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Even More EMIs!!

3 posts in this topic

A. Fluoxetine

B. Desipramine

C. Risperidone

D. Quetiapine

E. Sertraline

F. Lamotrigine

G. Reboxetine

H. Citalopram

J. Escitalopram

K. Lithium

1. A 15 year old child who has a 5 year history of OCD. He has been found depressed in the past 6 months (one option)

2. A 30 year old man with severe OCD has been on 2 different antiobsessional medications without a significant benefit. What would you suggest as an add-on treatment (two options)

3. A 25 year old man with OCD. Which anti-depressants are not helpful (two options)

Learning Disability

Prader Willi Syndrome

Angelman’s syndrome

Down’s syndrome

Lesch Nyhan syndrome

Rett’s syndrome

Autism

Lead in: Choose the most appropriate diagnosis in the following

1. 7 year old girl with loss of acquired skills and abnormal hand movements.

2. 3 year old boy with obesity, compulsive overeating and excessive sleepiness.

3. 7 year old with lip biting and excessive self injurious behaviour.

A. Heritability

B. Epigenetic

C. Penetrance

1. The term that describes the proportion of phenotypic variation in a population that is attributable to genetic variation

2. The term that describes the transmission of genetic information without this information being encoded in the DNA

3. The term that explains how the same genotype can lead to different phenotypes

Liaison/Medicine

Answers included neurosarcoidosis, erythrema nodosum, postencephalitic psychosis, Huntington’s disease

Stems included lesions on the skin, respiratory problems

A hypokalaemia

B hyperkalaemia

C hypocalcaemia

D hypercalcaemia

E hyponatraemia

F hypernatraemia

G hypoglycaemia

H hyperglycaemia

Pick one that explains the following phenomena:

1) A man on fluoxetine who develops muscle cramps and lethargy.

2) A man with a history of alcohol abuse who develops confusion and disturbed mental state.

Neuroanatomy

neurobiological basis disease

answers: cerebellar damage, macrocephaly, enlarged lentifrom

questions:

autism

antipsychotics

others..

Mammilary bodies

Superior colliculi

Inferior olivary nucleus

Lentiform nucleus

Arcuate fasciculus

Temporal pole

Subiculum

Medial geniculate body

Medial thalamus

Select the neuroanatomy most likely to be associated with the following

1 Uncinate Fasciculus (2)

2 Korsakoffs psychosis (2)

3 Auditory Pathway (2

a Piramidal Neuron

b Astrocytes

c oligodendrocytes

d double bouquet cells

e schwann cells

f bering cells

g Chandelier cells

1- TWO involved in repairing myelin sheath of axons

2- TWO that have NMDA receptors... or that use glutamate as their transmitter

3- TWO that are efferent neurons

Old Age

Living in an institution

Living alone

Previous poor relationship with carer

Male carer

Male patient

Patient has a diagnosis of dementia

Carer married to patient

High physical dependency in the patient

1 give 2 risk factors for elder abuse ?

2 give 3 risk factors for carer distress

3 give 3 factors associated with INCREASE depression in elderly.

A. Presenillin mutations

B. Tau mutations

C. Amyloid plaques

D. Lewy bodies

E. Apo E e4

F. A-synuclein inclusions

G. Mamillary body lesions

1. Lady in her 50s with dementia (two options)

2. Gentleman in his 80s with gradually progressing dementia over the last year. History of alcohol abuse for 20 years. He had a fall and a concussion 5 years ago (two options)

3. Gentleman in his 60s. Progressive cognitive decline with visual hallucinations and variable confusion

Psychotherapy

Free association

Keeping a diary

Lying on a couch

Home work

Regular reviewing ?(There were 8 choices )

Which of the following are present in these therapies

Cognitive Analytic Therapy

Psychodynamic Psychotherapy

Interpersonal Psychotherapy

Denigration

Denial

Idealisation

Projective Identification

Reaction Formation

Sublimation

Splitting

Intellectualisation

patient taken large overdose and admitted. wants to discharge herself. doctor feeling anxious about discharging her, patient now seems better

patient tells of how good his childhood was when we know from notes he was taken into care because neglected by mother

OR

patient tells of how his mother put him in care becoz she could not luk after him when in reality he was taken by social services as was found to be starving n poor self careis showing

patient telling team member that he is great, a week later putting in a complaint for no apparent reason

A. Sub-grouping

B. Pairing

C. Interpretation

D. Universality

E. Counterdependence

F. Dependence

G. Free floating discussion

1. Two characteristics of a psychodynamic opientated group

2. Two features that improve outcome in group therapy

3. Two features that pose a problem in group therapy

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Questions related to neuroanatomy and genetics not answered.

EMI 6

A. Fluoxetine  

B. Desipramine  

C. Risperidone  

D. Quetiapine  

E. Sertraline  

F. Lamotrigine  

G. Reboxetine  

H. Citalopram  

J. Escitalopram  

K. Lithium  

1. A 15 year old child who has a 5 year history of OCD. He has been found depressed in the past 6 months (one option)

Sertraline  

2. A 30 year old man with severe OCD has been on 2 different antiobsessional medications without a significant benefit. What would you suggest as an add-on treatment (two options)  

C. Risperidone  

D. Quetiapine  

If CBT and clomipramine is in the options, I will prefer these over antipsychotics.

http://www.nice.org.uk/nicemedia/pdf/cg031niceguideline.pdf  

3. A 25 year old man with OCD. Which anti-depressants are not helpful (two options)  

Desipramine

Reboxetine

Learning Disability

EMI 7

Prader Willi Syndrome  

Angelman’s syndrome  

Down’s syndrome  

Lesch Nyhan syndrome  

Rett’s syndrome  

Autism  

Lead in: Choose the most appropriate diagnosis in the following  

1. 7 year old girl with loss of acquired skills and abnormal hand movements.  

Rett’s syndrome  

2. 3 year old boy with obesity, compulsive overeating and excessive sleepiness.  

Prader Willi Syndrome  

3. 7 year old with lip biting and excessive self injurious behaviour.

Lesch Nyhan syndrome    

EMI 8

Answers included neurosarcoidosis, erythrema nodosum, postencephalitic psychosis, Huntington’s disease

Stems included lesions on the skin, respiratory problems

A hypokalaemia

B hyperkalaemia

C hypocalcaemia

D hypercalcaemia

E hyponatraemia

F hypernatraemia

G hypoglycaemia

H hyperglycaemia

Pick one that explains the following phenomena:

1) A man on fluoxetine who develops muscle cramps and lethargy.

Hyponatraemia

2) A man with a history of alcohol abuse who develops confusion and disturbed mental state.

Hypoglycaemia

Old Age

EMI 9

Living in an institution  

Living alone  

Previous poor relationship with carer  

Male carer  

Male patient  

Patient has a diagnosis of dementia  

Carer married to patient  

High physical dependency in the patient  

 

1 give 2 risk factors for elder abuse  ?    

Carer married to the patient

Previous poor relationship with carer

2 give 3 risk factors for carer distress  

Patient has a diagnosis of dementia  

Male patient  

High physical dependency in the patient  

3 give 3 factors associated with INCREASE depression in elderly.

Living alone  

Male patient  

Patient has a diagnosis of dementia  

   

EMI 10

A. Presenillin mutations  

B. Tau mutations  

C. Amyloid plaques  

D. Lewy bodies  

E. Apo E e4  

F. Alpha-synuclein inclusions  

G. Mamillary body lesions  

1. Lady in her 50s with dementia ; which genes might be responsible

A. Presenillin mutations  

E. Apo E e4  

2. Gentleman in his 80s with gradually progressing dementia over the last year. History of alcohol abuse for 20 years. He had a fall and a concussion 5 years ago . Which cellular changes will be there?

(two options)

C. Amyloid plaques

D. Lewy bodies    

3. Gentleman in his 60s. Progressive cognitive decline with visual hallucinations and variable confusion  

D. Lewy bodies    

F. Alpha-synuclein inclusions  

http://library.med.utah.edu/WebPath/TUTORIAL/CNS/CNSDG.html  

Psychotherapy

EMI 11

Free association  

Keeping a diary  

Lying on a couch  

Home work  

Regular reviewing ?(There were 8 choices )  

Which of the following are present in these therapies

 

Cognitive Analytic Therapy  

Regular reviewing

Psychodynamic Psychotherapy

Free association

 

Interpersonal Psychotherapy

Regular reviewing in above options

EMI 12

Denigration

Denial  

Idealisation  

Projective Identification  

Reaction Formation  

Sublimation  

Splitting

Intellectualisation

1. Patient taken large overdose and admitted. wants to discharge herself. doctor feeling anxious about discharging her, patient now seems better  

patient tells of how good his childhood was when we know from notes he was taken into care because neglected by mother

Denial

2. Patient tells of how  his mother put him in care because she could not look after him when in reality he was taken by social services as was found to be starving n poor self care is showing.  

Idealisation

3. Patient telling team member that he is great, a week later putting in a complaint for no apparent reason

Splitting

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EMI 13

A. Sub-grouping

B. Pairing

C. Interpretation

D. Universality

E. Counterdependence

F. Dependence

G. Free floating discussion

H. Explanation of transference and countertransference

J. Cohesiveness

1. Two characteristics of a psychodynamic opientated group

Free floating discussion

Explanation of transference and countertransference

2. Two features that improve outcome in group therapy

Universality

Cohesiveness

OTHER GOOD FACTORS ARE:

Altruism

Catharsis

Interpersonal Learning

Instillation of hope

Corrective family re-inactment

Guidance

Identification and imitative behaviour

Existential factors

Socialising techniques

Self understanding

3. Two features that pose a problem in group therapy

Pairing

Dependency

Fight and Flight

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