Best of Five MCQs for MRCPsych Paper 2 PDF
Preview Best of Five MCQs for MRCPsych Paper 2
Best of Five MCQs for MRCPsych Paper 2 This page intentionally left blank Best of Five MCQs for MRCPsych Paper 2 Lena Palaniyappan Clinical Lecturer, Division of Psychiatry, University of Nottingham, Nottingham, UK Rajeev Krishnadas Clinical Lecturer, Sackler Institute of Psychobiological Research, University of Glasgow, Glasgow, UK 1 1 Great Clarendon Street, Oxford OX2 6DP Oxford University Press is a department of the University of Oxford. It furthers the University’s objective of excellence in research, scholarship, and education by publishing worldwide in Oxford New York Auckland Cape Town Dar es Salaam Hong Kong Karachi Kuala Lumpur Madrid Melbourne Mexico City Nairobi New Delhi Shanghai Taipei Toronto With offi ces in Argentina Austria Brazil Chile Czech Republic France Greece Guatemala Hungary Italy Japan Poland Portugal Singapore South Korea Switzerland Thailand Turkey Ukraine Vietnam Oxford is a registered trade mark of Oxford University Press in the UK and in certain other countries Published in the United States by Oxford University Press Inc., New York © Oxford University Press, 2009 The moral rights of the author have been asserted Database right Oxford University Press (maker) First published 2009 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, without the prior permission in writing of Oxford University Press, or as expressly permitted by law, or under terms agreed with the appropriate reprographics rights organization. Enquiries concerning reproduction outside the scope of the above should be sent to the Rights Department, Oxford University Press, at the address above You must not circulate this book in any other binding or cover and you must impose this same condition on any acquirer British Library Cataloguing in Publication Data Data available Library of Congress Cataloguing in Publication Data Data available Typeset by Cepha Imaging Private Ltd., Bangalore, India Printed in Great Britain on acid-free paper by Ashford Colour Press Limited, Gosport, Hampshire ISBN 978–0–19–955212–2 10 9 8 7 6 5 4 3 2 1 Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up to date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. FOREWORD Passing the MRCPsych examination is a major milestone in the career of every aspirant psychia- trist in the UK. This examination specifi es the minimum levels of knowledge and skills that are essential for gaining the membership of the College. Rajeev Krishnadas and Lena Palaniyappan have had extensive and varied training and experi- ence, in both research and teaching. They are both clinical lecturers with proven track records in teaching, developing, and publishing educational materials and organizing the successful SPMM course for trainee psychiatrists. In fact, Lena Palaniyappan was awarded the Laughlin Prize in the MRCPsych exams. There are many books of varying quality on the market for candidates sitting the MRCPsych exams. What differentiates an outstanding book from an ordinary book is that in addition to aid- ing passing the exams, the former also promotes learning that would ultimately make the readers wiser and help improve patient care. The authors have used their teaching skills and experience to develop an exhaustive range of questions in the Royal College’s new format. They have taken utmost care to perfectly match the questions with the Paper 2 syllabus, and to the levels of complexity and the topic-wise breakdown of questions in the real exams. They have organized the questions in fi ve mutually exclusive chapters in a way that would facilitate focused learning. Finally, they provide detailed, well-researched and referenced explanatory answers for every question. Thus, they have made this a really outstanding book. I recommend this excellent book to candidates sitting the Paper 2 of the MRCPsych examina- tions. I am confi dent that this book will signifi cantly increase their chances of passing at the fi rst attempt. Albert Michael MBBS, DPM, MD, FRCPsych, FHEA Organizer, Cambridge MRCPsych Course Director of Medical Education, Suffolk Mental Health Trust April 2009 This page intentionally left blank ACKNOWLEDGEMENT This work began with an idea of producing an easy-to-use revision aid for the new MRCPsych exams. The compilation, drafting and research work behind the production of these MCQs were inspired by a number of colleagues and friends. We are thankful to all of them and we hope we will be able to deliver what they envisaged throughout the making of this book. Prof Rajarathinam inspired LP to take up psychiatry—not only as a profession to practice, but an experience to cherish and impart. If this book helps at least one motivated trainee to sustain his interest and take him closer to practicing psychiatry as a profession lifelong, we will rejoice that Prof. Rajarathinam’s effort has not been wasted. Dr Thambirajah helped us throughout the production of this book. Dr Kopal Tandon reviewed the genetics chapter and we are grateful for her thoughtful comments. Dr Niruj Ahuja from Newcastle helped us to ensure delivery of accurate facts based on high quality of evidence while preparing the chapter on epidemiology. Numerous trainees from Newcastle, Derby and Nottingham helped us to constantly revise the content through their fi rst hand experience of the exam. A special thanks to Dr Albert Michael for writing the foreword. Heartfelt thanks to Priya and Sindhu. Their patience with our late working nights and sacrifi ce of almost all 52 weekends of the last calendar year were phenomenal contributions to this book. This page intentionally left blank CONTENTS Introduction 1 1 Psychiatric genetics Questions 9 Answers 27 2 Epidemiology Questions 49 Answers 65 3 Advanced psychology Questions 83 Answers 99 4 Pharmacology Questions 117 Answers 137 5 Neurosciences Questions 161 Answers 191 Index 227
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