• Announcements

    • Gurpal

      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/  
Sign in to follow this  
Followers 0
ashlesha

EMI\'s Spring 2005

110 posts in this topic

There are hardly any EMI discussions in this website.

Any suggestions for answers?

Basic Sciences 2

Mammilary bodies

Superior colliculi

Inferior olivary nucleus

Lentiform nucleus

Arcuate fasciculus

Temporal pole

Subiculum

Medial geniculate body

Medial thalamus

Select the neuroanatomy most likely to be associated with the following

1 Uncinate Fasciculus (2)

2 Korsakoffs psychosis (2)

3 Auditory Pathway (2)

Share this post


Link to post
Share on other sites

Another one

Basic Sciences 1

Normal EEG

Triphasic wave

Spikes & waves

Generalised slowing with preserved posterior alpha waves

Increased theta

Decreased beta

Select two or three of the above for the clinical scenario

1 A 70 year old man, depressed for some time who has recently become aggressive and shoplifting (2)

2 A 65 year old man whose wife died has died recently and he has become convinced he has cancer (2)

3 A 63 year old woman with 9 month history of memory loss and a recent fall (3)

Share this post


Link to post
Share on other sites
There are hardly any EMI discussions in this website.

Any suggestions for answers?

Basic Sciences 2

Mammilary bodies

Superior colliculi

Inferior olivary nucleus

Lentiform nucleus

Arcuate fasciculus

Temporal pole

Subiculum

Medial geniculate body

Medial thalamus

Select the neuroanatomy most likely to be associated with the following

1 Uncinate Fasciculus (2)

2 Korsakoffs psychosis (2)

3 Auditory Pathway (2)

1 Uncinate Fasciculus (2)-----1)Temporal pole ,2)?

The borders for Uncinate Fasciculus  were drawn as follows. The posterior limit was the level at which Heschl’s gyrus meets the circular sulcus between the insula and superior temporal cortex; anteriorly, the limit was the temporal cortex on the superior surface of the temporal pole. The lateral limit of the transection line was the cortex lining the deepest part of the circular sulcus. The medial limit was formed, from anterior to posterior, by: the cortex on the superior surface of the temporal lobe and anterior to the amygdala; the fibres of the amygdalo-temporal fasciculus; and, finally, the anteroposterior orientated fibres of the inferior longitudinal fasciculus

2 Korsakoffs psychosis (2)-----1)Mammilary bodies,2)Medial thalamus

impairment of Korsakoff syndrome is the result of lesions in the mammillary body has given way to evidence of better correlation with lesions in the dorsomedial or anterior nuclei of the thalamus.

3 Auditory Pathway (2)-----1)Medial geniculate body,2)?

Share this post


Link to post
Share on other sites
Another one

Basic Sciences 1

Normal EEG

Triphasic wave

Spikes & waves

Generalised slowing with preserved posterior alpha waves

Increased theta

Decreased beta

Select two or three of the above for the clinical scenario

1 A 70 year old man, depressed for some time who has recently become aggressive and shoplifting (2)

2 A 65 year old man whose wife died has died recently and he has become convinced he has cancer (2)

3 A 63 year old woman with 9 month history of memory loss and a recent fall (3)

3)Alzheimer`s----so

  Increased theta

  Generalised slowing with preserved posterior alpha waves

  ?

1)if this is Frontotemporal dementia----then

  Normal EEG

  Increased theta

Share this post


Link to post
Share on other sites

auditory pathway

Auditory nerve fibers synapse with neurons in the ipsilateral cochlear nucleus. From the cochlear nucleus, the pathway goes through the trapezoidal body and crosses to the contralateral side to synapse within the superior olivary nuclei. The superior olivary nuclei, including the lateral superior olivary nucleus and medial superior olivary nucleus are the first nuclei to receive substantial input from both the ipsi and the contralateral sides. Using input from both ears, it is one of the key nuclei for localizing sound. Continuing up the auditory pathway, some fibers continue up to the inferior colliculus while others synapse at the lateral lemniscal nuclei before crossing to the other side and continuing up to the inferior colliculus. From the inferior colliculus, the pathway either crosses to the contralateral inferior colliculus or continues on to the medial geniculate body (on the ventral posterior portion of the thalamus). From the medial geniculate body, signals continue up the auditory pathway to the auditory cortex (Figure 5).

cochlear nucleus

superior olivary nucleus

lateral lemiscus

inferior colliculus

medial geniculate body

visual pathway

Vision is generated by photoreceptors in the retina, a layer of cells at the back of the eye. The information leaves the eye by way of the optic nerve, and there is a partial crossing of axons at the optic chiasm. After the chiasm, the axons are called the optic tract. The optic tract wraps around the midbrain to get to the lateral geniculate nucleus (LGN), where all the axons must synapse. From there, the LGN axons fan out through the deep white matter of the brain as the optic radiations, which will ultimately travel to primary visual cortex, at the back of the brain.

Share this post


Link to post
Share on other sites

more emi's

this one i have no clue!!!

Basic Sciences 3

A sister screening for depression on ward selects 8 people with depression out of a total of nine who have depression

A sister screening for depression on a ward selects 80 people who haven't got depression out of a total of 100 who haven't got depression

We usually choose diagnostic categories from ICD 10

Concordance in diagnosis between GHQ and Becks depression inventory

95 % of people diagnosed with LBD screened with test x?? have Lewy Body Dementia

The sister in a and b checks her figures and finds a total of 8 people with depression test positive from a total of 28 with depression on the ward

Some Alzheimers test that is very reliable for AD??

1 Give 3 examples of Construct Validity

2 Give 2 examples of Concurrent Validity

3 Give 1 example of Discriminatory Validity

Share this post


Link to post
Share on other sites

EMI Clinical

Denial

Denigration

Idealisation

Projective Identification

Reaction Formation

Sublimation

Splitting

1 A patient who had taken a large overdose before admission is agitated and is insisting on discharge. The SHO is left feeling extremely anxious and the patient now seems calm.

2 A patient tells of how happy his childhood was and how his mother was ‘brilliant’ until she had to give him up for financial reasons. From his notes we know he was taken into care because of severe neglect and abuse by his mother.

3 A patient has put in a complaint against a member of the team. The team member is confused because last week he told her how great she was. What is she missing?

Share this post


Link to post
Share on other sites

Possible answers

If we no the statements as abc

1- a c f ?

2- e G ?

3- D ?

very hard

Share this post


Link to post
Share on other sites

i agree...they seem extremely hard...but this is what comes in exam and some get repeated apparenty!

Share this post


Link to post
Share on other sites

EMI 2

1. Projective identification

2. Denial

3. Splitting

Share this post


Link to post
Share on other sites
more emi's

this one i have no clue!!!

Basic Sciences 3

A sister screening for depression on ward selects 8 people with depression out of a total of nine who have depression

A sister screening for depression on a ward selects 80 people who haven't got depression out of a total of 100 who haven't got depression

We usually choose diagnostic categories from ICD 10

 

Concordance in diagnosis between GHQ and Becks depression inventory

95 % of people diagnosed with LBD screened with test x?? have Lewy Body Dementia

The sister in a and b checks her figures and finds a total of 8 people with depression test positive from a total of 28 with depression on the ward

Some Alzheimers test that is very reliable for AD??

1 Give 3 examples of Construct Validity

We usually choose diagnostic categories from ICD 10

 

2 Give 2 examples of Concurrent Validity

3 Give 1 example of Discriminatory Validity

Concordance in diagnosis between GHQ and Becks depression inventory

Share this post


Link to post
Share on other sites

some more...

EMI Basic Sciences 4

Genetic Disorders

Lesch Nyan

Prader Willi

Retts Syndrome

Angelman

ADHD

Fragile X

Hunters

1 Self harm in boy with self biting

2 Obsessional eating

3 6 year old girl with sudden deterioration and loss of previous learned behaviour and handwringing

Share this post


Link to post
Share on other sites

EMI Clinical 4

Logotherapy

Parent training

Family Therapy

Methylphenidate

Lithium

Paroxetine

Venlafaxine

1 4 year old taking the piss at school with teachers. Mother reports he is openly defiant at home.

2 17 year old aggressive to the point parents have court injunction against him, he admits to being aggressive in all circumstances but no other symptoms

3 13 year old girl aggressive, trouble at school, diagnosed as hyperkinetic by a psychologist

Share this post


Link to post
Share on other sites

1 Self harm in boy with self biting

Lesch nyham

2 Obsessional eating

Prader willi

3 6 year old girl with sudden deterioration and loss of previous learned behaviour and handwringing

Retts

thanks for keeping us going... sorry not contributing much lately... getting totally nervewracked lately :-[

Share this post


Link to post
Share on other sites
EMI Clinical  4

 

Logotherapy  

Parent training

Family Therapy

Methylphenidate

Lithium

Paroxetine

Venlafaxine

1 4 year old taking the piss at school with teachers. Mother reports he is openly defiant at home.

Parent training

2 17 year old aggressive to the point parents have court injunction against him, he admits to being aggressive in all circumstances but no other symptoms

Family Therapy

3 13 year old girl aggressive, trouble at school, diagnosed as hyperkinetic by a psychologist

Methylphenidate

Share this post


Link to post
Share on other sites

Denial

Denigration

Idealisation

Projective Identification

Reaction Formation

Sublimation

Splitting

1 A patient who had taken a large overdose before admission is agitated and is insisting on discharge. The SHO is left feeling extremely anxious and the patient now seems calm.

PROJECTIVE IDENTIFICATION

2 A patient tells of how happy his childhood was and how his mother was ‘brilliant’ until she had to give him up for financial reasons. From his notes we know he was taken into care because of severe neglect and abuse by his mother.

IDEALISATION

3 A patient has put in a complaint against a member of the team. The team member is confused because last week he told her how great she was. What is she missing?

SPLITTING

Share this post


Link to post
Share on other sites

Woops! I posted in the wronng heading...

But these EMI practise is extremely useful: I think it is the hardest bit of the Quiz paper. On the good side, though, their pool seems to be limited so far, let's hope that doesn't change this time around!

:P

Share this post


Link to post
Share on other sites
more emi's

this one i have no clue!!!

Basic Sciences 3

A sister screening for depression on ward selects 8 people with depression out of a total of nine who have depression

A sister screening for depression on a ward selects 80 people who haven't got depression out of a total of 100 who haven't got depression

We usually choose diagnostic categories from ICD 10

 

Concordance in diagnosis between GHQ and Becks depression inventory

95 % of people diagnosed with LBD screened with test x?? have Lewy Body Dementia

The sister in a and b checks her figures and finds a total of 8 people with depression test positive from a total of 28 with depression on the ward

Some Alzheimers test that is very reliable for AD??

1 Give 3 examples of Construct Validity

We usually choose diagnostic categories from ICD 10

 

2 Give 2 examples of Concurrent Validity

A sister screening for depression on ward selects 8 people with depression out of a total of nine who have depression

A sister screening for depression on a ward selects 80 people who haven't got depression out of a total of 100 who haven't got depression

Share this post


Link to post
Share on other sites

Basic Sciences 3

A sister screening for depression on ward selects 8 people with depression out of a total of nine who have depression

A sister screening for depression on a ward selects 80 people who haven't got depression out of a total of 100 who haven't got depression

We usually choose diagnostic categories from ICD 10

Concordance in diagnosis between GHQ and Becks depression inventory

95 % of people diagnosed with LBD screened with test x?? have Lewy Body Dementia

The sister in a and b checks her figures and finds a total of 8 people with depression test positive from a total of 28 with depression on the ward

Some Alzheimers test that is very reliable for AD??

1 Give 3 examples of Construct Validity

We usually choose diagnostic categories from ICD 10

A sister screening for depression on ward selects 8 people with depression out of a total of nine who have depression

2 Give 2 examples of Concurrent Validity GHQ & BDI  and LBD statement

Share this post


Link to post
Share on other sites

zonk and other gurus have pointed out in the past that there were more types of validity included in the answer in exam.I just wonder if we could try to solve this by keeping in mind and using other types of validity.

This question did not come in the last exam but the one before! :-?

Share this post


Link to post
Share on other sites

this one is slightly incomplete...we could still give it a go

EMI Clinical 5

Circadian rhythm disturbance

Obstructive sleep apnoea

Narcolepsy with cataplexy

Insufficient nocturnal sleep

XXX

XXX

1. 25 yr old air hostess, daytime sleepiness and can't sleep at night, no other symptoms

2. middle aged guy, daytime sleepiness. wife has to sleep separately because of his snoring

3. young woman, laughing brings on sudden loss of muscle tone, she also has excessive daytime sleepiness

Share this post


Link to post
Share on other sites

and this one is horrible....but comes frequently

Basic Sciences 5

(not all are correct – there were definitely 3 weird PET and 1 SPECT with tracers no-one had ever heard of)

flurodeoxyglucose PET

flumazenil PET

oxygen5 PET

123I Iomazenil SPECT

fMRI spectroscopy

volumetric MRI

t1 weighted MRI

Select the appropriate tests for the following research scenarios

1 2 tests for measuring neuronal loss in frontal lobe

2 2 tests for total brain volume loss

3 1 test for neuronal loss

Share this post


Link to post
Share on other sites

EMI Clinical 5

Circadian rhythm disturbance

Obstructive sleep apnoea

Narcolepsy with cataplexy

Insufficient nocturnal sleep

XXX

XXX

1. 25 yr old air hostess, daytime sleepiness and can't sleep at night, no other symptoms

2. middle aged guy, daytime sleepiness. wife has to sleep separately because of his snoring

3. young woman, laughing brings on sudden loss of muscle tone, she also has excessive daytime sleepiness

MY ANSWERS

1. Circadian Rhythm disturbance. (Air hostess, no other probs. Unlikely to be insuffiecient nocturnal sleep)

2. Obstructive sleep apnoea? Could be insufficient nocturnal sleep.

3. Narcolepsy w cataplexy

Share this post


Link to post
Share on other sites
Sign in to follow this  
Followers 0