Sign in to follow this  
Followers 0
Gurpal

October 2012 - MRCPsych Paper 3 Feedback

MRCPsych Paper 3 - How was it for you?   36 members have voted

  1. 1. How difficult was the exam?

    • Very easy, no problems answering the questions
      0
    • Easy, a minority of questions were difficult
      3
    • Reasonable, 50:50
      23
    • Difficult, guessed the majority of answers
      9
    • Impossible, guessed nearly all the answers
      1
  2. 2. Which topics were difficult? Choose all that apply

    • Critical appraisal
      33
    • General adult
      2
    • Old age
      7
    • Child and adolescent
      3
    • Learning disability
      9
    • Psychotherapy
      4
    • Psychopharmacology
      3

Please sign in or register to vote in this poll.

84 posts in this topic

Please post your feedback on the Paper 3 exam. If you can remember any questions and stems, please include them.

Please do not discuss answers in this thread - start new threads to discuss individual questions - they'll be easier to fiind in future.

Thank you and good luck!

Share this post


Link to post
Share on other sites

found it very strange, 1st attempt having done paper2 in the morning. no enough time to review answers manage to answer/ shade all the questions except three questions I shaded without reading again the questions in the last 1 minute because i wanted to respect myself when it was time off.

Share this post


Link to post
Share on other sites

Not as expected!

First few statistics Qs took most time. Had to rush to finish all the Qs

Think very few repeat Qs, if not altered!

How about others?

Share this post


Link to post
Share on other sites

A pregnant woman with sx of a mixed affective state never had any Rx before:

a) Lithium

b Valproate

c) Haloperidol

An elderly man admitted to a medical ward is experiencing agitation, confusion. He has a cardiac pacemaker. What investigation will you do to confirm his diagnosis:

a) CT

b MRI

c) SPECT

d)EEG

e) LP

38 y.o. depressed man with decreased libido. Choose two antidepressants:

-fluoxetine

- sertraline

- trazadone

-mirtazapine

A boy with a depressive features and suicidal thoughts:

a) Fluoxetine

Edited by Alex21

Share this post


Link to post
Share on other sites

1) M:F rate of suicide in 15-24yr olds

a.2:1

b.4:1

c.6:1

d.8:1

e.10:1

2) % of patients on clazapine with symptoms of sialorrhea

a. 10%

b. 30%

c. 50%

d. 70%

e. 90%

3. Percentage of people arrested for homicide with mental illness

4. Most common mental illness in people with HIV

5.IQ for severe LD

a) less than 20

B) 20-30

c) 31-34

d) 35-50

e) 51-69

Share this post


Link to post
Share on other sites

~ In learning disability, what is understood by diagnostic shadowing?

~ Which of the following is a somatoform autonomic disorder?

Briquet' s syndrome

Dacosta

Psychalgia

Psychogenic dysmenorrhea

~ Common cardiac findings in anorexia nervosa

bradycardia and hypertension

bradycardia and hypotension

tachycardia and hypotension

tachycardia and hypertension

ventricular arrythmais

~ a farmer presents with fatigue, (some other symptoms) and a circumscribed lesion/rash on his leg. what is his diagnosis?

Lymes' disease

SLE

other options

~ a question on sleep architecture in the elderly

~ a question on REM sleep behavioural disorders

~ a question on sleep walking as an insane automatism

~ a question on slurred staccato speech

cerebellar lesion

~ what medication would you NOT prescribe to a child with ADHD

Atomoxetine

Clonidine

Dexamphetamine

Methylphenydate

Pemoline

Share this post


Link to post
Share on other sites

~ In learning disability, what is understood by diagnostic shadowing?

~ Which of the following is a somatoform autonomic disorder?

Briquet' s syndrome

Dacosta

Psychalgia

Psychogenic dysmenorrhea

~ Common cardiac findings in anorexia nervosa

bradycardia and hypertension

bradycardia and hypotension

tachycardia and hypotension

tachycardia and hypertension

ventricular arrythmais

~ a farmer presents with fatigue, (some other symptoms) and a circumscribed lesion/rash on his leg. what is his diagnosis?

Lymes' disease

SLE

other options

~ a question on sleep architecture in the elderly

~ a question on REM sleep behavioural disorders

~ a question on sleep walking as an insane automatism

~ a question on slurred staccato speech

cerebellar lesion

~ what medication would you NOT prescribe to a child with ADHD

Atomoxetine

Clonidine

Dexamphetamine

Methylphenydate

Pemoline

The last question should be "a child with hepatic impairment"

Share this post


Link to post
Share on other sites

Which of the following side effect developes no tolerance?

A. Miosis

B. Constipation

C. Respiratory Distress

Share this post


Link to post
Share on other sites

A woman was said to be having "Neurotic defense mechanism", which of the following is likely she presented with?

A. Denial

B. Projective identification

C. Suppression

D. Altruism

E. Reaction Formation

Share this post


Link to post
Share on other sites

Child with ADHD and liver problems. What would you not give him. I said clonidine. What did others put?

2 EMQ's on choosing statistical tests

EMQ on the different dementias

Patient given atypicals and thousand but still having symptoms. What to give her. Her compliance and engagement are poor. Clozapine was an option but I went for piportil depot.

How to treat delirium

Typical symptom in delirium. Ans altered consciousness

How to treat child with ADHD

Share this post


Link to post
Share on other sites

A long statistics question

Original Paper: http://m.bjp.rcpsych.org/content/179/5/409.full (Which has been appeared in April 2012 exam)

Mainly about the risk factor of obstetric complication causing schizophrenia.

Some questions were straighforward. But it was really a long precis..

Study design.

Which risk factors were significant before controlling confounding but not significant after controlling risk factors?

Why was it not significant? Answer: Likely due to confounders.

Which risk factors were not significant before controlling confounding but significant after controlling risk factors?

Previous studies showed that preeclampsia was a risk factor for developing schizophrenia, this studies failed to show the relationship, why?

A. This study failed to replicate previous findings.

B. Likely due to other confounders.

Another MCQ:

How to improve a reliability of study without decreasing its power?

Answer: Blinding of accessors.

Share this post


Link to post
Share on other sites

You are a doctor in SA clinic. Concern about the methamphetamine use might cause an increase in STDs in your patient. You decided to give educational talk to alternate patients.

Which study design to use for study relationship between methamphetamine use and STDs?

A. Focus group

B. Observation

C. Semi-structure interview

What study design you conducted to test the hypothesis?

A. Controlled trials

B. RCT

C. Case control

What is the primary outcome of the study (Concerning giving lectures)?

A. Understanding of methamphetamine and STDs relationship

B. Incidence of STDs

C. Prevalence of STDs

D. Abstinent rate of methamphetamine

Share this post


Link to post
Share on other sites

A doctor want to study HIV encephalitis by neuroimaging and HIV blood test in urban and rural area.

Urban area had higher HIV rate.

What is true about the HIV test?

A. Lower PPV in rural area

B. Lower PPV in urban area

C. Lower sensitivity in rural area

D. Lower sensitivity in urban area

Share this post


Link to post
Share on other sites

Child with ADHD and liver problems. What would you not give him. I said clonidine. What did others put?

2 EMQ's on choosing statistical tests

EMQ on the different dementias - CJD, Alzheimer, Balswinger, Multifocal progressive leukoencephalopathy, Parkinson's disease with dementia, Lewy body dementia

Patient given atypicals and thousand but still having symptoms. What to give her. Her compliance and engagement are poor. Clozapine was an option but I went for piportil depot.

How to treat delirium Choices of haloperidol, benzo...

Typical symptom in delirium. Ans altered consciousness

How to treat child with ADHD

Share this post


Link to post
Share on other sites

What is true about ADHD in child?

20% will go on to have full or partial symptoms in adult.

Treatment of stimulant increase rate of substance abuse.

Share this post


Link to post
Share on other sites

a question on sleep architecture in the elderly

Which of the following is false?

Increase stage 3 and 4 and REM sleep.

Decrease total sleep time.

Decrease slow wave sleep.

Also another question about REM sleep behaviour problems.

A. 30% elderly had this problem

B. Benzodiazepine should be avoided

C. Usually transient

Forgot the correct answer though.. :P

Share this post


Link to post
Share on other sites

A boy with depression, failed CBT, parents don't want SSRI

A. IPT

B. Family therapy

A 14 years old girl with two weeks history of depression and poor sleep

A. SSRI

B. CBT

C. Watchful waiting

Share this post


Link to post
Share on other sites

What is the treatment of choice of bulimia nervosa in a 14 years old girl?

A. CBT

B. Family therapy

C. IPT

D. SSRI

Share this post


Link to post
Share on other sites

Autism, with behavioural treatment failed, still disturbing.

A. Risperidone

A cannabis addicted woman, had aggressive behaviour in withdrawal, which meds to use.

A. Benzodiazepine

B. Antipsychotics

C. Mood stabiliser

Share this post


Link to post
Share on other sites

Psychological treatment of choice in BDD?

A. CBT

B. Exposure with response prevention

C. Psychodynamic

Also a question about psychoanalytic psychotherapy

Share this post


Link to post
Share on other sites

Which of the following decrease Lithium level?

Patient with history of GI bleed, which antidepressant to use

Citalopram

Fluoxetine

Amitriptyline

Mirtazapine

Share this post


Link to post
Share on other sites
Sign in to follow this  
Followers 0