Feedback on Part II ISQ papers Autumn 2002

[Gurpal 277]

If you can remember any of the questions, please post them below. Any other comments are also welcome!

[Guest doctor]

:o :ohello,

the basic sciences paper was a real shock.no clue about most of the questions. would have scored the same even without any reading.the questions on social psychology and related topics appeared to be never ending.

i dont know how others found the paper.

clinical sciences paper a bit better.

but after the tough three papers before it, just wanted to finish off the exam and run off.

bye for now

[Guest maryMF]

I thought the same about the basic sciences paper, really I resorted to eny meany miney moe. The critical appraisal was also awful. Honestly, economic analysis!

There was lots of stuff on HIV in basic and clinical

Specific reading disorder questions

hideous questions on stats at the end of basic sciences

When there was an MCQ I recognised i got so happy. It wasn't ofen.

Fair bit of old age type questions and LD forensic.

I was really annoyed that there were no baboons as I was actually ready for them. Oh well, back to my evening effort at getting drunk. It is going well!

[Guest maryMF]

Other questions:

Management of Neuromalignant Malignant Syndrome

Pindolol can be used as adjunctive treatment for tr resistant depression.

Anterior Cerebral Artery supplies Wernickes

Ant. Cere Art supplies Uncus

Limbic system includes dentate gyrun

Tons of Social psychology

Contingency theory

Primacy effect (but really weird questions)

EEG questions (several)

Lewy body found in 40% of Dementia

Abnormal gait indicates Alz vs Vascular dementia

Ok Champagne is taking effect

[Guest indira]

i don't think we can ever get fully prepared for this exam.

what about questions like:

-women are better at predicting emotion around the eyes than men?

-emotion around the eyes are controlled by amygdala?

-loads of CBT questions on specially working with addictions, irritable bowel syndrome,etc

-PTSD questions like. does injection of yohimbine cause anxiety in them? another couple at least

-many questions about the CRH, cortisol, DHEA suppression in various conditions, adolescents

-is cyclic AMP secreted in the urine in mania

-clueless on the HIV questions

-many on variant  CJD. is tonsillar biopsy specific for it?

is there a mutation on codon 129?

i could do this all day, but i'll come back later

[Guest Nus]

Hi guyz!

Here are some Clinical Science questions from yesterday:

I think??

Jaspers devised the hierarchical model of diagnosis

Klinefelters syn is cause of mod-severe LD

Clozapine and carbamazepine can be used safely together

Standard error is am measure of precision

Ethos of therapeutic communities is lack of rules?

Paroxetine is known to cause sexual dysfunction

Bulimia is recognised cause of peptic ulcer

Fragile X due to abnormality on short arm chrom 5

Ciao!

[Guest indira]

some more silly ones :-/

-you are more likely to have more ?emotional tone/lengthy conversation with somebody on a telephone rather than in person

-you can recognise emotion better by facial expression than by voice

-primary attributional error is not applicable to parts of northern europe and usa

-noradrenergic blockade/reuptake causes alpha2 block

[Guest nbc5]

lots of weird questions , can`t remember too many now

dangerousness in the definition of disability according to the WHO??

lots about autism and ADHD

felt clinical paper was ok but basic sciences abit dodgy, was guessing on quite a few.

[Chris 0]

I found it hard to know what to expect in the Clinical ISQ paper for Part II and a lot of my revision was inappropriately on Part I subjects.

From my experience this Autumn I'd say that the key thing is to concentrate on the subspecialities, particularly Liaison, Old Age, Child, Learning Disability, Drugs and Alcohol and Forensic (are there any others ??).

Very little came up in the way of psychopathology, and the College (mercifully) seems to be greatly decreasing the number of &quot:lol:r. Ob Scure is associated with X' questions. (so I wouldn't really bother to learn them)

The Basic Science paper had predictable questions on EEG, pathology and pharmacology and a whole load of bizarre questions about pop-psychology and risk factors (you're almost more likely to find the answers in Cosmo as Puri).

Hope this helps,

Chris

[Guest c.senthil]

if anyone is looking for more isqs in this section, i have posted 100 isqs from my memory from oct 2002 part 2 exams as a separate topic.

hope people find it useful

[felix 0]

where did you post the 100 ISQs please

[Guest c.senthil]

ive posted it under individual statement questions in the forum

[Chris 0]

Inspired by milli on the Part I board:

Here are some Basic Science ISQs from the Autumn

1. The semantic content is completely contained in the word

2. Use of a light box for Seasonal Affective Disorder is equally effective when used in the morning or the evening

3. The suprachiasmatic nucleus increases firing abruptly shortly before dawn

4. The dentate gyrus is part of the limbic system

5. In dyslexia, automatic lexical recognition is normal

6. In dyslexia there is decreased regional cerebral blood flow in the left temporal region

7. In bilingual patients, the original language is most effected in aphasia

8. Clozapine, at any clinical dose, induces less akathisia than risperidone

9. From the known binding properties of clozapine, it would be expected to cause little postural hypotension

10. Clozapine should not be prescribed with carbemazepine

11. In pharmacokinetics the area under the curve is greater if the drug elimination is faster

12. Fluoxetine increases levels of diazepam

13. Standard deviation is a measure of precision of an estimate

14. The Fisher exact probability test should not be used for small numbers

15. Norms is synonymous with values

16. In Seasonal Affective Disorder, melatonin secretion at night increases in the winter

17. &nbsp:lol:HEA has an effect opposite to the effects of cortisol

18. The ratio of cortisol to DHEA is increased in adolescents with depression

19. The Manchester scale is a self-rated questionnaire

20. The Eating Disorder Inventory is a self-rated questionnaire

21. Temperament in the first 6 months of life can accurately predict conduct disorders in adolescence

22. Maternal smoking in pregnancy is associated with conduct disorders

23. The heritabilitiy of conduct disorders is 0.1-0.2

24. Conflict in relationships predicts breakdown of the relationship

25. The negative symptoms of schizophrenia are thought to be related to hypofunction of the pre-frontal cortex

26. Wernicke’s area is supplied by the anterior cerebral artery

27. The anterior thalamus is affected in Huntington’s disease

28. Fragile-X is a CAG trinucleotide repeat disease

29. Klinefelter’s syndrome (XXY) is associated with moderate and severe learning difficulties in the majority of patients

30. Metachromatic leucodystrophy is an X-linked recessive condition

31. Lesch-Nyan syndrome can be successfully treated by diet

32. Patient’s with Parkinson’s disease are impaired with set-shifting tasks

33. Lewy bodies are found in 40% of patients with dementia

34. Lewy bodies are found in Parkinson’s disease

35. The age of onset of Huntington’s disease is associated with the number of trinucleotide repeats

36. In dementia associated with Huntington’s disease, the amnesia is similar for all decades of life

37. In dementia associated with Alzheimer’s disease, the amnesia is similar for all decades of life

38. In Alzheimer’s disease there is decreased latency in the evoked responses on EEG

39. Somnambulism is most likely to occur in Stage III and IV sleep

40. Benzodiazepines may increase beta waves on the EEG

41. Metabolic disorders often cause increased alpha waves on the EEG

42. Means taken from large samples of a skewed distribution approximate to a normal distribution

43. Regression is usually done by the least squares method

44. R2 usually increases if a further independent variable is added

45. Correlation coefficient refers to how one variable alters with another paired variable

46. Repeated suggestion have demonstrated the possibility of false memories

47. Glutamate is a NMDA antagonist

48. Acamprosate is a NMDA antagonist

49. 5-HT3 receptors are linked to Na-Ion channels

50. Heteroreceptors cause decrease neurotransmitter release through presynaptic mechanisms

[Chris 0]

They go on...

50. Heteroreceptors cause decrease neurotransmitter release through presynaptic mechanisms

51. Reboxetine causes 5-HT2 blockade

52. With NA-reuptake inhibitors, presynaptic alpha-2 receptors are likely to be more sensitive to blockade

53. Giving nicotine to non-smoker volunteers increases attention

54. The Stroop test measures attention with interference

55. Female carriers of Fragile-X have a below average IQ

56. The Fragile-X fragment occurs on the short arm of the X-chromosome

57. Restriction fragment length polymorphisms are inherited in a Mendelian fashion

58. Restriction fragment length polymorphisms are the only way to examine genetic linkage

59. Autism has a 90% MZ concordance

60. Extinction occurs more rapidly in continuous reinforcement compared with variable reinforcement

61. In extinction an initial increase in the learned behaviour is initially seen

62. Where work produced by a group is less than the sum of the individuals, decreased rate of work by the individuals is partly to blame

63. Characteristics of an effective leader include allocation of work

64. Where there is no clear correct answer, polarization is likely to occur in groups

65. Modern social anthropology is concerned with ontogenic studies

66. The prevalence of specific reading disorder in England is 20%

67. The prevalence of specific reading disorder in Japan is 1%

68. Severe specific reading disorder is associated with impaired non-verbal task performance in an IQ test

69. OCD is associated with increased blood flow in the prefrontal cortex and basal ganglia

70. A Likert scale allows for a 5 point response

71. The Repertory grid can be used to measure attitude

72. In a child of 18 months, playing happily with a stranger is a sign of insecure attachment

73. In a child of 18 months, a puzzled expression when the mother enters the room is a sign of insecure attachment

74. Women are more able to determine someone’s mood from their eyes alone than men

75. It is easier to determine someone’s mood from their facial expression than from their speech

76. Moclobemide does not cause a tyramine reaction

77. There is usually a greater fall of cortisol following dexamethasone in depression than in normal volunteers

78. An inter-ictal EEG in automatisms is of limited value

79. An inter-ictal EEG in automatisms typically shows 8Hz and 14Hz spikes

80. In Piaget’s model, sensory information is variably received according to cognitive schemes

81. In depression, people are as likely to recall negative words about themselves as about other people

82. The sick role is synonymous with illness behaviour

83. SSRIs my cause impotence

84. Thioridazine may cause ejaculatory failure

85. In acute psychological stress, there is vasodilation in the skin

86. In coping strategies such as relaxation the skin conductance rises

87. Linkage analysis can be used to study genetic disorders in families

88. Korsakoff’s syndrome affects implicit memory

89. A tall person is likely to be more positively received

90. The fundamental attribution error is less likely to occur in non-collectivist (ie non-Northern European / US) societies

91. The primacy effect includes deciding about a person by their physical appearance

92. Barbiturates increase fast activity on the EEG

93. The uncus is supplied by the anterior cerebral artery

94. Tricyclic antidepressants can cause peripheral neuropathy

95. 80 % of depressed children have a positive dexamthesone suppression test

96. Bupronorphine is a GABA antagonist

97. Unsocialised conduct disorder children have low self esteem

98. Enalapril can increase plasma lithium levels

99. Life evetns are no less likely to pressed depression in the elderly than in adults

100. Communication studies have proven that telephone conversations contain longer utterances than face-to-face conversations

101. Atypical neuroleptics have a longer D2 receptor occupancy than typical neuroleptics

102. &nbsp:lol:5 receptors belong to the D1 family of receptors

103. In severe closed head injury CSF rhinorrhea occurs in more than 10%

104. A penetrating right sided head injury is likely to produce prosopagnosia

105. Rivastigmine is a buterylcholinesterase inhibitor

106. Acetylcholinesterase inhibitors lead to cognitive improvement in 60% of cases of mild Alzheimer’s disease

107. Children of people with schizophrenia are more likely to have mental disorder than children of people with personality disorder

108. People with agoraphobia are more likely to recall negatively charged words than neutral words

109. More than 50% of children with conduct disorder have EEG abnormalities

110. Introversion is thought to be due to excessive sympathetic lability

111. Juvenile delinquency in girls is more predictive of future mental health problems than in boys

112. The trails test is a test of memory

113. Body rocking is seen in 40% of normal children at 18 months

114. Narcolepsy is associated with sudden onset REM sleep

115. The QT interval is independent of heart rate

116. The planus temporale is on the inferior surface of the temporal lobe

[Chris 0]

And now the clinical paper:

1. The World Health Organization has recently added “dangerousness” to the full definition of impairment

2. In epidemiology “caseness” can be correctly identified with disease

3. Jaspers is associated with the hierarchical classification of disease

4. HIV enters the brain through infected macrophages

5. CBT has been shown to be more effective than waiting-list for patients with HIV and depression

6. The suicide rate in HIV is 10% higher than expected

7. Tardive dyskinesia occurs in > 50% of patients treated with long term neuroleptics

8. Melatonin has a significant side effect profile

9. The dexamethasone suppression test is a reliable test for depression in the elderly

10. Old-age depression is not associated with significant structural changes in brain imaging

11. Men self-harm more often than women in old age

12. Men over 65 are more likely to commit suicide than women

13. Mania makes up 1/3 of admissions to acute old-age wards

14. Mania is associated with depressive symptoms more often in the elderly

15. Hare’s Psychopathy checklist has been validated for use in the general public

16. In large families, the oldest child is most likely to show school refusal

17. In a 14 year old boy with school refusal, depression is a likely diagnosis if there is no history of missing school

18. In a 65 year old man with new onset depression, the diagnosis is likely to be early-onset dementia

19. In dynamic group therapy, the therapist encourages vicarious learning

20. Waxy flexibility includes resisting passive movements

21. Autism is associated with schizophrenia

22. In Down’s syndrome, autism is rare

23. In a 14 year old boy caught shoplifting, depression is a likely diagnosis

24. The number of previous convictions is an accurate indicator of risk of re-offending in paedophilia

25. Chronic hyperventilation syndrome is associated with sleep disturbance

26. Common law is often based on case law

27. Hypothyroidism causes bone pain

28. Hirstuitism can be caused by hypothyroidism

29. &nbsp:lol:epression may present with similar features to hyperthyroidism

30. Tinnitus is more likely in benzodiazepine withdrawal than generalized anxiety disorder

31. If generalized anxiety disorder is treated with benzodiazepines, dependence is likely to develop in under 2 months

32. Fear of open spaces in the central feature of agoraphobia

33. If panic disorder is treated with SSRIs, there is a 40% recurrence rate on stopping the medication

34. In simple phobias, rituals are common

35. Obsessive thoughts occur in more the 5% of people with Asperger’s syndrome

36. Obsessive compulsive disorder is more common in people with learning difficulties

37. Shoplifting is more common in OCD

38. People with learning disabilities are more likely to commit murder

39. If a schizophrenic patient commits arson, it is likely to be associated with their delusions

40. Being unfit to plead/stand trial is common outcome in defendants with mental illness

41. Encopresis is associated with nocturnal enuresis

42. Primary enuresis in an 8 year old boy is an indication for an intravenous urogram

43. Encopresis is associated with a passive personality

44. Night terrors are likely to be related to relationship breakdown difficulties

45. Primary generalized epilepsy is usually associated with an aura

46. In schizophreniform psychosis associated with temporal lobe epilepsy, it is most common shortly after a seizure

47. Amphetamine causes physical dependence

48. LSD intoxication is associated with formication

49. Butane abuse can cause visual hallucinations

50. Cannabis can cause visual hallucinations

[Chris 0]

Clinical paper continued ...

51. Cocaine use can cause a psychosis lasting up to 4 weeks

52. Narcolepsy is associated with loss of muscle tone in clear consciousness

53. The total number of homicides committed by people with schizophrenia has risen over recent years

54. The number of people killed by schizophrenics in a given year approximates to a normal distribution

55. Epilepsy-related automatisms are a common cause of homicide by the mentally ill

56. Epileptic automatisms occur in 15-25 % of cases

57. A seizure lasting longer the 30 minutes is more indicative of pseudo-seizure than epilepsy

58. HIV disease progression is measured by CD4 counts

59. &nbsp:lol:elirium may be caused by Wilson’s disease

60. A boy of 13 is likely to try glue sniffing in the next 6 months

61. Alcohol detoxification cannot usually be done at home in a 65 year old man

62. If a healthy couple have a baby with phenylketonuria, the chances of the next baby having the same condition are less than 1%

63. A similarity between impaired cognition in old age and Alzheimer’s disease is impaired visuo-spatial scratch pad.

64. Alzheimer’s disease affecting the parietal lobe is associated with a worse prognosis

65. &nbsp:lol:isorders of praxis are associated with Pick’s disease

66. Lofexidine is an opiate antagonist

67. Therapeutic communities are characterized by lack of democratic rules

68. Cognitive restructuring can be used in pain management

69. Contingency planning includes consideration of internal motives

70. In cognitive therapy for depression, cognitive changes generally preceed behavioural changes

71. In CBT for relationship difficulties, homework may be included

72. High tone deafness is commonly found in Down’s syndrome

73. Suggestibility is increased in complex partial seizures

74. Neuroleptic malignant syndrome can be treated with a combination of a Ca-blocker and a dopamine agonist

75. Neurasthenia has been retained as a diagnosis in ICD-10

76. Clonidine can be used to treat ADHD

77. A child with ADHD is likely to experience peer rejection

78. A child is non-socialized conduct disorder is likely to experience peer rejection

79. In group rape, alcohol has been consumed in 90% of cases

80. Challenging behaviour occurs in 40% of people with learning disability

81. Non accidental injury to the child is very rare if the mother has obsessive compulsive disorder

82. Generalized anxiety disorder presenting in old age is likely to have started in adulthood

83. Self neglect in the elderly (Diogenes syndrome) is likely to be caused by delusions

84. Self neglect in the elderly (Diogenes syndrome) is generally thought to be burnt-out personality disorder

85. &nbsp:lol:elusional disorder of old age (paraphrenia) usually progresses to dementia

86. In delusional disorder of old age (paraphrenia), the delusions are usually First Rank

87. Manic stupor is one of Kraeplin’s “Mixed states”

88. Muscle relaxation is a known treatment for paraphilias

89. Living with spouse is a risk factor for repeated deliberate self harm

90. A history of criminal conviction is a risk factor for repeated deliberate self harm

91. PTSD is associated with an exaggerated fall in cortisol following dexamethasone than in volunteers

92. It is very rare for factitious disorder to present with anaemia

93. Atypical facial pain is characteristically superficial

94. &nbsp:lol:etermining Apoprotein E genotype is useful for counselling relatives of the risk of Alzheimer’s disease

95. On a medical ward, problem drinkers can be identified by plasma viscosity

96. In the elderly, relapse of depression is more likely following ECT than using tricyclic antidepressants

97. Tonsillar biopsy showing prion protein is highly specific for variant CJD

98. The difference between prion protein and scrapie prion protein is a disulphide bond

99. &nbsp:lol:ementia with myoclonus occurs in CJD

100. Ecstasy is associated with a withdrawal state

[Chris 0]

Last bit ...

101. Presence of birth injury affects the age of onset of schizophrenia

102. IQ affects the age of onset of schizophrenia

103. Studies of expressed emotion have shown that derogatory comments are more important than overinvolvement

104. Pindolol can be used in the treatment of resistant depression

105. The genetic link between alcohol dependence and depression are determined by gender

106. Bulimia is associated with gastric ulcer

107. Approximately 30% of women experience the blues after pregnancy

108. Feeling muddled is a common symptom of post-pregnancy blues

109. Pseudocyesis is associated with social isolation

110. People with dissocial personality disorder are unable to benefit from supportive psychotherapy

111. A small initial gain in weight in anorexia nervosa is associated with significant cognitive improvement

112. Suicide is as common as homicide in schizophrenia

113. Managing enmeshment is part of Contingency therapy

114. Suicide is commonly associated with physical illness in old age

115. &nbsp:lol:own’s syndrome has increased risk of leukaemia

116. Amphetamine abuse causes macrocytosis

117. Old people with dementia are at significant risk of non-accidental injury by their carer

118. Alzheimer’s disease can be caused by HIV infection

119. There are specific histological changes to the brain in alcohol dementia

120. Catch-recatch methods are used to assess incidence

121. Reality-orientation has lasting beneficial effects when used to treat people with dementia

122. Relationship counselling and social support have no benefit in reducing the risks of HIV transmission from one patient to their partner

123. Vitamin B12 deficiency can cause dementia

124. If child sexual abuse is suspected it is necessary to have a disclosure interview with anatomically correct dolls

125. Visual hallucinations are a common feature of depressive psychosis in the elderly

126. An abnormal gait is more suggestive of early Alzheimer’s disease than vascular dementia

127. Cognitive impairment is seen in chronic multiple sclerosis

128. Self-induced vomiting and deliberate self harm are associated in adolescent girls

129. More than 1/3 of prisoners are estimated to suffer from mental disorder

130. People with schizophrenia are more likely to murder a stranger than a member of their own family

131. Emotional lability is more common in Alzheimer’s disease than Vascular dementia

132. Pre-operative anxiety is associated with more surgical complications in coronary artery bypass

117. Truancy is often a group activity

118. Confabulation in the elderly most commonly occurs in Korsakoff’s syndrome

119. Autistic children usually have normal babbling in the first year of life

120. &nbsp:lol:ivorce is a recognized cause of PTSD

121. The first National Psychiatric Morbidity study used Disability-Adjusted Life Years (DALY)

122. Carbon monoxide poisoning rarely causes permanent cognitive impairment

123. &nbsp:lol:ay hospitals have been proven to be more effective in treating symptoms of dementia than day centres

Hope that helps !

(Written down with help from colleagues in the week following the exam)

[Chris 0]

I haven't compared the questions above to those written down in the other parts of the forum so there may be some differences in the exact words used in some (or 'a lot of') the questions. They were written down last November though when things were pretty fresh (the flashbacks are fading now).

Sorry I haven't got any answers - all part of the fun of revision I guess.

Number 6

[Guest indira]

PHEW!!!!! that is exhaustive. hey, thanks. hope we can come back for difficult ones.

[sanyaasi 0]

number 6 , great work.

I am taking part 2 in autumn 03

thanks a lot

[fola 0]

cool, number 6.

you deserve the award.

good luck.

fola

[Guest milli]

great work whoever you are number 6.you overtook me!

pretty sure you will pass the exam.milli