Revision MCQs and EMIs for the MRCPsych: Practice questions and mock exams for the written papers

481 Pages·2011·2.163 MB·English

by  Basant K Puri, Roger Ho, Ian Treasden

Revision MCQs
and EMIs for
the MRCPsych
Practice questions and mock
exams for the written papers
An evidence-based approach
Basant K Puri MA, PhD, MB, BChir, BSc (Hons)
MathSci, FRCPsych, DipMath, PG Cert Maths, MMath
Professor and Honorary Consultant, Hammersmith Hospital, London, UK
Roger C M Ho MBBS (Hong Kong), DPM (Ireland), GDip Psychotherapy
(Singapore), MMed (Psych) (Singapore), MRCPsych (UK)
Assistant Professor and Associate Consultant, Psychoneuroimmunology (PNI)
Research Programme and Department of Psychological Medicine, University Medical
Cluster, Yong Loo Lin School of Medicine and National University Health System,
National University of Singapore, Singapore
Ian H Treasaden MB BS MRCS LRCP FRCPsych LLM
Consultant Forensic Psychiatrist, West London Mental Health NHS Trust; Honorary
Senior Lecturer, Imperial College London; Head of Forensic Neurosciences,
Hammersmith Hospital, London, UK
First published in Great Britain in 2011 by
Hodder Arnold, an imprint of Hodder Education, a division of Hachette UK
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© 2011 Basant K Puri, Roger C M Ho and Ian H Treasaden
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ISBN 978-1-444-11864-3
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Contents
PREFACE vii
PART 1: THE FOUNDATIONS OF MODERN PSYCHIATRIC PRACTICE
1 History of psychiatry 3
2 Introduction to evidence-based medicine 9
3 History and philosophy of science 11
4 Research methods and statistics 15
5 Epidemiology 31
6 How to practise evidence-based medicine 33
7 Psychological assessment and psychometrics 37
PART 2: DEVELOPMENTAL, BEHAVIOURAL, AND SOCIOCULTURAL PSYCHIATRY
8 Human development 43
9 Introduction to basic psychology 49
10 Awareness 51
11 Stress 55
12 Emotion 59
13 Information-processing and attention 63
14 Learning theory 67
15 Motivation 73
16 Perception 77
17 Memory 83
18 Language and thought 87
19 Personality 91
20 Social psychology 95
21 Social science and sociocultural psychiatry 99
22 Cultural psychiatry 103
PART 3: NEUROSCIENCE
23 Neuroanatomy 111
24 Basic concepts in neurophysiology 117
25 Neurophysiology of integrated behaviour 121
26 Neurogenesis and cerebral plasticity 127
27 The neuroendocrine system 129
28 The neurophysiology and neurochemistry of arousal and sleep 133
29 The electroencephalogram and evoked potential studies 137
30 Neurochemistry 141
31 Neuropathology 151
32 Neuroimaging 155
33 Genetics 159
iv(cid:2)Contents
PART 4: MENTAL HEALTH PROBLEMS AND MENTAL ILLNESS
34 Classification and diagnostic systems 165
35 Cognitive assessment 169
36 Neurology for psychiatrists 173
37 Organic disorders 179
38 Schizophrenia and paranoid psychoses 187
39 Mood disorders/affective psychoses 191
40 Neurotic and stress-related disorders 195
41 Dissociative (conversion), hypochondriasis and other somatoform disorders 199
42 Eating disorders 203
43 Personality disorders 205
44 Perinatal psychiatry 207
45 Psychosexual medicine 211
46 Gender identity disorders 215
47 Paraphilias and sexual offenders 217
48 Psychiatric assessment of physical illness 221
49 Overlapping multi-system, multi-organ illnesses/syndromes 225
50 Multiple chemical sensitivity 227
51 Mental health problems in patients with myalgic encephalomyelitis 231
52 Pain and psychiatry 233
53 Sleep disorders 237
54 Suicide and deliberate self-harm 243
55 Emergency psychiatry 249
56 Care of the dying and bereaved 251
PART 5: APPROACHES TO TREATMENT
57 Clinical psychopharmacology 257
58 Electroconvulsive therapy 265
59 Transcranial magnetic stimulation and vagus nerve stimulation 267
60 Psychotherapy: an introduction 269
61 Dynamic psychotherapy 273
62 Family therapy 275
63 Marital therapy 279
64 Group therapy 283
65 Cognitive-behavioural therapy 287
66 Other individual psychotherapies 291
67 Therapeutic communities 295
68 Effectiveness of psychotherapy 297
PART 6: CLINICAL SPECIALITIES
69 Addiction psychiatry 301
70 Child and adolescent psychiatry 307
71 Learning disability psychiatry 313
72 Old-age psychiatry 317
73 Rehabilitation psychiatry 321
Contents v(cid:2)
PART 7: MENTAL HEALTH SERVICE PROVISION
74 Management of psychiatric services 327
75 Advice to special medical services 329
PART 8: LEGAL AND ETHICAL ASPECTS OF PSYCHIATRY
76 Forensic psychiatry 333
77 Legal aspects of psychiatric care, with particular reference to England and Wales 343
78 Ethics and law 347
79 Risk assessment 349
MOCK EXAMINATION PAPERS
MRCPsych Paper 1 353
MRCPsych Paper 2 383
MRCPsych Paper 3 409

INDEX 443
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Preface
This book consists of over 1500 questions and answers. upon which most of the questions and answers in this part
of the book are based.
The first part of the book acts as a study guide and is divided
into different subject areas of psychiatric knowledge. It The second section of the book consists of 600 questions and
consists of ‘best of five’ multiple choice questions (MCQs) answers set out as three revision mock examinations. They
and extended matching item questions (EMIs) in a ratio correspond to Papers 1, 2 and 3 of the MRCPsych, according
of approximately two to one. When readers have studied to the Royal College of Psychiatrists’ examinations regulations
a particular area of psychiatric knowledge, they can test in force in 2011. The questions (a mixture of MCQs and EMIs)
themselves on their understanding by trying to answer the have been set to reflect the type and standard of questions
questions set on that topic. The standard of the questions of the MRCPsych examinations at the time of writing. As
has in general been set to at least that of the Royal College these are revision papers, the answers given are, in general,
of Psychiatrists’ MRCPsych examinations. Those preparing less detailed than those supplied in the first part of this book.
for other examinations might also find this book of value. Readers who are preparing for the MRCPsych examinations
However, this particular part of the book is designed to be are urged always to keep themselves up to date with the latest
more than mere preparation for the MRCPsych examination regulations and guidance issued by the Royal College, which
and is aimed at generally developing the knowledge that a have significantly changed in recent years.
practising psychiatrist requires. These questions are designed
We would welcome feedback from those using this book as
to test for an understanding of the material, rather than
a study aid or revision guide. Please do let us know if there
for pure rote learning of the answers and eidetic recall.
are any further types of questions you would like to see in
We recommend that readers make the effort to answer the
the next edition of this book.
questions on a given topic before turning to the answers.
This, together with developing understanding further by We wish to thank again all the authors who contributed to
studying relevant content of a psychiatric textbook, will our textbook Psychiatry: An Evidence-Based Text.
make for a far more valuable study experience. To aid this
study process, the answers are sometimes fairly detailed in Basant K Puri, Roger CM Ho and Ian H Treasaden
this section of the book and extensive cross reference is Cambridge, Singapore & London
made to our textbook Psychiatry: An Evidence-Based Text 2011
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PART 1
The foundations of modern
psychiatric practice