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Guest omer189

SOME UNANSWERED QUESTIONS.....

26 posts in this topic

HI,

these are some of the questions with no/ dubious answers from the past papers....lets try to answer some of these...preferabably with ref's

1. Bipolar monozygotic twin will have 5% chance of developing schizophrenia

2. Salivary cortisol falls more than plasma cortisol in the dexamethasone suppression test

3. Memory problems improve towards the end of a course of ECT

4. 1 % people admit to suicide ideas according to national comorbidity survey

5. About 2/3 of mothers with post natal depression have bonding problems with their children

6. Children who don’t achieve handedness are associated with future Learning Disability

7. Children who don’t achieve handedness usually have bilateral speech centres

8. Gender differences exist in the moral development of children

9. Carers are more likely to abuse a patient in an elderly nursing home if they are of the opposite sex

10. Heroin produces more euphoria than morphine due to increased potency at the mu receptor.

11. Mothers who kill their child within 24 hrs after delivery usually would have had denial or dissociation for the pregnancy.

12.Whole of cortex is stimulated in Tourett's syndrome

13.Neonatal joint stiffness present in Down's

14.Recurrent bronchitis common in down's

15.Speech expression is diminished in downs

16.Imperforate anus at birth suggests Down's syndrome

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1 % people admit to suicide ideas according to national comorbidity survey

False

The researchers found that no significant changes occurred between 1990-1992 and 2001-2003 in suicidal ideation (2.8 percent vs. 3.3 percent), plans (0.7 percent vs. 1.0 percent), gestures (0.3 percent vs. 0.2 percent), or attempts (0.4 percent-0.6 percent). Treatment increased dramatically among ideators who made a gesture (40.3 percent vs. 92.8 percent) and among ideators who made an attempt (49.6 percent vs. 79.0 percent).

http://www.thestressoflife.com/little_change_in_suicidal_though.htm

The above mentioned data is from U.S.A., the U.K. figures are similar and can be found on http://bjp.rcpsych.org/cgi/content/full/185/5/385

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5. About 2/3 of mothers with post natal depression have bonding problems with their children  

True

Kaplan & Sadock’s Comprehensive Textbook of Psychiatry

There also a page on College website http://www.rcpsych.ac.uk/press/preleases/pr/pr_217.htm

It states that in a study (31.7 %) of the mothers in the sample were found to have a severe form of interaction difficulties (either rejection of infant, pathological anger or both); 14 (34.1 %) had mild interaction difficulties (postpartum anxiety, lack/loss of maternal emotional response or obsessions of child harm). The remaining 14 (34.1 %) had a normal relationship with their babies.

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9. Carers are more likely to abuse a patient in an elderly nursing home if they are of the opposite sex

False

Male staff are more likely to abuse male elderly patients and vice versa. This was found in a survery in America by Payne and Chikovic(1995) The answer seems to be  deep rooted oeidipal conflicts.

The answer is on page 9 of the document, of a Royal College report on Institutional Abuse of Elderly from 2000.

http://www.popan.org.uk/policy/Policy_content/Elder%20Abuse/RCP%20Elder%20Abuse.pdf

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14.Recurrent bronchitis common in down's

True

People with Down's are predisposed to respiratory infections and sleep apnoea.

Oxford Text Book of Psychaitry

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16.Imperforate anus at birth suggests Down's syndrome

Imperfprate anus is known to occur with Down's but not very infrequently. The upper GI problems are common, along with hernias. The answer would be probably yes but its not characteristic.

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3. Memory problems improve towards the end of a course of ECT

True

The first factor in the development of adverse cognitive side effects is time point in treatment, which influences not only severity, but also the type of effect observed. Disorientation, decreased anterograde and retrograde memory, and errors in visual-spatial function and word finding are greatest immediately after a treatment session. These effects diminish fairly quickly once the treatment course ends.

Kaplan & Sadock's

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8. Gender differences exist in the moral development of children

True

More recent approaches to explain moral development are the gender-based theories. Carol Gilligan asserts that male and female morality develop along different tracks. Women's moral development ends in compassion and an ethics of caring, whereas men's morality culminates in a moral system that is dominated by the ethics of justice and the assertion of rights

Kaplan & Sadock's

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13 neonatal joint stiffness present in downs

False

hypotonia is seen in in downs

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1 % people admit to suicide ideas according to national comorbidity survey

False

The researchers found that no significant changes occurred between 1990-1992 and 2001-2003 in suicidal ideation (2.8 percent vs. 3.3 percent), plans (0.7 percent vs. 1.0 percent), gestures (0.3 percent vs. 0.2 percent), or attempts (0.4 percent-0.6 percent). Treatment increased dramatically among ideators who made a gesture (40.3 percent vs. 92.8 percent) and among ideators who made an attempt (49.6 percent vs. 79.0 percent).

http://www.thestressoflife.com/little_change_in_suicidal_though.htm

The above mentioned data is from U.S.A., the U.K. figures are similar and can be found on http://bjp.rcpsych.org/cgi/content/full/185/5/385

I suggest you check the Suicide section on the Manchester notes on mood disorders before answering an affirmative false to this Qs.If my memory serves me right, the M notes say the national morbidity survey report 1% of the population admit to suicidal ideas within the last week.Please check this notes.

Tao

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1 % people admit to suicide ideas according to national comorbidity survey

False

The researchers found that no significant changes occurred between 1990-1992 and 2001-2003 in suicidal ideation (2.8 percent vs. 3.3 percent), plans (0.7 percent vs. 1.0 percent), gestures (0.3 percent vs. 0.2 percent), or attempts (0.4 percent-0.6 percent). Treatment increased dramatically among ideators who made a gesture (40.3 percent vs. 92.8 percent) and among ideators who made an attempt (49.6 percent vs. 79.0 percent).

http://www.thestressoflife.com/little_change_in_suicidal_though.htm

The above mentioned data is from U.S.A., the U.K. figures are similar and can be found on http://bjp.rcpsych.org/cgi/content/full/185/5/385

I suggest you check the Suicide section on the Manchester notes on mood disorders before answering an affirmative false to this Qs.If my memory serves me right, the M notes say the national morbidity survey report 1% of the population admit to suicidal ideas within the last week.Please check this notes.

Tao

Dear Tao,

The question has figured in part one exam several times as well, and try to bear in mind the question deals specifically about one particular survey. My suggestion is dont bank too much on Manchester notes. Quite a lot of their answers are wrong.

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schizophrenia

2. Salivary cortisol falls more than plasma cortisol in the dexamethasone suppression test F/?

3. Memory problems improve towards the end of a course of ECT F

4. 1 % people admit to suicide ideas according to national comorbidity survey T

5. About 2/3 of mothers with post natal depression have bonding problems with their children F

6. Children who don’t achieve handedness are associated with future Learning Disability T

7. Children who don’t achieve handedness usually have bilateral speech centres ?

8. Gender differences exist in the moral development of children T

9. Carers are more likely to abuse a patient in an elderly nursing home if they are of the opposite sex F

10. Heroin produces more euphoria than morphine due to increased potency at the mu receptor. T

11. Mothers who kill their child within 24 hrs after delivery usually would have had denial or dissociation for the pregnancy. T

12.Whole of cortex is stimulated in Tourett's syndrome F

13.Neonatal joint stiffness present in Down's F

14.Recurrent bronchitis common in down's T

15.Speech expression is diminished in downs ?

16.Imperforate anus at birth suggests Down's syndrome F

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The question regarding suicidal thoughts in the last year, and last week have given rise to a lot of controversy and speculation. I have been working on this and found that Rachel Jenkins appears to be an authority on this and has written a great deal about this. Her article on

http://www.statistics.gov.uk/downloads/theme_health/Suicides_v3.pdf#search='jenkins%20suicidal%20thoughts%20in%20last%20week'

should settle all the controversy. She says

1. 14.9% have considered suicide at some point in their life.

2. 3.9% in the past year

3. 0.4% in the last week

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schizophrenia  

2. Salivary cortisol falls more than plasma cortisol in the dexamethasone suppression test   F/?

3. Memory problems improve towards the end of a course of ECT  F

4. 1 % people admit to suicide ideas according to national comorbidity survey  T

5. About 2/3 of mothers with post natal depression have bonding problems with their children  F

6. Children who don’t achieve handedness are associated with future Learning Disability  T

7. Children who don’t achieve handedness usually have bilateralspeech centres  ?

8. Gender differences exist in the moral development of children  T

9. Carers are more likely to abuse a patient in an elderly nursing home if they are of the opposite sex F

  10. Heroin produces more euphoria than morphine due to increased potency at     the mu receptor. T

11. Mothers who kill their child within 24 hrs after delivery usually would have had denial or dissociation for the pregnancy.   T

12.Whole of cortex is stimulated in Tourett's syndrome   F

13.Neonatal joint stiffness present in Down's   F

14.Recurrent bronchitis common in down's   T

15.Speech expression is diminished in downs   ?

16.Imperforate anus at birth suggests Down's syndrome F

Back to top  

Could you please give me some links to your answers regarding the question about

1. salivary cortisol,

2. Maternal bonding

3. Handedness and learning disablitiy

4. Heroine and euphoria

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Dear Alokjha,thanks for the information on the suicide question.

What do you think about ECT and memory problems?

Some more brain teasers:

1.Sleep deprivation reduces the number of killer cells in the brain

2.Giant multinucleate cells are seen in HIV-infected brain

3.patints with MS who complain of fatigue are usually depressed

4.GHQ is the most common screning tool for psychiatric disorders

5.Galantamine should be reviewed only 6 months after intiating.

6.LSD causes physical dependency

7.Ecstasy causes more physical dependence than cocaine

8.MCPP is a 5-HT2a antagonist.

9.A patient failing to attend a therapy group who have critisized her is what Bion referred to as the basic assumption.

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6.LSD causes physical dependency- FALSE

Ref: SOTP

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5.Galantamine should be reviewed only 6 months after intiating. -false

Ref: Nice guidelines

The patient should be assessed 2-4 months after maintenance dose is established- with all drugs for dementia. Drug Rx should continue only if MMSE score has improved or has not deteriorated.

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1.Sleep deprivation reduces the number of killer cells in the brain

? wrong framing of question

killer cells in brain?

Sleep deprivation reduces the number of natural killer cells (CD) in the body- True

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2.Giant multinucleate cells are seen in HIV-infected brain - true

Ref; http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=3059209&dopt=Abstract

The most common pathological abnormalities are the changes associated with the HIV agent itself, the 'HIV subacute encephalitis'; the most specific change is demyelination with multinucleate giant cells.

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Dear Ssdean

according to your ref i think fatigue in Ms is not usually due to depression , it is one of the causes

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GHQ is the most common screning tool for psychiatric disorders

True

Instruments for epidemiological research fall into two types: questionnaires and psychiatric examinations.

Questionnaires

The more simple type is a symptom scale, which can be completed by respondents themselves or administered by an interviewer. The best-known instrument is the GHQ used in its 60, 30, 28, or 12-item versions. The GHQ detects symptoms of anxiety and depression. The briefest version, the GHQ-12, is a highly efficient screening tool. A score of 2 or more indicates that the person is likely to have one of what Goldberg and Huxley have usefully termed common mental disorders.

New Oxford Textbook of Psychiatry

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Ecstasy causes more physical dependence than cocaine

False

Strong opiates and cocaine are the most addictive, being in the same class as nicotine. The benzodiazepines, ecstasy, and psychedelics are the least addictive, and are significantly less addictive than alcohol.

New Oxford Textbook of Psychiatry

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