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Guest patrick

MCQ of doubt

33 posts in this topic

There are some MCQs which I am not quite sure about the answers. Please help! Sorry if they have already been answered in certain part of the forum:

Spring 2005:

1. when mother remary girls are more distressed than boys

2. children with CFS have more psychological problems than those with juvenile RA

3. constant rumination about food in LD patients is associated with increased mortality

4. MTHFR gene is a risk for hyperchomocysteinaemia

5. perinatal psychosis usually thought to be a form of bipolar disorder

6. theory of mind develops at the age of 4

7. arson overrepresented in LD

8. about 2/3 of mothers with post natal depression has bonding problems with their children

9. complex partial seizure are usually asso with emotional problems in childhood

10. young adults with downs usually have fits

11. semantic dementia is seen because of fronto temporal lobe atropy

12. insulin release from pancreas after a carbohydrate meal leads to reduce ration of typtophan and large amino acid

2004 Autumn:

1. the suffocation alarm theory of anxiety is that some people have hypersensitive suffocation centres

2. vomiting is a poor prognostic sign in AN

3. there is a 90% monozygotic twin concordance rate in autism

4. according to Eysenck's theory, extraverts are more conditionable

2004 Spring:

1.imipramine and MAOI are equally effective in treating moderately severe depression

2. If a child of six has not developed clear right/ left dominance he is more likely to develop mod/severe learning disability

3. concrete operational thinking is protective against depression in chidlren

4. prada willi is associated with self mutilation

5. cognitive consonance is imperative for problem solving

6. a binomial distibution will be more symmetrical if p is much greater than 1-p

2003 autumn

1. wilson disease is associated with chromosomal abnormality

2. down's syndrome is the most common cause of severe learning disability

3. the adversarial system requires a jury

4. NMS can be treated with calcium channel blockers and dopamine agonist

2003 spring

1. SPET 1123 is used to detect benzo receptors

2. CT is usually found to be normal in advanced CJD

3. fronto-temporal atrophy usually indicates pick's disease

4. perinantal insult predicts or increase the chances of violence in late life

5. a child born in hypothyroidism is normal at birth

6. 0.1-0.2% of genetic disorders can be detected in the next generation

2002 autumn

1. after five year follow up in penetrating head injury to the right cerebral cortex there is strong evidence that apathy is a significant association

2. new variant CJD is characterized by positive tonsillar biopsy of prion protein

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1. when mother remary girls are more distressed than boys False-boys are more distressed

2. children with CFS have more psychological problems than those with juvenile RA .True

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1. wilson disease is associated with chromosomal abnormality.True

2. down's syndrome is the most common cause of severe learning disability .True

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Spring 2005:

1. when mother remary girls are more distressed than boys

True. Goodman and Scott page 214. Girls more distressed by the remarraige and boys by the divorce.

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Autumn 2004

3. there is a 90% monozygotic twin concordance rate in autism

False. 90% is heritability as suggested by twin studies, not concordance rate.

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Spring 2003

1. SPET 1123 is used to detect benzo receptors

False. 123 Iodine Iomazenil is a ligand used in SPET to study GABA receptor system (not benzo receptors) in Schiz, alcoholism and anxiety. Core Psychiatry page 532. Check the question carefully in the exam.

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Spring 2004

4. prada willi is associated with self mutilation

False. It's Lesch Nyhan.

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Autumn 2004

2. vomiting is a poor prognostic sign in AN

True if it is self-induced vomiting.

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new variant CJD is characterized by positive tonsillar biopsy of prion protein

True

tonsillar biopsy is not a definitive test for vCJD. other CJD's are negative for CJD.

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5. a child born in hypothyroidism is normal at birth

True

At the time of birth the symptoms and signs of hypothyroidism are minimal or absent, and the lack of adequate thyroid hormone from birth until approximately age 2 years is associated with varying degrees of permanent mental retardation.

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1. the suffocation alarm theory of anxiety is that some people have hypersensitive suffocation centres

True

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new variant CJD is characterized by positive tonsillar biopsy of prion protein

True

tonsillar biopsy is not a definitive test for vCJD. other CJD's are negative for CJD.

True

Tonsillar biopsy appears to be both an extremely specific and sensitive test for the antemortem diagnosis of vCJD and so far represents the only means of diagnosing vCJD before death Oxford Textbook of Public Health

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5. perinatal psychosis usually thought to be a form of bipolar disorder

True

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9. complex partial seizure are usually asso with emotional problems in childhood

True

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10. young adults with downs usually have fits

11. semantic dementia is seen because of fronto temporal lobe atropy

True

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2. CT is usually found to be normal in advanced CJD

True

Besides nonspecific atrophy, abnormalities are not seen by computed tomography (CT) scans, and initial reports suggested likewise that MRI in sporadic CJD was only nonspecifically abnormal

Kaplan

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CT and MRI may reveal cerebral atrophy late in the course of the disease(CJD).

Sorry but found this in Merritt's Neurology.

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Josy wrote:

1. wilson disease is associated with chromosomal abnormality.True

I think it is actualy FALSE: it is a single gene abnormality mapped to chromosome 13 (13q14.3) [wikipedia/any textbook]

does this qualify it as a chromosomal abnorm in the sense of aneuplody? am I being overcautious?

please people support your answers with references!

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benzo RECEPTARS preent on GABA arN,t they?

Spring 2003

1. SPET 1123 is used to detect benzo receptors

False. 123 Iodine Iomazenil is a ligand used in SPET to study GABA receptor system (not benzo receptors) in Schiz, alcoholism and anxiety. Core Psychiatry page 532. Check the question carefully in the exam.

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