Mock 5

Question 1

hypothalamus blood supply

Answer 1

anterior communicating

Question 2

schizophrenia brain changes

Answer 2

ventricular enlargement, grey matter loss (insula, cingulate, DLPFC). WM HYPERintesities described

Question 3

Geriatric depression neuroimaging

Answer 3

WM hyperintensity, decreased frontal and BG vols, decreased frontal metabolism

Question 4

MS MRI findings

Answer 4

t1 Hypointense (axonal loss)
T2 Hyperintense (demyelination and oedema)

Question 5

Korsakoff psychosis area affected

Answer 5

Dorsomedial thalamus.
Memory lesions in mamillary bodies/mamillothalamic tract

Question 6

Gerstmann regions affected

Answer 6

angular and supramarginal gyrus

Question 7

Low D2 binding and fastest dissociation from D2R

Answer 7

clozapine

Question 8

Chlorpromazine antiemetic action, how?

Answer 8

D2 blockade in CTZ

Question 9

Clonidine SE

Answer 9

depression

Question 10

Intrinsic activity definition

Answer 10

efficacy of resulting functional response of a drug receptor complex

Question 11

ciclosporin antidepressant to avoid?

Answer 11

fluoxetine, fluvoxamine.

Question 12

lithium which diuretic?

Answer 12

frusey boy

Question 13

Does food affect diazepam absorption?

Answer 13

nayeth

Question 14

mianserin whats it all about?

Answer 14

a bit like mirtazapine, a2 and serotonin antagonist, noradrenaline reuptake inhibitor.
Given OD.

Question 15

which antidepressant is related to serum levels?

Answer 15

imipramine

Question 16

topiramate SE?

Answer 16

weight loss

Question 17

Identity options (Marcia)

Answer 17

2 axes commitment and exploration.
Diffusion - low exploration, low commitment
Foreclosure- low exploration, high commitment
Moratorium - low commitment high exploration. Temporary pause.
Achievement - high, high.

Question 18

Speech stages

Answer 18

Babble - 6-12 mo
Holophrastic (single word) 9-18m
Telegraphic - 2-3 years
Understands jokes/puns - 6-7 years

Question 19

doesnt care about feedback PD

Answer 19

schizoid

Question 20

measure decline in functioning ADLs

Answer 20

MOHOST (human occupation)

Question 21

paragrammatism vs neologism

Answer 21

paragrammatism has unusual grammar with mixed up but meaningful sentences. neologism means new word

Question 22

Most common type of delusion in delusional misidentification?

Answer 22

persecutory

Question 23

Pleasant repeated imagry

Answer 23

preoccupation (obsessions are unpleasant)

Question 24

Remembering - adding layers of detail to a memory

Answer 24

recollection (reintegration of components)

Question 25

What underlies capgras?

Answer 25

reduplicative paramesia

Question 26

Paranoia defence mechanism according to Freud?

Answer 26

Projection (I am angry/hateful, the world is angry/hateful)

Question 27

stages by which memory goes to LTM

Answer 27

ENCODING from sensory to STM CONSOLIDATION from STM to LTM

Question 28

Define positive and negative reinforcement and punishment

Answer 28

positive P - add nasty stimulus negative P - remove positive stimulus Pos R - add positive stimulus Neg R - remove nasty stimulus

Question 29

Theories of emotion

Answer 29

James-Lange = bodily sensation interpreted into emotion. (a dog called James makes my heart race = I am scared) Cannon-Bard - arousal and event SIMULTANEOUS like a cannon going off all at once. Schachter-Singer - Emotions from physiology and context. 2 factors. heart racing could be a big snake OR kissing GF Lazarus - thought BEFORE emotion. The thought must die before it is resurrected as EMOTION

Question 30

RFs for ADHD and non-rf

Answer 30

Large family size FHx Low BW Low parental education not RF - food additives

Question 31

Erikson stages

Answer 31

Tag In Recess Is So Dope Trust-mistrust Autonomy- shame Guilt-initiative Inferiority-industry Role confusion-identity Isolation-intimacy Stagnation-generativity Despair-integrity

Question 32

Programme for LD/comms difficulties

Answer 32

makaton

Question 33

seizures on cloz what do?

Answer 33

stop for 1d start lower dose include valproate if doses above 500ng cloz level or high dose

Question 34

VTE with cloz timing

Answer 34

first 6m

Question 35

Where is visual cortex located?

Answer 35

calcarine fissure. lesion on lower bank will cause superior quadrantopia

Question 36

neuropsychological theory of ADHD?

Answer 36

fronto-striatal executive dysfunction

Question 37

nominal aphasia lobe

Answer 37

parietal

Question 38

risk of disorder development increased with more affected children?

Answer 38

non-mendelian