Paper B Mock Exam 2

You are an psychiatry registrar working in a homeless psychiatry clinic, your consultant raised concerns about an increase in sexually transmitted diseases in the area. You noticed an associated between this and high rates of methamphetamine use locally. A qualitative study was put together and an education intervention was provided. For this study, what is the best method of data collection?

What is Behavioral Activation Therapy (BAT)?

A patient you assess in the outpatient clinic is suffering from moderate depression and struggling to find motivation to engage is day to day activities. He is due assessment for behavioural activation therapy. Which of the following will this include?

What is the most common method of suicide in prison?

What is the significance of the Bournwood case in relation to liberty?

Is depression commonly associated with infanticide?

Which illness tends to worsen during the age range of 10-12 years?

What is the mechanism of action of agomelatine?

If a patient with bipolar disorder who is currently taking lithium is experiencing symptoms of depression, which medication would be appropriate to prescribe?

What is the initial recommended dose of Lorazepam for the management of acute catatonia?

In statistics, what is the base analysis used for identifying the frequency and distribution of data in a sample?

What type of study would be appropriate for investigating the ecological effects of lithium salt being released into a water source?

Can low dose ECT be given to a patient who has been prescribed Lofepramine for the management of depression?

What does an ROC curve plot?

What is a predictor of response to electroconvulsive therapy (ECT) for patients with depression?

What is the relationship between loneliness and depression scores?

What does a cost-effective curve represent in terms of willingness to pay?

What does ICER stand for in healthcare economics?

What is concurrent validity?

What is predictive validity?

What is a Galbraith plot?

What is the Bournewood case?

A family therapist is working with a family in which the parents constantly berate their teenage son for his declining academic performance. They demand improvement but their harsh criticism appears to be making his performance worse. The therapist decides to use a paradoxical injunction. Which of the following actions best represents this technique?

Which is most strongly suggestive of lithium toxicity?

What ECG changes may be seen in a 19-year-old girl with an eating disorder who admits to inducing vomiting?

What ECG changes may be seen in a person recently started on clozapine who reports chest pain?

A person who is taking citalopram 40mg daily recently purchased an over-the-counter medication containing diphenhydramine. What potential interaction should be monitored for?

An elderly male with Alzheimer’s dementia who has been admitted to a hospital ward for management of his symptoms has now developed severe agitation. He has just been diagnosed with an acute posterior brain infarct. What is the most appropriate management approach for his agitation?

In which of the following genetic conditions is there an equal chance of inheritance from either the father or mother?

A middle-aged women with epilepsy had presented to hospital with Carbamazepine-induced hyponatraemia. During her admission she was diagnosed with depression. Which would be the most appropriate antidepressant to prescribe?

A 33 year-old woman with moderate intellectual disability presents to the inpatient unit with mania. Which of the following medications would you NOT prescribe her?

What is the most common behavioural and psychological symptom of dementia seen in patients with Alzheimer dementia?

An older man is interested in reducing his risk of dementia. Which of the following is most likely to reduce his risk?

Which of the following is a key role for CBT in psychosis?

Which of the following types of therapy utilises phone calls as a core technique?

A 28 year-old male who has been prescribed antipsychotics has been non-compliant with medication. After using amphetamines, he presents with mutism, catalepsy, and fever. What is the most likely diagnosis?

What is the typical body mass index (BMI) range for individuals with anorexia nervosa?

According to UK guidelines, what is the safe weight regain for an anorexic patient?

At what age does NICE recommend the prescription of Fluoxetine for children?

In ADHD, Clonidine is not effective for the management of?

Which defence mechanism is the wife displaying after her husband’s sudden death when she angrily shouts at the doctor, despite not caring for her husband who worked abroad a lot?

What should be the next step for a patient with Parkinson’s disease who is experiencing hallucinations of small animals and people in their home, but is enjoying their company and not showing any distress?

A middle-aged man living in a care house needs assistance with daily activities, including managing finances and cooking. Which level of intellectual disability (ID) would most likely apply to this individual?

What is one of the “R”s in Cognitive Analytic Therapy (CAT)?

Which gait is classically seen in upper motor neuron lesions?

Which gait is classically seen in Parkinson’s disease?

Which condition is classically seen in high steppage gait?

What is the duration required for a diagnosis of OCD in ICD-11?

What is the duration required for the diagnosis of Generalized Anxiety Disorder (GAD) in ICD-10?

What is the duration for the diagnosis of hypochondriasis according to ICD-10?

What is the duration for diagnosis of mania in ICD-10?

What are the curative factors identified by Yalom in group therapy?

What is the role of culpability in forensic psychiatry?

What is diminished responsibility in forensic psychiatry?

What is an indictable offense in forensic psychiatry?

Which medication is commonly used in the UK to treat akathisia?

What is the recommended pharmaceutical management for weight gain associated with Clozapine?

Which of the following is NOT a type of prevention strategy in public health?

Which of the following best describes selective prevention in mental health?

Which of the following best describes indicated prevention in mental health?

What type of prevention is appropriate for low-income families at risk of developing mental illness?

What type of prevention is appropriate for preventing bullying at school?

What type of prevention is appropriate for individuals with an at-risk mental state?

What imaging finding is typically seen in neurosyphilis?

What imaging finding is typically seen in frontotemporal dementia on MRI?

What imaging finding is typically seen in Alzheimer’s dementia on MRI?

What is a common imaging finding on MRI in patients with Parkinson’s dementia?

What is a common imaging finding on MRI in patients with Lewy Body dementia?

What is the number needed to treat (NNT) for selective serotonin reuptake inhibitors (SSRIs) in the treatment of major depressive disorder (MDD)?

How is the number needed to treat (NNT) calculated?

What is the purpose of a forest plot in meta-analysis?

What is the most probable disorder if a baby came with low birth weight, poor feeding, microcephaly, and heart problem?

What is the most probable disorder if a baby came with gaze avoidance?

Which of the following is a common symptom of Angelman syndrome in babies?

Which of the following is a common symptom of Turner syndrome in babies?

Which disease has shown an increased prevalence in children aged 10-12 years old?

How much more likely is Autism Spectrum Disorder (ASD) to occur in the prison population compared to the general population?

What is the BALANCE trial referring to?

What was the aim of the CUtLASS 1 study on antipsychotics?

What were the results of the Cutlass 1 study on antipsychotics?

What is the minimum age recommended by NICE guidelines to start fluoxetine for depression?

What type of cost is associated with stigma?

What type of cost is associated with productivity lost?

What is the definition of automatism?

When a hospital transfers a doctor from one ward to another, what is the opportunity cost?

Which disease is characterized by hypertelorism, hypotonia, and moderate intellectual disability?

A 12-year-old boy is brought to the clinic by his parents due to concerns about involuntary movements and noises. They report that over the last year, he has developed repetitive facial twitching, shoulder shrugging, and eye blinking. He has also started making intermittent grunting sounds. The symptoms appear to worsen during periods of anxiety and stress. He has no history of substance use and his school performance has remained stable. Based on these observations, which of the following is the most likely diagnosis?

A 35-year-old woman presents to the clinic with her partner who reports that she often uses a joking or playful manner of speech, even in serious situations. Her partner also mentions that she tends to avoid eye contact during conversations. This has been a consistent pattern throughout their relationship and causes some difficulties in communication. Based on these observations, which of the following is the most likely diagnosis?

What type of study design is used when a cohort study is not feasible due to limited resources or time constraints?

What is the most appropriate next step when a young boy is hitting his own head?

What is the percentage of schizophrenic patients who commit homicide?

Which of the following medications is less likely to cause discontinuation syndrome?

Which of the following is a reporting guideline for randomized controlled trials (RCTs) in healthcare?

A 56-year-old man presents to the clinic with a history of chronic alcohol use. He tells you that his last drink was 48 hours ago and he wishes to remain abstinent from alcohol going forward. He has a medical history significant for congestive heart failure, for which he is on medication. Based on his medical history, which medication for managing alcohol dependence would be contraindicated?

Which of the following conditions is likely to be irreversible?

A 45-year-old woman with a history of severe, treatment-resistant depression has been undergoing a course of electroconvulsive therapy (ECT) after other treatment options failed. She has shown considerable improvement in her depressive symptoms, but she reports a new issue to her psychiatrist. She mentions that she has been having difficulty remembering some past events that occurred prior to the initiation of the ECT treatments. She also finds it hard to remember new information since she started the treatments. Based on this scenario, what type of memory loss is this patient likely experiencing?

Which of the following conditions is a non-reversible dementia?

A boy is performing poorly in school due to a noisy learning environment, but he is able to complete work correctly in a quiet home environment. Which condition is likely to be affecting his ability to learn in a noisy environment?

An 18-month-old girl has recently been placed in foster care after being removed from an abusive home. She avoids physical contact with her caregivers, seems indifferent to comfort from others, and does not seem to seek comfort when distressed. She does not seem to respond to social overtures from others, such as smiles or invitations to play. What condition is this child likely experiencing?

What is the estimated heritability of ADHD?

What is the diagnosis for a girl who fought with her partner and overdosed on three drugs (SSRI, antipsychotic, and procyclidine), and is exhibiting agitation, dry mouth, and red eyes?

What is the term for a legal defence that claims a defendant committed a crime while experiencing amnesia?

What is the most likely diagnosis for a patient who has taken antipsychotic, antidepressants, and other drugs, and presents with hyperthermia, rigidity, myoclonic jerks, and ankle clonus?

What is the recommended treatment for bipolar depression in children?

What is the recommended course of action for a patient experiencing side effects from taking Donepezil 10mg?

Which test has the best sensitivity and specificity for alcohol relapse in primary care?

A 32 year-old man presents with a known diagnosis of bipolar disorder and is currently not on any regular psychiatric medication. He appears to be in a moderate depressive episode. What would be an appropriate pharmacological management?

What is the PECO(t) formula used for?

What does the term “hierarchy of evidence” refer to?

What is publication bias?

Which database is used by nursing and allied health professionals?

Which database could be described as an online database of systematic reviews and other evidence-based literature in healthcare?

Which database would be used to source ‘grey’ literature in Europe?

What are examples of systematic error in research?

Random error (chance) is also known as:

What does the term “internal validity” refer to in research?

What type of reliability is measured by administering a test twice to the same group of individuals and comparing the scores?

What is construct validity?

What is content validity?

Which of the following has the correct ranking of what will be most affected by a skewed distribution?

What is face validity?

Which of the following is true?

What is allocation concealment?

What is a cross-sectional study design?

If a p value is considered statistically significant at 0.05 which of the following is true?

What is an N-of-1 clinical trial?

Which of the following best describes ordinal data?

Which of the following best describes how to interpret the summary measure of mean?

What does the interquartile range (IQR) measure?

If you want to test for association in categorical (binary) paired date the appropriate test is?

Which of the following statements is true about interpreting a histogram?

A type 2 error can be described as?

Which of the following statements is true about interpreting a box plot?

Which of the following can you NOT do with ANOVA test?

ANOVA generates which of the following?

If looking for differences in means of three data sets that are from the same people when the data is skewed you would use which test?

A Log e of the odds of an event is generated by which test?

In order to employ fixed analysis in a study, which of the following conditions should be met?

What percentage of a normal distribution falls within two standard deviations of the mean?

What percentage of a normal distribution falls within three standard deviations of the mean?

How is sensitivity calculated in diagnostic testing?

What is the formula for calculating the negative predictive value in diagnostic testing?

What is the formula for calculating post-test odds in diagnostic testing?

What is the formula for calculating the likelihood ratio positive of a diagnostic test?

What is the method used to calculate the strongest correlation between two variables?

Which of the following best describes linear regression?

If the sensitivity of a diagnostic test is increased while keeping the cut-off point unchanged, which of the following is MOST likely to occur?

When should Fisher’s exact test be used in statistical analysis?

CER-EER divided by CER is which formula?

What is a more accurate way of reporting the sensitivity and specificity of a study?