(A) Bouldger Flashcards

1
Q

What does co-morbidity mean?

A

Two or more disorders are occurring in the same individual at this time

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2
Q

What are some common co-morbidities?

A

Mood & anxiety disorders
Substance abuse & antisocial personality disorder
ADHD & Conduct disorders

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3
Q

What is DSM-5 useful for?

A

Diagnosis and classification
Communication among professionals
Coding/billing
Research

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4
Q

What is the official coding system in the United states?

A

ICD!! International classification of disease by WHO

We use it because of our treaty obligations with WHO

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5
Q

Which codes are the same for DSM-5 and ICD-9?

A

290-319

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6
Q

What classifies and intellectual disability?

A

includes both a current intellectual deficit and a deficit in adaptive functioning with onset during the developmental period

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7
Q

When is a mental status exam indicated?

A
  • Pts w/ documented brain lesions
  • Pts w/ suspected brain lesions becuase of seizure, headache, behavioral change, etc
  • ALL psychiatric patients
  • Pts w/ vague complaints (memory, concentration, ect)
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8
Q

2 components of the mental status exam in psychiatry?

A
  • Observation (areas assessed while obtaining historical data)
  • formal cognitive testing = mini mental state exam (uses cognitive screening tools)
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9
Q

Components of observational data during psych interview (variables evaluated in the mental status examination)

A
Presentation
Motor behavior & affect
Cognitive Status
Thought
Mood
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10
Q

Presentation

A
  • level of consciousness
  • general appearance
  • Attitude (degree of cooperation and effort
  • eye contact
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11
Q

Motor Behavior and Affect

A

Motor behavior= akinesia, involuntary movements, mannerisms

Affect= facial expressions, gestures, speech characteristics, pressure, volume, prosody

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12
Q

Cognitive Status

A
Attention/Alertness
Orientation
Speech and Language
Memory
Constructional ability
Calculations
Reasoning
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13
Q

Screening tools for depression

A

Ham-D
PHQ-9
GDS (geriatric)

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14
Q

Screening tools for anxiety

A

Ham-A

GAD-7

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15
Q

Screening for alcohol abuse

A

AUDIT

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16
Q

Screening tool for ADHA and childhood behavior problems

A

SNAP-IV Rating Scale
-contains 90 questions to be answered by teachers

VANDERBILT ADHA DIAGNOSTIC rating scale (for teacher and parent)

17
Q

Nominal Measurement

A

Least precise
assigns numbers or labels to identify categories
Only arithmetic operations that can be used is counting

18
Q

Ordinal Measurement

A

Measure, arrange, sore in a series ranging from highest to lowest according to an observed characteristic

Cannot use arithmetical functions with a ordinal measurement

19
Q

Interval measurement

A

gives number that order, and differences between numbers are meaningful.

NO ABSOLUTE ZERO

20
Q

Ratio Scales

A

Highest level of measurement
All arithmetical operations can be used

Has true zero point

21
Q

Reliability measures

A

reliability is a measure of repeatability- experimental replicaiton

22
Q

Validity of measures

A

Reflects degree of accuracy of predicative statements

23
Q

Most common IQ test for adults

A

Wechsler Adult Intelligence Scale

individually administered and take 75-110 minutes to be administered.

24
Q

Personality assessment

A

Minnesota Multiphasic Personality Inventory (MMPI)

25
What is the Folstein mini mental state scored out of?
30
26
What test should be used to evaluate the intelectual functions of a five year-old child? (4-6)
McCarthy
27
What was one of the most controversial discussion about DSM-5 in its first iteration was the treatment of...
Personality disorders autism spectrum disorder bereavement
28
Portion of general population expected to have IQ score between 70 and 130?
95% | 70-130 is two standard deviations away from the mean
29
Normal Range for IQ?
90-109
30
IQ less than what is considered mentally retarded?
Less than 70
31
IQ intervals of retardation
Mild 50-70 Moderate 35-55 Severe 20-40 Profound < 20
32
Most common objective personality test?
MMPI-2 - restricted response fromat (T/F etc) Clinical scales for depression, paranoia, schizophrenia, hypochondriasis
33
Most common projective personality test?
Rorschach - designed to reveal hidden emotions and internal conflicts via the subjects response to ambiguous stimuli Patients asked to interpret ink blots Identifies thought disorders and defense mechanisms
34
Objective personality test
based on questions that are easily scored and statistically analyzied
35
Projective personality test
requires the subject to interpret the questions, responses assumed to be based on subjects motivational state and defense mechanisms