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steve_ramplin

Best of Five  - a contributory solution

41 posts in this topic

How about everyone who uses the site write and submit several of their own 'Best of Five' questions. That would soon create a bank of several hundred questions, which we could all use.

Do people think this is worth a go?

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Thats a good idea animal.

To create a BOF you need to read first!

So do you want to kick off.

I will join.

Lets give a try.

Just wondering whether WM will put up some. ;)

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I will start with the first question I am expecting to see in the new exam. This is based on my experience in Part 1 exam

Question

The incidence of Postnatal psychosis:

a) 1 in 520

B) 1 in 510

c) 1 in 500

d) 1 in 490

e) 1 in 480

The correct Answer is C

Explanations: Ofcourse All answers are true and this question should not be asked in the first instant. The exact number may vary from a study to another and from a population to anther. I have chosen C as an answer because I think this is what the college is looking for.

I hope we do not really get these type of non-sense questions in the new 'modernized' exam.

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sorry mate

basic science is not in paper 3

i think this mcq is part1 material !!!

any comments!

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Hi all,

Couldnt attach so below are 20 ish BOF for old age psychiatry, to help prepare for paper 3. If we all have a stab it make a massive question bank for all papers. Plus it helps the study!

Answer refs are based on Revision notes in Psychiatry, Puri & Hall, 2nd Ed.

The Age dependency ratio is defined as the:

1. Percentage of the population aged over 65

2. Population aged over 65 as a percentage of the working population

3. Population aged over 65 as a percentage of the adult population

4. The retired population over 65 as a percentage of the working population

5. Working population as a percentage of population over 65

Answer ref p 529

The most prevalent psychiatric morbidity in those over 65 years of age is:

1. &nbsp:lol:ementia

2. &nbsp:lol:epression

3. Phobic disorders

4. Paranoid disorders

5. Panic disorders

Answer ref p 529

Which of the following psychiatric illnesses is quite rare in the elderly?

1. &nbsp:lol:ementia

2. &nbsp:lol:epression

3. Phobic disorders

4. Paranoid disorders

5. Panic disorders

Answer ref p 529

The Hayflick Limit is primarily evidence for:

1. Wear and Tear theory of age related deterioration

2. Tumour growth

3. Mitochondrial decline

4. Genetically programmed ageing

5. Free radical mediated cell death

Answer ref p 530

Which of the following neurobiological effects is not seen in the brain in normal ageing?

1. Lewy Bodies in the substantia nigra

2. Amyloid deposits in blood vessel walls

3. ß Amyloid deposits in the cerebral cortex

4. Neurofibrillary tangles in the hippocampus

5. Nerve cell loss in the dentate nucleus of the cerebellum

Answer ref p 530

Using the WAIS-R, a classic pattern of intellectual decline is seen, with performance IQ declining more rapidly than verbal IQ. Which of the following factors is not thought to significantly account for this?

1. Reduced processing speed

2. Reduced ability to abstract a concept

3. Crystallised intelligence

4. Fluid intelligence

5. Reduced problem solving ability

Answer ref p 531

Which one of the following does not deteriorate with age?

1. Short term memory assessed by digit span

2. Reaction Time

3. Performance on working memory tasks

4. Uncued recall for long term memory

5. Memory of source

Answer ref p 531

Which of the following is not relatively preserved into old age?

1. Cued Recall

2. Semantically encoded memory

3. Personality

4. Knowledge

5. Phonologically encoded memory

Answer ref p 532

Which of the following is not generally true of an elderly population?

1. Reduced number of social roles

2. Loss of financial security

3. Extended family live nearby

4. Loss of work related life satisfaction

5. More likely to be devalued by middle aged adults than children

Answer ref p 532-3

Which one of these pharmacokinetic changes is not seen with ageing?

1. Reduced renal tubular function

2. Reduced proportion of body mass composed of adipose tissue

3. Reduced proportion of body mass composed of water

4. Reduced gastrointestinal adsorptive surface

5. Reduced blood flow in splanchnic circulation

Asnwer ref p 534

Which one of these pharmacokinetic changes is not seen with ageing?

1. Reduced total body mass

2. Increased gastric pH

3. Reduced GFR

4. Increased rate of gastric emptying

5. Reduced proportion of body mass composed of muscle

Answer ref p 534

Lithium doses in the elderly are approximately 50% lower than in the young. Which of the following reasons is least relevant as an explanation for this?

1. Reduced renal clearance

2. &nbsp:lol:ehydration

3. Co-prescription of diuretics

4. Co-prescription of NSAIDS

5. Reduced rate or extent of absorption

Answer ref p265+535

An elderly female is prescribed a benzodiazepine, an antipsychotic and a Tricyclic antidepressant. Which of the following side effects would you not expect to be more likely?

1. &nbsp:lol:elirium

2. Urinary retention

3. Tardive dyskinesia

4. Acute dystonia

5. Falls

Answer ref p 535

Families provide considerable practical and emotional help to the elderly population. Which of one of the following statements about family carers is not true?

1. Caring usually falls largely on one relative

2. Female carers out number male carers by 2:1

3. Most carers are unwilling

4. Most carers wish to keep the patient at home

5. Problems faced by carers increase with the degree of dementia

Answer ref p 536

Which of the following is not primarily a test of memory?

1. Babcock sentence

2. &nbsp:lol:igit span

3. Serial sevens

4. Recall of an address

5. General knowledge

Answer ref p538

You are referred an elderly female with anxiety and depression, who also complains of a marked tremor. Which one of the following investigations is most important?

1. Serum Copper

2. CT Head

3. ECG

4. MSU

5. TSH

Answer ref 539

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In normal ageing there is progressive cortical atrophy and increased ventricular size. Structural imaging can identify treatable intra-cranial lesions or be helpful in establishing the aetiology of dementia. The presence of enlarged ventricles without cortical atrophy would suggest which diagnosis?

1. Alzheimer[ch8217]s Disease

2. Pick[ch8217]s Disease

3. Huntington[ch8217]s Disease

4. Multi-infarct dementia

5. Normal pressure hydrocephalus

Answer ref p 540

Gross fronto-temporal atrophy on CT of the brain is particularly suggestive of a diagnosis of:

1. Pick[ch8217]s Disease

2. Huntington[ch8217]s Disease

3. Multi infarct dementia

4. Alzheimer[ch8217]s Disease

5. Normal Pressure hydrocephalus

Answer ref p540

Which of the following is not usually seen in imaging in dementia of Alzheimer[ch8217]s type?

1. General cortical atrophy

2. Ventricular enlargement

3. Thinning of width of medial temporal lobe

4. Gross fronto-temporal atrophy

5. White matter changes

Answer ref p540

Which of the following EEG changes is not usually associated with ageing in a person aged 65?

1. Slowing of [ch945] rhythm

2. Paroxysmal bifrontal [ch948] waves

3. Increased [ch952] activity in the left temporal lobe

4. Increased [ch948] activity in the anterior regions

5. Reduced [ch946] activity

Answer ref p 541

Which of the following EEG changes may be seen in Alzheimer[ch8217]s Disease?

1. Normal EEG

2. &nbsp:lol:iffuse slowing

3. Reduced [ch945] and [ch946] activity

4. Paroxysmal bifrontal [ch948] waves

5. Paroxysmal sharp waves

Answer ref p 541

Which of the following is not generally true of the EEG trace in delirium?

1. 90% of patients with delirium have abnormal traces

2. [ch948] activity and asymmetry and localised spike and sharp wave complexes occur more frequently in those with intra-cranial pathology

3. [ch948] activity correlates with length of illness

4. Most conditions causing delirium cause speeding up of the EEG trace

5. [ch945] activity correlates with cognitive function

Answer ref p 541

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Animal it's brilliant!

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I will start with the first question I am expecting to see in the new exam. This is based on my experience in Part 1 exam

Question

The incidence of Postnatal psychosis:

a) 1 in 520

B) 1 in 510

c) 1 in 500

d) 1 in 490

e) 1 in 480

The correct Answer is C

Explanations: Ofcourse All answers are true and this question should not be asked in the first instant. The exact number may vary from a study to another and from a population to anther. I have chosen C as an answer because I think this is what the college is looking for.

I hope we do not really get these type of non-sense questions in the new 'modernized' exam.

That is right. The incidence is 0.15 - 0.25 percent or roughly 0.2 percent which is equal to 1/500 births

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The Age dependency ratio is defined as the:

1. Percentage of the population aged over 65

2. Population aged over 65 as a percentage of the working population

3. Population aged over 65 as a percentage of the adult population  

4. The retired population over 65 as a percentage of the working population

5. Working population as a percentage of population over 65

Answer ref p 529

I  would go for none of the above.

It is a ratio of theoratically inactive population divided by theoratically active population.

So dependency ratio is :

[children plus elderly] / young adults

Old age dependency ratio will be :

(inactive) Old people / young adults

http://www.ecosante.org/OCDEENG/910060.html

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The most prevalent psychiatric morbidity in those over 65 years of age is:

1. &nbsp:lol:ementia

2. &nbsp:lol:epression

3. Phobic disorders

4. Paranoid disorders

5. Panic disorders

Answer ref p 529

Answer would be 2. Depression

In the past depression was the most prevalent among elderly adults, howver this ration is now changing towards anxiety disorders.

http://bjp.rcpsych.org/cgi/content/full/184/2/147

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Just recompiling

Question 4

1. Which of the following psychiatric illnesses is quite rare in the elderly?

1. &nbsp:lol:ementia

2. &nbsp:lol:epression

3. Phobic disorders

4. Paranoid disorders

5. Panic disorders

Answer ref p 529

Question 5

The Hayflick Limit is primarily evidence for:

1. Wear and Tear theory of age related deterioration

2. Tumour growth

3. Mitochondrial decline

4. Genetically programmed ageing

5. Free radical mediated cell death

Answer ref p 530

Question 6

Which of the following neurobiological effects is not seen in the brain in normal ageing?

1. Lewy Bodies in the substantia nigra

2. Amyloid deposits in blood vessel walls

3. ß Amyloid deposits in the cerebral cortex

4. Neurofibrillary tangles in the hippocampus

5. Nerve cell loss in the dentate nucleus of the cerebellum

Answer ref p 530

Question 7

Using the WAIS-R, a classic pattern of intellectual decline is seen, with performance IQ declining more rapidly than verbal IQ. Which of the following factors is not thought to significantly account for this?

1. Reduced processing speed

2. Reduced ability to abstract a concept

3. Crystallised intelligence

4. Fluid intelligence

5. Reduced problem solving ability

Answer ref p 531

Question 8

Which one of the following does not deteriorate with age?

1. Short term memory assessed by digit span

2. Reaction Time

3. Performance on working memory tasks

4. Uncued recall for long term memory

5. Memory of source

Answer ref p 531

Question 9

Which of the following is not relatively preserved into old age?

1. Cued Recall

2. Semantically encoded memory

3. Personality

4. Knowledge

5. Phonologically encoded memory

Answer ref p 532

Question 10

Which of the following is not generally true of an elderly population?

1. Reduced number of social roles

2. Loss of financial security

3. Extended family live nearby

4. Loss of work related life satisfaction

5. More likely to be devalued by middle aged adults than children

Answer ref p 532-3

Question 11

Which one of these pharmacokinetic changes is not seen with ageing?

1. Reduced renal tubular function

2. Reduced proportion of body mass composed of adipose tissue

3. Reduced proportion of body mass composed of water

4. Reduced gastrointestinal adsorptive surface

5. Reduced blood flow in splanchnic circulation

Asnwer ref p 534

Question 12

Which one of these pharmacokinetic changes is not seen with ageing?

1. Reduced total body mass

2. Increased gastric pH

3. Reduced GFR

4. Increased rate of gastric emptying

5. Reduced proportion of body mass composed of muscle

Answer ref p 534

Question 13

Lithium doses in the elderly are approximately 50% lower than in the young. Which of the following reasons is least relevant as an explanation for this?

1. Reduced renal clearance

2. &nbsp:lol:ehydration

3. Co-prescription of diuretics

4. Co-prescription of NSAIDS

5. Reduced rate or extent of absorption

Answer ref p265+535

Question 14

An elderly female is prescribed a benzodiazepine, an antipsychotic and a Tricyclic antidepressant. Which of the following side effects would you not expect to be more likely?

1. &nbsp:lol:elirium

2. Urinary retention

3. Tardive dyskinesia

4. Acute dystonia

5. Falls

Answer ref p 535

Question 15

Families provide considerable practical and emotional help to the elderly population. Which of one of the following statements about family carers is not true?

1. Caring usually falls largely on one relative

2. Female carers out number male carers by 2:1

3. Most carers are unwilling

4. Most carers wish to keep the patient at home

5. Problems faced by carers increase with the degree of dementia

Answer ref p 536

Question 16

Which of the following is not primarily a test of memory?

1. Babcock sentence

2. &nbsp:lol:igit span

3. Serial sevens

4. Recall of an address

5. General knowledge

Answer ref p538

Question 17

You are referred an elderly female with anxiety and depression, who also complains of a marked tremor. Which one of the following investigations is most important?

1. Serum Copper

2. CT Head

3. ECG

4. MSU

5. TSH

Answer ref 539

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Question 19

In normal ageing there is progressive cortical atrophy and increased ventricular size. Structural imaging can identify treatable intra-cranial lesions or be helpful in establishing the aetiology of dementia. The presence of enlarged ventricles without cortical atrophy would suggest which diagnosis?

1. Alzheimer’s Disease

2. Pick’s Disease

3. Huntington’s Disease

4. Multi-infarct dementia

5. Normal pressure hydrocephalus

Answer ref p 540

Question 20

Gross fronto-temporal atrophy on CT of the brain is particularly suggestive of a diagnosis of:

1. Pick’s Disease

2. Huntington’s Disease

3. Multi infarct dementia

4. Alzheimer’s Disease

5. Normal Pressure hydrocephalus

Answer ref p540

Question 21

Which of the following is not usually seen in imaging in dementia of Alzheimer’s type?

1. General cortical atrophy

2. Ventricular enlargement

3. Thinning of width of medial temporal lobe

4. Gross fronto-temporal atrophy

5. White matter changes

Answer ref p540

Question 22

Which of the following EEG changes is not usually associated with ageing in a person aged 65?

1. Slowing of [ch945] rhythm

2. Paroxysmal bifrontal [ch948] waves

3. Increased [ch952] activity in the left temporal lobe

4. Increased [ch948] activity in the anterior regions

5. Reduced [ch946] activity

Answer ref p 541

Question 23

Which of the following EEG changes may be seen in Alzheimer’s Disease?

1. Normal EEG

2. &nbsp:lol:iffuse slowing

3. Reduced [ch945] and [ch946] activity

4. Paroxysmal bifrontal [ch948] waves

5. Paroxysmal sharp waves

Answer ref p 541

Question 24

Which of the following is not generally true of the EEG trace in delirium?

1. 90% of patients with delirium have abnormal traces

2. [ch948] activity and asymmetry and localised spike and sharp wave complexes occur more frequently in those with intra-cranial pathology

3. [ch948] activity correlates with length of illness

4. Most conditions causing delirium cause speeding up of the EEG trace

5. [ch945] activity correlates with cognitive function

Answer ref p 541

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ANSWERS

Question 4

1. Which of the following psychiatric illnesses is quite rare in the elderly?

1. &nbsp:lol:ementia

2. &nbsp:lol:epression

3. Phobic disorders

4. Paranoid disorders

5. Panic disorders

Answer ref p 529

Panic disorder

Question 5

The Hayflick Limit is primarily evidence for:

1. Wear and Tear theory of age related deterioration

2. Tumour growth

3. Mitochondrial decline

4. Genetically programmed ageing

5. Free radical mediated cell death

Answer ref p 530

4. Genetically programmed ageing

The Hayflick limit is a telomere length beneath which a cell will stop dividing. (Wikipedia)

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ANSWERS

Question 6

 

Which of the following neurobiological effects is not seen in the brain in normal ageing?  

 

1. Lewy Bodies in the substantia nigra  

2. Amyloid deposits in blood vessel walls  

3. ß Amyloid deposits in the cerebral cortex  

4. Neurofibrillary tangles in the hippocampus  

5. Nerve cell loss in the dentate nucleus of the cerebellum  

 

Answer ref p 530  

5. Nerve cell loss in the dentate nucleus of the cerebellum  

Question 7

 

Using the WAIS-R, a classic pattern of intellectual decline is seen, with performance IQ declining more rapidly than verbal IQ. Which of the following factors is not thought to significantly account for this?  

 

1. Reduced processing speed  

2. Reduced ability to abstract a concept  

3. Crystallised intelligence  

4. Fluid intelligence  

5. Reduced problem solving ability  

Answer ref p 531  

3. Crystallised intelligence

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ANSWERS

Question 8

Which one of the following does not deteriorate with age?  

 

1. Short term memory assessed by digit span  

2. Reaction Time  

3. Performance on working memory tasks  

4. Uncued recall for long term memory

5. Memory of source  

Answer ref p 531  

 

1. Short term memory assessed by digit span  

Question 9

Which of the following is not relatively preserved into old age?  

 

1. Cued Recall  

2. Semantically encoded memory

3. Personality  

4. Knowledge  

5. Phonologically encoded memory

Answer ref p 532  

 

5. Phonologically encoded memory

Question 10

Which of the following is not generally true of an elderly population?  

 

1. Reduced number of social roles  

2. Loss of financial security  

3. Extended family live nearby  

4. Loss of work related life satisfaction  

5. More likely to be devalued by middle aged adults than children

Answer ref p 532-3  

3. Extended family live nearby  

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Question 11

 

Which one of these pharmacokinetic changes is not seen with ageing?  

 

1. Reduced renal tubular function  

2. Reduced proportion of body mass composed of adipose tissue  

3. Reduced proportion of body mass composed of water  

4. Reduced gastrointestinal adsorptive surface  

5. Reduced blood flow in splanchnic circulation  

 

Asnwer ref p. 534  

 

2. Reduced proportion of body mass composed of adipose tissue  

Question 12

Which one of these pharmacokinetic changes is not seen with ageing?  

 

1. Reduced total body mass

2. Increased gastric pH

3. Reduced GFR

4. Increased rate of gastric emptying

5. Reduced proportion of body mass composed of muscle

Answer ref p 534  

4. Increased rate of gastric emptying

ANSWERS

Question 13

 

Lithium doses in the elderly are approximately 50% lower than in the young. Which of the following reasons is the least relevant as an explanation for this?  

 

1. Reduced renal clearance

2. &nbsp:lol:ehydration

3. Co-prescription of diuretics

4. Co-prescription of NSAIDS

5. Reduced rate or extent of absorption

Answer ref p 265+535  

5. Reduced rate or extent of absorption

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Question 14

An elderly female is prescribed a benzodiazepine, an antipsychotic and a Tricyclic antidepressant. Which of the following side effects would you not expect to be more likely?

1. &nbsp:lol:elirium

2. Urinary retention

3. Tardive dyskinesia

4. Acute dystonia

5. Falls

Answer ref p 535

4. Acute Dystonia

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Question 15

 

Families provide considerable practical and emotional help to the elderly population. Which of one of the following statements about family carers is not true?  

 

1. Caring usually falls largely on one relative  

2. Female carers out number male carers by 2:1

3. Most carers are unwilling  

4. Most carers wish to keep the patient at home  

5. Problems faced by carers increase with the degree of dementia

Answer ref p 536  

3. Most carers are unwilling  

Question 16

Which of the following is not primarily a test of memory?

1. Babcock sentence

2. &nbsp:lol:igit span

3. Serial sevens

4. Recall of an address

5. General knowledge

Answer ref p538

3. Serial sevens test

Question 17

You are referred an elderly female with anxiety and depression, who also complains of a marked tremor. Which one of the following investigations is most important?

1. Serum Copper

2. CT Head

3. ECG

4. MSU

5. TSH

Answer ref 539

TSH

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Question 19

In normal ageing there is progressive cortical atrophy and increased ventricular size. Structural imaging can identify treatable intra-cranial lesions or be helpful in establishing the aetiology of dementia. The presence of enlarged ventricles without cortical atrophy would suggest which diagnosis?

1. Alzheimer’s Disease

2. Pick’s Disease

3. Huntington’s Disease

4. Multi-infarct dementia

5. Normal pressure hydrocephalus

Answer ref p 540

5. Normal pressure hydrocephalus

Question 20

Gross fronto-temporal atrophy on CT of the brain is particularly suggestive of a diagnosis of:

1. Pick’s Disease

2. Huntington’s Disease

3. Multi infarct dementia

4. Alzheimer’s Disease

5. Normal Pressure hydrocephalus

Answer ref p540

1. Pick’s Disease

Question 21

Which of the following is not usually seen in imaging in dementia of Alzheimer’s type?

1. General cortical atrophy

2. Ventricular enlargement

3. Thinning of width of medial temporal lobe

4. Gross fronto-temporal atrophy

5. White matter changes

Answer ref p540

4. Gross fronto-temporal atrophy

 Question 22

Which of the following EEG changes is not usually associated with ageing in a person aged 65?

1. Slowing of [ch945] rhythm

2. Paroxysmal bifrontal [ch948] waves

3. Increased [ch952] activity in the left temporal lobe

4. Increased [ch948] activity in the anterior regions

5. Reduced [ch946] activity

Answer ref p 541

2. Paroxysmal bifrontal [ch948] waves

Question 23

Which of the following EEG changes may not be seen in Alzheimer’s Disease?

1. Normal EEG

2. &nbsp:lol:iffuse slowing

3. Reduced [ch945] and [ch946] activity

4. Paroxysmal bifrontal [ch948] waves

5. Paroxysmal sharp waves

Answer ref p 541

5. Paroxysmal sharp waves

Question 24

Which of the following is not generally true of the EEG trace in delirium?

1. 90% of patients with delirium have abnormal traces

2. [ch948] activity and asymmetry and localised spike and sharp wave complexes occur more

frequently in those with intra-cranial pathology

3. [ch948] activity correlates with length of illness

4. Most conditions causing delirium cause speeding up of the EEG trace

5. [ch945] activity correlates with cognitive function

Answer ref p 541

4. Most conditions causing delirium cause speeding up of the EEG trace

Acknowledgement:

I must commend the efforts of the starter of this thread. MCQs are very well made. Thanks for the hardwork as well as providing the page numbers for the answers.

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question of the day

The component of type A behavior that is the most reliable risk factor for

development of coronary artery disease is:

a. hostility

b. time urgency

c. rapid speech

d. competitiveness

e. visible mannerisms

i will provide the answer later!!!

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question of the day

 The component of type A behavior that is the most reliable  risk factor for

 development of coronary artery disease is:

a.   hostility

b.   time urgency

c.   rapid speech

d.   competitiveness

e.   visible mannerisms

i will provide the answer later!!!

Ans:

d. Competitiveness

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I will start with the first question I am expecting to see in the new exam. This is based on my experience in Part 1 exam

Question

The incidence of Postnatal psychosis:

a) 1 in 520

B) 1 in 510

c) 1 in 500

d) 1 in 490

e) 1 in 480

The correct Answer is C

Explanations: Ofcourse All answers are true and this question should not be asked in the first instant. The exact number may vary from a study to another and from a population to anther. I have chosen C as an answer because I think this is what the college is looking for.

I hope we do not really get these type of non-sense questions in the new 'modernized' exam.

That is right. [highlight]The incidence is 0.15 - 0.25 percent [/highlight]or roughly 0.2  percent which is equal to 1/500 births

Kamran- 0.15-0.25 % is equivalent to anything between 1 in 667 and 1 in 400, hence NY saying that all 5 answers are true! We traditionally quote 1 in 500, but it's not necessarily correct.

NY, I hope they would at least suggest

a) 1 in 1600

B) 1 in 800

c) 1 in 400

d) 1 in 200

e) 1 in 100

More likely they would include answers that are correct for another postnatal illness, eg postnatal depression, to trick the unwary ;)

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