Nahid Hakim

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About Nahid Hakim

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  • Birthday 05/12/77

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    Dr.Nahid Hakim

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    dhaka university
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    Revising CASC
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  1. Hi, I am preparing for MSRA for CT Psychiatry Feb 2020 intake .Can anyone suggest me whether there is any app to practice questions about Clinical Judgement and Professional Dillema.The questions published on Oriel website don't seem to be enough
  2. Thanks, Dr Afterlife. You have done a great favour for all of us. How was your exam ?
  3. sure. my number is 07449304107. my Skype ID is dr.nahid.hakim
  4. Text your contact number and Skype ID. We have a what's App group. We practice on Skype in pairs. My number is 07449304107
  5. Hi, We have a 4 member what's App group. We also practise on Skype. If you are interested, text your contact number and Skype ID. My number is 07449304107
  6. Hi, do you have a what's App account? Please text me your Skype ID. I am creating a what's App study group too
  7. Please text me your mobile number so I can add you to our What's App group. We can also do Skype study.
  8. Hi, I am also appearing CASC in Jan 2019. I am available from 21 Oct onwards. My contact number is 07449304107. I am interested in Skype / Whats App/Viber/messenger group study. I live in Plaistow, London. where do you live ? Regards, Nahid
  9. Hi, I am also appearing CASC in Jan 2019. I am available from 21 Oct onwards. My contact number is 07449304107. I am interested in Skype / Whats App/Viber/messenger group study. I live in Plaistow, London. where do you live ? Regards, Nahid
  10. Hi, I am also appearing in Jan 2019. I live in Plaistow, London. My number is 07449304107. I am interested in group study via Skype or whats app or Viber or Messenger. I am available from 21 st October. please text me your name and number. Regards, Nahid
  11. Thanks. here are some recall questions. if I see more stems, I can recall more. Please send more recall questions. 1. Anorexia with binging and purging- Self help CBT fluoxetine 2. Pregnant with lithium, does not want to breastfeed-what to do ans reduce dose to 400 mg, then repeat blood levels after 1 week increase dose to 800 mg stop lithium do nothing and review after 1 week after delivery 3. Drugs with least psychological dependence- cannabis LSD 4. Eg of immature defense- idealisation 5. Tourette ratio- 4: 1 6. Which psychiatric disorder associated most commonly with Homicide/suicide 7. Eg of neurotic defense -rationalisation 8. Ect question 9. Intellectual disability lady with rectal bleeding,non urgent who refuse to give blood sample-what to do Capacity test?/ Explain pros and cons and wait? 10. Lithium in ect question- low dose ? 11. Child with LD self hugging and self harm- Smith Magenies syndrome 12. 2x2 table- total 400 patients of which 40 are tested positive with new test; 8 are tested negative by gold standard,24 are tested positive by gold standard,sn,sp 98,npv 60 13. ARR,NNH 10 14. Online survey used to explore themes in focus group of qualitative study- iterative analysis Using themes to reframe data during data collection and analysis 15.addiction question,person developed hyperthermia,HTN,and tachycardia- Ans cocaine ? MDMA 15.EMI- Mild haematuria in an old lady- Delirium tremens Hyperparathyroidism- hamaturia due to renal calculi 16.schizo in kids-management CBT Risperidone Olanzepine 17.nystagmus,slurred speech,staccato pattern Cerebellar degeneration Motor neuron disease parkinsons 18.psychosis in kids 19.Parkinsonism,most likely symptom Clasp knife rigidity 20.DBS-deep brain stimulation-indication 21.Refractory depression in 70 year old man RTMS or ECT 22.stroke risk in elderly with atypical antipsychotics– Doubled 23.guided self help in bulimia 25.gene testing or MRI for confirming Huntingtons 26.Parkinsons depression first thing you do 27.GAD, sertra+ CBT does not work,what do you do ? 28.EMI: Fragile X-gaze avoidance,macro-orchidism,and facial appearance Smith Magenie-moderate LD,sleep disturbance,self hugging,self injurious 29. ECG EMI- Clozapine myocarditis- saddle ST elevation Hyponatremia 30. A lady comes with bradycardia and 10 mins later she kicks staff Opiate poisoning reversed by naloxone 31.Hypothesizing in therapy Psychodynamic Structural family therapy? 32.dementia sleep problems of a falling lady Ans melatonin 33.vascular dementia; Options were statins 34.strategic family therapy 35.anova/chi square ? 3 groups risk comparison? 36.Bipolar EMI- Rapid cycling Type 2 Cyclothymia 37.delusional disorder ICD 10- Systematized delusion,preserved functioning partum psychosis most common symptom- Affective 39.old age suicide 40.paranoid Anxious 41. x linked recessive- Lesh nyhan 42.autosomal dominant- tuberous sclerosis 43.absolute C/I for ECT- Recent cerebral intracranial tumour 45.which cognitive function most affected in schizophrenia abstract thinking ? processing speed ? 46.ect need low dose of which drug Lithium valproate 47. inpatient suicide rates lower in UK since 2000 due to : Removal of ligature points from ward Increased staffing Improved care plans 48. child has tics and developed ADHD now Clonidine 49.treatment of depression- SSRI for affluent country 50.lofepramine CEAC curve- 10 % 51.anxiety during exam 52.which is most cost effective- TCA Lofepramine SSRI 53. maybe lofepramine 20; never for TCA with regards to which antidepressant will not be cost effective at cost of 50000 per qaly 54.EMI- Student data collection 55. in run in phase use lithium and valproate 56.EMI- Qualitative study, Satisfaction with medical student placement rotation from 3rd to 4 th year and Balint group 57.down syndrome- more likely in siblings if Translocation Robertsonian translocation 58.ECT duration more than 2 minutes 59.r TMS given in dorsolateral cortex But options given were prefrontal cortex 60.predatory stalker- more dangerous Resentful 61.erotomania most common in stalkers 62.autistic child very aggressive - risperidone 63.non degenerative dementia Multiple sclerosis 64.funnel plot and publication bias- imputed to mitigate effects of publication bias due to Absence of Small negative studies 65.woman taking some drug with fishy smell Mephedrone 66.A child did some crime and he is sent to an institution to correct his behaviour.what kind of prevention ? Indicated prevention 67.posters on a bus- Universal prevention 68.patient on clozapine and you carry out routine ECG selective preventive measure 69.using donepezil,what kind of prevention Tertiary 70.For a pt with LD to have CBT,he needs to have Socio-emotional communication( means psychological mindedness and can be present in children and adolescents) To be able to engage in therapy 71.citalopram and diphenhydramine- QTC prolongation ? 72.patient attending therapist and praise a rekie therapist he met wonderful Idealization 73.counter transference q 74.REM behaviour disorder- Precedes movement disorders 75. exhibitionist married man,what will prevent him from reoffending again Court conviction/attendance? 76.HL DR2- Narcolepsy 77.first stage of CAT- Exploration Reformulation Recognition Revision 78.existential awareness in group therapy- Being aware of emotions of the whole group ? 79.OCD mechanism Negative reinforcement 80.forest plot-drug/placebo relapse rate calculations,maybe ARR 10.2 %,NNT 81.validity questions EMI 82.cost benefit q 83.ICER 84. Kaplan meyer smokers question
  12. hi, I found the paper very lengthy.I was slow in Stats,it took me 80 mins,so I had to rush the rest. At the end, I was not able to read the questions more than once,or read all the stems. I found it difficult to think analytically and answer them under so much time pressure. Somehow I managed to finish at the last minute. I am trying to record recall questions on microsoft word,then I will post it here.Recall questions have 40 percent chance of repeat.But I only remember fragments. Everyone please post whatever you can recall here.If I see the stems,then I can recall the whole question. Regards, Dr. Nahid
  13. Dear All, This is my third attempt.I have been solving some of B.K. Puris Get Through MRCPsych Mock Q Book; but I am slow.I only finished 2 out of 5 mocks. I have not started SPMM mocks yet. Should I stop studying the bk puri mock and start spmm mocks instead ? My exam is on 9th October.I am not sure if questions come from Get through MRCPsych mcq book. Please advise me what to do. Regards, Nahid Hakim
  14. 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