General /forensic
Which of the following statements is true with regard to the relationship between antisocial personality disorder and psychopathy?
A minor subgroup of those with psychopathy have anti-social personality disorder
All those with antisocial personality are psychopathic
Only multiple homicide offenders can be classified as psychopathic
Antisocial personality is a better predictor of violence risk than psychopathy
Impulsive aggression is more common in those with antisocial personality without psychopathy
Impulsive aggression is more common in those with antisocial personality without psychopathy
Which of the following best defines the diagnosis of specific reading disorder when assessed using psychometric measures of reading age?
Reading age is below the 10th percentile of the peers
Reading age is one standard deviation below the expected
Reading age is two standard deviations below the expected
Reading age is three standard deviations below the expected
Reading age is below the 20th percentile of the peers
Reading age is two standard deviations below the expected
During her first session, Lisa asks her therapist about certain terms she came across on the internet.“What is transference?”
Empathy in relationships
Therapist’s response to the patient based on the therapist’s previous relationships
Patient’s response to the therapist based on the patient’s previous relationships
Transfer of positive thoughts from the therapist to the patient through self-disclosure
All of the above
Patient’s response to the therapist based on the patient’s previous relationships
Which of the following is the most common psychiatric manifestation of hyperthyroidism?
Major depression
Anxiety disorder
Cognitive disorder
Psychosis
None of the above
Major depression
Despite the fact that anxiety is a cardinal feature of hyperthyroidism, anxiety disorders are observed in only up to 15% of the patients. Major depression is the most common psychiatric manifestation, seen in up to 25% of the people diagnosed with hyperthyroidism.
If left untreated what percentage of people who develop Wernicke’s encephalopathy goes on to develop a severe persistent amnestic syndrome (Korsakoff’s dementia)?
A. 5% B. 10% C. 20% D. 40% E. 75%
E. 75%
The proportion of male remand prisoners in England and Wales with at least one personality disorder is
A. 20%
B. 10%
C. 50%
D. 33%
E. 80%
E. 80%
A 10-year-old boy makes repeated errors in reading and spelling with substitutions and omissions of letters. He is slow in reading with considerable hesitations.All of the following features are expected in this child except
Minor neurological abnormalities
Socially disadvantaged home setting
Lower rates of conduct disorder
Higher rates of similar problems in the family
Higher rates of emotional problems
Lower rates of conduct disorder
Which of the following correctly describes counter-transference?
The analyst’s or psychotherapist’s transference reactions to the patient
His or her reactions to the patient’s transferences
Any reactions, feelings and attitudes of the analyst or therapist towards the patient, regardless of their source.
All of the above
None of the above
All of the above
Which of the following is the most commonly reported psychiatric symptom in hypothyroidism?
Depression
Cognitive disturbance
Anxiety
Psychosis
None of the above
Cognitive disturbance
A severely malnourished patient is admitted to hospital for planned surgery. He develops alcohol withdrawal delirium. He has no signs of Wernicke’s encephalopathy.Which of the following is the best strategy for thiamine replacement in this patient?
Oral thiamine 30 mg three times daily for 5 days
Oral thiamine 50 mg three times daily for 5 days
Intravenous thiamine 250 mg three times daily for 5 days
Intramuscular thiamine 50 mg three times daily for 5 days
Thiamine is not required as the patient has not developed Wernicke’s encephalopathy
Intravenous thiamine 250 mg three times daily for 5 days
All of the following neuroendocrine changes are noted in depression EXCEPT
Raised salivary cortisol measures
Abnormal dexamethasone suppression test
Reduced Corticotropin-releasing hormone (CRH) in cerebrospinal fluid
Down-regulated CRH receptors
Reduced adrenocorticotropic hormone (ACTH) response to CRH infusion
Reduced Corticotropin-releasing hormone (CRH) in cerebrospinal fluid
Which of the following is a common condition in childhood that is not listed as a separate disorder in ICD-10?
Sleepwalking
Stuttering
Tic disorder
Autism
Sibling rivalry
Stuttering
During the psychotherapy sessions, the therapist notes that Lisa uses a number of defence mechanisms that are classified as ‘mature defences’ according to Vaillant.Which of the following is a mature defence?
A. Suppression
B. Repression
C. Dissociation
D. Passive aggression
E. Denial
A. Suppression
Which of the following is a characteristic feature of paediatric autoimmune neuropsychiatric disorder due to group A streptococcal infection (PANDAS)?
A. Arthritis
B. Carditis
C. Rheumatic fever
D. Chorea
E. Tics
E. Tics
Which of the following is not a risk factor for suicide in an alcohol-dependent individual?
Male gender
Age less than 50 years
Recent interpersonal loss event
Poor social circumstances
Polysubstance use
Age less than 50 years
Which of the following can increase levels of clozapine via alterations in hepatic metabolism?
A. Rifampicin
B. Phenytoin
C. Carbamazepine
D. Cigarettesmoking
E. Erythromycin
E. Erythromycin
The prevalence of autism is estimated to be around
6 per 1000 children
10 per 1000 children
1 per 10000 children
1 per 1000 children
1 per 100000 children
1 per 1000 children
Lisa is a 35-year-old lady, diagnosed with depression. She has been referred by her psychiatrist for psychodynamic psychotherapy.According to her therapist, Lisa has the ability to conceive of her own mental state as explanations of her behaviour.This phenomenon is called
Transference
Mentalization
Counter transference
Empathy
None of the above
Mentalization
Which of the following is the most common psychiatric manifestation of Cushing’s syndrome?
Major depression
Mania
Anxiety disorder
Psychosis
Cognitive disorders
Major depression
Lifetime prevalence rates of alcohol use disorder is highest in
Bipolar disorder
Schizophrenia
Panic disorder
Major depression
Generalized anxiety disorder
Bipolar disorder
Lifetime prevalence of alcohol abuse or dependence are: bipolar I, 46.2%; bipolar II, 39.2%; schizophrenia, 33.7%; panic disorder, 28.7%; unipolar depression, 16.5%.
Which of the following refers to assessment of medical negligence?
McNaughton’scriteria
MacArthur’s competency assessment tool
Pritchard’s criteria
Hare’schecklist
Bolam criteria
Bolam criteria
Which of the following condition is associated with intractable epilepsy, autism-like features and skin lesions in children?
Congenital hypothyroidism
Fragile X syndrome
Tuberous sclerosis
Foetal alcohol syndrome
Benzodiazepine use in pregnancy
Tuberous sclerosis
During the psychotherapy sessions, the therapist notes that Lisa uses a number of defence mechanisms that are classified as ‘mature defences’ according toVaillant.Which of the following is a mature defence?
A. Suppression
B. Repression
C. Dissociation
D. Passiveaggression E. Denial
Nearing the end of her therapy session, Lisa blurts out ‘I am abusing my children’ before quickly shifting the topic to other things.What is the most immediate appropriate thing for the therapist to do?
End the session on time and explore it in the next session
Ask her what she meant by ‘abusing’
Reassure her that everything said in therapy is confidential
Tell her that you have to report her to the social services
Carry out an extensive assessment of risk to the child
Ask her what she meant by ‘abusing’
A 60-year-old woman who recently underwent radiation therapy to her neck presented with ‘painful bones, renal stones, abdominal groans, and psychic moans’.Which of the following condition is she most likely to be suffering from?
Hyperparathyroidism
Hypoparathyroidism
Hyperthyroidism
Hypothyroidism
None of the above
Hyperparathyroidism
Which of the following is incorrect with regard to the pharmacokinetics of alcohol?
Most alcohol is absorbed from the small intestine
Pylorospasm can reduce the amount of absorption
Women are less likely to get intoxicated than men for a given dose
A fixed amount of alcohol gets metabolized in the liver irrespective of plasma concentration
Absorption of alcohol is inhibited by the presence of food in the stomach
Women are less likely to get intoxicated than men for a given dose