Get Through MRCPsych Parts 1 and 2

306 Pages·2004·0.675 MB·English

by  Michael, Albert

Get Through
MRCPsych Parts 1 and 2:
1001 EMIQs
Editor
Albert Michael
MBBS MD DPM MRCPsych
Consultant in Adult Psychiatry
West Suffolk Hospital,UK
CRC Press
Taylor & Francis Group
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Boca Raton, FL 33487-2742
© 2004 by Taylor & Francis Group, LLC
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Version Date: 20141112
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Contents
Foreword v
Preface vi
Contributors vii
List of EMIQs ix
EMIQs and Answers 1
References 287
iii
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Foreword
F
o
r
e
w
o
I am a firm believer in the idea that a good examination teaches more r
d
than it tests, so long as the candidate is thoroughly prepared; the teach-
ing, learning, revision and examination together form an educational
package. This excellent book will do as it says it will. It will help people
prepare for the Membership Examination of the Royal College of
Psychiatrists, that considerable hurdle before candidates can undertake
higher training in clinical psychiatry and continue their professional life.
Dr Michael has drawn on his considerable experience in organising the
highly successful Cambridge Course for the MRCPsych that has had
above average pass rates under the previous and new syllabuses; teaching
for the objective structured clinical examination (OSCE) and the
extended matching item questions (EMIQs) is now well established.
Many experts, ex-students and colleagues who contribute to that course
have devised an extensive set of EMIQs that cover the entire range of
subjects and concepts that are required by the examination and that
underpin our discipline; two hundred bases are covered. For those of us
who won’t get everything correct at the first attempt, working through
the questions, perhaps having first tried them under exam conditions,
will lead us to textbooks, lecture notes and other sources that will
emphasise common principles as well as leading us towards novel and
rarely explored facts. Students and their teachers, as well as anyone inter-
ested in or practising psychiatry will enjoy the results of this effort.
In their review of the new examination and the reasons for change,
Tyrer and Oyebode comment that the MRCPsych is, “in educational par-
lance, a high-stakes examination”. Most candidates will not have needed
to consult a learned journal to come to that view, though I recommend
that they read the article so as to understand more about why the exam-
ination has developed into its present form. Most candidates will, how-
ever, be helped by working through the 1001 questions in this book.
Many will have much to thank Dr Michael for when that fateful envelope
falls onto the doormat bearing their results and, thereafter, as their
studies continue during their professional lives. Good luck!
Peter B. Jones
Professor of Psychiatry
University of Cambridge
REFERENCE
1. Tyrer S, Oyebode F. Why does the MRCPsych examination need to change? Br J
Psychiatry 2004; 184: 197–99.
v
Preface
P
r
e
fa
c
e
The EMIQs were introduced into the MRCPsych exams in 2003. EMIQs
form one-third of the theory exam in the Part I and a lesser proportion in
the Part II theory exams.
Why EMIQs? The Individual Statement Questions have only two pos-
sible answers, i.e. ‘True’ or ‘False’, hence they test only rote memory and
not reasoning. The EMIQs, on the other hand, by providing a greater
range of options, test in-depth knowledge, logical thinking, reasoning
and judgement. The EMIQ situation is more akin to how clinicians think
in their clinical practise.
EMIQs are here to stay.
SOURCESOFFURTHERINFORMATION
Tyrer S, Oyebode F. Why does the MRCPsych examination need to change? Br J
Psychiatr 2004; 184: 197–99.
http://www.cambridgecourse.com
http://www.prepdublin.com
http://www.rcpsych.ac.uk
http://www.superego-café.com
http://www.trickcyclists.co.uk
vi
Contributors
C
o
n
t
r
ib
Regi T AlexanderMRCPsych u
t
Consultant Psychiatrist o
r
St John’s House Hospital s
Diss
Norfolk, UK
Jennifer AndersonBSc (Hons), MBBS, MRCPsych
Specialist Registrar in Psychiatry
Cambridge, UK
Chittaranjan AndradeMD
Additional Professor
Department of Psychopharmacology
National Institute of Mental Health and Neurosciences
Bangalore, India
Claire DibbenMRCPsych
Specialist Registrar in Psychiatry
Cambridge, UK
Vinu GeorgeMD
Department of Psychiatry
Albert Einstein Medical Center
Philadelphia, PA
USA
Maju MathewsMD, MRCPsych, DPM
Department of Psychiatry
Drexel University College of Medicine
Philadelphia, PA
USA
Manu MathewsMD
Department of Psychiatry
Cleveland Clinic Foundation
Cleveland, OH
USA
Albert MichaelMBBS, MD, DPM, MRCPsych
Consultant in Adult Psychiatry
West Suffolk Hospital
Bury St Edmunds
Suffolk, UK
Graham MurrayMRCPsych
Clinical Lecturer
Department of Psychiatry
University of Cambridge
Cambridge, UK vii
Chris O’LoughlinMRCP, MRCPsych
C
o Specialist Registrar in Psychiatry
n
t Assistant Organiser, Cambridge MRCPsych Course
r
ib Cambridge, UK
u
t
o
rs Brian ParsonsMICGP MRCPsych
Senior Registrar in Psychiatry
National Hire Training
Scheme in Psychiatry
Ireland
Radhika RamkumarMBBS, MRCPsych
Specialist Registrar in Psychiatry of Learning Disabilities
North West London
London, UK
Michael RobertsonMB BS, FRANZCP
Director
Mayo-Wesley Centre for Mental Health
Taree, Australia
Michael D SpencerMA MB MRCPsych
Clinical Lecturer
Department of Psychiatry
University of Edinburgh
Edinburgh, UK
Nishrin B SpencerMA MB MRCP
Specialist Registrar in Renal Medicine
Edinburgh Royal Infirmary
Edinburgh, UK
Paul WilkinsonMA MB BChir DCH MRCPsych
Specialist Registrar in Child and Adolescent Psychiatry
Cambridge, UK
viii
List of EMIQs
L
is
t
o
1. History f E
M
1.1 Abuse of psychiatry: Michael Robertson IQ
1.2 Concepts: Michael Robertson s
1.3 Contemporary researchers: Chittaranjan Andrade
1.4 History of psychiatry: Chittaranjan Andrade
1.5 History of schizophrenia Chittaranjan Andrade
2. Psychology
2.1 Concepts in learning theory: Vinu George
2.2 Defence mechanisms: Chittaranjan Andrade
2.3 Developmental stages: Albert Michael
2.4 Ego defence mechanisms: Albert Michael
2.5 Emotions: Albert Michael
2.6 Human development: Albert Michael
2.7 Illness: Albert Michael
2.8 Learning: Albert Michael
2.9 Learning theory: Maju Mathews
2.10 Memory: Albert Michael
2.11 Psychological trauma: Michael Robertson
3. Psychopathology
3.1 Affective states: Claire Dibben
3.2 Catatonic symptoms: Albert Michael
3.3 Defence mechanism and disorders: Albert Michael
3.4 Delusions: Albert Michael
3.5 Disorders of perception: Albert Michael
3.6 First-rank symptoms: Albert Michael
3.7 Formal thought disorder: Albert Michael
3.8 Obsessions: Albert Michael
3.9 Psychopathology: Michael Robertson
3.10 Symptoms: Albert Michael
3.11 Thought disorder: Albert Michael
4. Neurosciences
4.1 Agnosias and apraxias: Chris O’Loughlin
4.2 Eye signs: Radhika Ramkumar
4.3 Functional neuroanatomy: Graham Murray
4.4 Glial cells: Albert Michael
4.5 Neuroanatomical localisation: Graham Murray
4.6 Neuroanatomical regions: Graham Murray
4.7 Neuropathology of dementias: Brian Parsons
4.8 Pathophysiology: Michael Robertson
4.9 Pathophysiology of schizophrenia: Graham Murray
5. Assessment and classification
5.1 Aetiological factors: Maju Mathews
5.2 Aetiology: Graham Murray
5.3 Aetiology of dementias: Brian Parsons
ix