Showing posts with label Paper B. Show all posts
Showing posts with label Paper B. Show all posts

Saturday, 7 May 2022

MRCPsychmentor for MRCPsych Examinations

MRCPsychmentor for MRCPsych Examinations

The Good

MRCPsychmentor is one of the more popular resources that MRCPsych aspirants use during preparation. It comprises approximately 2000 questions for the MRCPsych Paper A, which costs £45 for 4-month access and £55 for 6-month access. Similarly, they offer a nearly equal number of questions for the MRCPsych Paper B at a similar price. In addition, the MRCPsychmentor offers mock examinations for written papers at no additional charge. The authors of MRCPsychmentor make some bold claims: 

  • We are committed to assisting you in passing the MRCPsych exams. MRCPsychmentor offers a thorough online revision course for the MRCPsych written papers.
  • MRCPsychmentor is much more than a question bank. It employs a sophisticated database to display only the best questions on the website. In addition, the database compares your performance to that of other users, highlighting your strengths and flaws and aiding you in concentrating on your revision.
  • Passing the MRCPsych examinations involves recognising similar themes and topics. We recognise this and base our questions on prior test questions and the college curriculum. Our MCQs and EMIs follow the same format as those on the real MRCPsych examination ('best answer 1 of 5' approach).
  • We understand that contextual learning is the most effective. As a result, lengthy annotations accompany each question (backed by the most recent evidence) to ensure that you comprehend the response and can recall the inquiry in the future.
  • To make sure you pass the examination the first time, you must get practice working under examination conditions. We offer you this experience by using an unlimited number of timed tests (for no extra charge).
  • Our team at MRCPsychmentor understands that your time is precious. Because of this, we offer you a revision course that makes every second of your revision count.

"

MRCPychmentor homepage - online learning for the MRCPsych exams

The Bad


However, compared to the SPMM Course, the number of questions in this bank is meagre. The majority of the questions are in the outdated single-line format that tests the recall of facts. Similarly, unlike their claims of almost 50% repetition, the RCPsych and most educational testing agencies are now conscious of repeated questions and demand real—lifelike original scenarios each time they test the candidate's ability to apply their knowledge. 


MRCPsychmentor is one of the oldest resources for MRCPsych preparation. Because of this, it fails to follow the current guidelines for making best-choice questions. For example, many questions are in the negative format, eg, which one of the following is NOT. Many questions contain the typical lead-in, asking which one is true or false. The current guidelines for writing MCQs forbid such negative lead-in questions, true-false questions, etc. Similarly, the RCPsych guidelines for authors of MCQs have prohibited abbreviations in the stems, unlike the convention in the MRCPsychmentor question bank. 


Furthermore, the RCPsych has delineated the rules for enlisting distracters/options to prevent candidates from guessing the answer; the MRCPsych question bank has not followed several of these rules, pushing it farther away from the future examinations.  


An examiner would only enlist an irregular, awkward choice because it can not be avoided, ie, the correct answer, thus making it easy to guess. 



See the free RCPsych Module on "Question Writing for the MRCPsych" at their eLearning hub to familiarise yourself with the modern rules of writing questions. This will help you understand what you can expect on your test.

eLearning Hub (rcpsych.ac.uk)


The most concerning matter with the question bank is that a substantial number of questions and answers are based on outdated statistics, facts, and guidelines. Unfortunately, when answering questions, it does not cite exact sources, as in other scientific writings, making it difficult to confirm. For example, compare the following answer with the official CDC statistics. 


Question on Suicide rate among the elderly




Disparities in Suicide | CDC


Moreover, the RCPsych uses a method of score calculation that does not depend on how many questions one gets right or wrong. The statistical method they use, "Angoff Analysis," is a sophisticated technique that rates candidates only on questions that truly correlate with higher scores. Of thumb,  questions which are too difficult or too easy do not correlate well with high scores, and thus, the method does not include such items in the scoring. To learn more about Angoff-Analysis, check out: 

A fair exam (rcpsych.ac.uk)


Finally, unlike what the website owners claim, a considerable number of candidates think that going through MRCPsychmentor is a waste of time if you have already covered the SPMM Course or have decided to go through it. 


To know the general perception about the importance of the MRCPsychmentor, Join the Psychiatry Training UK group on Facebook, search for MRCPsychmentor (or MRCPsych mentor) in the group, and read the comments of those who have been through the process. 


Psychiatry Training in UK | Facebook


The Punchline

Still, MRCPsychmentor is one of the most popular practice resources that give test-takers an idea of they test what topics and which areas on the actual examination. The biggest portion of the question bank and its answers are not outdated, and even if the question format differs from the RCPsych, the practice and the comparative scores make candidates aware of where they are standing. Importantly, they have priced their question bank pretty low, within the range of everyone's pocket. Yet, some candidates never subscribe to the SPMM Course for its hefty price; people claim to have succeeded in the College exams solely on the shoulders of the MRCPsychmentor.   




Thursday, 14 January 2021

Practice MCQs for MRCPsych Paper B

Practice MCQs for MRCPsych Paper B


MCQs on Trauma

Which of the following is part of a psychosocial intervention where the person seeking help witnessed the death of a loved one to violence? 

Choose the best answer:

  1. They should talk about the incident as much as possible, even if they do not want to
  2. It is normal to grieve for any major loss, and in most cases, grief will diminish over time
  3. Avoid discussing any mourning process, such as culturally appropriate ceremonies/rituals, as it may upset them further
  4. Refer to a specialist within one week of the incident if they are still experiencing symptoms

Source

mhGAP training manuals for the mhGAP Intervention Guide for mental, neurological and substance use disorders in non-specialized health settings- version 2.0 (for eld testing). Geneva: World Health Organization; 2017 (WHO/MSD/MER/17.6). Licence: CC BY-NC-SA 3.0 IGO.

Tuesday, 12 January 2021

Culture Effects and Culture-Bound Syndromes

Culture-Bound Syndromes

Cultural Effects

Pathogenic effect

It means the culture directly causes psychopathology.


Pathoselective effect

Pathoselective effects mean culture causes certain traits, for example, the culturally sanctioned suicide of a wife when a husband dies prematurely.


Pathoplastic

Culture influences the manifestation, for example, delusional content.


Pathoelaborating

Culture reinforces behavioural reactions.


Pathofacilitative

Cultural beliefs affect the frequency of onset by facilitating risk factors.


Pathoreactive


Culture affects the treatment, stigma, and outcome of schizophrenia; the prognosis of schizophrenia is better in developing nations than in developed nations.


Specific Syndromes

Amok

F68 disorder of personality and behaviour-dissociative not psychotic-starts with a sullen period followed by an outburst of violent and sometimes homicidal behaviour-seen in Malaysia, Laos, Philippians, Papua New Guinea, and Puerto Rico. It occurs in Malays, mostly in males. A withdrawal period is followed by an outburst of homicidal aggression, lasting several hours until overwhelmed or killed. The subject then passes into a deep sleep for several days and will be amnesic about the event.


Ataque de Nervious

F45 somatoform.

an attack of distress wherein sudden shouting, crying, beating oneself, and panic attacks occur with a sense of being out of control. They may have a loss of consciousness or amnesia afterwards. It relates to stress-similar to dissociative trance-Hispanic.


Berdache

North America-term for a male who has assumed the female gender role.


Bouffée délirante

It occurs in West Africa and Haiti. Sudden outbursts of aggressive behaviour, agitation, confusion, and psychomotor excitement. Clinicians have seen in French-speaking nations where a sudden outburst of agitated and aggressive behaviour and confusion resembles an episode of a brief psychotic disorder (Haiti and West Africa).


Brain Fag

West Africa-seen in students who have difficulties concentrating, remembering, and thinking-type of somatoform illness. Brain Fag syndrome. It occurs in parts of Africa. Low-grade stress syndrome encountered by students.


Dhat Syndrome

India/ SE Asia

F48/F45 neurotic disorders, somatoform autonomic

Seminal discharge results in a feeling of weakness called "Shenkui" in China: 40 drops of blood to create one drop of bone marrow and 40 drops of bone marrow to create a drop of sperm. It occurs in India with vague somatic symptoms and sexual dysfunction, attributed to semen passaging in urine because of excessive masturbation or intercourse.


Frigophobia-Pa-Leng or Pa-Feng

Morbid fear of feeling cold/ wind because of yin-yang imbalance-excessive yin leads to pa-leng or pa-Feng-Oriental men wrapping themselves up to avoid the cold and eating warm foods-pa-leng is fear of the cold-pa-Feng is fear of wind. We diagnose it under F40 specific phobias in the ICD-10.


Koro (turtlehead) Koro or Suo Yang. 

Malaysia, SE Asia

F48/45 neurotic disorder/somatoform autonomic dysfunction.

There are sudden episodes of intense anxiety in this condition that the penis will recede into the body and may cause death. It can cause epidemics. It occurs in Southeast Asia and China. The belief of genitals retracting and disappearing into the abdomen causes intense anxiety and fear of impending death.


Latah


Malaysia and Southeast Asia.

Middle-aged women

F48/44 neurotic/dissociative

Hypersensitivity to sudden fright, often with echopraxia, echolalia, obedience, dissociation, or trancelike behaviour. It occurs in Malay women. Following a frightening experience, the patient develops an exaggerated response to minimal stimuli with coprolalia, echolalia, and automatic obedience.


Mal de Ojo

The Mediterranean concept of the evil eye affects children with physical symptoms.


Nerfiza or Nerva

Egypt, Greece, and Central America. It presents with chronic episodes of extreme sorrow and anxiety-inducing somatic complaints such as headaches and muscle pain. It is more common in women treated with herbal teas.


Piblokto

F44: Dissociative disorders

-a dissociative episode with excitement often followed by seizures and coma lasting up to 12 hours. Maybe withdrawn before the attack and usual amnesia for the episode-may tear off clothing, jump in freezing water, eat faeces. Eskimo- Inuit. Piblokto, or arctic hysteria. It occurs in the Inuit population. It is more common in women, especially in winter. Characterised by hysterical behaviour, insensitivity to extreme cold, echolalia, depressive disorder, and coprophagia.


Susto

It occurs in Latin America. The subject believes they have lost their soul through a fight or other experience. F38/F45 neurotic disorder/somatoform autonomic-Latin America-attributed to a frightening event that causes the soul to leave the body and results in unhappiness and sickness.


Shinkeishitsu

"Nervous traits" in Japanese. A syndrome of obsessions, compulsive perfectionism, social withdrawal, extreme sensitivity, and neurasthenia.


Tajin-kyofusho

F40.1/40.8 social phobia: Japanese psychiatric syndrome-fear of losing the goodwill of others because of imagined shortcomings in oneself. It can develop into anthropophobia or fear of people. 


Types

It has 4 types: 


1. Sekimen kyofu: phobia of blushing.

2. Shubo-kyofu: Phobia of a deformed body.

3. Jikoshisen-kyofu: phobia of the eye to eye contact

4. Jikoshu-kyofu: A phobia of one's own foul body odour.


Ufufunyane (Amafufunyana)

Ufufunyane is a culture-bound syndrome, also described in the culture as a curse and a demonic possession. We see it in Zulu- and Xhosa-speaking communities in southern Africa. In Kenya, they refer to it as saka. It is an anxiety state attributed to the effects of magical potions, spirits, or demonic possession. It is common in Zulu people. Seen in Kenya and Southern Africa-anxiety states attributed to the effects of magical potions (given to them by rejected lovers) or spirit possession-characteristic sobbing, repeated neologisms, paralysis, trancelike states, or loss of consciousness in young, unmarried women who may also experience nightmares with sexual themes and rarely temporary blindness.


Windigo

It involves an intense craving for human flesh and the fear that one will become a cannibal. They ascribe it to other psychiatric diseases. The patient believes they have undergone a transformation and become a cannibalistic monster. Clinicians see it in the Algonquian Indian cultures in North America. It occurs in North American Indians. 

F68: personality and behaviour. 


Hwabyung

It occurs in Korea and means "fire sickness." It describes distress with accompanying somatic and emotional symptoms.


 


 

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