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Gurpal

Part 2 ISQ Club - Mood/Anxiety/Pregnancy

34 posts in this topic

Below are some ISQs from the autumn 2004 exam. The complete paper can be downloaded by clicking here.

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

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

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

4. Perinatal complications are a risk factor for bipolar affective disorder

5. In obsessive compulsive disorder, there is increased glucose metabolism in caudate nucleus

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

7. The term ‘neurasthenia’ is retained in ICD-10

8. The suffocation alarm theory of anxiety is that some people have hypersensitive suffocation centres

9. Carbamazepine is an effective treatment of irritable bowel syndrome

10. H2 antagonist drugs are useful in the treatment of irritable bowel syndrome

11. Munchausen’s by proxy is a factitious disorder

12. Factitious disorder rarely presents with anaemia

13. Amenorrhea is a recognised complication of bulimia nervosa

14. Vomiting is a poor prognostic sign in anorexia nervosa

15. Maternity blues are present in 50% of new mothers

16. One third of women develop blues after normal delivery

17. The Edinburgh postnatal depression scale is self-completed

18. The risk of postpartum psychosis is 20% if there is one previous episode of postpartum psychosis

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

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1 attempted suicide in the elderly is more common in men than woman.

true

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11. Munchausen’s by proxy is a factitious disorder

False

Munchausen’s by proxy is child abuse

ICD - 10 Pocket guide p 256

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7. The term ‘neurasthenia’ is retained in ICD-10

True

ICD-10 p 192

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17. The Edinburgh postnatal depression scale is self-completed

True

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

True

manchester course notes

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4. Perinatal complications are a risk factor for bipolar affective disorder

False

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8. The suffocation alarm theory of anxiety is that some people have hypersensitive suffocation centres

False

The suffocation alarm theory is for panic disorder

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9. Carbamazepine is an effective treatment of irritable bowel syndrome

False

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11. Munchausen’s by proxy is a factitious disorder

true according to Manchester course- it is an extreme variant of factitious disorder

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5. In obsessive compulsive disorder, there is increased glucose metabolism in caudate nucleus

True?

SPECT, PET and fMRI have provided consistent data indicating increased metabolic activity in the orbitofrontal cortex, ant cingulate gyrus and related subcortical structures such as the caudate nucleus and thalamus- (Companion)

Guess the answer is true then

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QUES The house hold survey found 1 percent had suicidal ideations in the preceding week

ANS : FALSE

The National Psychiatric Household Survey (Jenkins 1997) does not give any statistics about suicide inquiry.

hasit

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11. munchausen’s by proxy is a factitious disorder

False

According to ICD-10 ( page 256 pocket guide) Factitious disorder excludes Muchhausen by proxy.(T74.8)

Its a form of child abuse

MUNCHAUSEN BY PROXY (MBP) (also called Munchausen Syndrome by Proxy, Munchausen by Proxy Syndrome, and Factitious Disorder by Proxy) is a label for a pattern of behavior in which caretakers deliberately exaggerate and/or fabricate and/or induce physical and/or psychological-behavioral-mental health problems in others.

This pattern of behavior constitutes a separate kind of maltreatment (abuse/neglect) that manifests as physical abuse, sexual abuse, emotional abuse, neglect, or a combination. The primary purpose of this behavior is to gain some form of internal gratification, such as attention, for the perpetrator.

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15. Maternity blues are present in 50% of new mothers True

16. One third of women develop blues after normal delivery

False

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12. Factitious disorder rarely presents with anaemia  

false - one of the commonest presentations

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13. Amenorrhea is a recognised complication of bulimia nervosa

false - menstrual irregularities and oligomenorrhoea can occur

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14. Vomiting is a poor prognostic sign in anorexia nervosa

false?

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18. The risk of postpartum psychosis is 20% if there is one previous episode of postpartum psychosis

true - risk is 1:5

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

true?

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19. there are less depressive symptoms a.fter breast preserving surgery compared to radical mastectomy in ca breast

FALSE

apparently psychiatric morbity the same

25% develop anxiety or depression with 18 months of surgery.

tx: group psychotherpy

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people should include references when giving there answers and if guessing they should indicate this clearly thankx

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5.In OCD there is increased glucose metabolism in caudate nucleus.

Answer : True

PET Studies show increased glucose metabolism in orbital frontal and Prefrontal cortex, right caudate nucleus and anterior cingulate gyrus.

Kaplan 2759

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re: breast conservation surgery and depression

apparently there is no difference in depression outcomes

ref

Ann Med. 1992 Dec;24(6):445-51. Related Articles, Links

Breast-conserving therapy for mammary carcinoma: psychosocial aspects, indications and limitations.

Blichert-Toft M.

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