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      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/  
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slartibartfast

2004 Autumn ISQ/EMI\'s _ Lets crack em in one go

29 posts in this topic

I was trying to solve these questions and home and thought it might be easier, and more useful/helpful to a lot more people if we solved these together

Ive typed them from the superego autumn 2004 pdf and here they are..

1. The plenum temporale is situated on the anterior part of inferior temporal lobe

2. HIV enters the brain via infected macrophages

3. Seizures are seen in tuberous sclerosis

4. Atypical facial pain (odontalgia) is characteristically associated with temporo-mandibular joint problems

5. In impotence due to organic pathology, masturbatory erections are diminished

6. In alexia without agraphia, naming errors occur

7. Alexia without agraphia occurs in anterior cerebral artery lesions

8. Broca's aphasia results in short phrase sentences

9. The complications of Tay Sachs disease can be prevented by diet restrictions

10. CJD is most common in Libyan Jews who migrate to Israel

11. &nbsp:lol:elusional disorder usually precedes dementia

12. Normal pressure hydrocephalus causing dementia is potentially reversible

13. Personality changes before memory changes suggests Pick's disease than Alzheimer[ch8217]s disease

14. Having a seizure is more suggestive of Pick's disease than Alzheimer[ch8217]s disease

15. Urinary incontinence in an elderly man suggests vascular dementia rather than Alzheimer[ch8217]s disease

16. Visuospatial functions can differentiate depressive pseudo-dementia from true dementia

17. There is an increased incidence of Alzheimer[ch8217]s disease in cerebral palsy

18. Leukocariosis is associated with gait disturbance in dementia

19. The age of onset of Huntington[ch8217]s disease depends on the number of repeated nucleotides

20. In Huntington[ch8217]s dementia, the retrograde amnesia is consistent throughout the decades of life

21. In presymptomatic Huntington disease, there is a decrease in the metabolism of glucose in the striatum

22. 5HT3 is an anion channel

23. &nbsp:lol:1 and D5 Receptors belong to the same family

24. &nbsp:lol:onepezil is an anticholinergic drug used in dementia

25. Rivastigmine is a butyryl cholinesterase inhibitor

26. Memantine is a NMDA agonist

27. Olanzapine causes diabetes mellitus only in doses above 20 mg

28. Reboxetine blocks alpha 2 receptors

29. Acamprosate is an NMDA antagonist

30. Clozapine is expected to cause less postural hypotension compared with other antipsychotics when its receptor functions are considered

31. Clozapine antagonises central M4 receptors

32. Fluoxetine increases clozapine levels

33. Tricyclic antidepressants commonly have peripheral neuropathy as a side effect

34. Carbamazepine is associated with hypothyroidism

35. The lithium level increased when lithium is given with an ACE inhibitor

36. The lithium level increased when lithium is given with fluoxetine

37. Benzodiazepine withdrawal causes perceptual distortion

38. Relatives of a patient with depression have increased genetic risk for alcoholism

39. One of the CAGE questionnaire questions is do you crave alcohol?'

40. Implicit memory is not impaired in Korsakoff's psychosis

41. Somatisation is associated with Korsakov's psychosis

42. In the treatment of substance abuse, detoxification starts in the action stage

43. Motivational interviewing aims to reduce primary gain

44. Use of naltrexone decreases the chance of relapse in the treatment of alcoholism

45. Medical professionals are associated with increased prevalence of alcohol liver cirrhosis

46. Having a relative with the disease is the major risk factor for schizophrenia

47. Low IQ is a recognised risk for schizophrenia

48. Schizophrenia is associated with perinatal complications

49. No association between late onset schizophrenia and paranoid personality disorder has been shown

50. In negative symptoms there are impaired prefrontal functions

51. Visual and auditory deficiencies are similarly distributed in old age patients with delusional disorder

52. Admission to hospital is essential in an elderly person with delusional disorder

53. Attempted suicide in the elderly is more common in men than women

54. The household survey found 1% of adults had suicidal ideation in the preceding week

55. Rate of depression is doubled in poverty in single mother compared to married women

56. Perinatal complications is a risk factor for bipolar affective disorder

57. In OCD there is increased glucose metabolism in the caudate nucleus

58. Pre operation anxiety worsens the outcome after coronary artery bypass surgery

59. The term 'neurasthenia' is retained in ICD 10

60. The suffocation alarm theory of anxiety is that some people have hypersensitive suffocation centers

61. Carbamazepine is an effective treatment of irritable bowel syndrome

62. H2 antagonists drugs are useful in the treatment of irritable bowel syndrome

63. Munchausen[ch8217]s by proxy is a factitious disorder

64. Factitious disorder rarely presents with anemia

65. Amenorrhea is a recognised complication of bulimia nervosa

66. Vomiting is a poor prognostic sign in anorexia nervosa

67.

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67. Maternity blues are present in 50% of mothers

68. One third of women develop blues after normal delivery

69. The Edinburgh postnatal depression scale is self completed

70. The risk of postpartum psychosis is 20% if there is one previous episode of post partum psychosis

71. There are less depressive symptoms after breast preserving surgery than radical mastectomy for cancer of the breast

72. Object constancy occurs before the onset of stranger anxiety

73. According to Piaget's theory, experiences are stored as cognitive constructs

74. The heritability of conduct disorder is 0.1-0.2

75. Conduct disorder is associated with mood disorders in adulthood

76. In conduct disorder without ADHD, executive function is normal

77. Juvenile delinquency is reported in more than 10% of British urban teenagers

78. Girls with juvenile delinquency have higher rates of psychiatric illness than boys

79. A typical British 14 year old boy will use solvents in the next 6 months

80. Truancy is commonly associated with anti social behavior

81. School refusal is more common in boys than girls

82. Encopresis is associated with school refusal

83. There is a 90% monozygotic twin concordance rate in autism

84. Autism is associated with epilepsy in adolescence

85. Autistic adolescents have a high incidence of fits

86. In autism IQ is less than 70%

87. Obsessive rumination is seen in >5% of aspergers syndrome

88. In ADHD, drug and behavioural treatment leads to a better outcome than drug treatment alone

89. Adolescent girls have more depressive cognitions than boys when they grow up

90. A 12 year old girl complains of repeated sexual abuse by her father; interviews using 'anatomically correct' dolls are appropriate

91. A 12 year old girl complains of repeated sexual abuse by her a father; a child protection order should be secured immediately

92. Use of SSRI in child and adolescent depression may increase suicidal thoughts

93. Primary enuresis in an 8 year old boy with normal intelligence and urology test is an indication for EEG

94. Specific reading disorder rate in school children in England is about 20%

95. Specific reading disorder rate in school children in Japan is about 1%

96. Learning disability is associated with specific reading disorder

97. 1% of Japanese children have dyslexia

98. Severe specific reading disorder is associated with myopia

99. Severe specific reading disorder is associated with lower non verbal IQ

100. Fragile X is associated with a CAG repeat on the X chromosome

101. In Fragile X syndrome, the fragile site is on the short arm of the X chromosome

102. Angelman syndrome is due a paternal deletion on chromosome 15

103. There is increased incidence of schizophrenia is Learning disability

104. In severe learning disability, institutional care is usually necessary

105. Severe learning disability requires compulsory detention

106. XXY chromosomal abnormality is associated with moderate to severe learning disability

107. Marfans syndrome is associated with self injurious behaviour

108. Lithium is useful to treat aggressive behaviour in learning disability even without affective disorder

109. Self injurious behaviour in learning disability can be treated with phenobarbitone

110. Transplacental transmission of protozoal infection causes learning disability in the newborn

111. Repertory grid is used to measure attitudes

112. The difference in the results on the Becks depression rating scale and the HDRS is due to the tests being administered differently

113. Trail making test is a test for memory function

114. In the stroop test, maintenance of attention during interference is assessed

115. Women are better than men at inferring mood from facial expression around the eyes only

116. Facial expression conveys more about depressed mood than tone of voice

117. A listener is less likely to interrupt if the speaker re-establishes gaze

118. Being tall is associated with more chances of getting a positive response from others

119. A person[ch8217]s perceived tallness creates a positive attitude towards him

120. Keeping in perspective social power, reward power is seen in family than coercive power

121. In the absence of an autocratic leader, the workers act disruptively

122. &nbsp:lol:ominant male baboons in a stable group show the most aggression

123. According to Eysenck's theory, extraverts are more conditionable

124. The means of large samples from a skewed distribution will approximate to a normal distribution

125. The sign test can be used only on small samples

126. The sign test should not be used below 20 observations

127. Krawiecka-Manchester test is self reporting

128. Shoplifting is highly likely to recur if associated with mental illness

129. Rates of recurrence of exhibitionism is lower after the first conviction

130. There is an increase chance of sexual assault if an exhibitionist touches the victim

131. A psychiatrist who is instructed by the prosecution to provi

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131. A psychiatrist who is instructed by the prosecution to provide a report in a capital (death sentence) should refuse to do so

EMI's

Drug complications in pregnancy

Answers included lithium, sodium valproate, paroxetine,

Stems included Ebstein anomaly, craniofacial abnormalities, neural tube defects, and irritability in the newborn

drugs

Answers included cocaine, amphetamine, caffeine, LSD, magic mushrooms, volatile solvents

Stems included seizure, hypertension, confusion, bad trip, tachycardia,

Phenomenology

Answers included Cotards syndrome, Couvade syndrome, capgras syndrome

Genetics

Answers included Rett's disorder, Fragile X, Prader Willi

Clinical Vignettes

Answers included neurosarcoidosis, erythrema nodosum, postencephalitic psychosis, Huntington[ch8217]s disease

Stems included lesions on the skin, respiratory problems

Statistics

EEG

Answers include normal EEG, alpha changes, beta changes; diffuse slowing, spikes and waves

Stems included

a. elderly chap with recent bereavement weight loss and a belief of having cancer

elderly woman who was getting lost and had a nine month history of memory impairment

elderly man episodic shoplifting, aggressiveness, and mild memory impairment

Neurobiology in dementias

Drug interactions

Answers included cimetidine, fluoxetine, metoclopramide

Stems included hypotension in patient with clozapine due to enzyme inhibition, dystonia in a patient having lemon juice

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Ive started solving these and..

1. The plenum temporale is situated on the anterior part of inferior temporal lobe (F)

The planum temporale is the posterior superior surface of the superior temporal gyrus in the cerebrum. It is a highly lateralized brain structure involved with language.

2. HIV enters the brain via infected macrophages (T)

HIV enters brain through infected macrophages and CD4 T cells. N.B. CD4 counts progressively decrease in paralell with disease progression

3. Seizures are seen in tuberous sclerosis (T)

Tuberous sclerosis (meaning 'hard swellings') is a rare genetic disorder primarily characterized by a triad of seizures, mental retardation, and skin lesions (called facial angiofibroma). This 'classic' Vogt triad is present in 30-50% of cases; in particular, up to 30% of tuberous sclerosis reportedly have normal mentation. It is an autosomal dominant disease.

4. Atypical facial pain (odontalgia) is characteristically associated with temporo-mandibular joint problems (F)

Atypical odontalgia manifests as pain and hypersensitive teeth, typically indistinguishable from pulpitis or periodontitis, but without detectable pathologic change. It is probably a variant of atypical facial pain and should be treated similarly.

5. In impotence due to organic pathology, masturbatory erections are diminished (T)

A useful and simple way to distinguish between physiological and psychological impotence is to determine whether the patient ever has an erection.

6. In alexia without agraphia, naming errors occur (T)

7. Alexia without agraphia occurs in anterior cerebral artery lesions (F)

The pure syndrome of alexia without agraphia is best viewed as a 'linguistic blindfold'. Patients so afflicted are able to write, but cannot read their own written words. The primary deficit is an inability to comprehend written material. Patients readily understand words spelled aloud or words written on the palm. Some patients demonstrate a literal alexia, unable to recognize any written letters.

A complete right hemianopsia is present in most cases

The responsible lesion is most commonly a stoke in the territory of the left posterior cerebral artery i.e. dominant occipital lobe with extension into the splenium of the corpus callosum

Alexia with agraphia or central alexia affects the territory of the middle cerebral artery

8. Broca's aphasia results in short phrase sentences (T)

Individuals with Broca's aphasia have damage to the frontal lobe of the brain. These individuals frequently speak in short, meaningful phrases that are produced with great effort. Broca's aphasia is thus characterized as a nonfluent aphasia/agrammatic aphasia. Affected people often omit small words such as 'is', 'and', and 'the'. For example, a person with Broca's aphasia may say, 'Walk dog' meaning, 'I will take the dog for a walk'. The same sentence could also mean 'You take the dog for a walk', or 'The dog walked out of the yard', depending on the circumstances. Individuals with Broca's aphasia are able to understand the speech of others to varying degrees. Because of this, they are often aware of their difficulties and can become easily frustrated by their speaking problems. Individuals with Broca's aphasia often have right-sided weakness or paralysis of the arm and leg because the frontal lobe is also important for body movement.

In contrast to Broca's aphasia, damage to the temporal lobe may result in a fluent aphasia that is called Wernicke's aphasia, receptive aphasia, fluent aphasia, or sensory aphasia. Individuals with Wernicke's aphasia may speak in long sentences that have no meaning, add unnecessary words, and even create new 'words'. For example, someone with Wernicke's aphasia may say, 'You know that smoodle pinkered and that I want to get him round and take care of him like you want before', meaning 'The dog needs to go out so I will take him for a walk'. Individuals with Wernicke's aphasia usually have great difficulty understanding speech and are therefore often unaware of their mistakes. These individuals usually have no body weakness because their brain injury is not near the parts of the brain that control movement.

Summary:

Brocas is non fluent short phrase aphrasia. Insight present. Frontal lobe.

Wernicke's is fluent aphasia (also called receptive and sensory aphasia). Temporal lobe.

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9. The complications of Tay Sachs disease can be prevented by diet restrictions (F)

TSD occurs when harmful quantities of a fatty acid derivative called a ganglioside accumulate in the nerve cells in the brain.The condition is caused by insufficient activity of an enzyme called hexosaminidase A that catalyzes the biodegradation of fatty acid derivatives known as gangliosides. This results in ganglioside accumulation and is rapidly fatal if infantile, juvenile variant is fatal at 5-15 years. Late onset (LOTS) is more non fatal.

The disease results from mutations on chromosome 15 in the HEXA gene and is autosomal recessive.

No cure or treatment currently.

Three main methods at present are being investigated. Metabolic therapy manipulating brains metabolism of GM2 gangliosides i.e. using the enzyme sialidase, the genetic defect can be effectively bypassed and GM2 gangliosides can be metabolized so that they become almost inconsequential

Enzyme replacement therapy. The goal would be to replace the missing enzyme, a process similar to insulin injections for diabetes. However, the enzyme has proven to be too large to pass through the blood into the brain through the blood-brain barrier.

Gene therapy is being considered but they are years away.

P.S. Interestingly, it was almost singlehandedly responsible for making Israel the first country to offer free genetic screening and counseling for all couples and is one of the pioneer countries in genetic research secondary to TSD screening for their population (ashkenazi jews had a very high prevalence). As a result of their efforts, the last jewish case of TSD was in 2003.

10. CJD is most common in Libyan Jews who migrate to Israel (T)

In Israel, the mean annual incidence rateper million population was 43 among Libyan-born Jews and 0.9 inthe rest of the population

11. Delusional disorder usually precedes dementia (NOT SURE WHAT THE ANSWER IS)

Delusions (usually persecutory) are common in Alzheimer and other types of dementia (the prevalence ranges from 15-50%) and may present first, before cognitive deficits become apparent. Neuropsychological testing may be warranted to detect cognitive impairments. Additionally, elderly patients with delusional disorder were found to have an incidence of dementia that was twice as high as the general population's in a 10-year follow-up period (Leinonen, 2004).

12. Normal pressure hydrocephalus causing dementia is potentially reversible (T)

Classical cause of reversible dementia

13. Personality changes before memory changes suggests Pick's disease than Alzheimer’s disease (T)

In the absence of temporal or frontal lobar atrophy on CTs, all the Pick patients and none of the AD patients (in the Mendez 93) study had three of five clinical features: presenile onset (before age 65), an initial personality change, hyperorality, disinhibition, and roaming behavior. In addition, the Pick patients had a tendency toward reiterative and other speech disturbances.

14. Having a seizure is more suggestive of Pick's disease than Alzheimer’s disease (F)

An elderly patient's risk of an unprovoked seizure increases 6-fold with a diagnosis of Alzheimer's disease and 8-fold with a diagnosis of non-Alzheimer's dementia (Romanelli 80: Advanced Alzheimer's disease is a risk factor for late-onset seizures)

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15. Urinary incontinence in an elderly man suggests vascular dementia rather than Alzheimer’s disease (NOT SURE OF ANSWER)

Vascular vs. Alzheimers dementia

Patients with vascular dementia have patchy cognitive impairment, often with focal neurologic signs and symptoms. Onset may be abrupt, with a stepwise decline.

Frontal lobes affected early with abulia and apathy

Cognitive function:

Patchy deficits

Better recall and fewer recall interruptions than AD

Do worse than AD on frontal lobe / executive function with poorer verbal fluency, more perseverative behavior, cognitive slowing, difficulty in shifting sets, and problems with abstraction

For patients with single or multiple large infarcts, deficits correlate with the site and extent of the infarct

Lateralizing signs such as hemiparesis, bradykinesia, hyperreflexia, extensor plantar reflexes, ataxia, pseudobulbar palsy, and gait and swallowing difficulties may be observed.

Severe depression more common than in AD

Risk factors for vascular dementia include hypertension, smoking, hypercholesterolemia, diabetes mellitus, and cardiovascular and cerebrovascular disease.

Alzheimer's patients have early language and visuospatial deficits. The deficits in short-term memory are severe, and clues do not help in retrieving information. The onset of the disease is gradual, with a slow progression. Usually, no motor findings are present until the middle or late stages of the disease.

16. Visuospatial functions can differentiate depressive pseudo-dementia from true dementia (T)

Table from Tueth 95

Pseudodementia (PD) vs. Alzheimer’s disease (AD) (Reproduced with permission from [5]).  

--------------------------------------------------------------------------------

 

Characteristic PD   AD  

--------------------------------------------------------------------------------

 

Onset   Fast Slow  

History of depression     Positive  Negative  

First symptoms Depressive  Cognitive  

Current symptoms  Exaggerated Minimized  

Response to question    I don’t know Tries but fails  

Memory Recent/Long-term  Decreased    Recent decreased  

Performance    Variably abnormal     onsistently abnormal  

Night-time behavior Same as day     Worse at night  

Visuospatial ability     Usually preserved   Often abnormal

Language   Usually preserved Often abnormal

17.  There is an increased incidence of Alzheimer’s disease in cerebral palsy (NOT SURE ABOUT ANSWER)

?ICD 10 requires cognitive deficits above are not due to any of the following: Other central nervous system conditions that cause progressive deficits in memory and cognition (e.g., cerebrovascular disease, Parkinson's disease, Huntington's disease, subdural hematoma, normal-pressure hydrocephalus, brain tumor),

Systemic conditions that are known to cause dementia or Substance-induced conditions. But cerebral palsy is not clasically progressive and evidence points to a functional decline in adulthood or an accelerated ageing process)

18. Leukocariosis is associated with gait disturbance in dementia (T) Leukoariosis- In our Veteran population, leukoaraiosis is an independent predictor of gait disturbance after accounting for stroke and cerebral atrophy. Although leukoaraiosis is a form of cerebrovascular disease, it appears to be most closely associated to gait disturbance in the absence of symptomatic stroke or leg deficit.

19. The age of onset of Huntington’s disease depends on the number of repeated nucleotides (T)

Huntington's disease is caused by a CAG trinucleotide repeat expansion in the Huntingtin gene. This produces a mutant form of the Huntingtin protein, which causes cell death in selective areas or the brain. When CAG repeats cross the normal threshold of 35 repeats, the huntingtin mutates. Severity is proportional to number of CAG repeats.

With successive repeats, DNA replication becomes unstable and progressively increase in numbers of repeats i.e. increase in severity and have an earlier onset in successive generations. This is known as anticipation.

Anticipation is a phenomenon whereby the symptoms of a genetic disorder manifest earlier and increase in severity with successive generations. It is common in trinucleotide repeat disorders like Huntington's disease, myotonic dystrophy and fragile X syndrome,

Gene is on the short arm of chromosome 4 and inheritance is autosomal dominant.

20. In Huntington’s dementia, the retrograde amnesia is consistent throughout the decades of life (T))

Regardless of whether remote memory was measured by unaided recall or cued recall, HD patients exhibited deficits that were equally severe across decades. (Beatty 88)

21. In presymptomatic Huntington disease, there is a decrease in the metabolism of glucose in the

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hi ur answer and explanation for nos 3 question is contradictory it should be true anyway >:(

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Are you planning on going through the rest of these questions? Can they be found elsewhere?

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hi ur answer and explanation for nos 3 question is contradictory it should be true anyway >:(

what can i say.. everybodys a critic..

btw ianb.. i passed the exam.. so not planning on completing these.. best of luck anyways..

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slatibartfast u were doing a great job please help us solve the questions please :(

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21. In presymptomatic Huntington disease, there is a decrease in the metabolism of glucose in the striatum TRUE

[highlight][highlight]Res Publ Assoc Res Nerv Ment Dis. 1985;63:199-209

Patterns of local cerebral glucose utilization were measured with positron emission CT using the 18F-fluorodeoxyglucose method in 13 patients with HD, 15 subjects at risk for HD, and control subjects. These data were compared with CT measures of cerebral atrophy, age, and duration and severity of symptoms. The results indicate that in HD there is a characteristic decrease in glucose utilization in the caudate and putamen and that this local hypometabolism appears early and precedes bulk tissue loss. In contrast to demented patients with Alzheimer's disease or Parkinson's disease, in these HD patients glucose utilization typically was normal throughout the rest of the brain, regardless of the severity of symptoms and despite apparent shrinkage of brain tissue. Our results indicate that the caudate is hypometabolic in some asymptomatic persons who are carriers of the autosomal-dominant gene for HD[/highlight][/highlight]

22. 5HT3 is an anion channel FALSE it’s a ligand gated ion channel

23. &nbsp:lol:1 and D5 Receptors belong to the same family TRUE

24. &nbsp:lol:onepezil is an anticholinergic drug used in dementia FALSE its cholinesterase inhibitor

25. Rivastigmine is a butyryl cholinesterase inhibitor FALSE

[highlight]Rivastigmine is a parasympathomimetic and a reversible cholinesterase inhibitor[/highlight]

26. Memantine is a NMDA agonist FALSE Its antagonist

27. Olanzapine causes diabetes mellitus only in doses above 20 mg FALSE

28. Reboxetine blocks alpha 2 receptors FALSE

29. Acamprosate is an NMDA antagonist TRUE

30. Clozapine is expected to cause less postural hypotension compared with other antipsychotics when its receptor functions are considered TRUE

31. Clozapine antagonises central M4 receptors TRUE

32. Fluoxetine increases clozapine levels TRUE BNF

33. Tricyclic antidepressants commonly have peripheral neuropathy as a side effect FALSE

34. Carbamazepine is associated with hypothyroidism FALSE

35. The lithium level increased when lithium is given with an ACE inhibitor TRUE BNF

36. The lithium level increased when lithium is given with fluoxetine FALSE BNF

37. Benzodiazepine withdrawal causes perceptual distortion TRUE

38. Relatives of a patient with depression have increased genetic risk for alcoholism ?????????????????????????

39. One of the CAGE questionnaire questions is do you crave alcohol?' FALSE

40. Implicit memory is not impaired in Korsakoff's psychosis TRUE

[highlight]Implicit memory: Memory characterized by a lack of conscious awareness in the act of recollection. By contrast, explicit memory requires conscious recollection of previous experience.

Implicit memory may survive largely unimpaired at the same time as a person's powers of explicit memory decline with age or are devastated in Alzheimer disease.[/highlight]

41. Somatisation is associated with amphetamine usage. Plzz note wrong question in above section. Answer is FALSE

42. In the treatment of substance abuse, detoxification starts in the action stage TRUE

43. Motivational interviewing aims to reduce primary gain ???????????????

44. Use of naltrexone decreases the chance of relapse in the treatment of alcoholism FALSE

45. Medical professionals are associated with increased prevalence of alcohol liver cirrhosis TRUE

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46. Having a relative with the disease is the major risk factor for schizophrenia TRUE and also depends on who the relative is...

47. Low IQ is a recognised risk for schizophrenia TRUE

48. Schizophrenia is associated with perinatal complications TRUE

49. No association between late onset schizophrenia and paranoid personality disorder has been shown TRUE

50. In negative symptoms there are impaired prefrontal functions TRUE negative symptoms have found to be correlated with Frontal exec function...

51. Visual and auditory deficiencies are similarly distributed in old age patients with delusional disorder FALSE more auditory... longstanding conductive deafness...

Late onset Schiz... definitive article by Mary Seeman and Dilip Jeste...

http://ajp.psychiatryonline.org/cgi/content/full/157/2/172

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HELP WITH THE REST

i think we should be taking part in the effort too!!! :o

43. Motivational interviewing aims to reduce primary gain

false

i think it is more to do with enhancing compliance to Rx and awareness about disorder and to work on the strenghtening the will to do some thing against the harmful habit.

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52. Admission to hospital is essential in an elderly person with delusional disorder

FALSE

53. Attempted suicide in the elderly is more common in men than women TRUE

This is probably because parasuicide is less common in elderly... and The male to female ratio for completed suicide in the elderly is 3 or 4:1, similar to that of other age groups.

http://www.bmj.com/cgi/content/full/329/7471/895

54. The household survey found 1% of adults had suicidal ideation in the preceding week

National HH survey was in conducted in the US for adolescents isnt it... correct me if i am wrong...

55. Rate of depression is doubled in poverty in single mother compared to married women

56. Perinatal complications is a risk factor for bipolar affective disorder TRUE

57. In OCD there is increased glucose metabolism in the caudate nucleus TRUE to be specific.. right caudate

58. Pre operation anxiety worsens the outcome after coronary artery bypass surgery

TRUE

59. The term 'neurasthenia' is retained in ICD 10 TRUE F 48.0

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60. The suffocation alarm theory of anxiety is that some people have hypersensitive suffocation centers False.. rather physiological misinterpretation by suffocation monitors lead to misfiring of suffocation alarm system....

Hypothesis by Donald Klein...

61. Carbamazepine is an effective treatment of irritable bowel syndrome I think FALSE

62. H2 antagonists drugs are useful in the treatment of irritable bowel syndrome False again

http://www.aafp.org/afp/20051215/2501.html

63. Munchausen’s by proxy is a factitious disorder True

64. Factitious disorder rarely presents with anemia False it can be caused due to blood letting or induction of aplastic anemia by taking medication

65. Amenorrhea is a recognised complication of bulimia nervosa False

http://www.aafp.org/afp/980600ap/mcgilley.html

66. Vomiting is a poor prognostic sign in anorexia nervosa Possibly... Not sure i gues it depends on the cause of vomiting... whether self induced or due to ketosis...

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67. Maternity blues are present in 50% of mothers False upto 80%

68. One third of women develop blues after normal delivery

69. The Edinburgh postnatal depression scale is self ratedTRUE

70. The risk of postpartum psychosis is 20% if there is one previous episode of post partum psychosis TRUE... but as high as 90% has been reported if Bipolar...

71. There are less depressive symptoms after breast preserving surgery than radical mastectomy for cancer of the breast TRUE

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=3597656&dopt=Abstract

74. The heritability of conduct disorder is 0.1-0.2

75. Conduct disorder is associated with mood disorders in adulthood TRUE

76. In conduct disorder without ADHD, executive function is normal False at least one study has shown otherwise

http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=11015

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i did my best, sorry not much reference as i am running out of time now,

the one in old are not answered... :'(

76. In conduct disorder without ADHD, executive function is normal

FALSE

77. Juvenile delinquency is reported in more than 10% of British urban teenagers

78. Girls with juvenile delinquency have higher rates of psychiatric illness than boys

79. A typical British 14 year old boy will use solvents in the next 6 months

True

80. Truancy is commonly associated with anti social behavior.

FALSE

81. School refusal is more common in boys than girls

82. Encopresis is associated with school refusal

83. There is a 90% monozygotic twin concordance rate in autism

FALSE

84. Autism is associated with epilepsy in adolescence

FALSE

85. Autistic adolescents have a high incidence of fits.

86. In autism IQ is less than 70%

????

FALSE

87. Obsessive rumination is seen in >5% of aspergers syndrome

true

88. In ADHD, drug and behavioural treatment leads to a better outcome than drug treatment alone

FALSE

89. Adolescent girls have more depressive cognitions than boys when they grow up

90. A 12 year old girl complains of repeated sexual abuse by her father; interviews using 'anatomically correct' dolls are appropriate

FALSE

91. A 12 year old girl complains of repeated sexual abuse by her a father; a child protection order should be secured immediately

TRUE

92. Use of SSRI in child and adolescent depression may increase suicidal thoughts

TRUE

93. Primary enuresis in an 8 year old boy with normal intelligence and urology test is an indication for EEG.

?????

94. Specific reading disorder rate in school children in England is about 20%

95. Specific reading disorder rate in school children in Japan is about 1%

96. Learning disability is associated with specific reading disorder

FALSE

97. 1% of Japanese children have dyslexia

98. Severe specific reading disorder is associated with myopia

99. Severe specific reading disorder is associated with lower non verbal IQ

100. Fragile X is associated with a CAG repeat on the X chromosome

FALSE

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the rest of the questions, i know am not perfect but at least reading my answers will make you think ....

101. In Fragile X syndrome, the fragile site is on the short arm of the X chromosome

TRUE

102. Angelman syndrome is due a paternal deletion on chromosome 15

FALSE

103. There is increased incidence of schizophrenia is Learning disability

TRUE

104. In severe learning disability, institutional care is usually necessary

TRUE

105. Severe learning disability requires compulsory detention

FALSE

106. XXY chromosomal abnormality is associated with moderate to severe learning disability

TRUE

107. Marfans syndrome is associated with self injurious behaviour.

TRUE

108. Lithium is useful to treat aggressive behaviour in learning disability even without affective disorder

FALSE

109. Self injurious behaviour in learning disability can be treated with phenobarbitone

FALSE

110. Transplacental transmission of protozoal infection causes learning disability in the newborn

111. Repertory grid is used to measure attitudes

TRUE

112. The difference in the results on the Becks depression rating scale and the HDRS is due to the tests being administered differently.

FALSE

Because they measure different things, Becks is screening, HDRS is severity.

113. Trail making test is a test for memory function

114. In the stroop test, maintenance of attention during interference is assessed

115. Women are better than men at inferring mood from facial expression around the eyes only

116. Facial expression conveys more about depressed mood than tone of voice

117. A listener is less likely to interrupt if the speaker re-establishes gaze

TRUE

118. Being tall is associated with more chances of getting a positive response from others

TRUE

119. A person’s perceived tallness creates a positive attitude towards him

TRUE

120. Keeping in perspective social power, reward power is seen in family than coercive power

TRUE

121. In the absence of an autocratic leader, the workers act disruptively

TRUE

122. &nbsp:lol:ominant male baboons in a stable group show the most aggression

123. According to Eysenck's theory, extraverts are more conditionable

124. The means of large samples from a skewed distribution will approximate to a normal distribution

125. The sign test can be used only on small samples

126. The sign test should not be used below 20 observations

127. Krawiecka-Manchester test is self reporting

FALSE

128. Shoplifting is highly likely to recur if associated with mental illness

TRUE

129. Rates of recurrence of exhibitionism is lower after the first conviction

FALSE

130. There is an increase chance of sexual assault if an exhibitionist touches the victim

TRUE

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44 Use of naltrexone decreases the chance of relapse in the treatment of alcoholism

this is true. naltreoxone has een used with acamprosate and is known to be effective to prevent relapse either with or without acamprosate in alcoholism

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60. The suffocation alarm theory of anxiety is that some people have hypersensitive suffocation centers

true .......google it ..

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66. Vomiting is a poor prognostic sign in anorexia nervosa - definitely true

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HERITABILITY OF CONDUCT DISORDER IS 0.1 -0.2 ??????

I think it is around the order of 0.5....

IF anybody ahs reference for 0.1/0.2 please post the reference...

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