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childpsych

MCQS IN ALL SPECIALITIES WITH ANSWERS

12 posts in this topic

1. According to Piaget accomodation reprensents a compromise forced by reality testing - F

2. In Paiget's theory of congitive development the stage of object relations follows the preoperational stage - F

3. Margaret Maher described teh stage phase of separation - individuation to be complete by teh age of three T

4. Attachment theory includes among its concepts teh secure base effect - T

5. In adolescence formal operational thinking allows comparison of outcomes of several hyhpotheses T

6. At teh age of two a typical child can display imaginative play with representative toys T

7. With regard to development between teh ages 6 and 11 , Erikson referred to conflict between initiative and guilt FALSE

8. According to learning theory negative reinforcement MEANS THAT an anversive stimulus is removed congtingently on teh behaviour being exhibited TRUE

9.

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MORE MCQS

9. Learned helplessness increases when attribution is internal TRUE

10. Perceputal constancy can be demonstrated in relation to shape TRUE

11. In theories of motivation Maslow hiearchy of needs places self actualization above safety TRUE

12. in classical conditioning conditioned responses are likely to be of greater magnitude than unconditioned responses FALSE

13. In our perception of others recency effects are more important than primacy effects in influencing continuing relationships TRUE

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1. Caucasian race is a risk factor for dementia TRUE

2. Alzhiemer disease affects 4% of over 65s TRUE

3. The prevalence of Alzhiemer disease doubles from 65 to 85 TRUE

4. Remote memories are lost before recent memories in Alzhiemer disease FALSE

5. Nominal dysphasia suggests a diagnosis of multi-infarct dementia rather than Alzhiemer disease FALSE

6. Autoprosopognoais accounts for the MIRROR SIGN in Alzhiemer disease TRUE

7. Functional abilties are measured using functional assessment staging scale TRUE

8. &nbsp:lol:elusions in AD are frequently paranoid in content TRUE

9. There is a difference in prevalence of Alzhiemer disease in urban and rural settings TRUE

10. In a 70 year old early urinary frequeny and urgency suggest Alzhiemer disease and not vascular dementia FALSE

11. Mild Alzhiemer disease will be associated with deficits of dual task performance TRUE

12. The findings of reduced ALPHA WAVES on an EEG suggests Alzhiemer disease rather than vascular dementia TRUE

13. Parietal lobe symptoms are associated with earlier death in AD TRUE

14. Patients with Down syndrome develop Alzhiemer pathology due to an extra copy of beta amyloid precursor gene on chromosome 21 TRUE

More MCQs to follow soon

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1. Paretal lobe symptoms are associated with earlier death in AD TRUE

2. Patients with Down syndrome develop AD pathology due to extra copy of betal amyloid precursor gene on chromosome 21 TRUE

3. Patients with ApoE genotype e3/e4 are at higher riks in developing AD than those with e3/e3 genotype TRUE

4. The ApoE e4 allele is less common in Oriental populations than in Caucasian population TRUE

5. Meta-analytic studies suggest that the risk of AD is reduced by anti-inflammatory drugs TRUE

6. A study of elderly American nuns suggested that high premorbid verbal ability protected against Alzhiemer pathology TRUE

7. The intracellular neurofibrillary tangle is pathognomic of AD FALSE

8. There is high degree of correlation between neurofibrillary tangle formation and dementia severity TRUE

9. Phosphorylated tau is not found in the brains of normal subjects FALSE

10. In AD, highly phosphorylated tau fails to stablize microtubules TRUE

11. Tau deposits are unique to AD FALSE

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thanks for the questions - sorry to be pedantic but if possible can you put the answers on a different posting to the questions cos its difficult to test yourself without seeing the answers!

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a very good pick of questions...

thanx a lot

i agree with robbas... it will be greatly appreciated if answers are posted separately.. but nonetheless good collection... keep them coming :)

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dear childpsych

sorry to be a pain.. but

could u also possibly give some refrences for the answers??? :)

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yes good pick of questions.

may be difficult to give reference for all of them but ones that are slightly difficult may be worth giving a reference to i agree.

if you have time mates,please chuck in some references.thanks and also,kindly separate the questions and answers-will be lot more useful i think.

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OLD AGE PSYCHIATRY ISQS

Alzheimer disease

1. Smoking increases risk of AD FALSE

2. The mean effect of the cholinesterase inhibitors is an improvement in cognition roughly equivalent to stemming 6-12 month of natural decline in untreated patients TRUE

3. The presence of psychotic symptoms is a reliable indictor of response to cholinesterase inhibitors FALSE

4. Oestrogen replacement delays progression of AD FALSE

5. &nbsp:lol:onepezil has a considerably better side effects profile than rivastigmine FALSE

6. Galantamine exerts effects at the NICOTINIC cholinergic receptor TRUE

7. Rivastigmine is a pseudoreversible cholinesterase inibitor TRUE

8. RCTs suggest that gingkobiloba is useful in the treatment of AD TRUE

9. Galantamine was originally derived from the tulip FALSE

10. SSRIs result in 10% improvement in cognition in dementia FALSE

11. Non pharmacological intervention can delay institutional care in Alzhiemer disease TRUE

12. Mematine is an NMDA receptor antagonist TRUE

Vascular Dementia

13. Leukoriosis is associated with cognitive decline TRUE

14. Men have a higher prevalence of vascular dementia than women TRUE

15. An e4 allele of the ApoE gene is a risk factor for vascular dementia TRUE

16. Low levels of LDL cholesterol are a risk factor for vascular dementia FALSE

17. Treatment of mild systolic hypertension results in a decrease in incidence of vascular dementia TRUE

18. Personality and insight are relatively preserved in mild and moderate cases of vascular dementia TRUE

19. Absence of focal neurological signs makes the diagnosis of vascular dementia unlikely TRUE

20. The fluctuating course of vascular dementia helps to differentiate it from AD TRUE

21. Cardinal features of vascular dementia incorporated in the Hachinksi Ischemia Score include marked personality change FALSE

22. Apraxia in dementia is more suggestive of vascular dementia than Alzhiemer disease FALSE

23. &nbsp:lol:emented patients with emotional lability are more likely to have vascular than AD TRUE

24. The Hachinski score is used to differeniate between AD and vascular dementia TRUE

25. Vascular dementia is associated with gait disturbance TRUE

26. &nbsp:lol:onepezil can be used in vascular dementia TRUE

Lewy Body Dementia

27. LB formation occurs in Parkinson Disease TRUE

28. Ubiquitin is one of the main constituents of the Lewy Body TRUE

29. Synuclein is a key feature of Lewy bodies TRUE

30. High amyloid plaque counts but a marked absence of tau pathology are consistent finding in DLB TRUE

31. A history of repeated falls makes the diagosis of LBD unlikely FALSE

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Great going Childpsych.

Not being critical but ref. will definitely be of grrrr8 help.

However, we shall try to help  for quoting ref for some of these at least.

Com'on guys, lets contribute

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1. Fluctuation of cognitive performance (attention and level of consciousness) is more likely in AD than DLB FALSE

2. Approximately one quarter of DLB patients will describe detailed visual hallucinatory experiences FALSE (2/3rd)

3. Parkinsonism at presentation occurs in almost all patients with DLB FALSE (less than 50%)

4. Prominent atrophy of the medial temporal lobe in MRI is observed in DLB FALSE (in AD)

5. Atypical antispychotics have not been associated with neuroleptic sensitivity reactions in DLB FALSE

6. &nbsp:lol:ouble blind RCT evidence suggests that cholinesterase inhibitors reduce psychotic symptoms in DLB TRUE

7. Benzodiazepines are the optimal treatment for night time sedation in DLB FALSE

8. Parkinsons disease is one of the Lewy body spectrum disorders TRUE

9. Falls and confusions are suggestive of Lewy body dementia TRUE

10. Stepwise cognitive decline is a recognised feature of LBD FALSE

11. Lewy bodies are present in 40% of dementia FALSE (20%)

12. Visual hallucinations are characteristic of DLB FALSE (characteristic means that if they are not present then the diagnosis becomes doubtful)

FRONTOTEMPORAL DEMENTIA

13. Early loss of insight is characteristic of frontotemporal dementia TRUE

14. Spatial orientation is relatively spared in FTD TRUE

15. Pick’s bodies are intracytoplasmic argyrophilic inclusion bodies which are tau and ubiquitin positive TRUE

16. Chlolinergic dysfunction has been documented in FTD FALSE

17. Frontotemporal dementia shows focal atrophy in the MRI TRUE

18. There is an excess of highly phosophorylated tau in Pick’s bodies TRUE

19. The EEG changes in FTD TRUE (50% have abnormal EEG)

20. Early onset of apraxia indicates Pick’s disease rather than Alzhiemer’s FALSE

21. Spongioform degeneration occurs in FTD FALSE

DEMENTIA IN OTHER DISORDERS

22. Subcortical dementia is characterised by bradyphrenia TRUE

23. Poor function at work occurs early in Huntington disease TRUE

24. Huntington disease have more prominent difficulties with memory than AD patients FALSE

25. Multiple sclerosis is associated with dementia TRUE

26. B12 deficiency commonly causes dementia FALSE

27. Early CJD is associated with definite EEG changes FALSE (late onset)

SCHIZOPHRENIA AND PSYCHOTIC DISORDERS OF LATE LIFE

28. Formal thought disorder is as common in early onset schizophrenia before 40 years old as it is in very late onset after 60 years old FALSE

29. Negative symptoms are extremely rare in very late onset schizophrenia TRUE

30. Men are at greater risk of developing very late onset schizophrenia FALSE

31. Patients who develop paranoid psychosis late in life are unlikely to have schizoid or paranoid premorbid personality traits. TRUE

32. APOE e4 allele frequency is raised in very late onset schizophrenia like psychosis FALSE

33. In paraphrenia there is a history of decreased fertility FALSE

34. In delusional disorder of late life, premorbid fertility rates are lower than in general population FALSE

35. In delusional disorder of late life, prescription of a hearing aid will successfully improve most cases associated with deafness FALSE

36. Five percent of first degree relatives are schizophrenic in a patient presenting with late paraphrenia FALSE

37. Paraphrenia mostly precedes dementia FALSE (very favourite Royal College question)

38. &nbsp:lol:elusions of persecution commonly precedes dementia FALSE

39. In late onset paraphrenia visual hallucinations are more common than auditory hallucinations FALSE

40. There is an approximately equal sex distribution of late onset paraphrenia FALSE

Visual hallucinations are a defining factor in Charles Bonnet Syndrome TRUE

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