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dharma

last few isqs

14 posts in this topic

Respond by any preferable medium ;)

but need either refs, or that u are sure of what u r saying and can somehow justify 8-).

it's not the time for guessing >:(.. if u are guessing pls state so :-*

1. mean age of LD offenders is higher than the general population

2. relapse rate of depression in elderly is significantly reduced by maintenace medication with TCAs

3. sibling of autistic child has 8%risk of developing autism

4. those with personality disorder continue to show interpersonal difficulties as they grow older

5. measurement scales with multiple answers increase reiability in measuring attitude

6. ADHD is assoc with alcohol dependance

7. more than 10% of urban boys have juvenile delinquency

8. complex partial seizures are usually assc with emotional probs in children

9.stimulus control is more useful in precontemplation stages of change than in the action phase

10. women who kill their children are often found to have been self harming

11. a 75 yr old man is more likely to kill himself than a 30 yr old depressed

12. schizoaffective disorder was described by kraeplin as a mixed affective state

13. ADHD is as common in people with profound LD as those with a normal iq

14. a patient is likely to recall a history of chilhood sexual abuse unless they resort to infantile amnesia

15. mortality in anorexia nervosa is 5%4yrs after hospitalisation

16. HAMD has more cognitive items than MADRS

17. children with peer rejection usually have mothers who are unsociable

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:lol: :lol:

Have i scared everyone offfffffffff.... can i have some answers pls :-*

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3. sibling of autistic child has 8%risk of developing autism

True Ref: Goodman 48 (the recurrence rate for siblings is 3% for narrowly defined autism and 10 to 20% for milder variants) 8-)

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16. HAMD has more cognitive items than MADRS

False Manchester notes 8-)

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11. a 75 yr old man is more likely to kill himself than a 30 yr old depressed True

suicide rates are highest among 75 years..Manchester notes

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4. those with personality disorder continue to show interpersonal difficulties as they grow older

True again Manchester notes 8-) 8-)

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Respond by any preferable medium ;)

but need either refs, or that u are sure of what u r saying and can somehow justify 8-).

it's not the time for guessing >:(.. if u are guessing pls state so :-*

1. mean age of LD offenders is higher than the general population

2. relapse rate of depression in elderly is significantly reduced by maintenace medication with TCAs

3. sibling of autistic child has 8%risk of developing autism

4. those with personality disorder continue to show interpersonal difficulties as they grow older )F

5. measurement scales with multiple answers increase reiability in measuring attitude T

6. ADHD is assoc with alcohol dependance

7. more than 10% of urban boys have juvenile delinquency

8. complex partial seizures are usually assc with emotional probs in children F GESS

9.stimulus control is more useful in precontemplation stages of change than in the action phase F

10. women who kill their children are often found to have been self harming

11. a 75 yr old man is more likely to kill himself than a 30 yr old depressed YES DEFIN

12. schizoaffective disorder was described by kraeplin as a mixed affective state F

13. ADHD is as common in people with profound LD as those with a normal iq FFF

14. a patient is likely to recall a history of chilhood sexual abuse unless they resort to infantile amnesia T

15. mortality in anorexia nervosa is 5%4yrs after hospitalisation DK

16. HAMD has more cognitive items than MADRS

17. children with peer rejection usually have mothers who are unsociable

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1. mean age of LD offenders is higher than the general population F (Oxford handbook p. 645 - 'Offences are broadly similar to those in non-learning disabled offenders')

2. relapse rate of depression in elderly is significantly reduced by maintenace medication with TCAs T

Reynolds CF 3rd, Frank E, Perel JM, et al. Nortriptyline and interpersonal psychotherapy as maintenance therapies for recurrent major depression: a randomized controlled trial in patients older than 59 years. JAMA 1999;81(1):39-45

In a randomized, controlled study of recurrent depression in the elderly (22), the relapse rates over 3 years were 20% for patients who received nortriptyline plus monthly interpersonal therapy, 43% for those in the nortriptyline plus medication clinic group, 64% for the interpersonal psychotherapy only group, and 90% for the placebo plus medication clinic group.

3. sibling of autistic child has 8%risk of developing autism T

According to Abobutta - Goodman 48 (the recurrence rate for siblings is 3% for narrowly defined autism and 10 to 20% for milder variants)

4. those with personality disorder continue to show interpersonal difficulties as they grow older T

Psychiatr Q. 2001 Spring;72(1):29-40.

This case study investigation considers typical and potentially unique characteristics of older (> 50 years) Borderline Personality Disorder (BPD) patients and describes their impact on an inpatient psychiatric unit encompassing a therapeutic milieu setting and multidisciplinary treatment teams. The somatization of symptoms, in particular, and the associated therapeutic, medical, and psychopharmacological interventions, result in prolonged and elaborate treatments that undermine clinical and personal boundaries, clash with managed care directives, and engender frustrating and elusive transferential and countertransferential reactions. Moreover, the guilt-inducing nature of somatization and physical frailty in older individuals, combined with the well-documented ability of BPD patients, regardless of age, to incite stormy and 'split' relationships, are linked characteristics that may describe a diagnostic subtype of BPD.

5. measurement scales with multiple answers increase reiability in measuring attitude F

- reliability is a measure is the extent to which that measure is stable between raters / items / scale

- thus increases number of answers a/v is a means to change 'validity'

6. ADHD is assoc with alcohol dependance T

Lakartidningen. 1998 Nov 18;95(47):5316-9.

The prevalence of attention deficit hyperactivity disorder (ADHD) and of the overlapping condition, deficit in attention, motor control and perception (DAMP), among children of early school age is approximately 5 per cent (1.5% being severe cases). Boys are more commonly affected than girls. The symptoms continue to be disabling at 20 years of age in 50 per cent of cases, and social maladjustment is common. Half of the young boys develop oppositional defiant disorder (ODD), very often progressing to conduct disorder (CD) and antisocial personality disorder (ASPD). Low socio-economic status, parental mental disorder, and persistence of DAMP/ADHD symptoms are all predictors of the development of CD/ASPD. Prospective studies of children with DAMP/ADHD have shown them to be characterised by a high level of alcohol and/or drug abuse comorbidity, particularly the subgroup progressing to CD/ASPD. Conversely, studies of drug abuse and of alcohol abuse series have shown them to be characterised by a high level of DAMP/ADHD comorbidity. Approximately one in five alcoholics has or has had DAMP/ADHD, a comorbidity probably even more pronounced among type II alcoholics. Approximately every third substance-abuser has or has had DAMP/ADHD. The need of more persevering support and treatment efforts for the well-defined category of boys at high risk is emphasised. Better awareness, active diagnosis and treatment of adults with persisting DAMP/ADHD is also warranted.

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7. more than 10% of urban boys have juvenile delinquency T

http://www.ncjrs.gov/pdffiles/urdel.pdf

Included Denver, Rochester and Pittsburg studies in USA

20-25%)

8. complex partial seizures are usually assc with emotional probs in children T

Folia Psychiatr Neurol Jpn. 1985;39(3):273-8.

We studied the long-term prognosis of complex partial seizures in childhood including their electroencephalograms, behavioral problems and adaptation to school or society. In the clinical course, seizures were controlled in 25 cases out of 40 (62.5%). The rate of seizure control was significantly higher in cases with a past history of febrile convulsions, whose onset occurred before 6 years of age and in whom the CT scans were normal. Behavioral, motor and emotional problems included 'clumsiness' in 25%, 'poor athletes' in 22.5%, 'hyperactivity' in 17.5% and 'easily enraged' in 12.5% of the cases. The overall cooperation of the surroundings with the patients was thought to be as important a factor as the patients' IQ, motor or emotional problems so that they can get along in school or society.

9.stimulus control is more useful in precontemplation stages of change than in the action phase F

Stimulus control is to make and sustain changes. Thus useful in both stages

10. women who kill their children are often found to have been self harming T

(Psychaitry 5:1 p. 15 - When they do (kill their children), the most frequent scenario involves a parent who is suicidal.)

11. a 75 yr old man is more likely to kill himself than a 30 yr old depressed T (Elderly a risk factor of higher suicidal rate).

12. schizoaffective disorder was described by kraeplin as a mixed affective state F

It referred to bipolar affective disorder

The simultaneous existence of manic and depressive symptoms in a manic-depressive patient was first described by Kraepelin. This so-called mixed state has come to have much theoretical significance in recent hypotheses about the nature of bipolar affective disorders.

13. ADHD is as common in people with profound LD as those with a normal iq F

From pubmed, ADHD is seen in mostly mild LD and normal people. Vice versa, people with ADHD usually have specific learning diability only but not a general mental retardation.

14. a patient is likely to recall a history of chilhood sexual abuse unless they resort to infantile amnesia F

Firstly, infantile amnesia means the common inability to remember autobiographical experiences from the first years of life.

Secondarly, number of factors would affect the recall ability of victims

J Child Sex Abus. 2003;12(1):67-88.

Over the past decade, a contentious debate regarding delayed memories of childhood sexual abuse (CSA) has existed. In order to address this debate, 240 female participants completed questions about CSA, the Dissociative Experience Scale (Bernstein & Putnam, 1986), Perceived Emotional Closeness with Perpetrator Scale (Schultz, Passmore, & Yoder, 2000), and the Gudjonsson Suggestibility Scale 2 (GSS 2) (Gudjonsson, 1987). Eighty-two (36%) reported CSA and 37% of these indicated memory disturbances for the CSA. Participants reporting memory disturbances also reported significantly higher numbers of perpetrators, chemical abuse in their families, and closer relationships with the perpetrator(s) than participants reporting no memory disturbances. Implications for clinicians working with clients reporting CSA are discussed.

15. mortality in anorexia nervosa is 5%4yrs after hospitalisation F

The British Journal of Psychiatry (2000) 176: 138-141

Cases were followed up at 2-7 years and outcome rated according to reliable methods. Setting of treatment received was also recorded.

Two out of 75 cases had died by the time of follow-up (2.67%)

16. HAMD has more cognitive items than MADRS F

http://www.cnsforum.com/resources/ratingpsychiatry/depression/

HAMD - self-depreciation and guilt feeling, loss of insight

MADRS - concentration difficulties, pessmistic thoughts,

17. children with peer rejection usually have mothers who are unsociable F

No evidence could be found

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Thanks Joyleung... there's no stopping u now is there ;).... get some sleep as well though!!!!

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the q joy was as follows

a patient is likely to recall a history of chilhood sexual abuse that hap in first year of his life unless they resort to infantile amnesia

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Amaral: I do have enough sleep! I'm not taking exam in UK! ;)

Eureka: If the question is set as this, then answer TRUE is safer.

Less than 24 hours to go... scary :o

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ahaaaa!!!

OK good luck to you then Joyleung...

lets see if we can do it this time too :lol:

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I think you've prepared much better than I am, amaral :lol:

But better to keep our study going, and going... hehe

P.S. Some of my friends taking Part I this time. Waiting passlist for them now...

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