Page 1 of 11: Recall: MRCPsych Part 1 Spring 2006 ISQs

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I am posting spring 2006 ISQs. These were remembered by candidates

1)Ambivalence is seen in normal grief reaction .
2)Beck inventory is a self reported questionnaire .
3)Sibling rivalry is a characeristic feature of the phalic stage of
development .
4)Neurosis as a category is not included in DSMIV .
5) Cultural bound syndrome have a separate category in ICD10 .
6) In schizoid personality disorder there is increased fantasy thinking.
7)Psedobulbar palsy is associated with labile emotions .
8)In pure word deafness, speech is not impaired .
9)The most common form of hallucination in Alzheimer's is auditory .
10) Sodium Valproate cause significant weight gain .
11) In the UK, most causes of maternal perinatal deaths are associated with psychiatric illnesses.
12) Awareness of health issues can explain the development of simple phobias .
13)Mania cannot be diagnosed if mood is not elated .
14)The law of proximity and difference is involved in Gestalt theory
15) In operant conditioning reiforcement can occur before the behaviour
16) Fear of strangers is present in the first year of life
17) Bias in attention can be tested by Stroop test
18) In learned helplessness, behaviour is not contingent on punishment
19)Alcohol dependency is more likely with spirits than beer
20) Persistent delusional disorder involves elaborate delusions for more than one month
21) Night tremor is a dissociative phenomenon
22) Exploring expressed emotions is relevant to behavioural analysis
23) Drugs with a high plasma protein binding have increased permeability through the BBB
24) Most drugs which acts on 5HT2 receptors are sedative
25)Explaining the side-effects of drugs to a patient decreases compliance

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26)Cotard's syndrome is causally related to schizophrenia

27)People with dissocial personality have no problems in maintaining relationships.

28)Crisis VS. Despair occurs in old age.

29)Initiative vs. Guilt age group is seen in pre school children

30)Oedipal complex is oresolved when a boy identifies his father.

31)MAO metabolizes serotonin , norepinephrine and dopamine.

32)Paroxetine affect level of Aripiprazole

33)Incidence of depression in Alzheimer's is 40%

34)GFR < 10ml/min indicate severe renal failure

35)Carbamazepine affects the levels of calcium channel antagonists

36)Ideational apraxia is inability to copy after instruction has been understood and there is no motor or sensory impairment

37)Personality disorders are more reliable if they are diagnosed on continum with normal personality.

38)Diazepam is lipophilic

39)Protein bound drugs can more easily pass the BBB.

40)Diplopia is a feature of Wernicke's encephalopathy.

41)Paranoid schizoid position involves repression as a defence mechanism.

42)Behavioural assessment includes exploration of underlying factors like childhood events

43)MAOs have significant interaction with salbutamol

44)riperidone is dibenzodiazapine

45)Obsession can be pleasurable

46)Neurofibrillary tangles are seen in dementia pugilistica

47)In operant conditioning reinforcer can precede behaviour.

48)In Lewy body dementia visual hallucinations occur early.

49)Hallucinations can occur in hypomania.

50)Ambivalence is seen in normal grief reaction

51)Exploring expressed emotions is relevant to behavioural analysis

52)Waxy flexibility is plastic resistance to gentle movements.

53)Hypnagogic hallucinations occur in narcolepsy

54)In Cataplexy there is loss of muscle tone in response to an emotional

55)Bouffee Delirante is a culture bound acute episode of psychosis with violence

56)one need a mentally healthy mother to have a good attachment

57)Capgras is a delusional misidentifacation of subjective doubles.

58)behavioral analysts look into the anticedents from child hood during the assesment ???

59)Melanie klein started direct questioning

60)Auditory hallucinations are the commonest hallusinations in Alzhimers.

61)Digit span checks the attention for less than 10 seconds.

62)Anosmia occurs in temporal lobe syndrome.

63)In elderly the pharmakokinetics of the drug is decreased due to increased body fat.

64)Sensitivity to antipsychotic drugs is increased in lewy body dementia.

65)Disorientation suggests organic cause of depression than functional.

66)Nominal dysphasia diffrintiates between dementia and pseudo dementia.

67)Fear of abondonmant is a characteristic feature of emotionally unstable personality disorder.

68)Preoccupation with fantasy thinking is characteristis of schizoid personality disorder.

69)Anosognosia is the hemi neglect of body.

70)Fluphenaine inhibits the reuptake of 5HT.

71)The amount of time spent with their baby by mother is an important factor determining the quality of care in attachment.

72)Koro is a culture bound syndrome associated with prominent psychotic symptoms.

73)Secure attachment behaviour requires mentally healthy caregiver.

74)Psycholigical deficit seen in non dominant temporal lobe includes inability to learn new word.

75)Diazepan acts on GABA A receptor complex

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76)Piaget's sensorimotor stage is associated with social mistrust.

77)Elderly people absorb the same amount of drug given after oral administration but at a slower rate.

78)Cipramil acts on both adrenergic and seretonergic action

79) sodium valproate increases the level of lamotrigine

80)Fluexetine increases level of aripripazole

81)Gait seen in cerebellar dysfunction is short, shuffling and slow

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26)Cotard's syndrome is causally related to schizophrenia-F

Cotards is a seperate syndrome which is most commonly seen in depression --89%, it can also be seen in other psych disorders including schizophrenia but there is absolutely no causal relation to Schizophrenia.

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27)People with dissocial personality disorder have no problems in maintaining relationships--F

Well this is easy, isnt it. These guys hav probs in sustaining relationships. No probs in making/starting relationships

psyman · Credits: 1140 My Scrapbook

28)Crisis VS. Despair occurs in old age.--F
Integrity vs despair is the crisis,
Ego Integrity vs. Despair. This stage of older adulthood begins about the time of retirement and continues throughout one's life.

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well done psyman, try other questions as well

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29)Initiative vs. Guilt age group is seen in pre school children--T
Early Childhood (3-5 Years)
Initiative adds to autonomy the quality of undertaking, planning, and attacking a task for the sake of being active and on the move.
The child feels guilt over the goals contemplated and the acts initiated in exuberant enjoyment of new locomoter and mental powers.
The castration complex occuring in this stage is due to the child's erotic fantasies.
A residual conflict over initiative may be expressed as hysterical denial, which may cause the repression of the wish or the abrogation of the child's ego: paralysis and inhibition, or overcompensation and showing off.
The Oedipal stage results not only in oppressive establishment of a moral sense restricting the horizon of the permissible, but also sets the direction towards the possible and the tangible which permits dreams of early childhood to be attached to goals of an active adult life.

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30)Oedipal complex is resolved when a boy identifies his father--T

Freud said that all boys in the 'phallic' stage of development (roughly between two and five years of age) develop a sexual attraction towards their mother, with corresponding hostility towards their father. The complex is resolved when the boy starts to identify with his father and the sexual interest in his mother disappears. In Freud's view, failure to overcome the urges of the Oedipus complex leads to neuroses in later life. Although Freud's original theory appeared to concern boys, later interpretations included girls as well, the female equivalent becoming known as the 'Electra complex' - in Greek myth, Electra plotted to kill her mother, Clytemnestra, who murdered Electra's father, Agamemnon.

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31)MAO metabolizes serotonin , norepinephrine and dopamine.--T

MAOA) and MAOB are enzymes that deaminate monoamines such as serotonin, dopamine and noradrenaline.
MAOA preferentially metabolizes serotonin and norepinephrine while MAOB has a much higher affinity for phenylethylamine and benzylamine

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