Get Through MRCPsych Paper A1

Mock Examination Papers

Melvyn Zhang, Cyrus Ho, Roger Ho, Ian Treasaden, Basant Puri, Melvyn WB Zhang, Cyrus SH Ho, Ian H Treasaden, Basant K Puri

• Publisher: CRC Press
• Year: 2016
• Print ISBN: 9781138461611
• eBook ISBN: 9781315355436
• Edition: 1
• Topic: Medicine
• Subtopic: Medical Theory, Practice & Reference

The MRCPsych examinations, conducted by the Royal College of Psychiatrists are the most important exams for psychiatric trainee to achieve specialist accreditation.

Written by authors with previous exam experience and edited by the distinguished team behind Revision Notes in Psychiatry, Get Through MRCPsych Paper A: Mock Examination Papers provides candidates with the most realistic and up-to-date MCQ and EMIs, closely matched to themes appearing most often in the Paper A exam.

MRCPSYCH PAPER A1 MOCK EXAMINATION 1: QUESTIONS

GET THROUGH MRCPSYCH PAPER A1: MOCK EXAMINATION

Total number of questions: 194 (116 MCQs, 80 EMIs)

Total time provided: 180 minutes

Question 1

Vascular dementia has been known to be the second most common cause of dementia. A caregiver of a patient with vascular dementia is now worried about the risk of her acquiring the disorder. You would advise her that the most significant risk is

a. Having an elevated lipid level

b. Having poorly controlled blood pressure

c. Having a previous smoking history

d. Having an underlying heart disease

e. Having a history of chronic alcohol abuse

Question 2

Which of the following would help to reduce the risk associated with acquiring vascular dementia?

a. Low dose of aspirin daily

b. Regular dose of multivitamins

c. Regular dose of thiamine replacement

d. Low dose of antipsychotics

e. Anti-dementia medications

Question 3

Which of the following statements regarding the aetiology of alcoholism is false?

a. Twin studies showed that monozygotic twins do have a higher concordance rate compared with dizygotic twins.

b. Approximately half of the variance in regular drinking habits has been estimated to be genetic in origin for normal twins.

c. Adoption studies support the hypothesis that there is a genetic transmission of alcoholism.

d. Sons of alcoholic parents have an increased risk (three to four times) of becoming alcoholics than the sons of non-alcoholics.

e. The rates of alcohol-related problems are not associated with the severity of the illness.

Question 4

During the lecture on ethics, the Tarasoff case was briefly mentioned. A student, new to psychiatry, has not heard of the key ruling made by the courts and the implications it has for psychiatrists. Which of the following statements about the implications is correct?

a. Psychiatrists now have a responsibility to inform and protect third parties who are at risk from their patients.

b. Psychiatrists should uphold the core principles of ethics and respect the rights of the patients.

c. Psychiatrists need to inform their seniors regarding issues pertaining to safety.

d. Psychiatrists are obliged to disclose information solely to the police for them to take necessary action in terms of protecting the welfare of others around.

e. Psychiatrists should remain focused and act on what is deemed to be in the best interest of their patients.

Question 5

Melanie Klein proposed the following, with the exception of

a. Depressive position

b. Paranoid-schizoid position

c. Projection

d. Introjection

e. Narcissism

Question 6

Which of the following statements is false with regards to the Present State Examination toolkit?

a. Information from the patients is used as a guide in questioning.

b. Information from the patients is used as a guide in scoring.

c. It has good validity.

d. It has good reliability.

e. It has good inter-related reliability.

Question 7

A medical student was puzzled as to why the old age consultant has asked his assistant to help administer the Clifton Assessment Procedures for the Elderly (CAPE). The consultant explains that the CAPE assessment scale is usually used in the assessment of the following:

a. Identification of dementia in the elderly

b. Identification of depression in the elderly

c. Identification of anxiety symptoms in the elderly

d. Identification of late-onset psychosis in the elderly

e. Identification of personality traits in the elderly

Question 8

A 35-year-old male recounts the feelings he has experienced when he lost his wife recently. He mentioned that he went through feelings of denial, anger and bargaining initially. The psychotherapist mentioned to him, ‘I’m sorry to be hearing this. It is actually quite common for people to feel the same way as you do when dealing with losses of their loved ones’. This is an example of which interviewing technique?

a. Clarification

b. Encouragement

c. Rationalization

d. Summation

e. Validation

Question 9

The ‘cocktail party phenomenon’ best illustrates the Gestalt principle. From your understanding of this principle, which of the following would be true?

a. Figures that are separated apart tend not to be automatically visualized as a group.

b. There is a clear figure-ground differentiation and distinction.

c. The principle could only be applicable for visual objects.

d. The principle states that the sum of the whole cannot be greater than the sum of its corresponding parts.

e. The percept usually corresponds to the most complex simulation interpretation.

Question 10

According to the 10th Revision of International Classification of Disease (ICD-10) diagnostic classification, which of the following statement is part of the diagnostic criteria for persistent delusional disorder?

a. The delusions must be present for more than 3 months in duration.

b. The delusions are usually not congruent to the mood symptoms.

c. The delusions are not associated with any other psychopathologies.

d. There must be an identifiable stressor preceding the onset of the delusional beliefs.

e. The delusions usually involve multiple themes.

Question 11

Based on your understanding of first...

Table of contents

• Cover
• Half Title
• Title Page
• Copyright Page
• Table of Contents
• Introduction
• Authors
• 1 MRCPysch Paper A1 Mock Examination 1: Questions
• 2 MRCPysch Paper A1 Mock Examination 1: Answers
• 3 MRCPysch Paper A1 Mock Examination 2: Questions
• 4 MRCPysch Paper A1 Mock Examination 2: Answers
• 5 MRCPysch Paper A1 Mock Examination 3: Questions
• 6 MRCPysch Paper A1 Mock Examination 3: Answers
• 7 MRCPysch Paper A1 Mock Examination 4: Questions
• 8 MRCPysch Paper A1 Mock Examination 4: Answers
• 9 MRCPysch Paper A1 Mock Examination 5: Questions
• 10 MRCPysch Paper A1 Mock Examination 5: Answers
• Index