MRCPsych Part I

One-and-a-half hours

50 questions

 

1. Alcoholism is significantly associated with:

A an increased incidence of comorbid eating disorders

B frontal cortical atrophy

C P300 amplitude deficits in individuals at high risk of developing the disorder

D higher brain serotonin levels after alcohol withdrawal

E decreased glutaminergic neurotransmission after alcohol withdrawal

  True False Don't know
A
B
C
D
E

2. In the pharmacotherapy of alcohol problems:

A naltrexone has been shown to prevent relapse

B SSRIs have proven benefits in maintaining abstinence

C acamprosate is primarily a 5-HT antagonist

D beta blockers are useful as the sole agents in managing withdrawal

E delirium tremens can be expected in about 1% of inpatient detoxification episodes

 

  True False Don't know
A
B
C
D
E

3. In lithium therapy:

A oedema occuring as a side effect can be treated with a thiazide diuretic

B ataxia may occur during treatment with a therapeutic dose

C nephrogenic diabetes insipidus is usually irreversible

D concurrent carbamazepine use may cause neurotoxicity without raising serum levels

E tardive dyskinesia is a recognised side effect

 

  True False Don't know
A
B
C
D
E

4. Psychotherapy using cognitive analytic therapy involves:

A the identification of transference and countertransference

B self monitoring and recording of negative automatic thoughts

C identification of target problem procedures.

D a time limited and structured approach

E behavioural experiments

 

  True False Don't know
A
B
C
D
E

5. In antidepressant therapy:

A citalopram is the antidepressant of choice in patients on haemodialysis

B fluvoxamine has no active metabolites

C moclobemide may worsen seizures in patients suffering from epilepsy

D coarse tremor is a recognised side effect

E MAOIs should not be started until 2 weeks after discontinuation of fluoxetine

 

  True False Don't know
A
B
C
D
E

6. Benzodiazepines:

 

A quickly produce respiratory depression in overdose

B may cause hyperprolactinaemia

C should not be used in hepatic encephalopathy

D acute withdrawal may mimic delirium tremens

E are GABA agonists

 

  True False Don't know
A
B
C
D
E

7. In pharmacokinetics and pharmacodynamics:

 

A the pKa of a drug is related to its ability to permeate the drug-brain barrier

B clearance of a drug is equal to time taken to reach a steady state plasma concentration

C antacids may increase the effect of hypnotics

D increased plasma-binding results in increased toxicity

E most absorption of neuroleptics occurs in the jejunum

 

  True False Don't know
A
B
C
D
E

8. Delusional perceptions:

A often arise from delusional mood

B often occursin psychotic depressive disorder

C according to Jaspers, are easily understandable in terms of the link between the percept and the meaning of the delusion

D involve autochthonous delusions

E may arise to explain auditory hallucinations

 

  True False Don't know
A
B
C
D
E

9. Delusional misidentification

A frequently has an organic cause

B occurs in de Clerambault’s Syndrome

C is classified as a primary delusion in schizophrenia

D may relate to inanimate objects in the syndrome of intermetamorphosis

E is a feature of delirium tremens

 

  True False Don't know
A
B
C
D
E

10.    Overvalued ideas

A occur in Ekbom’s syndrome

B are based on false evidence

C are almost always acted upon by the patient

D are acceptable ideas

E are commonly found in anankastic personality disorder

 

  True False Don't know
A
B
C
D
E

11. The following are recognised features of catatonic schizophrenia

A Advertence

B Coprolalia

C Hyposchemazia

D Echopraxia

E Schnauzkrampf

 

  True False Don't know
A
B
C
D
E

12. Components of attachment behaviour in infants include

A stranger anxiety

B crawling after the mother

C clinging to the mother when tired

D separation anxiety

E use of a transitional object

 

  True False Don't know
A
B
C
D
E

 

13. Irreversible monoamine oxidase inhibitors ( MAOIs)

A potentiate the pressor effect of indirect-acting acting sympathomimetic drugs.

B potentiate the effect of dopa

C antidepressant effect is due to inhibition of monoamine oxidase B

D use may result in dependence

E may cause ankle oedema

 

  True False Don't know
A
B
C
D
E

14. With reference to theories of personality development:

A measurement of locus of control may predict adherence to diet

B denial results from an incongruence between self and ideal self

C the Eysenck Personality Questionnaire has a dimension of neuroticism-psychoticism

D ‘Autonomy’ is the highest point in Maslow’s Hierarchy of Needs

E ‘Type A’ personalities need peer approval

 

  True False Don't know
A
B
C
D
E

15. Studies of parasuicide and deliberate self-harm have demonstrated:

A seasonal variation in male and female rates

B Durkheim’s theory of anomie to be valid

C hopelessness to be a strong predictor of future attempts

D reduced concentrations of central serotonin

E associations with low serum cholesterol in males

 

  True False Don't know
A
B
C
D
E

16. Regarding learning theory and memory:

A Short term memory remains intact in amnesic syndrome

B Ribot’s law does not apply in patients with dementia

C Level of processing theory may assist in the understanding of post-traumatic stress disorder

D Variable ratio reinforcement schedules result in rapid extinction of behaviour

E Operant learning occurs in modelling

 

  True False Don't know
A
B
C
D
E

17. According to Piaget:

A Intelligence is not a factor in the rate of progression

B Recursive thinking may explain why a 4 year old may equate illness with punishment

C In the stage of concrete operations, rules are inviolate

D Schemas are fixed and unchanging patterns of behaviour

E ‘Conservation of quantity’ may be shown in the pre-operational stage

 

  True False Don't know
A
B
C
D
E

18. With regard to the recognised side effects of typical antipsychotics, such as chlorpromazine:

A Impotence is usually due to hyperprolactinaemia

B Convulsions may occur

C Impaired glucose tolerance may occur

D Cholestatic jaundice is dose related

E Excess salivation may repond to benzhexol treatment

 

  True False Don't know
A
B
C
D
E

19. Huntington’s disease:

A results in an increase in central dopamine concentrations

B may occur in young children

C fatuous euphoria is a common prodromal symptom

D mean survival after diagnosis is 8 years

E incontinence is an early feature of the disease

 

  True False Don't know
A
B
C
D
E

20. Motor incoordination is a common presenting symptom in the following:

A Gaucher’s disease

B Kuf’s disease

C Pick’s disease

D a cerebrovascular accident involving the posterior cerebral artery

E systemic lupus erythematosus

 

  True False Don't know
A
B
C
D
E

21. Attitudes:

A are good predictors of behaviour in different situations

B may be measured using galvanic skin resistance

C reflect an individuals’ values

D according to attribution theory, develop as a result of behaviour

E in intelligent audiences are more likely to be altered by uncritical presentations

 

  True False Don't know
A
B
C
D
E

22. In genetic studies of mental disorder:

A an excess of schizophrenia is found in relatives of depressed probands

B the life-time risk of schizophrenia in first degree relatives of schizophrenic probands is 5%

C adoption studies eliminate environmental cause in the adoptive family

D anorexia nervosa is shown to occur in 10% of siblings of sufferers

E Alzheimer’s disease shows increased genetic links with later onset

 

  True False Don't know
A
B
C
D
E

23. Poor attachment relationships in children:

 

A are associated with agoraphobia in adulthood

B are unlikely to occur after the age of 4

C are manifest by a reduction in the acute separation reaction

D often result from an authoritative parenting style

E occur in autism

  True False Don't know
A
B
C
D
E

24. Body dysmorphic disorder:

 

A generally begins in adolescence

B is classified as ‘Delusional Disorder’ in DSM-IV

C is a contraindication for plastic surgery interventions

D patients show decreased social functioning

E patients avoid mirrors

 

  True False Don't know
A
B
C
D
E

25. Visual hallucinations:

A commonly occur in delirium tremens

B occur in pareidolia

C show little response to treatment with antipsychotics

D in schizophrenia usually occur in the absence of auditory hallucinations

E are a recognised complication of overdose of benzhexol

 

  True False Don't know
A
B
C
D
E

26. Maslow's Hierarchy of Needs includes:

A safety

B esteem

C self-actualisation

D water and food

E spiritual evolution

 

  True False Don't know
A
B
C
D
E

27. According to Bion (1961) 'the good group' has:

A a common purpose

B recognition by members of the 'boundaries' of the group

C rigid sub-groups

D a capacity to face discontent within the group

E at least eight members

 

  True False Don't know
A
B
C
D
E

28. In psychopathology:

A. an overvalued idea is an unacceptable, erroneous idea

B. delusions are usually alterable by persuasion

C. all paranoid ideas are persecutory ideas

D. Ekbom's syndrome involves delusions of infestation

E. grandiose delusions occur in schizophrenia

 

  True False Don't know
A
B
C
D
E

29. In the psychopathology of hallucinations:

A functional hallucinations are usually provoked by an external stimulus

B reflex hallucinations are hallucinations in one modality produced by a stimulus in the same modality

C hypnopompic hallucinations occur on waking

D extracampine hallucinations are experienced within personal space

E gustatatory hallucinations occur in temporal lobe epilepsy

 

  True False Don't know
A
B
C
D
E

30. Recognised tests of frontal lobe function include:

A Stroop test

B forced-choice test

C Wisconsin card-sorting test

D Thematic Apperception Test (TAT)

E Glasgow Outcome Scale

 

  True False Don't know
A
B
C
D
E

31. The following drug(s) are inhibitors of monoamine oxidase-B:

A tranylcypromine

B selegiline

C moclobemide

D phenelzine

E phentermine

 

  True False Don't know
A
B
C
D
E

32. Families with four or more young children:

A are likely to be relatively less cohesive

B have reduced parental communication

C have increased levels of dissocial behaviour in male children

D are less likely to have depressed mothers

E often have relatively lower 1Qs in the younger children

 

  True False Don't know
A
B
C
D
E

33. The full Wechsler Adult Intelligence Scale (WAIS-R):

A involves six verbal tests

B gives an IQ score which is an excellent predictor of academic achievement

C allows you to confidently infer brain damage from a discrepancy between verbal and performance IQ scores

D usually takes about half an hour to administer

E includes a picture arrangement test

 

  True False Don't know
A
B
C
D
E

34. Depersonalisation (as defined by Sims, 1995):

A is relatively uncommon in psychiatric patients

B implies a reduction in insight

C often occurs in states of high anxiety

D implies the loss or attenuation of personal identity

E may occur following ingestion of MDMA

 

  True False Don't know
A
B
C
D
E

35. Psychological defence mechanisms:

A protect the ego

B were first described by Klein

C play no part in normal development

D include isolation

E include reaction-formation

 

  True False Don't know
A
B
C
D
E

36. Cocaine:

A has a plasma elimination half-life of two hours

B abuse is often followed by depressive withdrawal features

C blocks re-uptake of dopamine and serotonin

D withdrawal is associated with vivid, unpleasant dreams

E use is associated with cerebral infarction

 

  True False Don't know
A
B
C
D
E

37. Recognised side effects associated with lithium therapy include:

A hyperparathyroidism

B polyuria

c vertigo

D proximal muscle wasting

E thyrotoxicosis

 

  True False Don't know
A
B
C
D
E

38. Side effects of clozapine include:

A reduction in seizure threshold

B akathisia

C neuroleptic malignant syndrome

D hypersalivation

E raised prolactin levels

 

  True False Don't know
A
B
C
D
E

39. Gestalt therapy:

A was developed by Fritz Perls

B involves training the patient's awareness

C relies on the acceptance of complex interpretations

D can focus on bringing 'unfinished business' into awareness

E uses confrontative techniques

 

  True False Don't know
A
B
C
D
E

40. According to the psychopathologist and philosopher Karl Jaspers (1965):

A all major psychotic illnesses are part of a single Unitary Psychosis

B all personality disorders were subsumed under psychopathy (Psychopathien)

C death cannot be an experience

D a sanguine temperament is one characterised by 'peaceful placidity'

E the ‘neurasthenic syndrome’ is characterised by abnormally quick fatiguability and irritability

 

  True False Don't know
A
B
C
D
E

41. C G Jung pioneered various concepts including:

A the Shadow

B the Repertory Grid

C Introversion

D Internal / External Locus of Control

E the Pleasure Principle

 

  True False Don't know
A
B
C
D
E

42. Therapeutic factors in group psychotherapy, according to Yalom (1995) include:

A altruism

B universality

C catharsis

D imparting information

E instillation of hope

 

  True False Don't know
A
B
C
D
E

43. The following side effects of antipsychotic drugs are known as extra pyramidal symptoms (EPS):

A torticollis

B festinant gait

C excessive salivation

D clasp-knife rigidity

E scanning speech

 

  True False Don't know
A
B
C
D
E

44. Adverse events with lithium therapy can be caused by co-administration of:

A frusemide

B ibuprofen

C haloperidol

D thyroxine

E thiazide diuretics

 

  True False Don't know
A
B
C
D
E

45. Confabulation:

A is an essential diagnostic feature of alcoholic dementia

B often indicates increased suggestibility

C is an essential component of short-term memory loss

D often follows bilateral hippocampal destruction

E is associated with frontal lobe damage

 

  True False Don't know
A
B
C
D
E

46. Olfactory hallucinations are a recognised feature of:

A delirium tremens

B temporal lobe epilepsy

C cocaine withdrawal

D opiate dependence

E psychotic depression

 

  True False Don't know
A
B
C
D
E

47. The following symptoms may suggest a temporal lobe epileptic focus:

A a smell of burning without appropriate stimuli

B fear

C depersonalisation

D micropsia

E ' copper penny' taste in the mouth

 

  True False Don't know
A
B
C
D
E

48. In the elderly the pharmacology of some drugs is altered by:

A reduced body fat

B increased body water

C decreased hepatic hepatic volume

D reduced glomerular filtration rate

E decreased acetyl choline in the brain

 

  True False Don't know
A
B
C
D
E

49. Benzodiazepines:

A act on specific receptors in the brain

B can cause postural hypotension

C can cause ataxia

D may induce stuttering

E have amnestic properties

 

  True False Don't know
A
B
C
D
E

50. Attribution theory:

A focuses on a clinical psychologist's perception of a person's personality

B was pioneered by Sigmund Freud

C suggests that a pessimistic attributional style will predispose to depression

D includes the concept of a self-serving attributional bias

E has been used as a theoretical basis for cognitive therapies

  True False Don't know
A
B
C
D
E

 

Please email any comments, suggestions or corrections to Dr Ben Green,

ben@priory.com

Please note these MCQs and their answers are Dr Ben Green and Dr Ian Rogerson 1999