gollu007

October 2017 r- MRCPsych Paper B - Feedback

33 posts in this topic

Hi Guys

 

please discuss here about today’s paper

best of luck to everyfor results 

2 effects each  of substance misuse

(opiates, ketamine and amphetamine option were nephropathy, hypertension etc

kinds of FTD

oxford ethinic students study

few question on ADHD and autism

 

Edited by gollu007

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Hi

-Substance misuse also  asked  Hemorrhagic Cystitis.

-Prevalence of Schizophrenia in young people.

-most common delusion in stalkers.

 

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after what depot patient needs monitoring for 3 h-olanzapine

metronidazole-no alcohol.

withdrawing with seizure-injection with vit b and c.

liver damage due to alcohol-lorazepam.

70% of downs sdr have dementia by 40years.

murder-suicide- depression

adhd risk factor-mother smoking in pregnancy.

lithium in mixed affective disorder

 

risk of sexual reoffending-dissocial ...something something

anorexia- incidence higher in homozygotes

watch phosphate in anorexia

risk of having a baby with down- 1:900

 

Edited by Archaeopteryx
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high risk of suicide -head injury

older adult with epilepsy- not sure here.... I put older age, I have a feeling is mental illness

clozapine above 1000- add valproate

young man with schizophrenia- change in colour- chlorpromazine

palmar rash with red blister in the middle- treponema pallidum

circular rash- borellia burgdoferi

young with confusion, agitated..... forgot.... herpes(encephalitis)

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I didn't shadow the brackets about paper a1 , 2 and b at the top, would this be an issue ?

ona different note, I don't feel I will pass, but we will see, may be The God's Grace will save me.

In case of failing, what should happen ? Should I repeat the whole exam ?

Bladder damage , Ketamine or GHB ..

i studied psych mentor, not deeply though, and the last week I focused on the 6 mock exams of SPMM.. 

To be honest I was shocked in the exam, it wasn't a pleasant experience.

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don't be disheartened, it is a very random exam. I've got shocking stories about folk who passed and never studied., but this is for another topic. 

Yes, you keep trying, never give up.

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27 minutes ago, Nahid Hakim said:

Hi, i tried to remember as much as I could.I hope this helps.Please share some more Questions

Paper B Recall Q Oct 2017.docx

The link is not working Nahid.

thank you so much Archaeopteryx, it's random indeed .

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the study about suicide and severe acne was in bmj. if you google it, you'll find the results.

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This was my 1st time sitting paperB.

i was shocked at how wordy the critical appraisal questions were. There is less than 60 secs to answer each question and yet we had so much info to read before we could even get started!

I had to rush the 2nd half of the exam due to that, and prob made lots of mistakes due to that....

Some Questions i can remember,

1. 2 effects each for ketamine, opioid, and bdz overdose.

2. Frontotemporal dementia subtypes..

3. Binswanger disease..

4. Pigmentation with quetiapine

5. Downs risk in 30yo mum

6. Temporal lobe epilepsy

7. Retts synd and angelman synd neurodevelopmental

8. Young school child with auditory prob vs normal.

9. Dyslexia/reading disorder q

10. Clozapine level and hypersalivation-2choices of intervention

13. Which benzo instead of librium in liver disease

14. Wilsons disease - mentioned in 2 questions

15. Bladder problem with ketamine

16. Olanzapine depot and managing

17. Lyme disease

18. Somatoform and pain/burning

19. Herpes encephalitis

20. Head injury and suicide

21. Audit- consultant asking trainee to improve service

22. MET for teenager and cannabis

23. Family therapy question at camhs

24. Camhs q about tic disorder

25.26 couple of questions linking anxiety with autism

27. Autism and Downs link

28.29 couple of lithium questions - 1 about a mixed affective state, other about side effect

30. Ect and drugs lowering seizure threshold.

31. repetitive brain stimulation and electrodes-or if nice guidelines for depression

32. Young man with low libido on 3rd antipsychotic..

33. Clozapine in 15yr old psychosis?

34.  Pneumonia and uti and cardiovascular disease study -pneumonia had most admissions i think

35. Ct brain i think for man with neuro signs at a&e but pacemaker

36. A few more vague a&e presentations -liaison questions... 1 in particular was about a delirium and to treat the infection.

37. Definite dementia question about huntingdons

38. Defenite dementia question about lewybody dementia-behaviour fluctuating and worsened with antipsychotic

39. Trick question about most common dementia <65 = still alzheimers

40. Question about biggest risk factor for autism - think it was genetics

 

....thats all i can think of now off top of my head before i collapse! Long day.

micheal

Sorry,  typo in point 14= williams syndrome

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question about dysphagia with olanzapine

forest plot of clozapine treatment from psychomentor

retionoid study questions

EMIs on bias

EMI on paired unpaired t test and chisquare test

intestinal obstruction wit clozapine?

bleeding gums with valproate?

EMI about level of prevention

EMI about CAT, DBT  and something/

MCQ  about IPT

DIAGNOSTIC OVERSHADOWING

hand wringing movements in RETTs

MCQ  about williams

in stat part a question about galantamine side effects with table

calculating NNT

 

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14 hours ago, Nahid Hakim said:

link is working in mine.

hi

can you repost those questions here please?  cos I cannot access due to restriction in my account

 

regards

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17 hours ago, Archaeopteryx said:

after what depot patient needs monitoring for 3 h-olanzapine

metronidazole-no alcohol.

withdrawing with seizure-injection with vit b and c.

liver damage due to alcohol-lorazepam.

70% of downs sdr have dementia by 40years.

murder-suicide- depression

adhd risk factor-mother smoking in pregnancy.

lithium in mixed affective disorder

 

risk of sexual reoffending-dissocial ...something something

anorexia- incidence higher in homozygotes

watch phosphate in anorexia

risk of having a baby with down- 1:900

 

Thanks for this,  although I think valproate has best evidence for treatment of mixed affective episode,  which is what the question was asking

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41 minutes ago, Dr Pop said:

metronidazole-no alcohol.

withdrawing with seizure-injection with vit b and c.

liver damage due to alcohol-lorazepam.

70% of downs sdr have dementia by 40years.

murder-suicide- depression

Thanks

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hi, i have reposted quest

1.2 effects each  of substance misuse
(opiates, ketamine and amphetamine option were nephropathy, hypertension etc
2.kinds of FTD
few question on ADHD and autism
 
3.-Substance misuse also  asked  Hemorrhagic Cystitis.
4.-Prevalence of Schizophrenia in young people.
-most common delusion in stalkers.
 
 Like this
•    5.after what depot patient needs monitoring for 3 h-
•    olanzapine
•    zuclopenthixol acetate
6.what antibiotic forbidden in a person who is dependent on alcohol
 metronidazole
trimethoprim
7.withdrawing with seizure –what treatment
antipsychotic
clonazepam
•    -injection with vit b and c.
8.liver damage due to alcohol-lorazepam.
9.70% of downs sdr have dementia by 40years.
10.murder-suicide- depression
11.adhd risk factor-mother smoking in pregnancy.
12.Which drug to take in mixed affective disorder
lithium
 
13.risk of sexual reoffending highest in-
penetration with a stranger
having child porn videos 
dissocial and paedophile...
14.anorexia- incidence higher in homozygotes
15.watch which metabolic disturbance when refeeding in anorexia
 phosphate 
sodium
16.risk of having a baby with down- 1:900
 
17.high risk of suicide –

head injury
migraine
18.older adult with epilepsy- not sure here.... I put older age, I have a feeling is mental illness
19.Patient taking clozapine above 1000- and seizure,what to do ?
 add valproate
reduce clozapine
20.young man with schizophrenia- change in colour- chlorpromazine
21.palmar rash with red blister in the middle- treponema pallidum
circular rash- borellia burgdoferi
22.young with confusion, agitated,.lymphocytosis,CSF normal glucose,protein raised.,diagnosis..
 herpes(encephalitis)
________________________________________
23.Bladder damage , Ketamine or GHB ..


24.What is Nolan’s Question ?
25.Circumscribed questions and hypothetical questions used where
•    CAT
•    Psychodynamic
26.What diagnosis in a patient with dementia,stroke,migraine in patient of 65 years
•    CADASIL
•    MELAS
27.30 year old pregnant woman chance of Downs syndrome
1in 10
1in30
1in 90
1 in 1000
1 in 997
28. Which drug if ingested causes bladder haemorrhage and needs bladder surgery
Ketamine…
29. Ethnic stereotypes and Asian Medical students. Simplified but different questions. During individual  interviews,students were uncomfortable with ethnic questions, so focus groups were created.What was the name of the study method ?
Purposive random sampling

30.What was the aim of the study?
•    To explore ethnic stereotypes of Asian medical students in UK Medical Colleges in the background of academic underachievement
•    To explore racial discrimination against Asian medical students
•    To explore ethnic stereotypes of White medical students
31.Why were they able to change from interviews to focus groups
Because iterative process has flexibility..
32.what is the most common comorbidity with autism 
Generalized anxiety disorder
Depression
Social phobia
33.What is most common psychiatric disorder among homicide offenders ?
Schizophrenia 
Personality disorders
Anxiety disorder
34. 25 year old woman presents with moderate depression.The
Most frequent presentation would be
Agitation
Auditory hallucinations
Somatoform disorder
overtalkativeness
35. Early features of opiate withdrawal
Anxiety
Piloerection
Abdominal cramps
36. An old man with memory disturbance,unexplained falling with rigidity. Diagnosis
Supranuclear palsy
Dementia with Lewy Bodies
Parkinsonism
37.Suicide and Isotretinoin . simplified but new questions
What relation between severe acne , isotretinoin and suicide
38. what study should be done to investigate relation between isotretinoin and suicide
39. relation between suicide and medical disorders in a hospital admitted young man due to high risk of
Asthma
Head injury
Hepatitis
Migraine
40.you are a trainee psychiatry student. You see a dementia patient. Your consultant wants you to search literature to find a link between dementia and bipolar disorder. What is the most important thing for you to search ?
Google
Social media aka facebook
Grey literature
Pubmed

41. High functional autism and anxiety
Severe autism ?
42. In medium secure unit ,how to treat aggressive patient
Antipsychotics
Physical restraint

43.Which substance causes membraneous nephropathy
ketamine
44.Stat question on  death and dementia in bipolar patients. A graph .came in April 2017. But simplified and changed
45. when do we do PECO
46. what is most important if we prepare guidelines like NICE
Take into account the cost effectiveness
47.choosing statistical tests 
48. Clinical audit done
To appraise doctors knowledge and practice…
49. calculate Odds ratio in a table where RR was given
50. Aim of reporting of CONSORT
Attrition data
ITT
51.Which bias reduces by blinding
52.a chart with PPV,NPV, sensitivity,specificity of 
53.CHEI and placebo 2*2 table of syncope. Calculate NNH
54.cost benefit
55. Dysphagia in learning disabled child due to
Olanzepine
Clonazepam
56. 2 effects each for ketamine, opioid, and bdz overdose.
57. Frontotemporal dementia subtypes..
58. Binswanger disease..
59. Pigmentation with quetiapine
60. Downs risk in 30 year old mum
61. Temporal lobe epilepsy –risk of 
62. Retts synd and angelman synd neurodevelopmental
63. Young school child with auditory prob vs normal.
64. Dyslexia/reading disorder q
65. Clozapine level and hypersalivation-2choices of intervention
66. Which benzo instead of librium in liver disease
67. Wilsons disease - mentioned in 2 questions
68. Bladder problem with ketamine
69. Olanzapine depot and managing
70. Lyme disease
71. Somatoform and pain/burning
72. Herpes encephalitis
73. Head injury and suicide
74. Audit- consultant asking trainee to improve service
75. MET for teenager and cannabis
76. Family therapy question at camhs
77. Camhs q about tic disorder
78,79 couple of questions linking anxiety with autism Anxiety common in which disorder
Severe autism
High functioning autism
80. Autism and Downs link
81. couple of lithium questions - 1 about a mixed affective state, other about side effect
82. Ect and drugs lowering seizure threshold.
lithium
83. repetitive brain stimulation and electrodes-or if nice guidelines for depression
84. Young man with low libido on 3rd antipsychotic..
85. Clozapine in 15yr old psychosis?
Or inpatient treatment
86.  Pneumonia and uti and cardiovascular disease study -pneumonia had most admissions i think
87. Ct brain i think for man with neuro signs at a&e but pacemaker
88. A few more vague a&e presentations -liaison questions... 1 in particular was about a delirium and to treat the infection.
89. Definite dementia question about huntingdons
90. Defenite dementia question about lewybody dementia-behaviour fluctuating and worsened with antipsychotic
91. Trick question about most common dementia <65 = still alzheimers
92. Question about biggest risk factor for autism - think it was genetics
93. Sorry,  typo in point 14= williams syndrome
•    94.question about dysphagia with olanzapine
95.forest plot of clozapine treatment from psychomentor
96.isotretionoid study questions
97.EMIs on bias
98.EMI on paired unpaired t test and chisquare test
99.intestinal obstruction wit clozapine?
100.bleeding gums with valproate?
101.EMI about level of prevention
102.EMI about CAT, DBT  and something/
103.MCQ  about IPT
104.DIAGNOSTIC OVERSHADOWING
105.hand wringing movements in RETTs
106.MCQ  about williams
107.in stat part a question about galantamine side effects with table
calculating NNT
 108.newspaper cuttings involving attitude to stigma related to mental illness.so research all national newspapers for 1 month. What is most important to research ?
content analysis
discourse analysis
109.Population rating. 
What is best way ? 
What is limitations
110.Comorbidity is common in which disease in children
Generalized anxiety disorder
Social phobia
111.Effective treatment in social phobia
Atenolol
Sertraline
112.Is schizophrenia more common in developing countries ?

ions again

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Dr Hakim good effort! Thank you. Dr Pop you could be right about the valproate, Nice says lithium but research valproate. On the college website I read lithium so unsure what they want. Thank you anyway

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Still ruminating about what I got wrong. I think the dysphasia in LD is with clonazepam. Dr Hakim posted the question about seizures treatment in acute alcohol withdrawal. I don't think is injection with vit  B and C. There was another question about indirect cost when a patient is admitted to the hospital. Depression in Parkinson's was another one... I think here people wrote Huntington. Monitoring for bradycardia when on donepezil.

 

the stats part in this exam was more than 40%. I personally finished 46 stats questions on 1 1/2 hours and rushing through the rest.

Edited by Archaeopteryx

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A man who never had job so lasting more than few months quits each time saying his colleagues must hate him.... which defence mechanism? It is projection, got this wrong... I put intelectualisation.

a man looking after his daughter with physical disabilities develops pain and other physical sx.... projection again.

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8 minutes ago, Archaeopteryx said:

A man who never had job so lasting more than few months quits each time saying his colleagues must hate him.... which defence mechanism? It is projection, got this wrong... I put intelectualisation.

a man looking after his daughter with physical disabilities develops pain and other physical sx.... projection again.

father developing physical problems ,answer is projective identification.

any more recall questions ?

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I thought that was dissociative dis as conversation was not there.This following stressful event.

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There was indeed a question about dis disorder, it was a different story . The one above asked about defence mechanism.

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Yes. I think it was Projective identification

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