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SPMM psych > Almost There > Flashcards

Almost There Flashcards

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1
Q

A 19-year-old woman tells you that she takes MDMA. The least likely psychological consequence of this drug in short term (immediately after use) is:

A

MDMA can increase friendliness, empathising ability and increased the desire to be mentally active. It produces a relaxing calming effect and not anxiety.

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2
Q

The standardised mortality ratio for patients with dysthymia is higher than the general population by a factor of

A

12

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3
Q

The Epidemiological Catchment Area (ECA) study estimated the lifetime risk of schizophrenia to be

A

1%

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4
Q

The prevalence of pathological crying in patients with multiple sclerosis is

A

10%

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5
Q

The average duration of illness at the time of initial evaluation of Generalized Anxiety Disorder is around

A

20 years

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6
Q

What is the rate of completed suicide in the age range of 10-14?

A

1-2 per 100000

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7
Q

Which of the following genetic syndromes is known to have an association with the schizotypal disorder?

A

Fragile X syndrome

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8
Q

The one-year incidence of dementia in Parkinson’s disease is;

A

10%

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9
Q

Adjusted odds ratio when controlling for confounders in a cohort study

Summary odds ratio in meta-analysis when there is a substantial difference between the treatment and control group sizes

Summary odds ratio in meta-analysis when there is minimal difference between the treatment and control group sizes

A

Adjusted odds ratio when controlling for confounders in a cohort study – Mantel-Haenszel method, Summary odds ratio in meta-analysis when there is a substantial difference between the treatment and control group sizes – Mantel-Haenszel method, Summary odds ratio in meta-analysis when there is minimal difference between the treatment and control group sizes – Peto tes

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10
Q

What proportion of patients on clozapine develop symptoms of sialorrhea?

A

30%

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11
Q

The male to female ratio of suicides occurring between ages 15 to 24 is

A

4:1

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12
Q

The one-week prevalence of generalized anxiety disorder according to National Psychiatric Morbidity Survey is

A

3.1%

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13
Q

Which of the following suggests life-threatening symptom of serotonergic syndrome?

A

high fever, seizures, irregular heartbeat or unconsciousness

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14
Q

The prevalence of mania among relatives of individuals with bipolar disorder, as determined by structured clinical interviews, is

A

2%

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15
Q

The incidence of fetal alcohol syndrome is;

A

1.9 per 1000 live births

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16
Q

Harmful emotions and personally dysfunctional behaviours can arise as a result of irrational thinking. This is the rationale behind which of the following psychotherapy?

A

Albert Ellis developed Rational Emotive Therapy in 1955. It is a reality-based, short-term therapy aimed at cognitive re-structuring with many similarities of the later developed CBT. The rationale behind this therapy is harmful emotions and personally dysfunctional behaviours can arise as a result of irrational thinking and the therapist uses guided discussion, logic, real-life challenges and appropriate humour to challenge irrational thinking.

17
Q

SPECT finding in older depressed subjects

A

Reduced cerebral blood flow sparing the posterior parietal corte

18
Q

Chronic alcoholism is associated with

A

Hypocalcemia and chronic pancreatitis

19
Q

When one has mdma withdrawal

3 symptoms

A

MDMA abstinence-associated withdrawal symptoms include fatigue, loss of appetite, depression, anxiety, and trouble concentrating. This happens on the same day or 2days after drug use, the most common mental or mood complaints are difficulty concentrating, depression, anxiety and fatigue.

20
Q

The prevalence of psychotic illness in patients with epilepsy is;

A

3-7%

21
Q

The prevalence of psychotic illness in patients with epilepsy is;

A

3%

22
Q

In old age, what percentage of patients that commit suicide have seen their GP on the same day of their suicide?

A

20%

23
Q

Proportion of patients with variant for of CJD that present with cerebellar ataxia is given by

A

10%

24
Q

The prevalence of psychosis in prison population is

In household

A

50 per 1000

Household: 4.5 per 1000

25
Q

What percentage of people convicted of indecent exposure have no previous record of sexual offences?

A

20%

26
Q

Solution focused therapy in children is based on

A

Strengths-based approach

27
Q

Diazepam is a longer acting benzodiazepine. There is an association between benzodiazepines (diazepam) and increased risk of for babies

A

facial clefts

28
Q

Disulfiram is contraindicated in

What cannot be given for pulmonary insufficiency

Lofexidine can Not be given to

A

Sick sinus syndrome and Herat failure

Chlormethiazole and diazepAm

Lofexidine cannot be given to recent mi

29
Q

Real world estimate of intervention effectiveness is studied using

A

Pragmatic RCTs

30
Q

The cognitive capacity of the therapist to maintain objectivity and focus on selected facts during a discourse is called

A

Containing

31
Q

Which one among the following should be avoided due to its effects upon Tamoxifen?

A

duloxetine, bupropion, paroxetine and fluoxetine, was associated with a significant reduction in circulating endoxifen levels in some women and therefore should be avoided.

32
Q

Mr. Y is a 53-year-old gentleman who was admitted to the deaddiction unit for alcohol detoxification. He has a history of liver cirrhosis. Choose the most suitable drug among the following.

A

Oxazepam

33
Q

systematic difference between those accepting to participate in the study and those who refuse

A

Response bias

34
Q

evidence-based minimum set of recommendations for improving the quality of reporting of meta-analyses of clinical randomised controlled trials (RCTs).

A

QUOROM

35
Q

Preferred Reporting Items for Systematic Reviews and Meta-Analyses - is an evidence-based minimum set of items for reporting in systematic reviews and meta-analyses.

A

PRISMA

SPMM psych (6 decks)

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