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Gurpal

2008 June - Paper 2 feedback

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Please post your feedback on the Paper 2 exam. If you can remember any questions and stems, please include them. Please do not discuss answers in this thread.

Thank you and good luck!

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This time, I thought I really prepared well for paper 2, but....

Donno how others felt about it!

Let me know your feedback as well.

Atleast this time I remember some of the questions they asked.

A few repetitions from last time, like the EMI on PTSD, etc.

I predict yet another low pass percentage result for paper 2.

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i think this time the pass percentage would be high as most of the questions were straight forward and were mostly from Manchester course notes.

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I guess the paper is about 25% better compared to previous paper 2.

Pass percentage will be slightly higher but not much i think.

i struggled with time as again few questions are quite elaborate.

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some of the questions:

1. a patient doesn't respond to conventional and 2 different atypical antipsychotics, what would be the next step?

2. A patient has had a trial of conventional and atypical antispcyhotics and now on Clozapine. However still is ill, what is the next step?

3. A patient with simple phobia comes. what is the next step in treatment?

A. flooding

B. explaining CBT

C. Graded exposure immediately

D. taking a history

E.

4. Patient on Tranylcipromine should not take

A. Banana

B. Cheese

C.

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Oh, yes.

1. EMI: Choose from the following options:

a) Group debriefing

B) counselling

c) single debriefing

d) EMDR

e) IPT

f) Clomipramine

g) no intervention

h) watchful waiting

i) Diazepam

A 34 year old policeman witnessed a terrible accident where he was involved in rescue and first aid. He had flashbacks of it later, low mood, poor sleep and has avoided talking about it from his wife who is concerned as he is put off from having sex with her.

Choose the best intervention from the given options.

1) He comes to you 3 days after the accident.

Choose ONE.

2) He comes back after 3 months with the same symptoms persisting.

Choose ONE.

3) Which one among the above is shown by an RCT to be leading to increased risk of developing the disorder? Choose ONE.

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i think this time the pass percentage would be high as most of the questions were straight forward and were mostly from Manchester course notes.

dude you've got to tell us which manchester notes did u study from cuz i did not find this shit easy at all !!!

and i'm sure others would agree :o

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the question about the risk of self harm in goth culture is from BMJ!

the answer is 7-14%

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I still think it was hard though I did a bit better than last time. I read american, British journal of psychiatry as well as epidemiology and psychopharmacology journals! but at the exam I felt as if I hadn't read any thing. or maybe my style of reading is not good enough.

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more question

1. what drug to avoid in depression if the pateint doesn't want to get obese? actually to avoid which receptor agonist/antagonist: H1 antagonist

2. EEG in rontotemporal dementia: Normal as part of EMI

3. which is substrate of Acetylcholine?

A. Acetylcholinesterase

B. Acetyl Coenzyme A

C. Choline

D. Choline Acetyltransferase

E.

the answer is: B

4. EMI

In a high risk population of adolescents with sympstome of psychosis, in 12 months time

A. subtance misuse

B. Antipsychotics for relapse prevention

C. social impairment

D. Genetic history in the relatives

E. Drug use

F. Education about early relapse signs

Which is most important predicting factor for full psychosis? 1 answer

what are 2 other predicting factors? 2 answers

Which are protective factors against psychosis? 2 answers

In a patient who has got nepholitiasis after taking a mood stabilizer, the culprit is:

Topiramate

Mechanism of

Moclobemide

Sodium Valproate

On a CT, you see only atrophy of head of caudate nucleus, which is likely?

A. Alzheimer disease

B. Huntington

C. Pick

D. Lewy body dementia

E. some thing else

th risk of schizophrenia to relatives. EMI:

A lady with schizophrenia asks you what are the risk of schizophrenia to

1. Brother

2. Mother

3. Child

4. adopted child of her brother who has velocardiofacial syndrome.

answers

A.0-5

B.5-10

C.10-15

D.15-20

E.20-25

F.25-30

G.30-35

H.35-40

I.40-45

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you want to screen for depression in between 14-18 year old adolescents. which is the best screening tool?

A. SCID(structured clinical interview)

B. Child and adolescent assessment scale

C. Beck's depression inventory

D. Hamilton depression rating scales

E. Child behavioural checklist

the answer is: A

You want to screen for depression at 14 and then at 18 to see the progress. Which screening tool do you use?

the same answers. but the answer here is child and adolescent assessment scale as it compares and is used for prognosis and progression according to kaplan and sadock textbook of psychiatry.

Which is important in differentiating mild cognitive dementia from dementia?

A. history from relative re: daily activity

B. MMSE and other answers

pateint comes with mild cognitive impairment. Which one is recommended for prevention of dementia?

A. NSAIDS

B. Arachidonic acid(unsaturated fatty acid)

C. Memantine

D. Donepezil

E. No recommendation

what is the risk of alzheimer dementia in a heterozygote for Apo 4?

A. 1

B.3

C.5

D.7

E.9

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a patient works and rives at 6:30 am and wants night sedation. based on half life, which of these is the best?

A. Temazepam

B. Diazepam

C. Zolpidem

D. Zopiclone

E. Lorazepam

the answer is: C(zolpidem's half life is shorter than zopiclone)

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HI,

I thought it was a difficult paper but better than last time(may be because we are prepared to face the worst).

How on earth am gonna remember all those percentages??

looks like its luck which decides who pass.

best of luck ;)

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a patient works and rives at 6:30 am and wants night sedation. based on half life, which of these is the best?

A. Temazepam

B. Diazepam

C. Zolpidem

D. Zopiclone

E. Lorazepam

the answer is: C(zolpidem's half life is shorter than zopiclone)

[highlight]Option E is Zaleplon and it has much shorter haf life[/highlight]

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Sarvenaz wrote on Yesterday at 10:43pm:

a patient works and rives at 6:30 am and wants night sedation. based on half life, which of these is the best?

A. Temazepam

B. Diazepam

C. Zolpidem

D. Zopiclone

E. Lorazepam

the answer is: C(zolpidem's half life is shorter than zopiclone)

Option E is Zaleplon and it has much shorter haf life

there was another option of Flurazepam,,which is the correct answere. it has the shortest half life ,,,from PASSTEST NOTES

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ive tried my best to recall ... guess its PTDS or sumthing but all i can remeber is Qz about what kind of psychological theraphy to suggest for conditions like Borderline PD,etc and a lot of Qz on [highlight]Family theraphy.[/highlight]

Emi about a Malnourished alcoholic off the street , guy with a head injury etc

1.problems with autobiographical memories

2.semantic memory problems

3.lacks insight

4.doesnt know recent general knowledge details like primeminister's name etc

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I guess the favz this tyme were,

1.Family Theraphy-----------atleast 2 EMIz

2.Pharmacology--------------2 EMIs and a couple of MCQz

3.Godforsaken Syndromes--Emi

4.Neuropsych-----------------EMI and Mcqz

5.Statistics (basic !!! yeah right )-----2 EMIs

6.Epidemiology-------------------------1 EMI and a couple of MCQz

umm feel free to disagree ppl :)

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Agree that a few emis have come from family therapy but they were lil hard.

i can vaguely recollect a mcq on family therapy,please edit it as required

husband alcohol dependent and therapist wants him to say i would give up drinking and wife to say she will support him.

a)couple therapy

b)system couple therapy

c)something something

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you want to screen for depression in between 14-18 year old adolescents. which is the best screening tool?

A. SCID(structured clinical interview)

B. Child and adolescent assessment scale

C. Beck's depression inventory

D. Hamilton depression rating scales

E. Child behavioural checklist

the answer is: A

You want to screen for depression at 14 and then at 18 to see the progress. Which screening tool do you use?

the same answers. but the answer here is child and adolescent assessment scale as it compares and is used for prognosis and progression according to kaplan and sadock textbook of psychiatry.

Which is important in differentiating mild cognitive dementia from dementia?

A. history from relative re: daily activity

B. MMSE and other answers

pateint comes with mild cognitive impairment. Which one is recommended for prevention of dementia?

A. NSAIDS

B. Arachidonic acid(unsaturated fatty acid)

C. Memantine

D. Donepezil

E. No recommendation

what is the risk of alzheimer dementia in a heterozygote for Apo 4?

A. 1

B.3

C.5

D.7

E.9

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you want to screen for depression in between 14-18 year old adolescents. which is the best screening tool?

A. SCID(structured clinical interview)

B. Child and adolescent assessment scale

C. Beck's depression inventory

D. Hamilton depression rating scales

E. Child behavioural checklist

the answer is: A

You want to screen for depression at 14 and then at 18 to see the progress. Which screening tool do you use?

the same answers. but the answer here is child and adolescent assessment scale as it compares and is used for prognosis and progression according to kaplan and sadock textbook of psychiatry.

Which is important in differentiating mild cognitive dementia from dementia?

A. history from relative re: daily activity

B. MMSE and other answers

pateint comes with mild cognitive impairment. Which one is recommended for prevention of dementia?

A. NSAIDS

B. Arachidonic acid(unsaturated fatty acid)

C. Memantine

D. Donepezil

E. No recommendation

what is the risk of alzheimer dementia in a heterozygote for Apo 4?

A. 1

B.3

C.5

D.7

E.9

was it just me or was this qz repeated again in the paper yesturday ???? :-/

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Agree that a few emis have come from family therapy but they were lil hard.

i can vaguely recollect a mcq on family therapy,please edit it as required

husband alcohol dependent and therapist wants him to say i would give up drinking and wife to say she will support him.

a)couple therapy

b)system couple therapy

c)something something

the answer for this is behaviour couples therapy. It was from one of the EMI books

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ive tried my best to recall ... guess its PTDS or sumthing but all i can remeber is Qz about what kind of psychological theraphy to suggest for conditions like Borderline PD,etc and a lot of Qz on [highlight]Family theraphy.[/highlight]

Emi about a Malnourished alcoholic off the street , guy with a head injury etc

1.problems with autobiographical memories

2.semantic memory problems

3.lacks insight

4.doesnt know recent general knowledge details like primeminister's name etc

another question is a woman was found wandering on streets after the recent funeral of her husband

again the options were

a) loss of semantic memory

b)loss of memory of personal events well rehearsed

c)loss of recent details in the community

d)loss of insight

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