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      New question bank for paper B   05/11/18

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psychiatry2014

Oct 2018 Paper B

8 posts in this topic

I revised using the SPMM mocks alone and I think quite a number of their questions turned up. I only had 1 month to prepare so I didn't have time to do mrcpsychmentor. Those who used mrcpsychmentor, did you find it useful? 

I only did each mock once or twice and focused on recurring questions and topics. If I'd done them properly 3 4 or 5 times, I think the exam would have been a breeze. 

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Critical Appraisal questions were simple, most of the graphs were from SPMM. If we know the concept well it is easy to answer,Lot of questions were repeated.

Worried the passing percentage might be high. 

I revised using both SPMM and mrcpsychmentor. SPMM is elaborate but mrpsychmentor is concise and sticks to the most important themes and includes certains questions not there in SPMM. On the whole both these resources are excellent materials.

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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

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Mute wife after her husband mother visit and stsy e them.. I choose motor conversion disorder

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7 minutes ago, Altayib said:

Mute wife after her husband mother visit and stsy e them.. I choose motor conversion disorder

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

38.post 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

 

 

 

 

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Very nice. Strong memory

Kaplan graph my answer ar 4 yr same depression 

Kaplan. Most effective is SSRI

Natcolepsy hldr2

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Forest arr 10.2 and NNT 10

Exhibition court appearance

Rem movement precede movement disorder 

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