Exam (elaborations)
MRCPsych Paper B Old Age Psychiatry (Mrcpsychmentor) – Questions & Accurate Answers
- Module
- Institution
MRCPsych Paper B Old Age Psychiatry (Mrcpsychmentor) – Questions & Accurate Answers
[Show more]
Seller
Follow
Zendaya
Reviews received
Content preview
MRCPsych Paper B Old Age Psychiatry(Mrcpsychmentor) – Questions & Accurate Answers
Eye condition most commonly associated with Charles Bonnet Sy Right Ans
- Macular Degeneration
Antidepressants most likely to precipitate delerium in elderly Right Ans -
Imipramine and other tertiary amine tricyclics (amitriptyline or doxepine)
GP referral elderly patient with memory loss for 2 years. Alzheimers
confirmed with MMSE 9/30. CT shows generalised atrophy. Treatment?
Right Ans - Memantine (MMSE 0-10 indicates severe and decision is made
clinically
Most common side effect Rivastigmine Right Ans - Nausea
Half life and most common side effect Donepezil Right Ans - 70 hours and
nausea
Interferon alpha can cause which psychiatric illness Right Ans - Depression
(21-58%)
According to NICE, in which patient group is HMPAOSPECT not considered
helpful in differentiating Alzheimer's, vascular and frontotemporal dementia
Right Ans - Down's syndrome - show SPECT abnormalities throughout life
resembling Alzheimer's therefore test not helpful
What is characterised by fluent and empty speech Right Ans - Semantic
dementia or fluent progressive dementia (memory for recent better preserved
than remote unlike Alzheimer's)
Risk factors for charles bonnet syndrome Right Ans - Advanced age,
peripheral visual impairment, isolation, sensory deprivation, early cognitive
impairment
Which benzodiazepine most likely to exacerbate cognitive impairment in
patients with dementia Right Ans - Diazepam and those with long half lives
, Which antihistamine most likely to precipitate delerium in elderly Right
Ans - Promethazine
Estimated total population prevalence of dementia in uk Right Ans - 1.3%
(approx 650,000 people!)
Investigation to differentiate Alzheimer's from dementia with Lewy Bodies
Right Ans - DATscan
Risk factor for paraphrenia (3) Right Ans - Female, hearing/visual
impairment and isolation
Middle ground between normality and dementia Right Ans - Mild cognitive
impairment
Which antipsychotic proven to increase risk of stroke in dementia Right
Ans - Olanzapine (despite this, both olanzapine and risperidone are indicated
for BPSD in dementia)
Strongest risk factor for Alzheimer's Right Ans - Age!
70 year old female with bipolar disorder on Carbamazepine for years presents
with mania. Most appropriate next step? Right Ans - Continue
Carbamazepine and add Quetiapine
Most useful in diagnosis of dementia Right Ans - Clinical interview
Antidementia Drug binding allosterically go the nicotinic acetylcholine
receptor Right Ans - Galantamine
Prevalence of Charles Bonnet Syndrome in those visually impaired Right
Ans - 12%
Medication causing side effects of anxiety in elderly Right Ans - Salbutamol
(and other stimulants)
Most helpful when assessing for mild cognitive impairment Right Ans -
CAMcog (part of CAMDEX)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Zendaya. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £8.12. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75759 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy revision notes and other study material for 14 years now