1. Beliefs and symptoms may reach delusional intensity
A. Hypochondriasis.
B. Body Dysmorphic Syndrome.
C. Both.
D. Neither.
2. The first sign of beginning cerebral disease is impairment of
A. Recent memory.
B. Remote memory.
C. Long-term memory.
D. Immediate memory.
E. None.
3. Retention of information over the past few months, like current events
A. Immediate memory.
B. Semantic Memory.
C. Implicit memory.
D. Recent past memory.
E. Episodic memory.
4. 95. Which of the following is not a healthy defence mechanism?
A. Denial.
B. Humor.
C. Altruism.
D. Suppression.
E. Sublimation.
5. Delusional disorder
A. Is caused by frontal lobe lesions.
B. Is an early stage of Schizophrenia.
C. Usually begins by age 20.
D. Is less common that schizophrenia.
E. Is more common in men that in women.
Sunday 20 January 2008
Saturday 5 January 2008
Competition 'tough' for NHS posts
By Branwen Jeffreys Health correspondent, BBC News
Junior doctors across the UK are being warned the competition they will face this year for specialist training jobs in the NHS will be tougher than ever.
As recruitment begins for August, the NHS employers body says there may be an average of three applicants per post.
Many applicants will be NHS doctors who qualified outside the EU, after the government failed in a 2007 legal bid to give UK medical graduates priority.
Without a training post a junior doctor cannot become a consultant or GP.
It is a good thing for patients that there is competition for jobs - it should mean they get the best doctors wherever they live Sian Thomas NHS Employers
After a computer fiasco and complaints of unfairness when a new system was introduced for 2007, the process for this year has been changed.
The controversial system - known as the medical training application service (MTAS) - was shelved by ministers.
Doctors complained about a lack of posts, poorly designed recruitment forms, and technical failures with the online application system.
In the wake of the controversy, BMA chairman James Johnson resigned amid accusations that he had failed to put across the feelings of doctors about the system.
Now, thousands of applications will be handled by local medical deaneries and there is no limit to the number of applications an individual doctor can make.
In England there will be around 9,000 places on speciality training programmes and employers expect there may be as many as 23,000 applications.
Competition welcomed
Sian Thomas, from NHS Employers, said young doctors needed to make realistic decisions.
In some popular specialities, such as surgery, there may be as many as 10 applications for each training post, she said.
"It is a good thing for patients that there is competition for jobs - it should mean they get the best doctors wherever they live."
One reason the competition for jobs is expected to be intense is the large number of overseas doctors who want specialist training in the UK.
Our concern is that without adequate planning, the levels of competition could result in a lottery Ram Moorthy BMA Junior Doctors Committee
In 2008 it is expected that doctors who qualified outside the EU may make up half the applications for training posts.
But UK medical schools have also increased the number of doctors they are training, at an estimated cost to the taxpayer of £250,000 for every medical graduate.
Pressure group Remedy UK has launched a specialist website to help doctors with their job search.
Remedy UK's Chris McCullough said: "Our view is that the system is essentially appalling.
"Doctors aren't afraid of competition, but what we have this year is doctors facing a one-in-19 chance of getting a job in some areas."
The Department of Health tried to give UK medical graduates priority in the recruitment process this year, but that was overturned after a legal challenge.
Now the government is appealing to the House of Lords but any decision will be too late to affect the rules for 2008.
Fears of unfairness
A Department of Health spokesman said: "Doctors from outside Europe have made and continue to make a huge contribution to the NHS.
"The issue is not, and never has been, whether they can continue to work as NHS doctors - which they can - but whether the taxpayer should be investing in training them instead of UK medical graduates."
The British Medical Association is worried that the volume of applications this year could overwhelm medical deaneries.
It said it would be monitoring the process to ensure fairness.
Ram Moorthy, chairman of the BMA junior doctors committee, said: "Our concern is that without adequate planning, the levels of competition could result in a lottery.
"Trusts need to get their recruitment practices in order, and start preparing now to ensure that there is no unfairness, and no negative impact on patient care."
Junior doctors across the UK are being warned the competition they will face this year for specialist training jobs in the NHS will be tougher than ever.
As recruitment begins for August, the NHS employers body says there may be an average of three applicants per post.
Many applicants will be NHS doctors who qualified outside the EU, after the government failed in a 2007 legal bid to give UK medical graduates priority.
Without a training post a junior doctor cannot become a consultant or GP.
It is a good thing for patients that there is competition for jobs - it should mean they get the best doctors wherever they live Sian Thomas NHS Employers
After a computer fiasco and complaints of unfairness when a new system was introduced for 2007, the process for this year has been changed.
The controversial system - known as the medical training application service (MTAS) - was shelved by ministers.
Doctors complained about a lack of posts, poorly designed recruitment forms, and technical failures with the online application system.
In the wake of the controversy, BMA chairman James Johnson resigned amid accusations that he had failed to put across the feelings of doctors about the system.
Now, thousands of applications will be handled by local medical deaneries and there is no limit to the number of applications an individual doctor can make.
In England there will be around 9,000 places on speciality training programmes and employers expect there may be as many as 23,000 applications.
Competition welcomed
Sian Thomas, from NHS Employers, said young doctors needed to make realistic decisions.
In some popular specialities, such as surgery, there may be as many as 10 applications for each training post, she said.
"It is a good thing for patients that there is competition for jobs - it should mean they get the best doctors wherever they live."
One reason the competition for jobs is expected to be intense is the large number of overseas doctors who want specialist training in the UK.
Our concern is that without adequate planning, the levels of competition could result in a lottery Ram Moorthy BMA Junior Doctors Committee
In 2008 it is expected that doctors who qualified outside the EU may make up half the applications for training posts.
But UK medical schools have also increased the number of doctors they are training, at an estimated cost to the taxpayer of £250,000 for every medical graduate.
Pressure group Remedy UK has launched a specialist website to help doctors with their job search.
Remedy UK's Chris McCullough said: "Our view is that the system is essentially appalling.
"Doctors aren't afraid of competition, but what we have this year is doctors facing a one-in-19 chance of getting a job in some areas."
The Department of Health tried to give UK medical graduates priority in the recruitment process this year, but that was overturned after a legal challenge.
Now the government is appealing to the House of Lords but any decision will be too late to affect the rules for 2008.
Fears of unfairness
A Department of Health spokesman said: "Doctors from outside Europe have made and continue to make a huge contribution to the NHS.
"The issue is not, and never has been, whether they can continue to work as NHS doctors - which they can - but whether the taxpayer should be investing in training them instead of UK medical graduates."
The British Medical Association is worried that the volume of applications this year could overwhelm medical deaneries.
It said it would be monitoring the process to ensure fairness.
Ram Moorthy, chairman of the BMA junior doctors committee, said: "Our concern is that without adequate planning, the levels of competition could result in a lottery.
"Trusts need to get their recruitment practices in order, and start preparing now to ensure that there is no unfairness, and no negative impact on patient care."
1. A 23-year-old woman complains that her mother is selfish, stupid and cunning. At the same time, she praises another relative whom she describes as kind, wise and helpful. Which defence mechanism is suggested by this behaviour?
A. Conversion
B. Idealisation
C. Symbolisation
D. Splitting
E.Projection
2. A 9-year-old boy constantly disobeys his parents and teachers. He gets along well with his peers and completes projects that he likes. His developmental milestones are normal and he has no history of fighting, theft or destruction of property. Mental status examination reveals an assertive child who tells the examiner that he does not wish to discuss his problems. What is the most likely diagnosis?
A. Oppositional defiant disorder
B. Mental retardation
C. Conduct disorder
D. Childhood disintegrative disorder
E. Attention-deficit hyperactivity disorder
3. A teenage girl complains that her mother interferes in every aspect of her life and tries to control her. The girl no longer speaks to her parents or eats meals with them. The mother has increased her efforts to maintain control. What condition could arise from this situation?
A. Anorexia nervosa
B. Dissociative identity disorder
C. Narcissistic personality disorder
D. Schizophrenia
E. Separation anxiety disorder
4. after an automobile accident that kills her child but leaves her with only minor injuries, a mother appears very calm and says that she has no emotion. What mechanism is she using?
A. Derealisation
B. Isolation
C. Depersonalisation
D. Disorientation
E. Intellectualisation
5. CT scan image that shows enlargement of the ventricles due to atrophy of the head of the Caudate Nucleus is usually found in:
A. Lewy body dementia.
B. Alzheimer’s disease.
C. Pick’s disease.
D. Huntington’s disease.
E. Parkinson’s disease.
6. Which of the following is not one of the basic elements of the Insanity Defence?
A. Finding of incompetence to stand trial.
B. Presence of a defect of reason.
C. Presence of a mental disorder.
D. Incapacity to refrain from the act.
E. Lack of knowledge of the nature of the act.
A. Conversion
B. Idealisation
C. Symbolisation
D. Splitting
E.Projection
2. A 9-year-old boy constantly disobeys his parents and teachers. He gets along well with his peers and completes projects that he likes. His developmental milestones are normal and he has no history of fighting, theft or destruction of property. Mental status examination reveals an assertive child who tells the examiner that he does not wish to discuss his problems. What is the most likely diagnosis?
A. Oppositional defiant disorder
B. Mental retardation
C. Conduct disorder
D. Childhood disintegrative disorder
E. Attention-deficit hyperactivity disorder
3. A teenage girl complains that her mother interferes in every aspect of her life and tries to control her. The girl no longer speaks to her parents or eats meals with them. The mother has increased her efforts to maintain control. What condition could arise from this situation?
A. Anorexia nervosa
B. Dissociative identity disorder
C. Narcissistic personality disorder
D. Schizophrenia
E. Separation anxiety disorder
4. after an automobile accident that kills her child but leaves her with only minor injuries, a mother appears very calm and says that she has no emotion. What mechanism is she using?
A. Derealisation
B. Isolation
C. Depersonalisation
D. Disorientation
E. Intellectualisation
5. CT scan image that shows enlargement of the ventricles due to atrophy of the head of the Caudate Nucleus is usually found in:
A. Lewy body dementia.
B. Alzheimer’s disease.
C. Pick’s disease.
D. Huntington’s disease.
E. Parkinson’s disease.
6. Which of the following is not one of the basic elements of the Insanity Defence?
A. Finding of incompetence to stand trial.
B. Presence of a defect of reason.
C. Presence of a mental disorder.
D. Incapacity to refrain from the act.
E. Lack of knowledge of the nature of the act.
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