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December 2012 - MRCPsych Paper 1 Feedback

December 2012 - MRCPsych Paper 1 Feedback   19 members have voted

  1. 1. How difficult was the exam?

    • World record performance! Woohoo!
      1
    • Gold medal - the training paid off!
      2
    • Silver medal - should have done a bit better
      5
    • Bronze medal - just good enough
      2
    • Missed the medals - need to train harder
      6
    • False start - I just want to forget all about it
      1

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341 posts in this topic

Please post your feedback on the MRCPsych Paper 1 exam. If you can remember any questions and answer stems, please include them.

Please do not discuss answers in this thread - start new threads for each question discussion.

Thank you and good luck!

:)

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There were so many repeate questions from July 2012.

No body helps with answers after we post questions and therefore I am not very interested to post questions this time.

Anyways here are some questions I remember.

Repeats from july 2012 were

ECT introduced in which year?

William tuke used which kind of approach in York retreat?

Which of the following is the mechanism of intrinsic properties of a drug receptor? (I don't remember choices) can anyone please help with explanation of this question?

Which one of the following is true regarding atypical anorexia nervous? I chose atypical anorexia nervosa has milder forms of symptoms related to anorexia nervosa.

Interactions of lithium , which one among the following is true?

1. ACE Inhibitors cause potential side effects when given with lithium

2. Loop diuretics lowers lithium level.

3. NSAIDs cause dangerous side effects with lithium

Which one of the following is true regarding lithium,

1. Causes left shift in WBCS

2. Peripheral oedema is common side effect of lithium

3. Lithium when given in therapeutic range causes characteristic EEG changes

Don't remember other choices

In capgras syndrome following are true

1. It's a type of conversion disorder

2. It's a type of reduplicative para amnesia

Don't remember other choices but there was no delusional misidentification

There was a ECG provided to identify the changes in it.

Will post more as and when I remember

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There was question on how many half life does it take for a medication to be eliminated from the body

1. 5 half lives, 7, 10 etc etc

A patient can hear her own thoughts audible.

A patient can see people coming in from a wall.

Clozapine induced agranulocytosis in first year after starting it.

1%, 5%,20%, 24% etc

Following can influence stroop test

1. In attention bias

2. Hawthorne effect

Don't remember other choices sorry

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Antique de nervosa is classified under

Other somatic disorders

Other neurotic disorders

Etc etc

Which of the following is true about afrocarribean population

1. Parents of migrated afrocarribean patients have same risk as general population

2. Studies have shown that most of the afrocarribean who had psychosis were from Jamaica

3. There is no increased risk in people migrated from afrocarribean

Which among the following is true regarding cannabis

1. Alcohol is associated with early age psychosis

2. Cannabis is the only drug associated with development of psychosis

3. Psychosis is caused by only inhalation of cannabis

4. Following use of cannabis psychosis develops 2.7 years earlier than general population.

There were 5 marks questions on validity. I always get them wrong and I don't remember the questions. They gave examples and asked us to identify which type of validity it belongs to.

One question on power, power given to a person due to his accomplishment.

Expert power

Reward power

Coercive power etc

Some questions on history

Who termed psychiatry

Who termed institutional neurosis

Who started institutionalism something

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Drugs to avoid with fluoxamine - NSAIDs , don't remember other options. There was no Mao I s for sure

If a parent is diagnosed with schizophrenia what are the chances of son/daughter getting schizophrenia

Questions on withdrawal symptoms - sneezing yawning, dysphoric mood due to withdrawal of cannabis, cocaine, heroin, paroxetine etc

Emis on disorders of speech

Emis on types of speech

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questions on opiate withdrawl as well as cocaine.

sildinafil SE

a lady diagnosed with cancer , not accepting it as she says she has lived a healthy life style.( Fallacy of fairness)

attributional error..... definition and examples 2-3 questions.

developmental stages 6-7 questions.

who wrote myths of mental illness

who wrote the psychopathology of everyday life.

questions on transitional object and klien's theory.

will post more later.

Everyone Good Luck...................................

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Neuoimaging finding in depression

Reward centre in alcoholics - ventral tegmental area, dopamine receptors, etc etc

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PTSD startle response characteristic,can't remember other options

Behavioural problems in a 3 yes old predict what,nocturnal incontinence,school refusal,antisocial etc

Neurotic and mature defence mechanism

Which is not one of gestalt principles

Which is not one of the stages of grief

Which comes under schizophrenia in icd 10,schizoaffective,schizophreniform,schizotypal,post schizo depression

Interview techniques questions,I think transition,interpretation and respect statement

Types if attention(no clue )

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Question about first rank symptoms being predictor of social isolation,primary symptoms from which other symptoms are derived etc

Area of reduced functioning in schizophrenia

Prefrontal cortex

The cognitive testing in schizophrenia will show what...impairment in planning etc

Quickest way of testing global cognitive function

MMSE,PSE etc

The nonverbal test of intelligence

Memory test which utilises most measures of everyday functioning...something like that

Test to check semantic memory...vocabulary ,naming objects and describing their meanings

Man has read a paper and then shown another paper and asked which words were in the first paper...cue memory,normal recall memory,recognition

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Did anyone notice that one of the questions about lithium administration was given in the paper twice or was I just hallucinating?

And if anyone can say what was the answer,that would be great.

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Did anyone notice that one of the questions about lithium administration was given in the paper twice or was I just hallucinating?

And if anyone can say what was the answer,that would be great.

Yep, I noticed that (question 93 and question one hundred and something) - put my hand up when I noticed, invigilator walked over, I said "these two questions are identical", got a blank stare and then "OK", then she walked off. :blink:

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Question on % increase risk of Schizophrenia if one parent has Schizophrenia.

Answers were 5-10%, 10-15%, 15-20% etc.

ECG interpretation question answer options included:

a. acute anterior MI (certainly looked like it...)

b. acute inferior MI

...

e. QTc syndrome (QTc was 420)

Edited by buffalox
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Is the power question answer "expert" or "legitimate." It says something about "respected".

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Something about "respected because of abilities?"- I assume that's expert power?

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Something about "respected because of abilities?"- I assume that's expert power?

I thought it was "admired" or something like that. In any case it made me think of celebrities - i.e. referent power...

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God knows lol.

PS Lithium appeared twice? What was correct answer?

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wht does every body think of the first question

doctor placed patients hand over his head

patient kept it over head for few minutes

whts the answer

catalepsy?(he didnt move it back to his normal position)

mitgehen?( angel lamp pose)

really confusing

please comment

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not sure if either was there. i think they were later options

?automatic obedience?

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Many stupid mistakes: ACE-R is not global n rapid. Glucocorticoid axis not overactive in depression. Main risk factor for schizophrenia is not impaired hearing. The Goldberg/Huxley made the "psych pathways to care."

So damn annoying.

I wonder what the pass mark will be.

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what was the answer for emi,

when a patient is asked where is he from? he replies manchester, he is a fan of chester city club.,

second question was when asked where does the patient works, he reples he works in textiles, he doesnt like t shirts and another sentence (forgot)

choices were circumstantiality, tangential speech, verbigeration, vorbeidion, etc etc.. anyone remembers this question well?

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other option was knight move thinking(derailment of thought) i have marked this as answer for both of them.

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I think it was referent power ad someone who is liked due to their accomplishments are likely to be given more power,but don't know why I went for legitimate in the exam.

For lithium,I might have answered that question wrong twice but I was more than confident that peripheral oedema is it's recognised SE...GOD knows....

I was confused btw catalepsy and psychological pillow as the later an be a form of waxy flexibility,I thought in catalepsy pt would assume abnormal postures by himself not by the doctor...lol...

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What do people make of that question on types of attention? I didn't have a clue

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ptosis and depression ?

mmse of 21--mild/moderate dementia

something about arpiprazole.

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