in antisocial personality disorders Static factors important Dynamic factors important 11.your consultant found out some problems in performance and asked you to address problem.which will you do first ? Audit Qualitative study 12.stat question about adjusted odds ratios of incidence rate and incidence rate ratio of schizophrenia in ethnic minorities in south London in population of 100000. calculate proportion of incidence rate in ethnic minority in population of 800000. 13. which drug cause bladder infection that causes surgical removal of bladder Ketamine LSD 14.common age of victims of female perpetrators of homicide 15. new diagnostic test to detect schizophrenia compared with gold standard.400 outpatients in total.16 diagnosed positive by gold standard test and 24 diagnosed positive by new test. 8 patients positive for new test were not diagnosed by gold standard.find Sensitivity Specificity Ppv 16. dysphoric mood,appetite increase,vivid dreams Amphetamine intoxication Opiod withdrawal cocaine 17.where would you send a psychotic sentenced for life for psychotic episode Locked psychiatry ICU Medium secure unit 18. Di George Syndrome is associated with Schizophrenia 19. L.D. disorder associated with purine metabolism is Lesch Nyhan phenylketonuria 20. Fishy smell illicit drug is Methadrone 21. Ssri drug and sexual complaint 22.severe Lithium toxicity nystagmus 23. Lewy body dementia PROBABLE diagnosis feature Sensitivity to neuroleptics Dat scan 24. NICE criteria for neurosurgery Intractable OCD 25. What is most common group of murder victim for a psychotic lady? 26. % range for epilepsy rates in an adolescent with autism 27. Alcohol damage to certain part of brain Cotex Corpus callosum Enlarged ventricles 28. Prisoner who shoplifted on remand, what ward to go to when goes manic, unresponsive to medications 29. Stable bipolar lady who had relapse 2 months ago on valproate and olanzapine...wants to become pregnant via fertility treatment. Next step? Stop valproate Stop olanzepine 30. % range of MCI that convert to Alzheimers each year 10 -15 31. Diagnosis of man in 80's with memory problems for 3 yrs and ace3 score 68 who has a son with huntingdons and a deceased sister with alzheimers 32. what to add on an OCD guy who had little response to Sertraline and CBT 33. what to offer a 15 year old who did not respond to CBT for depression and parents not willing for medications or SSRI IPT 34. what to offer a 28 year old with 10 year history of bulimia nervosa Specialist referral 35.what to offer a 21 year old college student of BMI 17 who develop anorexia nervosa 6 months ago Guided self help Self help 36. mental capacity May be absent for 1 task but present in another 37.confidentialiy Tarasoff case 38. autism children cannot perceive objects as a whole .what is this phenomenon Hypersystemisation Theory of mind Cohesion theory 39. HIV patient with fever headache. multiple Ring enhancing lesions on MRI Criptococcus neoformans Tuberculosis Toxoplasmosis-answer 40. Path analysis (4 questions) 41.Weird questions about school behavior program 42.gene of schizophrenia HLA*D***** 43.lewy body dementia management (3 questions) cholinesterase inhibitors antipsychotics 44.Study re clusters practices – what sampling to do to avoid trial centre effect in general practices Cluster sampling Random sampling 45. in ethnic monorities in south London the calculation hard enough although there is an spmm example of a similar one a lot of time for half a mark . 46.Conduct disorder about ICD sub classes Socialised and unsocialised types . Very oddly phrased questions and plenty of marginal calls as in the LB question 47. Couple more questions about prisoners and what you do in certain examples.... one was to send a collapsed patient to A&E.. 48. another one was a prisoner who murdered someone, and was now becoming completely unmanageable on ward, think it was a secure/locked unit 49.bit of clarification about the mci patoent converting to alzheimers....question was actually quite specific about which type of mci,, Amnesic MCI....i think that means the conversion rate is quite high,>30% compared to mci 50. LBD question, initial treatment was rivastigmine, Then it got tricky, 5 asked about a tx that might have been given for visual hallucinations and added about this drug making it worse..(i think they meant quetiapine) 51. Anorexia initial intervention 52. Bulimia compared to anorexia 53. Which therapy is shown to be effective for all eating disorders 54. Williams syndrome- disinhibited behaviour 55. Cri du chat - cat like cry 56. Conduct disorder link with maternal smoking 57. Which down syndrome genetic type linked with high cognitive scores mosaicism 58.Critical appraisal questions about study linking bipolar depression with rates of dementia.. one question mentioned why the rates were low at start, right censor attrition delay in entry for diagnosis ? 59.another asked about which 2 lines in ascending survival graph were closely linked most, 60. and another asked how best to describe the overall relationship.. Linear Not related 61. Ecg for clozapine patient with high crp 62. Young man overdosed on ssri 2 days earlier in a&e now. Autonomic instability and rigidity.. they were asking was it NMS or SS... looked like serotonin syndrome as onset wad quick, and not leadpipe rigidity 63. Forensic question linking mentally ill people with higher rate of crime than normal population. 64. % chance of child of a female with schizophrenia developing schizophrenia 65. &20 sensitivity and specifity calculation for a new diagnostic test.. the sensitivity was low in 50s or 60s but high specificity of 98% 66. Question about blinding to prevent bias 67. Most common presentation of acute wernickes encephalopathy.. very tricky question ,a all 3 of classic triad, b,c,d = various combinations of 2 of the 3, e = cerebellar/ataxia alone ophthalmoplegia and cerebellar signs 68)There was a question about imaging in confused patient with pacemaker-CT head 69) REM sleep disorder and increased risk of LBD 70) stop valproate in patient trying to conceive 71)crossover trial what was the answer for the EMI question 72.DEFENSE mechanisms : where a patient has writes to her therapist that she does not need more therapy so she was absent rationalisation 73.and the other was about a man who likes his therapist and goes to the gym. Also going to the gym because you have the hots for your therapist is sublimation ( there is an episode of the Sopranis where Tony does it . Positive transference sublimation 74.There was a question on what condition was equal incidence in males and females? Options were unipolar depression , anxiety , hypochondriasis, PTSD. 75. The conduct disorder EMI was just the ICD breakdown , one was dissocial conduct disorder ( the girl who set fires and had few friends one was socialized conduct disorder for sure , 76.The question about MNSv serotonin syndrome was serotonin syndrome because he had overdosed onSSRIs not anti psychotic and hyper reflexive 77.what hat to augment Clozapine I think was amisulpuride 78.not responding to high dose citapram would first to try another SSRI 79.myocarditis with Clozapine stop and refer 80.melatonin and promoting sleep duration autuism and OCD didn’t really know the answer 81. EMI on precontemplation,contemplation and action
  3. please try to recall more questions. if i see the stems then i can recall
  4. the questions were lengthy,new.critical appraisal was similar in hardness but new questions which took me long time to analyse. please post as much recall questions as possible. repeat of new questions is 40 percent
  5. time was an issue. nothing came from SPMM. i left out 25 questions. this was my second time. Please share todays recall questions. i have recalled some and still working on it. 1.Haloperidol and sertraline OD ,presented with high fever,tachycardia, high BP, muscle rigidity, fluctuation of consciousness, 2.type of conduct disorder 3.Why are you scowling at me on disagreements ? Interview technique clarification 4.You did not mention meeting with manager ? She was excited about the meeting a year ago Confrontational 5.38 year old gentleman with depression. What antidepressant has no sexual side effects ? Citalopram Mirtazapine 6. turning into an exciting opportunity what seemed to be a challenging task 7.Test for executive function in mild cognitive impairment Clock drawing Information from informant on activities of daily living 8. ECG Pericarditis Citalopram and QT prolongation Hypokalemia in vomiting and laxative diarrhoea anorexic girl – U wave 9. common psychiatric disorder after diagnosis of cancer Adjustment disorder 10. what is true regarding risk assessment Historical factors more important than clinical factors HCR 20 most commonly used Structured professional judgement more important than clinical judgement 11. regarding predicting repeating offences in antisocial personality disorders Static factors important Dynamic factors important 12.your consultant found out some problems in performance and asked you to address problem.which will you do first ? Audit Qualitative study
  6. hi, you can get all my recall questions and more and answers from Spmm website. i also posted some of them separately here
  7. hi, you do not have a whats app account. you have to open one soon so that I can add you to our whats app group.
  8. Hi, Dr.Shanze, for Paper A you need SPMM notes. For reference you need Maudtsley Prescription guidelines and Oxford handbook of psychiatry. Sometimes you have to google Neuroanatomy images and save in a microsoft word document
  9. Hello doc, I hav recently joined the forum,plz guide me abt paper A;wat books notes I shoul follow and how much time it needs to prepare for exam:

    thanks alot

    1. mojeemental

      mojeemental

      Dear Dr Nahid
       
      Kindly add me to the paper B whatsapp group. My number is +2348030657625
       
      Many Thanks 
       
      Dr Adeniji
  10. hi , Nadi, please text me your contact number so that i can add you to my whats app group. my contact number is 07449304107
  11. Please contact me and give me your contact number.I will add you to my WhatsApp group
  12. Beware of sharing spmm material. if their IT experts find out, they will lock you out of your accounts
  13. my email address is dr.nahid.hakim@gmail.com. my skype ID is dr.nahid.hakim .
  14. Hi, please contact me on Skype ID dr.nahid.hakim. I have problems accessing PsychClub because they do not recognise passwords.I studied SPMM. But SPMM does not allow course sharing. They will lock us out of our account if we do. Regards, Nahid
  15. Hi, I am sitting Paper B for the second time in April 2018. I need a Skype or Whats App Study Partner. If anyone is interested, please contact me on 07449304107.I live in Plaistow, London