Sign in to follow this  
Followers 0
Gurpal

Feedback on the Part 2 ISQ/EMI papers spring 2007

26 posts in this topic

After the Part II ISQ/EMI papers, please post an account of your experience, good or bad. If you remember any questions, please post them, even if you think you're repeating someone else's post. Thanks and good luck on results day!

;)

Please do not discuss answers in this thread.

Share this post


Link to post
Share on other sites

the basic sience was so difficult, and sitting the exam i was wondering why? why those examners ask these irrelevant questions which have no baring on being either a good psychiatrist or a better service provider!

ok i was late in studying for the exam but even if i did read all psychiatric books i would never learn the facts that the examiners wanted in basic sience papaer..

it was pure guessing game.........

Share this post


Link to post
Share on other sites

haloperidol should not be used in patients who are bipoler and on lithium.

lithium therapy improves manic symptoms in four days

one third of admission to psychiatric wards are older age with bipoler

10% of adolecent attempted suicide at some stage

1% adults have suicidal ideation in last week

two thirds of children born to mothers suffering from post natal depression have bonding difficultie.

Share this post


Link to post
Share on other sites

benzodiazepines anatagonise the gaba receprors

chronic cocaine users have higher numbers of D2 receptors

night terrors associated with seperation anexiety

seperation anexiety oreceds object consistensy

rem in early sleep is only found in cataplexy

bezodiazepines reduces the slow waves

stigma is acheived and not presumed ?? or something like that

melatonin reduces the efiicacy of oral contraceptives

rate of autism in downs is similer to normal children

high tone hearing is lost in down

lewi-body dementia is progressive

prematurity is known risk factor for deliberate self harm

older men self harm more than older women

alzehimer disease is a known compilication of hiv infection

parents are more likely to complain about biys hyperactivity than girls

genetic loading in type two alcoholics (early onset) is higher than type one late onset

in large families school refusal is more in first born child

smoking is higher in uk in low soial class

ADHD is higher in middle social class

conduct diorder inheritance is 0.1-0.2%

Share this post


Link to post
Share on other sites

the monkey which has been beaten up will play with the one which beat him in peripheral games ( something along this line)

the reduction in salivary cortisone level is more supressed than blood leven in cortisone suppression test

Cholycyctokinin production reduced seity

peptic ulcer disease is a charecteristic feature of bulimia nervosa

early onset anorexia nervosa has a favourable outcome

first epiode onset depression in old age have 30% mortality rate

paedophilia psychotherapy treatment must change behaviour before showing empathy towards victums (something along this line)

master and jonson approch uses systematic desisetization with fantacy

in organic erectile dysfunction masterbation is affected

perosecutary delusion without hallucination is charecteristic of hypothyroidism

depression in lower social groups are more prone to adverse events than higher social groups

Share this post


Link to post
Share on other sites

i agree with cool dude. some of questions were really out of the world and real fliers!!!!!!!!!!!!!!!! God knows what they want from us!

Share this post


Link to post
Share on other sites

Looks like the bloke setting the questions has moved on to the next book in the Jungle book series..notice how the baboon was quietly replaced with a chimpanzee???

Share this post


Link to post
Share on other sites

EMI- Rating scales (cant remember all the choices of answers, but the answers to the questions are there!)

a.barnes akathisia scale

b. beck's depression inventory

c.global impression scale

d.edinburgh post natal depression scale

e.HAMD

f.MADRS

g.abnormal Involuntary movement scale

h.sampsun ingus scale

questions:

1. A 30 year old woman who has post natal depression, has been recently started on antidepressants by you. Give two observer rated scales you can use to monitor her response to treatment.

2. A 25 year old man has been started with antipsychotic medication. Give one rating scale you would use to monitor parkinsonian symptoms.

3. A 24 year old woman has recently given birth and is suspected to be depressed. You have asked the health visitor to assess her at home. Give one self rated scale she can use in this situation.

Share this post


Link to post
Share on other sites

I like cool-dudes version of the question about the monkey!

I found the basis sciences mucho difficult. Struggled quite a bit.

The clinical ISQs were easier I thought...although I should probably wait for the results before saying that!

I find I have an extroidinary gift for convinceing myself that my answers are 'logical'.

Share this post


Link to post
Share on other sites

Oh mein gott ! Still reeling after the basic sciences - still if everyone sucked at it, I may just be in with a chance ::)

Heuristic ( rule of thumb) decision making is based on base rates

Down syndrome and autism are rarely associated

Autistic adults with normal intelligence usually loose the repetitive movements they made in childhood

Autistic indivdiduals have a low incidence of schizophrenia

Insecure - disorganized - children - something about them

Dystrobrevin gene is associated with schizophrenia

Offspring of PD parents more likely to have psychiatric disorder than offspring of schizophrenics

Prevalence of conduct disorder is 0.1-0.2

Orientation component is the most important one in social decision making

A charismatic leader has referent power

Within a family power is based on reward alone and not coercive power

macro orchidism is a feature of fragile x

night terrors in children usually indicate marital strife

IQ <50 is seen in most children with auitism

NMDA is a voltage sensitive calcium ion channel

5HT2 receptors are both ligand gated and metabotropic

men are as likely to be stalked by other men as by women

in mild cognitive deficits progression to dementia occurs at a rate of 20% per annum

ECT and imipramine act synergistically in treating depression

ECT shows lower incidence of relapses than treatment with tricyclics

Montgomery Asberg reliably differentiates between FT dementia and Alzheimers

Cortical lewy bodies are seen in 30% with dementia

Group analysis involves the therapist observing the group and analysing them from a distance

In brief psychodynamic psychotheray the therapist offers more advice

In supportive psychotherapy countertransference is of reduced significance

An man with his first episode of depression at the age of 65 can anticipate a normal life expectancy

After high dose amphetamine abuse seizures are seen on withdrawal

Tricyclis reduce sleep onset REM episodes

Sleep onset REM is specific to narcolepsy

A pedophile is likely to have ASPD

metronidazole produces a flush reaction

In the Hachinski Ischemia Inded, step wise deterioration is rated higher than abrupt onset

Question on EEG changes in Crutzfeld Jacobs

Homework to explore formulations is a feature of cognitive analytic therapy

The antipsychotic action of thioxanthenes is due to stereoisomerism

Autocratic leader leaves - group gets chaotic

Prolonged eye contact is present just before a sentence is being finished by the speaker

Users on naltrexone who concurrently use heroin have a greater risk of anxeity disorders

Needle exchange programmes for heroin addicts are a type of secondary prevention

Stigma is achieved rather than ascribed

Buprenorphine use can lead to manic features

HAMD has more items than MADRS

A chimpanzee who has been defeated will attempt to make affiliative overtures towards the victor

Share this post


Link to post
Share on other sites

Behav + medication is no better than medication alone for the core features of ADHD

Reboxetine amd doxazocin can be usefully combined

Down syndrome is associated with a higher incidence of OCD

60% of those with LD have pica

Men who abuse alcohol are more likely than women who abuse alcohol to develop Wernicke's encephalopathy.

DXM suppression is associated with more suppression in salivary cortisol than plasma cortisol

Thyroxin response to TRH challenge is frequently reduced in those having severe depression

Nictoine is absorbed as rapidly by smoking as by intravenous infusion

Lithium is better at reducing depressive symptoms than manic symptoms In bipolar individuals

Diencephalic amnesia is associated with preserved insight

Specific reading difficulty in children is associated with specific writing difficulty  

prevalence of specific reading difficulty is 4%

Fluoxetine increases plasma levels of Clozapine  

Disulfuram interacts with acamprosate

Higher rate of DSH in elderly men

In Turners verbal IQ is more severely affected than performance IQ

Agnosia is preserved until late stages in Alzheimers

Praxis  is affected earler in FT dementia than Alzheimers

The interaction between Diazepam and alcohol can be explained through pharmacokinetics

Abstinence in action stage is readily brought about by discussing the consequences of drinking

Alzheimer's Dementia is a known complication of HIV infection  

Up to 450ms is considered a normal QTc  

In organic amnesia the recency effect is preserved

Derealisation is a common occurrence in Agoraphobia

Vocal and motor tics can be suppressed during a clinical interview by a child with GTD

Enuresis may be linked to over protective parenting

In Angelman's syndrome the abnormal chromosome inherited by the child is of paternal origin  

Delusional disorder in the elderly usually preceeds dementia  

The effects of high Expressed Emotion is differentially linked to relapse depending on the type of disorder

A man of 65 with first episode of depression will show more ventricular alteration than someone with recurrent depressive episodes

Epileptic discharge on EEG is usually seen in psychosis following  TLE

Anosmia is characteristic of right hemisphere  lesion

In Broca's aphasia the individual speaks with short sentences  

Schizophrenia with marked cognitive decline is called Pfropfschizophrenie

Encephalitis is associated with waxy flexibility

The labelling theory implies that the behaviour of the individual complies to expectations imposed on him

According to WHO impairment is a necessary requirement for disability

Cross-over study designs are less advantageous compared to parallel study design when assessing effects of medication due to contamination

Clonidine can be used in ADHD

The difference in inception rates of depression between men and women decreases with age

In depression – constructs that people use when referring to themselves and others are internal vs. external and stable vs. unstable

The suffocation alarm theory states that people with panic attacks have hypersensitive suffocation centres  

Down’s have an increased risk of vascular dementia  

Lack of theory of mind is necessary for the diagnosis of autism

Multiple sclerosis is associated with euphoria

Angiomatosis is a feature of tuberous sclerosis  

Navigating a well worn maze will cause activation of the hippocampus

DZ receptors are reduced in the absence of grey matter atrophy in the cortex of an alcoholic who is abstinent ( or something like that)

Share this post


Link to post
Share on other sites

These are the ones I can remeber most are not exact just what my rapidly deteriorating brain can remember the day after.

Piaget believed that perception was incorporated into cognitive structures

Seligman's preparedness theory explains the aetiology of some phobias

Genetic abnormalities in the noradrenaline reuptake gene causes increased ?stress response in monkeys.

Non pharmocological measures reduce time to institution in dementia.

Hamilton has more cognitive based items then MADRS

One year mortality for depressed over 70 is 30%

A man with first episode of depression at 65 is more likely to have ventricular enlargement than a man with multiple previous affective episodes.

First episode depression at 65 has normal life expectancy.

Life expectancy is calculated from ?age adjusted stratification or something akin to this.

Using Mann Whitney two samples can have the same median but confidence intervals that do not overlap.

Semantic dementia is frontotemporal.

Needle exchange is an example of secondary prevention.

Anxious resistant child does not become distressed when mother leaves.

Disorganised attachment is associated with non accidental injury.

Mother with OCD is not associated with non accidental injury to child.

Stranger anxiety develops after object constancy.

Theory of mind relating to the recognition of false beliefs develops around the age of four.

Group deteriorates when autocratic leader leaves.

Conduct disorder heritability is 0.1-0.2% (Hooray!!)

Multiple outcome scales do not increase the validity of attitude measurement.

Internal and external as well as stable and unstabe are examples of attributional states.

Depressed individuals usually believe bad events are due to external causes.

Stimulus inhibition is used more in the action than the preparation phase.

Alcholics with no other neurological impairment score poorly on Wisconsin card sort test.

People persist with stigmatisation in order to maintain their own self esteem.

Wavy flexibilty is seen with catalepsy.

Derealisation is common with agoraphobia.

Specific reading disorder is associated with specific writing disorder.

Naltrexone is effective in reducing relapse in alcohol dependence.

Disulfiram inhibits alcohol dehydrogenase.

Acamprosate and disulfiram cannot be usefully combined.

Neuregulin is linked to schizophrenia.

Dystrobrevin is linked to Schizophrenia.

?There is low platelet MAO-A in bipolar disorder.

There was a question about the receptor effects of pregabalin.

PTSD is associated with emptional blunting

Individuals with two short alleles on serotonin promoter region are more prone to ?anxiety than those with short/long allele.

Amnesia for event is consistent with unfitness to plead.

Pyramid plot can be used to graph the age and sex distribution of a population.

Early onset is a good prognostic indicator in anorexia.

Lack of empathy is a poor prognostic indicator in anorexia.

Common law is comprised mostly of case law.

A question about a ?delirium outcomes scale determining cause of confusion.

Buprenorphine intoxication may mimic mania.

Bromocriptine in the elderly may cause psychosis.

25% of prisoners have epilepsy

Arson recividsim is increased by social isolation.

Ex-alcoholics have increased grey matter GABA-BZ receptors.

123-I Spect is used to investigation Gaba availability.

Metabolic abnormalities are shown by PET in basal ganglia in OCD.

MDMA causes physical dependency

OPiates during pregnancy are associated with congential cardiac abnormality.

Benzodiazpines are more appropriate in the management of generalized anxiety disorder is associated with panic disorder.

Agoraphobia is associated with fear of open spaces.

Encoporesis is associted with a passive child.

Encoporesis is associated with overprotective parents.

Fluid restriction is a reasonable course if action in an eight year old child with primary enuresis and normal urinary tract.

Carbon monoxide causes long lasting memory impairment.

Commonest frontotemporal dementia is Picks.

Antipsychotic effect of Thioxantines is related to stereoisomerism.

Something about gay men being more prone to depression or anxiety then straight men.

Hyperventillation causes hypercalcaemia.

One theory of anixety related to a hypersensisitve suffocation centre.

Logistic regression can be used to compared categorical variables.

Survival analysis using censored outcomes becomes less reliable as survival times increase.

Elderly depressed report as much sadness as younger depressive.

Prevalence of delusional disorder in elderly is 10%.

Prompfschizophrenie is memeory impairment secondary to schizophrenia.

Conduct disorder in girls is associated with later depression.

A question about action of phencyclidine on NMDA receptors.

Confabulation in an elderly dementia patient is most likely ot be associated with chornic alcohol misuse.

Share this post


Link to post
Share on other sites

Continued

Cessation of drinking for six months usually results in remission of alcohol hallucinosis.

Studies involving cognitive tests usually activate the anterior cingulate.

Walking a well worn path will produce activation of the hippocampus.

Formication is associated with amphetamine use.

Interaction between diazepam and alcohol is pharmacokinetic.

If lithium is used haloperidol should not normally be prescribed at levels above 20mgs per day.

In the UK CBT is equally effective to the other psychotherapies for treatment of depression.

ECT and imipramine are synergistic.

Reboxetine is a NARI.

Lofexidine is a alpha agonist.

Withdrawal of diazepam within four weeks will produce rebound anxiety in 5% of those treated for anxiety.

Clozapine and carbamazepine combined increase the risk of neurolepic malignant syndrome.

Clozapine dissociates slowly from the D2 receptor.

Antidepressants cause sleep disruption through action on 5HT 2A receptors.

Euphoria is not common in multiple sclerosis.

HIV may cause alzheimers dementia.

LD patients do not use rationalisation as a defence mechanism

Slow wave delta sleep is more common in the secind half of the night.

Antidepressants reduce REM latency (or increase I forget which one)

Specific reading disorder in Japan is ten times more common.

Specific reading disorder is associated with normal lexical recall.

Cambridge addenbrokes test reliably distinguishes between FT and Alz dementia.

Share this post


Link to post
Share on other sites

Cont

In therapeutic community roles of staff and patients are indistinguishable.

Parsons sick role requires that a patient seeks a diagnosis for their illness.

Suicide rates differ by a range of 2 across european countries.

Long half life increases addictive potential.

Truancy usually takes place in groups.

Psychotherpy based partial hospitalisation is useful for borderline PD.

Insulin control deteriorates more following life events in type 2 diabetics compared to type 1.

Enuresis has no identified genetic locus.

Childhood autism is associated with later schizophrenia.

Fragile X has macroorchidism from birth.

Effects of Lesch Nyhan can be reduced by early dietry restriction.

Chronic fatigue syndrome is maintained by fear of exercise.

EMDR is superior to other therapies for PTSD

Orexins are decreased in CSF of narcolepsy patients

Incident rate for down syndrome has decreased significantly in last ten years.

Incident rate for depression has decreased significantly in last twenty years.

School refusal is associated with eldest child.

In families reward but not coercise power is seen.

Febrile convulsions can cause permanent damage to temproal lobes producing TLE.

Huntingtons EEG is high frequency.

Severe craving is a contraindication for home detox.

Over 65 is a contraindication for home detox.

Complex partial seizure is associated with clouding of consciousness.

Lithium is more effective for depressive episodes than manic ones.

In LD lithium can be used to treat aggressive episodes in the absence of mood disorder.

In the over 65 group 1/3 are exposed to psychotropics without a diagnosis of dementia or psychosis.

Passivity is a feature of delusional disorder.

Afro-caribbean is the only ethnic group at higher risk of schizophrenia.

There are significant ethnic differences in the diagnosis of neurotic disorders.

More public health concern is raised by those drinking at moderately high levels than those at very high levels.

Anosmia is associated with right hemispheric damage.

:-?

Share this post


Link to post
Share on other sites

on functional scanning remembering well worn route will activate hippocumpus

Share this post


Link to post
Share on other sites

the prevelance of reading difficulties is ten times higher in uk than japan

atamoxetine is NA reuptake inhibitor

Trimipramine ! ans ECT act synergically

girls with conduct disorder are mre likely to develope anti social PD

lewi-body demential is progressive

Share this post


Link to post
Share on other sites

now the first part is done and we cannot do anything about it...

what is best to do after the written? any advise?

waiting for the results will take a long time? any one with good plan in using this waititng time to the max

i will be so thankfull

Share this post


Link to post
Share on other sites

Hi All,

Here are the nine EMI themes in 2007 Autumn. I am REALLY AMAZED to see how they are repeated again and again.

EMIs - Themes

1. Statistics ( Same or similar EMI in 2005 Autumn, 2006 Spring, 2006 Autumn and also other

                  previous papers)

2. Genetic disorders ( Same or similar EMI in 2005 Spring, 2006 Spring)

3. Sleep disoredrs ( Same or similar EMI in 2005 Spring)

4. Imaging ( Same or similar EMI in 2005 Spring, 2005Autumn )

5. Neuroanatomical lesions ( Similar EMIs in 2005 Spring )

1. Elder abuse ( Same or similar EMI in 2005 Autumn, 2006 Spring)

2. Neuropsychiatry / Substance abuse ( Same or similar EMI in 2004 Autumn)  

3. Drug Adverse Effects ( Same or similar EMI in 2005 Spring and 2006 Autumn)

4. Medication in CAMHS ( Same or similar EMI in 2006 Autumn)

I hope this would make people to not neglect old papers at all ( as I did to some extent and paid the price ).

drbandla

Share this post


Link to post
Share on other sites

Yep, there were so many repeated questions :lol:

I started studying only 1 month back, but I found the exam not too bad - if I pass, it is only because of the past papers I did ;)

Share this post


Link to post
Share on other sites

Dear All,

May I commend all who've contributed regarding the exam on 16 March 2007, especially cmo & supernaut. Are you related to Albert Eistein? Very impressive primacy & recency!

Someone did say that the questions were easy and repeated, but they were hard for me, especially the basic sciences. Am I alone?

Share this post


Link to post
Share on other sites

:-X I have attempted the exam many times before ( both written & clinical). The basic sciences paper was the hardest so far.

Share this post


Link to post
Share on other sites

this is my second attempt..

i felt it was lot easier than autumn 06.

i wud say basic science paper was bit easier than clinical sciences..

well whats the difference?

both had clinical questions only!!!

Share this post


Link to post
Share on other sites

Heuristic ( rule of thumb) decision making is based on base rates T

Down syndrome and autism are rarely associated T

Autistic adults with normal intelligence usually loose the repetitive movements they made in childhood F

Autistic indivdiduals have a low incidence of schizophrenia ?T

Insecure - disorganized - children - something about them F

Dystrobrevin gene is associated with schizophrenia T

Offspring of PD parents more likely to have psychiatric disorder than offspring of schizophrenics ?F

Prevalence of conduct disorder is 0.1-0.2 (not prevalence, hereditability) F

Orientation component is the most important one in social decision making T

A charismatic leader has referent power T

Within a family power is based on reward alone and not coercive power F

macro orchidism is a feature of fragile x (macroorchidism in prepubertal children) T

night terrors in children usually indicate marital strife F

IQ <50 is seen in most children with auitism F

NMDA is a voltage sensitive calcium ion channel F

5HT2 receptors are both ligand gated and metabotropic F

men are as likely to be stalked by other men as by women ?T

in mild cognitive deficits progression to dementia occurs at a rate of 20% per annum F

ECT and imipramine act synergistically in treating depression F

ECT shows lower incidence of relapses than treatment with tricyclics F

Montgomery Asberg reliably differentiates between FT dementia and Alzheimers (this question did asl about Montgomery Asberg, ? what)

Cortical lewy bodies are seen in 30% with dementia T

Group analysis involves the therapist observing the group and analysing them from a distance ?T

In brief psychodynamic psychotheray the therapist offers more advice T

In supportive psychotherapy countertransference is of reduced significance (is ignored) F

An man with his first episode of depression at the age of 65 can anticipate a normal life expectancy F

After high dose amphetamine abuse seizures are seen on withdrawal T

Tricyclis reduce sleep onset REM episodes T

Sleep onset REM is specific to narcolepsy F

A pedophile is likely to have ASPD F

metronidazole produces a flush reaction T

In the Hachinski Ischemia Inded, step wise deterioration is rated higher than abrupt onset F

Question on EEG changes in Crutzfeld Jacobs

Homework to explore formulations is a feature of cognitive analytic therapy T

The antipsychotic action of thioxanthenes is due to stereoisomerism ?F

Autocratic leader leaves - group gets chaotic T

Prolonged eye contact is present just before a sentence is being finished by the speaker ?T

Users on naltrexone who concurrently use heroin have a greater risk of anxeity disorders ?

Needle exchange programmes for heroin addicts are a type of secondary prevention F

Stigma is achieved rather than ascribed (that was not the question)

Buprenorphine use can lead to manic features T

HAMD has more items than MADRS T

A chimpanzee who has been defeated will attempt to make affiliative overtures towards the victor ?F

Share this post


Link to post
Share on other sites

emi

narcolepsy

sleep apnoea

restless leg syndrome

q1 young male who sleeps during day time has attacks were hesuddenly falls down

q2 male with agitation prescribed by gp flupenthixol is unable to sleep in the night feels tired

moves his legs continuously during night

coudnt remember 3rd q

Share this post


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