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MRCPsych Part B > Recall 2 > Flashcards

Recall 2 Flashcards

1
Q

Lifetime prevalence of suicide in EUPD/BPD

A

10%

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2
Q

Mild depression in 12 yo

A

watchful waiting 2/52 then Digital CBT

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3
Q

Term for qualitative study of patients views

A

Phenomenology

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4
Q

Method to reduce bias in Qualitative study?

A

Triangulation

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5
Q

Class B drugs - CCK AGM

A

Ketamine, Amphetamine, Cannabis, GHB, Methylphenidate, Codeine

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6
Q

Risk factor for ADHD (maternal)

A

Maternal smoking

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7
Q

Risk factor for Anorexia Nervosa

A

High enmeshment in family

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8
Q

Term for converting qualitative to quantitative analysis

A

Log transformation

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9
Q

A measure for internal consistency

A

Split half reliability/correlation

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10
Q

ID child with behaviour issues at risk of which condition

A

Bipolar Type 1

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11
Q

Crimes committed by ID

A

Sexual offences, property and arson

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12
Q

ADHD plus Liver disease - already on methylphenidate

A

Guanfacine

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13
Q

Methadone/Detox options for pregnant

A

Continue as is in 1st and 3rd
Option to detox in 2nd

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14
Q

1 year of Grunting, clearing throat, grimacing, tics

A

Tourette disorder

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15
Q

Must decrease Antidepressant for ECT - name? Lo

A

Lofepramine

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16
Q

1st and 2nd line for panic disorder

A

SSRI –>Venlafaxine –>TCA (imipramine clomipramine)

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17
Q

ECT first line indication

A

Treatment resistant depression, previous response, life threatening

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18
Q

ECT and rTMS - which better for TRD

A

Treatment resistant depression is ECT

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19
Q

Medication for Body Dysmorphic disorder

A

Fluoxetine

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20
Q

Medication for Alzheimer’s depression

A

SSRI or Donepezil

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21
Q

Study to test efficacy of MMSE vs Post mortem in alzheimers

A

Retrospective

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22
Q

Which validity is questioned in survey that looks at some of the condition but not all etc

A

Content validity

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23
Q

Alzheimers on Risperidone 1mg not improving - what next

A

Gradually reduce and stop

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24
Q

Which condition Lithium contraindicated in?

A

Addisons

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25
Q

Fragile x - Cri du chat - down syndrome

Nosiy boy, hypertelorism - Epicanthic, difficulty eating - Autism and gaze aversion

A

FX - 3 CDC - 1 DS - 2

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26
Q

Gaze aversion

A

Fragile X

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27
Q

Graph with PTSD 5 options - worse prognosis?

A

Chronic

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28
Q

Post stroke depression (non haem) - give what? Pnfc

A

Paroxetine/Nortiptyline - Fluox - citalo

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29
Q

Genomic imprinting in genetic disease?

A

Prader Willi

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30
Q

Cathinone is a …

A

stimulant

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31
Q

Parkinsons/LBD + Behaviour - Medication of choice?

A

Rivastigmine –>Quetiapine

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32
Q

Risk Factor for sexual reoffending

A

Deviant sexual preferences

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33
Q

AN children
AN Adults
BN Adults

1st line

A

AN Focused Family therapy
CBT - ED
Self - help

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34
Q

Teenage with OCD - 1st line medication

A

Sertraline

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35
Q

Name of legal term for crime committed while unconscious?

A

Automatism

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36
Q

Legal defence of killing while psychotic?

A

Diminished responsibility

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37
Q

Schizoid personality

A

Insensitive to social norm

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38
Q

Genetic condition - difficulty in feeding and cardiac abnormality

A

Down’s

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39
Q

What differentiates NMS from SS?

A

hyperreflexia

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40
Q

requirement for logistic regression?

A

Binary dependent variable - possibly dichotomous

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41
Q

BP & another continuous variable - adjust for age, which regression

A

Linear regression

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42
Q

Haemorrhagic stroke plus involuntary flinging

A

Hemiballismus

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43
Q

STAR*D trial - augmentation in depression - pick one

A

Bupropion

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44
Q

Equal ratio between M:F - GAD/Depression/PTSD/Hypochondriasis

A

Hypochondriasis or Social Phobia (SPMM)

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45
Q

Ganser Syndrome

A

Dissociative

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46
Q

Other names for Ganser

A

Neurasthenia - bodily dissociative disorder

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47
Q

Body integrity disorder - explaine

A

Feel dysphoric about not having something wrong

48
Q

RF for following
AN
ADHD
Conduct disorder

A

Family enmeshment
Maternal smoking
Arson/substance abuse

49
Q

Post haemorrgahic stroke Anti D

A

Mirtazapine

50
Q

Psychologist - secondary handicap

51
Q

Homocysteine RF for which condition

52
Q

AntiD - Increased suicide

A

Amitriptyline

53
Q

AntiD - Least sexual SE

A

Bupropion or Vortioextine

54
Q

Which AD to decrease dose of in ECT

55
Q

Arbitrary Inference also means

A

Jumping to conclusions

56
Q

What validity demonstrates causality?

A

Internal validity

57
Q

What helps minimise bias for internal validity

A

Randomisation

58
Q

Strategy used to adjust for age

59
Q

Stategy for reducing social desirability bias in Qualitative - not triangulation

A

Reflexivity

60
Q

Fixed effect analysis considers…

A

Variability related to error in the study

61
Q

Wing beating tremor seen in…

A

Wilsons disease

62
Q

False positive for methadone

A

Quetiapine

63
Q

Sexual abuse

A

not by chance

64
Q

Comparing categorical data (yes/no, suicide or not, present or absent) in 3 groups which statistical test

A

Chi squared

65
Q

Comparing continuous date (avergae per population etc) in 3 groups which statistical test?

66
Q

ADHD + Tourettes in child

A

Guanfacine

67
Q

Lithium + depression - adding what?

A

Quetiapine

68
Q

Which SSRI to avoid in Breast Cancer + Tamoxifen

A

Paroxetine

69
Q

Therapy for grief and loss

A

Interpersonal Therapy

70
Q

Choose tertiary prevention/Indicated/Universal/Primary

Lithium in BPAD

A

Tertiary prevention

71
Q

Choose tertiary prevention/Indicated/Universal/Primary

At risk mental state child

A

Primary Indicated

72
Q

Choose tertiary prevention/Indicated/Universal/Primary

Suicide helpine

A

Universal primary

73
Q

Bullying

A

Universal Primary

74
Q

Korsakoff triad

A

Opthalmoplegia, Ataxia, confusion

75
Q

Prserved in korsakoff

A

Digit Span

76
Q

Paroxetine risk in pregnancy?

A

Cardiac malformations

77
Q

First Line treatment for ODD?

A

Parental skills training

78
Q

Jittery baby, shaking & tachypnoeic

A

Cocaine withdrawal

79
Q

Neonatal signs of paroxetine use in mother

A

Irritability - low half life

80
Q

Which BPAD drug can cause pancreatitis

81
Q

Hypercalcaemia in BPAD - medication?

82
Q

AP for big diabetic

A

Amisulpiride (note renal function)

83
Q

Drug for maintain abstinence from alcohol - has co-morbidities

A

Acamprosate

84
Q

Commonest causes of LD
Inherited
Environmental
Overall

A

DS then Fragile X
FAS
Unknown

85
Q

Suicide rate post DSH within one year and 10 years

A

0.7% ~ 1%

5%

86
Q

What feature can separate BN from An

A

Poor impulse control - BN

87
Q

Strategic family differs how

A

Focuses on communication rather than structure

89
Q

Onerous psychosis

A

Dream like state

90
Q

Quality measure for meta analysis

91
Q

When seeing QALY which analysis is like;y used

A

Cost utility analysis

92
Q

PTSD + LD give what medication

93
Q

Foundation Matrix

94
Q

Transitional object

95
Q

Lifetime prevalence of suicide in alcohol dependence

96
Q

Kappa use and scale and meaning

A

A magnitude of agreement between two observers -1 to 1 (1 is total agreement)

97
Q

Mixed affective state AP choice

A

Haloperidol

98
Q

Percentage of people convicted for homicide with following:

Schizophrenia
Any mental
Personality
Affective

99
Q

Spontaneous major malformation in pregnancy percentage

100
Q

ADHD in adults 1st 2nd 3rd

A

Methylphenidate or Lisdexamfetamine
Atomexitine
Guanfacine

101
Q

Schizoid PD feature

A

Lack of desire for previous companionship

103
Q

How many episodes in a year for rapid cycling

104
Q

Lifetime prevalence of ocd

106
Q

Reduced risk TCA in OD

A

Lofepramine

107
Q

Spontaneous abortion rate in normal pregnancy

108
Q

Which ssri can reduce seizure threshold in clozapine patients

A

Fluoxetine

109
Q

Which anti-sychotics have good designation for negative symptoms

A

Amisulpiride and Cariprazine

111
Q

3 symptoms of opioid withdrawal

A

Goosebumps, dilated pupils abdo pain

112
Q

Percentage of PD that experienced sexual trauma

113
Q

What ap for ap naive dementia

A

Risperidone

116
Q

Cost effective measures uses which acronym

MRCPsych Part B (4 decks)

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