By Lena Palaniyappan, Rajeev Krishnadas

ISBN-10: 0199550778

ISBN-13: 9780199550777

Following scorching at the heels of the release of the recent syllabus and new MRCPsych examination in Spring 2008 by means of the Royal university of Psychiatrists, this publication comprises 450 a number of selection inquiries to aid psychiatry trainees to arrange for paper 1 of the examination. helping those MCQs are specific explanatory solutions and revision notes, referenced to the main textbooks utilized by trainees. The book's content material is heavily matched to the MRCPsych syllabus and comprises perform papers for real examination training.

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241. 23. A. Nihilism is similar to pessimism with self reference of an extreme belief, for example ‘My brain is rotten’. Congruence refers to ‘in keeping with’ a particular state of mind – nihilism is usually congruent with depression. Nihilism with delusional intensity is seen in psychotic depression. , eds. Oxford Handbook of Psychiatry, 1st edn. Oxford University Press, 2005, p. 96. 24. E. Direct questioning about suicidality does not increase risk of suicide, so evasive questioning is not recommended.

14. E. There is no single question that can reliably elicit premorbid personality traits. A detailed discourse that includes enquiry about hobbies, leisure, predominant mood state, character, and descriptions – both self and by friends – is necessary to understand one’s premorbid personality. Sadock BJ and Sadock VA. Kaplan & Sadock’s Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry, 10th edn. Lippincott Williams & Wilkins, 2007, p. 228. 15. D. The CAGE questionnaire includes questions on ‘Cut down’, ‘Annoyed’, ‘Guilty’, and ‘Eye opener’.

When joint position sense is lost due to posterior column lesion, closing one’s eyes will prevent the visual input from compensating for the deficit, leading to loss of balance. ‘Astasia abasia’ is a conversion disorder where the gait does not confirm to any known neurological deficits. Sometimes such a patient can walk normally but cannot stand and balance herself without support. Brazis P, et al. Localisation in Clinical Neurology, 5th edn. Lippincott Williams & Wilkins, 2007, p. 238. 39. B. Bilateral upper motor neurone lesions of the corticobulbar tract result in pseudobulbar or spastic dysarthria.

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Best of Five MCQs for MRCPsych Paper 1 by Lena Palaniyappan, Rajeev Krishnadas

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