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Gurpal

Feedback on Part II ISQ/EMIs papers Autumn 2003

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Please post your account of the Part II written papers. If you remember any questions, please post them.

Good luck everyone!

:)

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1. phenylketonuria occurs 1 in 20000 F

2.halstead reckin battery test used to asses problem drinkers on the medical ward DK

3.self injury in LD improved with naltrexone T

4. collaborative empericism used in CBT T

5. obssessive ruminations disappears with thought stopping F

6.  an experienced psychotherapist can avoid countertransference F

7.  hypomania is common in down syndrome F

8.  the adversarial system requires a jury F

9. circular questioning recognised in family therapy T

10. ethos of therapeutic community includes normalisation &nbsp:lol:K F?

11. delusion of misidentification is associated with impaired facial recognition memory F

12.  all arsonists get mandatory prison or hospital sentences F

13. wilson`s disease associated with chromosomal abnormality T

( I `LL BE BACK)

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hi, basically basic sciences test general knowledge. clinical topics better. critical review is a race against time and essay , anybody's guess.

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a boy plays with cat. cat bites him . he fears cat. conditioning or operant?

(i think it is conditioning, my friend says operant )

lithium neuroprotective at therapeutic doses

st.john's wort decreases efficiency of oral contraceptives

mirtazapine inhibits h1 receptors

absence of autocratic leader causes disruption

deliberate selfharm repeatition more in aspd

dsh more in the first 3 months

mirtazapine causes indirect 5ht1a stimulation

dilectical bt useful in emotional unstable pd

cognitive analytical therapy useful in emotionally unstable

depression improves spontaneosly more in older age

late onset schizophrenia more in women

visual hallu defining factor in charles bonnet syndrome

neuroleptic malignant syn can be treated with calcium channel blockers and dopamine agonists.

alcoholic hallu remit in 6 months

oneirophrenia is same as mixed state

preoperational thought a cognitive model for cbt

insecure attachement may show disinhited behaviour

adolescents have more of symptoms related body perception in psychosis

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critical review paper thay have gone too far i think they are testing out frontal lobes very difficult to shift so quicky from one to other question and toooooo many Qs for 1 and half hours.

again it is like solving a mystery puzzle rather than appraising the research for example they asked a question and then few questions below asked how wou;d you explain the answer in question A3 b oh god the head was buzzing!!!!!!

Essay i have come to a conclusin that we need to prepare well to waffle!!!!

Basic science MCQs mmmm still they are getting royalty frm wild baboons :D

Clinical sceince slightly familiar

kept the books ready fro spring 2004 good luck guys

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essays could not have been prepared this time based on last 12 months apt or bjp

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I have to agree with everyone else.

1. Critical appraisal was a joke. I write very fast and didnt stop and still struggled. There were far too many one and two mark questions which took much longer than the six or eight mark questions. They really took the mick today. That was the consensus in Dublin.

2. What a waste of time my essay plans were! months of reading the last two years journals was no help whatsoever. Lucky I had read about old age psychotherapies elsewhere or I would have been stuffed.

3. Basic sciences! I wish I had been warned not to spend too much time covering the syllabus for this - months of boring reading which did not help me too much today. In fact all I gained from reading all that science was that I lost out on a lot of good nights out and TV.

4. Clinical wasnt quite so bad and some of the questions were straightforward. I have to protest at the number of child questions, in particular Specific scholastic/reading disorder. The range of topics was very narrow and I was pretty hacked off about that.

Also, with regards the syllabus, what a load of rubbish that is. A hundred pages of tasks that bear little relation to the exam. Needs a total overhall. When has there ever been any.more than one question on philosophy/ethics/management, etc?!

Well I feel better for that rant. Please excuse me but I have had a couple of dry sherries tonight.

Elvis ;)

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Here are some ISQs:

Lack of empathy is a characteristic feature of Asperger's syndrome

Loss of weight is associated with normal bereavement

Japanese Americans migrating to USA but maintaining their traditions are at increased risk of CVD than those adopting to local situation

Down's is the most common cause of severe learning disability

2% of smokers quit on brief advice from clinicians within 1year

Angelman syndrome is associated with paternal deletion

bilateral versus unilateral ECT causes more rapid response in depression

QT interval normally up to 400mV/sec

ECT causes retrograde amnesia as side effect

Khat can cause mania like picture

Withdrawal delirium is part of the dependency syndrome

Themes for EMI:

Group psychotherapy

Dementia

medication in children

neuropsychiatry -receptor status in the brain related to a clinical scenario

statistical tests

metabolic disorders

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the emi's on metabolic changes were priceless!!need a phd in biochem

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More ISQs -

1. Mirtazapine blocks H1 receptors.

2. proteomes are collections of proteins in a cell.

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The chances of PTSD after Rape are less than after a road traffic accident

I have been thinking what could be the possible clinical relevance of this question. The only thing that came to my mind was that if you see a patient with PTSD secondary to a traffic accident. You should tell her that her chances of developing PTSD would have been much less had she been raped. So in future she should try to get rapped rather than have a traffic accident.

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AS far as I can recall there werw about 3 questions on Japanese patients . Does this has any thing to do with FUNDING? Does any body know why Japanese blush when they ........ :-X

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More ISQ's

Values are synonymous with norms

Severe anxiety can cause delerium

Some thing about the dominant baboon being more agressive (any body has got any idea why is college so fixated about this dominant baboon. This question has been coming repeatedly in the last few years.

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In Spring 2001 there was question:

The incidence of specific reading disorder in Japan is 1.

I think they have propabaly got a Japenese some where in there. Hence so many questions about Japan.

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1. Memantine blocks NMDA receptors.

2. Acamprosate blocks glutamate (nothing else given, no further qualifiers for this question!).

3. Angelman's syndrome has a paternal cause ( or something similar).

4. Adolescent girls who intentional self harm have history of parental criticism immediately preceding the episode.

5. The gender difference for depression increases with age.

6. Alcohol misuse more in the elderly compared to the

middle aged.

7. suicide less in the elderly.

8. Naltrexone useful for managing self harm in LD.

EMIs

The following answers were given -

Discontinuation reaction and serotonin syndrome/5HT downregulation?

QTc prolongation and torsade the pointes

Buprenorphine

Lofexidine

Hypoglycemia, hyperglycemia, hyponatremia or hypokalemia

(let us try to remember the questions for which these answers were given).

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Another ISQ:

CT scan could be normal in advanced CJD

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Kraeplin described Oneirophrenia as a mixed state

In wild baboons, the dominant male exhibits the most aggression.

White matter hyperintensities are most commonly periventricular.

The brain in CJD shows spongiform changes without plaque formation.

EEG in Huntington's disease classically shows spike and wave (or something else, but not a flat trace).

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There was also a question about Piaget's conservation

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and a question on;

regular bingeing more than continuos alcohol use has more effect on socio-economic situations of the patient

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Now this is worrying, I only remember one Japan related question -wasnt it about alcohol dehydrogenase??

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my classic was the one on appetitive behaviour .

I now know what it means but during the exam I couldnt work out if it was something to do with competition ??? or my pet ??? .

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also the japanese american who did not adopt

the american lifestyle will suffer with less disease

conditions.(something like that).

i thought appetitive had something to do with appetite, please tell me it does

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Alcoholic hallucinosis resolves spontaneously in 6 months.

Male of 60 develops fixed belief that he has a ?terminal illness, though extensive investigations have ruled this out. He will improve spontaneously.

Sildenafil citrate acts on cGMP...

Erections occur in NREM (or REM) sleep.

NREM sleep predominates in the latter half of the night.

Friendhips in adolescents/teenagers as based on standards which are opposed to most parental standards (not exact wording).

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The theory of mind refers to being able to believe in/understand false beliefs in others.

Hachinski score is used to differentiate between Alzheimer's disease and Vascular dementia.

Vascular dementia is associatd with gait disturbance (not exact wording).

The effect of Cortisol is more than that of DHEA in adolescent depression.

Lithium has a neuroprotective effect.

Nicotine decreases the levels of antipsychotics.

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Preoperational thought is a type of dysfunctional thinking identified in CBT.

At least a couple of questions on the Natinal Psychiatric morbidity survey of adults living in private households.

-1% suicidal ideation in the previous week.

- the first NPMS used both lay and clinical interviews.

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