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Biobehavioral > (A) Bouldger > Flashcards

(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
Q

What is the Folstein mini mental state scored out of?

A

30

26
Q

What test should be used to evaluate the intelectual functions of a five year-old child? (4-6)

A

McCarthy

27
Q

What was one of the most controversial discussion about DSM-5 in its first iteration was the treatment of…

A

Personality disorders
autism spectrum disorder
bereavement

28
Q

Portion of general population expected to have IQ score between 70 and 130?

A

95%

70-130 is two standard deviations away from the mean

29
Q

Normal Range for IQ?

A

90-109

30
Q

IQ less than what is considered mentally retarded?

A

Less than 70

31
Q

IQ intervals of retardation

A

Mild 50-70
Moderate 35-55
Severe 20-40
Profound < 20

32
Q

Most common objective personality test?

A

MMPI-2 - restricted response fromat (T/F etc)

Clinical scales for depression, paranoia, schizophrenia, hypochondriasis

33
Q

Most common projective personality test?

A

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
Q

Objective personality test

A

based on questions that are easily scored and statistically analyzied

35
Q

Projective personality test

A

requires the subject to interpret the questions, responses assumed to be based on subjects motivational state and defense mechanisms

Biobehavioral (23 decks)

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