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Gurpal

2008 August - Paper 3 feedback

162 posts in this topic

Please post your feedback on the Paper 3 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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I can safely say that in my life I have taken over 100 exams, I am also a pilot which means lots of exams on weekends, over many years, and took paper 3 today, this was the HARDEST exam I have ever taken, the Gossal book provided some basic info, which I had thought until now was advanced info, no no no, this stuff was horrible!!! There is no point in retaking I will never know the answers to most of these questions, a whole EMI on ratios of male to female disease prevalence, WTF!!!

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Hi guys,

Jus came back from exam :-/. Was an unnerving experience. Some of the questions I knew, I think I answered them right, but rest were all guesses :D

But anyway it is useful (for the future ;))to get together and recollect the questions

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Moderate depression in a man who has suffered from MI. Which antidepressant

Fluoxetine

Citalopram

Sertraline

Paroxetine

Imipramine

my answer was Sertraline

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EMI

Concepts of Group therapy

Dependance

Interpretation

Cohesiveness

Free floating Discussion

Pairing

Universality

Two more options

Questions

Basic assumptions {TWO}

Curative factors {TWO}

Psychodynamic groups (I don’t quite remember this option exactly) {TWO}

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A woman who has had Herpes encephalitis develops severe carbohydrate craving and weight gain. Diagnosis?

Options:

Cushing’s

Diabetes mellitus

Hypothyroidism

Kluiver-Bucy syndrome

Prader Willi syndrome

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Awoman lost her mom recently. A feature which would take your diagnosis towards depression rather than normal grief reaction

Auditory hallucinations

Generalised guilt

Severe insomnia

Loss of appetite

One more option

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Which of the following has the best evidence of use in pre-menstrual dysphoria?

Options:

Progesterone

SSRIs

Vitamin B6

Bright light therapy

Oil of evening primrose

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Empathy skills are most likely to be delayed in

Options:

A deaf child of deaf parents

A deaf child of hearing parents

A hearing child of deaf parents

A hearing child with one deaf parent

A hearing child adopted t 6 months

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In a case of Adult LD with affective disorder, before starting lithium what are the baseline investigation needed to be done:

A. EEG

B. ECG

C. CXR

D. Lipid Profile

E. Urinalysis

I cannot find a specific answer particularly relating to the above scenario, but only from Maudsley it stated that cardiac, renal and thyroid function should be tested. So it meant ECG???

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What is the risk of developing neural tube defect if prescribing Epilim to pregnant mother.

A. 1 in 10

B. 1 in 100

C. 1 in 1000

D. 1 in 10000

E. 1 in 100000

The answer should be (A) right?

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In adult LD, Swallowing problem is the known side effect of which of the following:

A. Lithium

B. Naltrexone

C. Sodium Valproate

D.

E.

Forgot D and E option

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A lady has a diagnosis of postnatal depression. An self rated scale for severity of her depression

Edinburgh Postnatal Depression Scale

Becks Depression inventory

MADRS

---------

---------

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most effective dose re; risperidone

2mg

4mg

6mg

8mg

m:f ratio in hypothyroidism

2:1

4:1

cant remember others

most likely drug that causes difficulty in swallowing in ld

carbamazepine

lithium

sodium valproate

which of these mood stablizers causes visual field defects

gabapentine

lamotrigene

sodium valproate

vigabatrin

contraindications of zopliclone except

pregnancy

breast feeding

respiratory depression

unstable mystenia gravis

severe sleep apnoea

lifetime prevalence of OCD

1-3%

2-3%

cant remember others

question on progressive supranuclear palsy

falls usually forwards

onset in 4th decade of life

question on herbal remedy for depression

hypericum

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most effective dose of risperidone in a second episode of psychosis

1mg

2mg

4mg

6mg

8mg

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In adult LD, Swallowing problem is the known side effect of which of the following:

A. Lithium

B. Naltrexone

C. Sodium Valproate

D.

E.

Forgot D and E option

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most strongly associated with infanticide

paternal suicide risk

maternal suicide risk

young mother

behavioural problems in other siblings

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which is most likely to cause hyponatremia

1 Citalopram

2 Risperidone

3 olanzapine

4 carbamazepine

which is the maintenance treatment for opiod detoxification

1 Buprenorphine

2 Naltrexone

3 Oromorphine

Risk of neural tube defects on valproate

1 1/100

2. 1/10

3 1/1000

Which is recommended in treatment of adolescent girl with hypomania

1. lithium

2 Carbamazepine

3 Olanzapine

4 Lamotrigine

Visual field defects are seen with which antiepileptic

1 Lamotigine

2 Vigabatrin

3 Levitracetam

4.Gabapentine

In severe depreesion with comorbid personality disorder

CBT is better than IPT

CBT has same results as IPT

Medication is better than CBT

Tolerance doesn't develop to which in opiate dependence

1. Sedation

2 Euphoria

3 Constipation

4. Miosis

In opiate withdrawal in a person having low BP which is given

1 Clonidine

2 Lofexidine

3. Naloxone

4. Lorazepam

Which one is recognised to cause schizophrenia like psychosis

1. OCD

2 Panic Disorder

3 Huntington's Disease

In Huntington's disease the mortality by suicide is increased by

1. None

2 4 times

3 10 times

4 20 times

In delusional disorder in elderly

1 75% have persecutory delusions

can't remember rest of options

with regards to atomoxetine , following is true

1. Can be given only as second line

2. Tics need not to be considered

3. response rate is more than 90%

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Measure of internal validity

a. Intention to treat

b. Reliability

c

d

e

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which is most likely to cause hyponatremia

1 Citalopram

2 Risperidone

3 olanzapine

4 carbamazepine

which is the maintenance treatment for opiod detoxification

1 Buprenorphine

2 Naltrexone

3 Oromorphine

Risk of neural tube defects on valproate

1 1/100

2. 1/10

3 1/1000

Which is recommended in treatment of adolescent girl with hypomania

1. lithium

2 Carbamazepine

3 Olanzapine

4 Lamotrigine

Visual field defects are seen with which antiepileptic

1 Lamotigine

2 Vigabatrin

3 Levitracetam

4.Gabapentine

In severe depreesion with comorbid personality disorder

CBT is better than IPT

CBT has same results as IPT

Medication is better than CBT

Tolerance doesn't develop to which in opiate dependence

1. Sedation

2 Euphoria

3 Constipation

4. Miosis

i thought it said in addition you have to give a central alpha 2 agonist

[highlight]In opiate withdrawal in a person having low BP which is given

1 Clonidine

2 Lofexidine

3. Naloxone

4. Lorazepam[/highlight]

Which one is recognised to cause schizophrenia like psychosis

1. OCD

2 Panic Disorder

3 Huntington's Disease

In Huntington's disease the mortality by suicide is increased by

1. None

2 4 times

3 10 times

4 20 times

In delusional disorder in elderly

1 75% have persecutory delusions

can't remember rest of options

with regards to atomoxetine , following is true

1. Can be given only as second line

2. Tics need not to be considered

3. response rate is more than 90%

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[highlight]In opiate withdrawal in a person prone to low BP. Prescribe Alpha 2 agonist

1 Clonidine

2 Lofexidine

3. Naloxone

4. Lorazepam[/highlight]

5. Buprenorphine

Suschmp I dont thinks 'central' was there

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It is absolute CRAP ! :o :o :o :o

College needs guidence on setting a reasonable paper.

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