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EMIs for paper 3

10 posts in this topic

can we collate CORRECT answers for these??

EMIs

Child & Adolescent

A. Atomoxetine

B. Methylphenidate

C. Melatonin

D. Fluoxetine

E. Diazepam

F. Clonidine

G. Carbamazepine

H. Sodium Valproate

1. A child with pervasive hyperactivity at school and home. Fidgety, hyperactive and poor attention (three options)

2. Child with low mood, insomnia, loss of weight and loss of interest (one option)

3. 3 year old child with mild learning disability, now presenting with intractable insomnia persisting even after behavioural intervention (two options)

Fluoxetine

Paroxetine

Clonidine

Melatonin

Diazepam

Methylphenidate

Atomoxetine

Risperidone

Buspirone

Lead in: Choose the best medication for the following conditions

1. A 8 year old is brought by her mother to your clinic with symptoms of hyperactivity, poor concentration and aggressive behaviour. Choose 3

2. A 12 year old boy presents with low mood, poor sleep, poor appetite and difficulty in concentration. Choose 1

3. A 8 year old boy with moderate learning difficulty and intractable insomnia. Choose 2

Logotherapy

Parent training

Family Therapy

Methylphenidate

Lithium

paroxetine

venlefaxine

1 4 year old taking the piss at school wit teachers and not respecting his mother at home

2 17 year old agrressive to the point parents have court injunction against him, he is aggressive in all circumstances but no other symptoms

3 13 year old girl aggressive, trouble at school, diagnosed as hyperkinetic by a psychologist

Critical Appraisal

a a sister screening for depression on ward selects 8 people with depression out of a total of nine who have depression

b a sister screening for depression on a ward selects 80 people who haven't got depression out of a total of 100 who havn't got depression

c we usually choose diagnostic categories from ICD 10

d concordance in diagnosis between GHQ and Becks depression inventory

e 95 % of people diagnosed with LBD screened with test x?? have Lewy Body Dementia

f the sister in a and b checks her figures na dfinds a total of 8 people with depression test positive from a total of 28 with depression on the ward

g some Alzhemers test that is very reliable for AD??

1Construct Validity

2Criterion Validity

3Divergent Validity

others

A) Chi-square test

B) McNemar test

C) Fisher test

D) Cluster analysis

E) ANCOVA

F) ANVONA

G) Multiple regression

H) corelation coefficient ..pearsons (parametric)

I) spearmans coefficent (non-parametric)

1. Demonstrate association of height (parametric) and ASPD (choose 3)

2. Relation of conduct disorder and ASPD (choose 2)

3. ASPD vs height and IQ (height and IQ correlated) (choose 2)

answers: chi-squared, mcnemar, t-test, paired t-test, anova, ancova, multiple regression

questions:

comparing categorical data

parametric data

confounders

A) Chi-square test

B) Anova

C) Fisher test

D) Cluster analysis

E) ANCOVA

F) PAIRED T TEST

G) Multiple regression

H) t test

I) kappa statistic

1. Demonstrate association of height (parametric) and ASPD PRESENCE OR ABSENCE OF THIS DISORDER (choose 3)

2. Relation of conduct disorder and ASPD (choose 2)

3. ASPD vs height and IQ (height and IQ correlated) (choose 2)

A) Chi-square test

B) Anova

C) Fisher test

D) Cluster analysis

E) ANCOVA

F) PAIRED T TEST

G) Multiple regression

H) t test

I) kappa statistic

1. Demonstrate association of height (parametric) and ASPD PRESENCE OR ABSENCE OF THIS DISORDER (choose 3)

2. Relation of conduct disorder and ASPD (choose 2)

3. ASPD vs height and IQ (height and IQ correlated) (choose 2)

Drugs

1.bioavailibility

2. half-life

3. first pass metabolism

4. Volume of distribution.

5. Zero order kinetics

6. None of these answers

7. first order kinetics

8. Renal excretion.

Which of these best demonstrates....

(Choose only one)

A. The mechanism by which p-glycoprotein regulates cerebral cortisol release.

B. An exponential graph.

C. The reason IV drugs work better than oral

Diabetes insipidus

Diabetes mellitus

Lithium toxicity

Hyperthyroidism

Hypothyroidism

Cardiomyopathy

NMS

Serotonin syndrome

Pulmonary embolism

Lead in: Choose the most appropriate drug adverse effect in the following

1. A 30 year old man who has been on Clozapine for the past 2 years presents with palpitations, breathlessness and excessive tiredness.

2. A lady who has been stable on lithium for the past 3 years presents with polyuria, polydipsia and lethargy. She also has hypernatremia and looks dehydrated.

3. A 26 year old man has been recently commenced on risperidone. He presents with high fever, increased muscle tone, labile blood press

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Child & Adolescent

A. Atomoxetine

B. Methylphenidate

C. Melatonin

D. Fluoxetine

E. Diazepam

F. Clonidine

G. Carbamazepine

H. Sodium Valproate

1. A child with pervasive hyperactivity at school and home. Fidgety, hyperactive and poor attention (three options)

A,B and F

2. Child with low mood, insomnia, loss of weight and loss of interest (one option)

Fluoxetine

3. 3 year old child with mild learning disability, now presenting with intractable insomnia persisting even after behavioural intervention (two options)

Melatonin

Diazepam

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Logotherapy

Parent training

Family Therapy

Methylphenidate

Lithium

paroxetine

venlefaxine

1 4 year old taking the piss at school wit teachers and not respecting his mother at home

Family Therapy

(Birmingham course)

Parental training is the second choice

2 17 year old agrressive to the point parents have court injunction against him, he is aggressive in all circumstances but no other symptoms

Risperidone as first choice

Family therapy and parental training as next choices

3 13 year old girl aggressive, trouble at school, diagnosed as hyperkinetic by a psychologist

Methylphenidate

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Critical Appraisal

a. a sister screening for depression on ward selects 8 people with depression out of a total of nine who have depression

Concurrent vailidity if the screening instrument is compared with another concurrent instrument.

b. a sister screening for depression on a ward selects 80 people who haven't got depression out of a total of 100 who havn't got depression

Concurrent validity

c we usually choose diagnostic categories from ICD 10

Criterion validity

d concordance in diagnosis between GHQ and Becks depression inventory

Convergent validity

e 95 % of people diagnosed with LBD screened with test x?? have Lewy Body Dementia

Construct validity

f the sister in a and b checks her figures and finds a total of 8 people with depression test positive from a total of 28 with depression on the ward

3. Divergent Validity

g some Alzhemers test that is very reliable for AD??

1. Construct Validity


1Construct Validity

2Criterion Validity

3Divergent Validity

others

Ideas and corrections welcome for this EMI

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A) Chi-square test  

B) McNemar test  

C) Fisher test  

D) Cluster analysis  

E) ANCOVA  

F) ANVONA  

G) Multiple regression  

H) pearsons corelation coefficient  (parametric)  

I) spearmans coefficent (non-parametric)  

1. Demonstrate association of height (parametric) and ASPD (choose 3)  

H) Pearsons corelation coefficient  (Provided ASPD is diagnosed on a parametric rating scale and it is not just presence or absence of disorder)

I) Spearmann's (if ASPD is diagnosed as present or absent)

G) Multiple regression  


2. Relation of conduct disorder and ASPD (choose 2)  

I) spearmans coefficent (If conduct disorder or ASPD is diagnosed as presnt or absent)

(H) Pearson's coefficient if both CD and ASPD are diagnosed on a structured parametric rating scale)

3. ASPD vs height and IQ (height and IQ correlated) (choose 2)  

Multiple Linear regression

(Linear if ASPD is diagnosed on a validated rating scale)

Multiple logistic regression if any of the variable follows skewed or non-parametric distribution

answers: chi-squared, mcnemar, t-test, paired t-test, anova, ancova, multiple regression


 

A) Chi-square test

B) Anova  

C) Fisher test

D) Cluster analysis  

E) ANCOVA

F) PAIRED T TEST  

G) Multiple regression  

H) t test    

I) kappa statistic  

 

1. Demonstrate association of height (parametric) and ASPD PRESENCE OR ABSENCE OF THIS DISORDER (choose  3)  

2. Relation of conduct disorder and ASPD (choose 2)    

3. ASPD vs height and IQ (height and IQ correlated) (choose 2)  


 

A) Chi-square test

B) Anova  

C) Fisher test

D) Cluster analysis  

E) ANCOVA

F) PAIRED T TEST  

G) Multiple regression  

H) t test    

I) kappa statistic  

 

1. Demonstrate association of height (parametric) and ASPD PRESENCE OR ABSENCE OF THIS DISORDER (choose  3)  

Spearman

Logistic regression

Kendall's coefficient

(As in this question the data is non-parametric)

2. Relation of conduct disorder and ASPD (choose 2)    

Pearson's if both parametric

Spearmann's if one non-parametric

3. ASPD vs height and IQ (height and IQ correlated) (choose 2)  

Multiple linear regression

Multiple logisitic regression

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Questions:

Comparing categorical data (Choose 3)

Chi square test

Fisher's exact test

McNemar's test

Parametric data (Comparison)

Unpaired T-test

Paired T-test

ANOVA

Confounders

Multiple linear regression

Multiple logisitic regression

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Diabetes insipidus

Diabetes mellitus

Lithium toxicity

Hyperthyroidism

Hypothyroidism

Cardiomyopathy

NMS

Serotonin syndrome

Pulmonary embolism

Lead in: Choose the most appropriate drug adverse effect in the following

1. A 30 year old man who has been on Clozapine for the past 2 years presents with palpitations, breathlessness and excessive tiredness.

Ans: Cardiomyopathy

2. A lady who has been stable on lithium for the past 3 years presents with polyuria, polydipsia and lethargy. She also has hypernatremia and looks dehydrated.

Ans:Diabetes Insipidus

3. A 26 year old man has been recently commenced on risperidone. He presents with high fever, increased muscle tone, labile blood press

Ans: NMS

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EMI

1.bioavailibility

2. half-life

3. first pass metabolism

4. Volume of distribution.

5. Zero order kinetics

6. None of these answers

7. first order kinetics

8. Renal excretion.

Which of these best demonstrates....

(Choose only one)

A. The mechanism by which p-glycoprotein regulates cerebral cortisol release.

No.6

B. An exponential graph.

No. 2

C. The reason IV drugs work better than oral

3. first pass metabolism

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EMI

1.bioavailibility  

2. half-life  

3. first pass metabolism  

4. Volume of distribution.  

5. Zero order kinetics  

6. None of these answers  

7. first order kinetics  

8. Renal excretion.  

 

 

Which of these best demonstrates....    

(Choose only one)  

 

A. The mechanism by which p-glycoprotein regulates cerebral cortisol release.

No.6

 

B. An exponential graph.  

No. 2

C. The reason IV drugs work better than oral  

3.[highlight] first pass metabolism [/highlight]

Why not bioavailabilty?

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You are right to some extent.

It depends how question is framed in exam.

If it says that they bypass first pass metabolism then the answer is no. 3 First metabolism. Bioavailability is increased and the underlying cause is that first pass metabolism is avoided.

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