Psychmentor Mock.docx

MRCPsych Paper A Mock Question 1 of 150 A 65-year-old male begins to experience involuntary swings of moderate amplitude involving the left arm. He had a stroke three months ago. This has led to an incident whereby he hit a child with his arm whilst at the supermarket and now he is being questioned...

MRCPsych Paper A Mock Question 1 of 150 A 65-year-old male begins to experience involuntary swings of moderate amplitude involving the left arm. He had a stroke three months ago. This has led to an incident whereby he hit a child with his arm whilst at the supermarket and now he is being questioned by the police. Which of the following do you suspect? Athetosis Akinesia Dystonia Tic Hemiballismus Question 2 of 150 A patient attends clinic following a stroke. They tell you that they are having problems with remembering new information in addition to events that have happened recently in their life. They are surprised by the fact that they appear to be able to remember things such as how to tie their shoelaces and drive a car. Which region of the brain would you most suspect has been affected by the stroke? Corpus callosum Prefrontal cortex Cerebellum Cingulate gyrus Hippocampus Question 3 of 150 Which of the following is most likely to precipitate Torsades de pointes? Citalopram Haloperidol Moclobemide Rivastigmine Lithium Question 4 of 150 Abnormal hyperphosphorylation of tau in the cerebral cortex is seen in which of the following? Prosopagnosia Capgras syndrome Parkinson's disease Creutzfeldt-Jakob disease Alzheimer's disease Question 5 of 150 Which of the following is credited with the law which states that brain damage impairs recently formed memories to a greater extent than older memories? Jost Ribot Weber Binet Lange Question 6 – 8 of 150 Theme: Hallucinations A. Functional hallucination B. Lilliputian hallucination C. Reflex hallucination D. Extracampine hallucination E. Hypnopompic hallucination F. Hypnagogic hallucination G. Kinaesthetic hallucination H. Visceral halluncination I. Autoscopic hallucination Select the type of hallucination illustrated in each of the following scenarios 6. A patient with long standing epilepsy reports experiencing daily symptoms consisting of seeing the image of her entire body as in a mirror. She reports that her body appears of normal size and colour without a definable facial expression. 7. A patient with schizophrenia reports seeing the face of Jesus every time he hears someone laugh. 8. A distressed patient approaches the police for help. He tells the police that people in a distant city are plotting to kill him. When asked why he believes this he explains that he can hear them discussing it. The policeman finds this bizarre as the patient is suggesting he can hear a conversation from may miles away. Question 9 of 150 Which of the following is not one of the big five personality traits? Neuroticism Introversion Conscientiousness Agreeableness Extraversion Question 10 of 150 Dopamine is metabolised by COMT and which of the following? Tyrosine hydroxylase Adenylate cyclase Dihydroxyphenylalanine Monoamine oxidase Dopa decarboxylase Question 11 of 150 A child tells his teacher that he is sad as one day he will die. When asks how he knows this he says 'well, all humans die, and I am a human, so one day I will die'. This is an example of which of the following? Animistic thinking Hypotheticodeductive thinking Reversibility Syllogistic reasoning Phenomenalistic causality Question 12-14 of 150 Theme: Candidate genes for schizophrenia A. NRG1 B. G72 C. DTNBP1 D. DAOA E. RGS4 F. DISC1 G. COMT H. DRD2 Select the candidate gene described in each of the following 12. A candidate gene implicated in the metabolism of dopamine in the prefrontal cortex. This gene is also absent in Velocardiofacial disorder. 13. A candidate gene located on chromosome 8 which codes for a growth factor that stimulates neuron development and differentiation. Increased expression of the protein coded for by this gene is thought to lead to reduced glutamate levels. 14. A candidate gene located on chromosome 6 which codes for a protein that is widely distributed in muscle and brain tissue, and is involved in the biogenesis of lysosome-related organelles Question 16 of 150 According to Piaget, in what developmental stage does conservation generally occur? Preconventional Preoperational Formal operational Concrete operational Sensorimotor Question 16 of 150 When a number of separate lights are turned on and off in quick succession this gives the impression of a single light moving from one position to another. What is the term used to describe this observation? Motion after effects Autokinetic effect Phi phenomenon Induced movement Stroboscopic motion Question 17 of 150 Separation anxiety usually peaks at which of the following ages? 10-18 months 8-12 months 24-36 months 6-9 months 3-6 months Question 18 of 150 A middle aged patient with schizophrenia is seen by the smoking cessation nurse. The patient smokes 40 cigarettes a day. The nurse asks the patient if they are aware of the dangers of smoking. The patient replies that they know it can cause heart attacks, strokes, and cancer. The nurse asks why, if they are aware of the dangers, do they continue to smoke. The patient says they are not worried as their own father smoked and lived until 96. Which of the following is illustrated in the above example? Group think Deindividuation Cognitive dissonance Theory of mind Fundamental attribution error Question 19 of 150 A 50-year-old man is admitted to the ward with a long history of untreated psychosis. You note on his initial blood tests that he has significant renal failure. Which of the following should be avoided in this scenario? Haloperidol Quetiapine Aripiprazole Amisulpride Olanzapine Question 20-22 of 150 Theme: Antipsychotic classification A. Phenothiazine (Aliphatic side chain) B. Thioxanthene C. Butyrophenone D. Dibenzodiazepine E. Dibenzothiazepine F. Diphenylbutylpiperidine G. Phenothiazine (Piperizine side chain) H. Benzoxasole I. Thienobenzodiazepine J. Substituted benzamide Select the class of antipsychotic to which each of the following belong 20. Olanzapine 21. Chlorpromazine 22. Clozapine Question 23 of 150 A woman with schizophrenia attends clinic very upset as she has heard that her condition is genetic and is worried about her son. According to the Gottesman data, what is the risk of her son developing schizophrenia? 46% 1% 17% 5% 13% Question 24 of 150 Which of the following refers to the synthesis of RNA from a DNA template? Blotting Transcription Nondisjunction Translation Amplification Question 25 of 150 A concerned patient with schizoaffective disorder visits you in clinic and expresses concern about their treatment. They tell you that when they look at the red standby light on their television, in the dark, that it appears to move across the room. They suggest an immediate change in treatment as they believe themselves to be experiencing hallucinations. Which of the following describes their observation? Stroboscopic motion Induced movement Motion after effects Autokinetic effect Phi phenomenon Question 26 of 150 Which of the following is true regarding medical ethics? Deontology emphasizes moral duties and rules, rather than consequences Of the four bioethical principles, autonomy, beneficence, non maleficence and justice, autonomy should always take precedence Utilitarianism is concerned more about intentions than consequences Deontology is focused on the concept of greatest good for the greatest number The emphasis on a doctors duties, e.g. duty to act in a patients best interest or the duty of confidentiality, is part of area of ethics called utilitarianism Question 27 of 150 Which of the following is true regarding bioavailability? Rectally administered drugs undergo significant first pass effect Transdermal drugs undergo no first pass effect IV drugs undergo first pass effect The bioavailability of a drug is typically 75% if given intravenously Bioavailability is high if the drug is hydrophilic Question 28 of 150 You are asked to evaluate a patient following a head injury. They explain that they have experienced problems with their memory since the injury. They tell you that they are still able to drive a car. This statement indicates which type of memory is relatively well preserved? Iconic Episodic Echoic Semantic Procedural Question 29 of 150 Which of the following structures is thought to play a key role in fear conditioning and extinction? Prefrontal cortex Amygdala Reticular activating system Red nucleus Pons Question 30 of 150 Which of the following is associated with the highest risk for Alzheimer's disease? ApoE2 homozygote ApoE3 homozygote ApoE4 heterozygote ApoE2 heterozygote ApoE4 homozygote Question 31 of 150 You are referred a 6 year old boy due to concerns about a potential learning disability. Physically, he appears normal other than for a slightly elongated face. During conversation you find him difficult to follow. He speaks in bursts with disruptions in the flow giving a cluttered quality to his speech. Which of the following trinucleotide repeats sequence disorders would you suspect? CTG CGG CAG TAG GAA Question 32 of 150 A recently bereft lorry driver visits you in clinic complaining of insomnia. Which of the following has the longest half-life and would therefore be least suitable? Lorazepam Temazepam Nitrazepam Zopiclone Zolpidem Question 33-35 of 150 Theme: Stigma A. Courtesy stigma B. Tribal stigma C. Felt stigma D. Enacted stigma Select the type of stigma illustrated in each of the following 33. A patient with severe facial burns is doing some shopping. Whilst looking at some skirts in a high-end retail store, she is asked to leave as she is making the other customers feel uncomfortable. 34. A man with a suspected sexually transmitted disease is sat waiting for an appointment at the GUM clinic. He is worried about what the staff at the clinic will think of him. He worries that they may think he is dirty and irresponsible. 35. The brother of a young boy with a learning disability finds it very embarrassing when the family are eating out. He feels ashamed of his brother's shouting and by the way his brother eats food with his hands. Question 36 of 150 An organism that is composed of more than one genetically-distinct population of cells which originate from more than one zygote is referred to as a Eukaryote Clone Gamete Mosaic Chimera Question 37 of 150 Which of the following is used by the ICD-11 to refer to cases in which a person is excessively distressed and preoccupied by multiple bodily symptoms and where this distress continues despite appropriate attempts at reassurance from professionals following detailed examination and investigations? Bodily distress disorder Illness Anxiety Disorder Conversion disorder Body integrity dysphoria Somatisation disorder Question 38-40 of 150 Theme: Licensed indications for antidepressants A. Citalopram B. Fluoxetine C. Paroxetine D. Imipramine E. Venlafaxine F. Amitriptyline G. Clomipramine H. Fluvoxamine I. Moclobemide J. Escitalopram In each scenario, select the antidepressant with a licensed indication for the issue described 38. A 19 year old man is brought to clinic by his mother who is concerned about his eating habits. He reports consuming large amounts of food over short time periods and then inducing vomiting. He also reports laxative abuse. He appears of normal weight. 39. A young woman with narcolepsy is referred due to episodes of weakness. She describes occasions whereby her knees buckle when she gets excited by laugher or anger. 40. An elderly woman is referred by her GP due to being unable to return to her home since she was burgled. She has been staying with her daughter since the incident whereby two men entered her house and robbed her at gun point. She describes flashbacks and nightmares and is easily startled. Question 41 of 150 Which of the following is true regarding the volume of distribution? It is calculated by dividing the amount of drug by its clearance A low volume of distribution suggests homogeneous distribution throughout tissues It is proportional to half-life It is used to work out loading dose It is inversely proportional to clearance Question 42-44 of 150 Theme: Piaget A. 0-2 months B. 2-5 months C. 5-9 months D. 9-12 months E. 12-18 months F. 18-24 months G. 2-7 years H. 7-11 years I. 11 years to adolesence Regarding Piaget's theory of cognitive development, for each of the following select the time period within which it would be expected to be observed in a developmentally normal child. 42. Syllogistic reasoning 43. Phenomenalistic causality 44. Tertiary circular reactions Question 45 of 150 A 4 year old boy is caught scribbling with a crayon on the walls of the kitchen. When his father catches him he shouts and loses his temper. As he is shouting at the child the door to the kitchen is blown shut by the force of the wind. The child screams and appears terrified. When his father calms down and talks things through with his child the child appears to have understood that the father's anger was responsible for making the door slam. This is an example of which Piagetian concept? Syllogistic reasoning Animistic thinking Phenomenalistic causality Reversibility Hypotheticodeductive thinking Question 46 of 150 Which of the following would be expected in a patient who had experienced damage to the right cerebral hemisphere? Limb apraxia Right-left disorientation Aphasia Finger agnosia Visuospatial deficits Question 47 of 150 QuestiSelect the SSRI which corresponds to each of the followingon 47 of 150 Which of the following is least likely to cause hyponatraemia? Fluoxetine Moclobemide Paroxetine Duloxetine Amitriptyline Question 48-50 of 150 Theme: SSRIs A. Citalopram B. Fluoxetine C. Fluvoxamine D. Paroxetine E. Sertraline Select the SSRI which corresponds to each of the following 48. The SSRI with the longest half-life 49. The SSRI most likely to cause antimuscarinic side-effects 50. SSRI with the least drug interactions Question 51 of 150 Amphetamine has been shown to result in excessive dopaminergic activity in which of the following areas of the brain thus suggesting a causative role in schizophrenia? Prefrontal cortex Striatum Thalamus Hippocampus Amygdala Question 52 of 150 A change in a codon from AGC to AGA represents which of the following types of mutation? Nonsense Insertion Deletion Missense Frame-shift Question 53 of 150 Which of the following is a recognised risk factor for schizophrenia? Prenatal depression Being of Asian ethnicity Being male Summer birth Being born in an urban environment Question 54 of 150 Organised knowledge about the world is stored in which of the following? Episodic memory Semantic memory Iconic memory Haptic memory Procedural memory Question 55 of 150 Which of the following is most associated with tachycardia? SSRIs Clozapine Cholinesterase inhibitors Lithium Chlorpromazine Question 56 of 150 Which of the following is associated with a tall stature, decreased intelligence and has historically been linked with criminal deviancy? 47 XXY 48 XXXY 47 XYY 46 X0 48 XXXX Question 57 of 150 Ravens Progressive Matrices is primarily used to assess which of the following? Attention Executive functioning Orientation General intelligence Premorbid intelligence Question 58 of 150 Which of the following is true regarding X-linked conditions? Females of mothers who are carriers have a 1 in 4 chance of having an affected chromosome (assume the father is unaffected) The inheritance pattern always shows vertical transmission Sons will never inherit the affected gene from their fathers Males and females are affected in equal proportions Female offspring of affected fathers are never affected Question 59 of 150 Which of the following would be expected to reduce the chance of groupthink occurring? Apply pressure to a group by reinforcing the importance of their task Ensure the group is isolated from outside influences Promote group loyalty Assign a 'Devil's Advocate' at all meetings to challenge ideas Discourage impartial leadership Question 60 of 150 Dejà vu is classified as which of the following? Confabulation Cryptomnesia Paramnesia Delusional disorder Reduplicative paramnesia Question 61 of 150 Which of the following regarding the Wisconsin Card Sorting test is true? It is unaffected by deficits in working memory It assesses abstract reasoning It is a projective test of personality The patient is not told during the test whether their responses are correct or incorrect It assesses parietal lobe dysfunction Question 62-64 of 150 Theme: Terms used in conditioning A. Positive punishment B. Habituation C. Shaping D. Negative reinforcement E. Modeling F. Positive reinforcement G. Chaining H. Sensitisation I. Negative punishment J. Latent learning Select the term illustrated in each of the following 62. A father is keen to teach his young child to write a letter on a piece of paper. As he is unable to explain the request he rewards the child as they do aspects of the task. He issues a reward for the child sitting in the correct place, another when the child picks up the pencil, and another when the child marks the paper with the pencil. 63. A parent is becoming increasingly frustrated by their child's insistence on throwing food off the table. In an attempt to stop this happening, the parent makes a point of not giving any attention to the child for one minute each time the child throws some food. 64. A young girl's parents are struggling to get her to eat vegetables. Every time they put any on her plate she screams and they remove them as they cannot cope with her protest. Her screaming has been increasing. Question 65 of 150 A female patient, who has been prescribed a new antipsychotic whilst admitted to hospital, attends the outpatient clinic. They cannot recall the exact name of the medication but complain that they have started to notice excessive amounts of facial hair and that sex has become painful due to them being dry. On further questioning you discover that her periods have also stopped. Which of the following would be least likely to have caused these problems? Risperidone Amisulpride Haloperidol Sulpiride Olanzapine Question 66 of 150 You are called to see a patient with chronic schizophrenia on the ward. The nurse explains that he is normally well but has been more agitated recently and has been vomiting. You note an ataxic gait. The nurse tells you that he was recently started on an SSRI as the consultant thought he was depressed and that he has been spending a lot of time in the bathroom. You request some tests and discover that the patient has hyponatremia. The urine osmolarity is low as is the plasma osmolarity. Which of the following would you expect? Nephrogenic diabetes insipidus Psychogenic polydipsia Syndrome of inappropriate antidiuretic hormone secretion Gastroenteritis Conns syndrome Question 67 of 150 A 30 year old lady visits her GP requesting support for her pregnancy. She explains that she became pregnant 6 months ago and has now started to feel the baby move. She reports last having had sex two years ago. She complains of significant nausea and abdominal pain and on examination there is some evidence of abdominal enlargement although not as much as would be expected at this stage. A pregnancy test is negative and the GP is unable to detect a foetal heart rate with a doppler scan. Which of the following do you suspect? Lycanthropy Pseudocyesis De Clerambault's syndrome Couvade syndrome Folie a deux Question 68 of 150 Which of the following is used to screen for problem gambling? GAIN-SS NODS-CLiP AUDIT PDS SDQ Question 69 of 150 Utilization behaviour is usually associated with which of the following? Peduncular hallucinosis Balints syndrome Narcolepsy Frontal lobe damage Schizophrenia Question 70 of 150 Risperidone belongs to which class of antipsychotics? Butyrophenones Dibenzothiazepines Benzoxasoles Diphenylbutylpiperidines Phenothiazines Question 71 of 150 A patient with paranoid schizophrenia reports that he no longer exists and that the world also ceases to exist. He insists that he only appears to be alive. He reports feeling nothing and that he cares for nothing. Which of the following type of delusion is suggested? Nihilistic Hypochondriacal Referential Ekboms' syndrome Lycanthropy Question 72-74 of 150 Theme: Antipsychotics (adverse effects) A. Asenapine B. Quetiapine C. Clozapine D. Olanzapine E. Pimozide F. Zuclopenthixol G. Haloperidol H. Aripiprazole I. Flupentixol J. Paliperidone Select the correct answer for each of the following 72. Most likely to cause symptoms such as constipation, and increased heart rate 73. Least likely to cause diabetes 74. Most likely to cause sedation Question 75 of 150 Which of the following is most likely to account for a broad, coarse, and low frequency tremor, the amplitude of which increases as the extremity of the patient approaches the endpoint of deliberate and visually guided movement? Alcohol withdrawal Hysteria Hyperthyroidism Long-term treatment with lithium Lesion of the cerebellar peduncle Question 76 of 150 Which of the following is true regarding the Clifton Assessment Procedure? It is not appropriate for use in community settings It is used to identify sensory issues in patients with autism It takes approximately 3 hours to complete It corresponds with criteria used in the ICD-11 It includes a basic assessment of cognition Question 77 of 150 Asymmetry is a normal postmortem finding regarding which of the following? Fusiform gyrus Amygdala Red nucleus Angular gyrus Heschl's gyrus Question 78 of 150 Regarding psychopathology, the mood of an individual is usually distinguished from their affect by which of the following? Magnitude Quality Intensity Duration Severity Question 79 of 150 Which of the following is classified as a secondary amine? Lofepramine Imipramine Doxepin Amitriptyline Amoxapine Question 80 of 150 Which of the following is released from the locus coeruleus? Norepinephrine Serotonin Acetylcholine Histamine GABA Question 81 of 150 Perseveration results from damage to which of the following areas of the brain? Parietal lobe Frontal lobe Cerebellum Occipital lobe Temporal lobe Question 85 of 150 Which of the following is the site of phospholipid synthesis? Nissl substance Golgi apparatus Rough endoplasmic reticulum Mitochondria Smooth endoplasmic reticulum Question 86 of 150 Mutations with the granulin genes are most associated with which of the following? Alzheimer's Huntington's disease CADASIL Frontotemporal dementia Parkinson's disease Question 87 of 150 Regarding attachment, which of the following terms is used to refer to a child's natural bias towards a single attachment figure? Orientation constancy Law of proximity Instinctual drift Monotropy Phi phenomenon Question 88 of 150 Which of the following would suggest a lower motor neuron lesion of the hypoglossal nerve? The tongue deviates towards the suspected side of the lesion Ptosis Tongue muscle does not show signs of atrophy There is uvular deviation away from the suspected side of the lesion Right nasal hemianopia Question 89 of 150 Which of the following is known to induce its own metabolism? Chlorpromazine Grapefruit juice Carbamazepine Fluoxetine Paroxetine Question 90 of 150 The HIV virus is a type of which of the following? Rhabdovirus Hepadnavirus Parvovirus Reovirus Retrovirus Question 91 of 150 A patient on lithium for bipolar affective disorder is prescribed an increased dose by her consultant in view of her levels being too low. The consultant asks you to check her levels to see if the new prescription is adequate. How long after the dose increase would you recheck the levels? 1 week 1 day 3 days 2 weeks 12 hours Question 92 of 150 Which of the following is true regarding Pregabalin? It is a GABA analogue It is highly bound to plasma proteins It has a half-life of 36 hours It is a potent ligand for the alpha-2-delta subunit of voltage-gated sodium channels It increa Question 93 of 150 A lady with arachnophobia visits a therapist for help. The therapist begins by getting her comfortable on a couch and encourages her to relax whilst listening to some music. When confident that she is relaxed, the therapist asks her to think about a small spider 100 meters away. Initially the lady becomes anxious but then when able to think about this image and stay relaxed the therapist asks her to think about a medium sized spider 1 meter away. The process is repeated and after a number of weeks she is able to hold a spider whilst remaining relaxed. Which of the following is described? Higher order conditioning Reciprocal inhibition Instrumental conditioning Selective abstraction Aversive conditioningses the release of several excitatory neurotransmitters such as glutamate Question 94 of 150 Knife-blade atrophy, seen in the frontal and temporal lobes is most suggestive of which of the following? Chronic progressive aphasia Alzheimer's disease Pick's disease Parkinson's disease Lewy body Question 95 of 150 Which of the following types of mutations is caused by a single nucleotide variation within the coding sequence of a gene that results in different amino acids being encoded at a particular position in the resulting protein? Point mutation Nonsense mutation Frame-shift mutation Missense mutation Silent mutation Question 96-98 of 150 Theme: Defence mechanisms A. Sublimation B. Repression C. Reaction formation D. Denial E. Rationalisation F. Intellectualisation G. Isolation H. Regression I. Acting out Select the defense mechanism suggested by each of the scenarios 96. A newly admitted patient to a hospital ward gets threatened by another patient during a music session. The patient runs back to their room and when the nurse goes to see how they are they find them lying in the foetal position on the floor in the corner of their room. 97. A psychiatrist is deeply upset about having failed their end of year review. Despite having had personal issues which resulted in them having to have prolonged periods of time off work they place the blame on their consultant supervisor who they complain was not supportive enough and didn't provide enough time for supervision. This appears odd to the training program director as the consultant has previously had a very good reputation. 98. A woman is diagnosed with a terminal cancer. When the specialist sees her in clinic they are struck by the womans apparent lack of concern. The woman has read an impressive amount of literature on the cancer and engages in a rather cold discussion about the prognosis and treatment options. The specialist feels that the woman behaves as if she didn't have the cancer although when asked directly she accepts that she does. Question 99 of 150 Which of the following is a form of non-declarative memory? Semantic Episodic Conditioning Echoic Iconic Question 100 of 150 Which of the following is not part of the MMSE? Give a 3 stage command Recall of an address provided by the examiner Spell 'WORLD' backwards Ask patient to read and obey a written command on a piece of paper Ask the patient to copy a pair of intersecting pentagons Question 101 of 150 Which of the following enzymes is involved in the aetiology of alcoholic brain damage? Pyruvate kinase Aldolase Galactokinase Transaldolase Transketolase Question 102 of 150 Which of the following is true regarding behavioural activation? It should be avoided in cases of severe depression Activity scheduling involves scheduling only pleasant and satisfying activities Scheduled activities should only be started when a person feels motivated Functional analysis ignores cognitive processes such as rumination The number of sessions to treat depression is usually between 12 and 24 Question 103 of 150 Aprosody can be a feature of illnesses affecting which of the following lobes of the brain? Temporal and occipital Frontal and parietal Occipital and parietal Parietal and temporal Frontal and temporal Question 104 of 150 Which of the following is true regarding anabolic steroids? Anabolic steroids must be injected They have anabolic but not androgenic properties Anabolic steroids are covered under class B of the Misuse of Drugs Act 1971 It is not an offence in the UK to possess anabolic steroids for personal use Anabolic steroids are synthetic derivatives of Androstenedione Question 105 of 150 A clinical team meet to debate breaching the confidentiality of a patient. The consultant suggests that in this case it is appropriate to do so as the outcome will be better for all involved. The social worker disagrees and suggests that it is never right to breach confidentiality regardless of the outcome. Which of the following is illustrated by the view of the social worker? Deontological reasoning Consequentialism Virtue ethics Utilitarianism Teleological reasoning Question 106 of 150 Which of the following would be expected to happen if the enzymes for a drug which followed first order kinetics became saturated? The drugs half-life would become fixed The rate of elimination would remain unchanged The rate of elimination would become proportional to the amount of drug in the body The drug would begin to be eliminated via a zero order reaction The rate of elimination would increase significantly Question 107-109 of 150 Theme: Social readjustment A. 45 B. 21 C. 73 D. 25 E. 3 F. 105 G. 65 H. 50 I. 100 J. 145 Regarding the Social Readjustment Rating Scale (SRRS), select the life changing units for each of the following 107. Death of spouse 108. Divorce 109. Marital separation Question 110-112 of 150 Theme: Piaget A. Phenomenalistic causality B. Accommodation C. Primary circular reaction D. Animistic thinking E. Tertiary circular reaction F. Secondary circular reaction G. Syllogistic reasoning H. Reversibility I. Assimilation J. Object permanence Select the term to describe each of the following 110. A child, sat at the dinner table, accidentally drops their cup on the floor. They then begin to experiment by dropping other items such as a spoon, some carrots, and their plate. This results in them getting told off by their father. 111. An infant is felt to appear bored by their sister. She notices that they have been left in their cot without anything to play with. She puts in a number of toys. The infant selects a rattle and repeatedly shakes it. The child appears very interested in this object. 112. A family are sat watching a baby. They notice how the baby moves his hands and arms randomly and accidentally brushes his hands by his face and captures his hand in his mouth. He then lets go and repeats the movements, catching his hand again and again. Question 113 of 150 An 11 year old girl is referred for an opinion due to on-going assaultive behaviour. She was markedly hypotonic at birth, appeared lethargic and hypo­aroused. Physical examination at birth revealed hypoplastic genitalia. By 2 years of age, her hypotonia had resolved, but developmental delays were evident. Her appetite and oral intake changed diametrically by the age of 3 years. Although initially a low weight, she is now obese, despite attempts to manage her intake. During your assessment you note she is short in stature and appears to have a mild to moderate learning disability. Based on the above information, what would you expect a chromosomal analysis to reveal? XO A deletion on chromosome 15 Trisomy 21 A deletion on chromosome 18 A deletion on chromosome 5 Question 114 of 150 A 22 year old man is admitted to hospital experiencing his first psychotic episode. He describes an event that took place when he was 6 years old and he was injected by a doctor with a radioactive element so that the government could track his movements. Which of the following is suggested? Ekboms syndrome Secondary delusion Capgras syndrome Delusional memory Delusional atmosphere Question 114 of 150 A 22 year old man is admitted to hospital experiencing his first psychotic episode. He describes an event that took place when he was 6 years old and he was injected by a doctor with a radioactive element so that the government could track his movements. Which of the following is suggested? Ekboms syndrome Secondary delusion Capgras syndrome Delusional memory Delusional atmosphere Question 115-117 of 150 Theme: Measuring attitudes A. Thurstone scale B. Guttman Scales C. Stapel's scale D. Q Sort technique E. Semantic Differential Scale F. Likert Scale G. Multi Dimensional Scaling For each of the following select the type of measurement scale described 115. A team of researchers are keen to explore attitudes to gender based income. They are presented with a statement which reads 'females should always receive the same pay as males'. They are then asked to select whether they 'strongly agree', 'agree', are 'uncertain', 'disagree', or 'strongly disagree'. 116. A psychologist wishes to investigate attitudes into same sex marriage. They create a list of statements about same sex marriage which is then given to a panel of judges. The panel determine how negative or positive each statement is about same sex marriage and give each statement a corresponding score from 1 to 11. The list of statements is then given to a group of participants who are asked to mark whether they agree or disagree with each statement. 117. A consultant is keen to assess the attitudes of the nursing staff towards a junior doctor who has been working with the team for the past 6 months. The consultant creates a form which she gives to 6 nurses. On the form is a list of 10 items. Each item has an option of a score from one to seven. The first item relates to the doctors effort. Nurses are asked to rate how lazy or hard working the doctor is from 1 to 7 (with 1 being lazy and 7 being very hard working). Question 118 of 150 Which of the following is an inhibitory neurotransmitter? Glutamate Serotonin GABA Acetylcholine Epinephrine Question 119 of 150 Which of the following is true regarding primary delusions? They are usually understandable They can be systematised They are synonymous with overvalued ideas They are a typical feature of depression They arise following abnormal perceptual experiences Question 120 of 150 Which of the following is an example of a discreditable stigma? Obesity Wheelchair use Acne Tourette's syndrome HIV infection Question 121 of 150 Regarding screening for alcohol dependence, which of the following is not a question on the RAPS4? Have you had a feeling of guilt or remorse after drinking? Has a friend or a family member ever told you about things you said or did while you were drinking that you could not remember? Have you failed to do what was normally expected of you because of drinking? Do you sometimes take a drink when you first get up in the morning? Have people annoyed you by criticising your drinking? Question 122 of 150 Which of the following is true regarding myelination? The myelin for central nerve axons is provided by Schwann cells Myelin is grey in colour Myelination does not begin until after birth The optic nerve typically is myelinated shortly after birth Only central nerve axons are myelinated Question 123 of 150 Which of the following is the last structure to myelinate? Corpus callosum Frontal lobes Internal capsule Dorsal brainstem Cerebellum Question 124 of 150 In which of the following developmental stages would a midlife crisis be expected to occur? Integrity vs. despair Intimacy vs. isolation Generativity vs. stagnation Identity vs. role confusion Industry vs. inferiority Question 125 of 150 Female carriers of an X-linked recessive mutation may manifest features of the disorder. Which of the following is the most common cause? Heterodisomy Selection for the mutant allele Skewed X-inactivation Dominant negative mutation Maternal uniparental disomy Question 126 of 150 Which of the following is classified as a noradrenaline reuptake inhibitor? Clonidine Atomoxetine Venlafaxine Varenicline Selegiline Question 127 of 150 Which of the following is an X-linked condition associated with self mutilation? Smith-Magenis syndrome Lesch-Nyhan syndrome Wolf Hirschhorn syndrome Williams syndrome Jacob's syndrome Question 128 of 150 A female patient complains that each time she sees a man in a white coat she becomes highly anxious. She says that this is very distressing and often results in her having to leave the area resulting in considerable social disruption. During your interview you discover that she spent prolonged periods of time in hospital as a child for treatment of cancer and that the experience was very painful and traumatic. You make a link between the white coats and the traditional doctors uniforms. In this case, what does the white coat represent? A secondary reinforcer A conditioned stimulus A conditional response An unconditioned stimulus A primary reinforce Question 129 of 150 A 4 year old boy would be expected to be at what stage according to Freud's theory of psychosexual development? Genital Oral Anal Phallic Latency Question 130 of 150 In which of the following patterns of inheritance are both males and females affected but there is no paternal transmission of the condition? Autosomal recessive Mitochondrial Autosomal dominant X-linked recessive X-linked dominant Question 131 of 150 Anabolic steroid misuse is most associated with which of the following? Memory loss Decreased aggression Obsessions and compulsions Hypomania Hypersomnia Question 132 of 150 Which of the following is NOT thought to effect clozapine levels? Fluoxetine Nicotine Caffeine Phenytoin Carbamazepine Question 133 of 150 A patient with bipolar disorder has been stable for a number of years on lithium. They develop essential hypertension and require treatment. Which of the following is least likely to have an effect on their lithium levels? Furosemide Atenolol Bendroflumethiazide Ramipril Captopril Question 134-136 of 150 Theme: Cranial nerves A. Trigeminal V3 (mandibular) B. Olfactory nerve (I) C. Abducens (VI) D. Trigeminal V1 (ophthalmic) E. Facial (VII) F. Trochlear (IV) G. Vagus (X) H. Vestibulocochlear (VIII) I. Hypoglossal (XII) J. Trigeminal V2 (maxillary) Select the cranial nerve that exits the skull through each of the following 134. Round foramen 135. Cribiform plate 136. Jugular foramen Question 137 of 150 A 17-year-old female is referred by her GP due to concerns about excessive dieting. She is 165 cm tall and weighs 50kg. Her BMI lies in which of the following categories? 18-19 19-20 17-18 15-16 16-17 Question 138 of 150 Which of the following would be expected to promote groupthink? Providing a team with greater resources Assigning the role of 'Devils advocate' to a member Including confrontational members Encouraging the leader to express opinions about preferred outcomes Providing ample time for teams to make decisions Question 139 of 150 Which of the following is true regarding lyonization? It occurs in every somatic female cell It affects all genes on the X chromosomes The Barr body becomes active during periods of stress It occurs equally in males and females Paternal X chromosomes are more likely to be inactivated Question 140 of 150 Which of the following is most likely to precipitate heart block? Moclobemide Fluoxetine Quetiapine Amitriptyline Haloperidol Question 141-143 of 150 Theme: ECG findings A. Peaked T waves B. Tachycardia C. Heart block D. ST elevation E. Bradycardia F. U waves G. Prolonged PR interval Select the ECG finding most likely to result from each of the following 141. A young woman with bulimia nervosa who frequently vomits and restricts intake 142. A middle aged man with a personality disorder develops a central crushing chest pain whilst on the ward. The paramedics arrive and following an ECG provide treatment for a myocardial infarction 43. The most common ECG finding suspected in a patient started on an SSRI Question 144 of 150 Agranulocytosis is most likely to occur with which of the following? Asenapine Olanzapine Carbamazepine Moclobemide Lithium Question 145 of 150 Which of the following is not recommended as acute treatment for mania? Olanzapine Valproate Lamotrigine Haloperidol Quetiapine Question 146 of 150 The concept of the 'categorical imperative' is most associated with which of the following? Deontology Virtue ethics Principlism Rule utilitarianism Autonomy Question 147 of 150 Cannabinoid receptors have been identified in all of the following except Brainstem Basal ganglia Hippocampus Cerebral cortex Cerebellum Question 148 of 150 Which of the following is an extrasylvian aphasia? Transcortical sensory aphasia Broca's aphasia Conduction aphasia Global aphasia Wernicke's aphasia Question 149 of 150 Which of the following would be expected if a patient prescribed lithium was commenced on an ACE inhibitor? Serotonin syndrome Increased clearance and decreased lithium levels Lithium clearance unchanged Reduced renal clearance and increased lithium levels Neurotoxicity Question 150 of 150 A young woman visits you for a psychiatric evaluation. She gives a history of intermittent episodes of elevated mood, increased energy, and decreased need for sleep. She says that others have commented that she becomes disinhibited and can be very offensive. These episodes have caused her to have a number of periods off work. According to the ICD-11, unless shortened by treatment intervention, how long must each episode last for it to be qualified as a manic episode? 48 hours 14 days 28 days 5 days 7 days