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      New question bank for paper B   05/11/18

      Please see the link below for a new question bank: http://www.superegocafe.com/online-courses/mrcpsych-paper-b-multiple-choice-question-bank/  
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isqs: some old, some new

9 posts in this topic

1.Naloxone is indicated for relapse prevention in formerly opioid dependent patients.

2.The Ct scan is usually found to be normal in advanced CJD.

3.Parapraxis is more likely to occur if one is fatigued

4.Karen Horney is associated with womb envy

5.Heinz Kohut is associated with self psychology

6.Diogene’s syndrome is mainly treated with psychotherapy and in patient treatment (any references for this?)

7.Memantine causes increased libido.

8.Offences after drinking are reduced by police regularly visiting public houses by midnight (sounds temptingly true but any refs?)

9.Dexamethasone non suppression in seen in 90% of depressives

10.If there is a hx of recent csa,immediate rremoval from the house is necessary

11.Memantine is useful for vascular dementia

12.PKU can be diagnosed by amniocentesis

13.Specific reading retardation is associated with glue ear

14.1% of Japanese children have specific reading disorder

15.Depressed patients have low ACTH

16.Synaptophysin is decreased in DLB

17.In Wilson's disease serum copper is high

:)

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those were really nice.........I was just trying my luck with a few..could u let me know if the answers were ok........thnks

1.Naloxone is indicated for relapse prevention in formerly opioid dependent patients-(F)

2.The Ct scan is usually found to be normal in advanced CJD-(F)

3.Parapraxis is more likely to occur if one is fatigued-(T?)

4.Karen Horney is associated with womb envy-(F?)

5.Heinz Kohut is associated with self psychology-(T)6.Diogene’s syndrome is mainly treated with psychotherapy and in patient treatment (any references for this?)-(F)I thought it worsens on admission

7.Memantine causes increased libido.-(T)

8.Offences after drinking are reduced by police regularly visiting public houses by midnight (sounds temptingly true but any refs?)(NO BUT WOULD HAVE GONE FOR TRUE TOO)

9.Dexamethasone non suppression in seen in 90% of depressives (F)

10.If there is a hx of recent csa,immediate rremoval from the house is necessary (F)

11.Memantine is useful for vascular dementia (T)

12.PKU can be diagnosed by amniocentesis (T)

13.Specific reading retardation is associated with glue ear (T)

14.1% of Japanese children have specific reading disorder (

15.Depressed patients have low ACTH

16.Synaptophysin is decreased in DLB

17.In Wilson's disease serum copper is high (T)

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17.In Wilson's disease serum copper is high

False

Usually low but can be normal (same for serum caeruloplamin)

Reference:

Kumar and Clark

Clinical Medicine

4th ed p271

:P

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15. Depressed patients have low ACTH

A: False. it is increased. Kaplan, saddock. CRF is raised and is similar to stress response. Plasma cortisol is also raised.

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16. Molecules crucial to normal brain development and postnatal plasticity are being investigated in schizophrenia. In brains of persons with schizophrenia , Levels of synaptophysin also are reduced; synaptophysin is a synaptic–vesicle-associated protein involved in neurotransmitter release that is used as a marker of presynaptic terminal density. Reduced synaptophysin mRNA concentrations are also found in specific regions of the mesial temporal lobe. Although the precise mechanisms controlling these molecular changes remain unknown, the results suggest abnormal synaptic connectivity.

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3.Parapraxis is more likely to occur if one is fatigued

4.Karen Horney is associated with womb envy

:)

3. True

4. True

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13.Specific reading disorder is associated with Glue ear... False

NB: MCQ's

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DEPRESSED HAVE LOW ACTH FALSE

they have high CRH, ACTH, and CORTISOL

possibly due to abnormal levels of CRF

CRF and ACTH levels are also abnormal in other conditions like mania, chronic schizophrenia and dementia with resistance to DEXAMETHASONE SUPPRESSION TEST

ref: oxford text book page 224 - 225

core psychiatry :

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