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LS MRPSYCH > Assessment and rating scales > Flashcards

Assessment and rating scales Flashcards

1
Q

cut off for ace score

A

88

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2
Q

what are the five components for ACE

A

visualspatial
attention
fluency
memory
language

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3
Q

what is audit screen tool

A

score of 20 plus is deemed sinificant
10 items recommended by NICE for harmful, hazardous or dependence drinking alcohol

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4
Q

what is the fast screening tool

A

3 or more hazardous
16 max
4 questions

  1. more than 8 or 6 (m , f) on one ocasison
  2. how often last year unable to remember night out
  3. how often failred to what expected
  4. relative or friend or doctor concerned about it and aske du to cut down
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5
Q

CAGE

A

4 questions

cut down
angry
guilty
eye opener

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6
Q

what is SASQ

A

when was last time you had 8 or 6 drinks (m,f) in one day
if within 3 months -hazardous drinking

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7
Q

PAT

A

PADDINGTON
used bt A&E to assess for hazardous drinking

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8
Q

MAST

A

michagan alcoholism

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9
Q

PAPS4

A

FOR dependence

RAPS

Remorse
amnesia
perfromance
starts early AM drinking

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10
Q

what is argyl robertson pupil associated with

A

teritary syphillis
the pupil responds poorly to light
small and irregular
accomodation retained
in diabetes soemtimes

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11
Q

what is telopsia and pelopsia

A

object appears closer -pelopsia
telopsia - appears smaller /further

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12
Q

Pareidolia.

A

detailed omage form shapes

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13
Q

hypnopompic

A

WAKING from sleep

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14
Q

HYPNAgognic

A

falling asleep

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15
Q

5 components to personality

A

OCEAN

openness
conscientiousness
extravasion
agreeable
neurotism

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16
Q

what is stupor

A

mutism and immobility

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17
Q

what is wavey flexibility

A

in an uncomfortable position for a long time

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18
Q

negavitism

A

gegenhatten
resistents attempt of examiner to move hand/arm etc
resistance strengthens

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19
Q

what is automatic obedience

A

exagerrated cooperation
an example is mitmachen

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20
Q

what is mitgehen

A

An extreme form of mitmachen in which the examiner is able to move the patient’s body with the slightest touch (anglepoise lamp sign), like in mitmachen, the body part returns to the original position once the force is removed.

The examiner lightly touches the patient’s arm, and the arm follows the movement with minimal resistance. Once the touch is removed, the arm returns to its initial position.

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21
Q

mitmachen

A

A form of automatic obedience whereby the body of the patient can be put into any posture, even if the patient is given instructions to resist. The body part immediately returns to the original position once the force is removed (unlike in waxy flexibility). The examiner lifts the patient’s arm, which then falls back to its original position as soon as the examiner releases it.

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22
Q

what is ambitendency

A

The patient alternates between resistance to and cooperation with the examiner’s instructions; for example, when asked to shake hands, the patient repeatedly extends and withdraws the hand. The patient extends their hand to shake the examiner’s hand but then quickly pulls it back, repeating this action sever

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23
Q

who discovered term catatonia

A

kahlbaum

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24
Q

what is psyhological pillow

A

invisible pillow

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25
Q

echopraxia

A

imitaties action of examiner

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26
Q

motor perservation

A

persistent action e.g. picking up pen action even when has done it

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27
Q

echopraxia
echolaiaia

A

involuntary repetition of someone elses action
involuntary repetition of someone elses words

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28
Q

logorrhoea
logoclonia

A

increased talkativeness

repetition of words

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29
Q

verbigeration

A

meaningless repetition of words

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30
Q

what is the clitfton assessment procedure

A

The CAPE evaluates the presence and severity of impairment in mental and behavioural functioning. It was intended for elderly long-term psychiatric patients.

quality of life
cognitive deficits
physical dependence -unmet needs?
behavioru rating
cognitivie

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31
Q

cognitive dysfucnction can be screened by

A

clock drawing testing

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32
Q

permorbid inteligence

A

50 irregularly spelt words
national adult ereading test -NART

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33
Q

The Wechsler Adult Intelligence Scale (WAIS)

A

The Wechsler Adult Intelligence Scale (WAIS) is an IQ test designed to measure intelligence and cognitive ability in adults and older adolescents.

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34
Q

stroop test

A

incongruencies like red written in purpple

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35
Q

rey osrettich complex figure

A

visual memory

copy item
immediate recall
delayed recall (20-30mins later)

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36
Q

testing for language

A

boston naming
naming objects or pictures

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37
Q

frontal lobe dysfunction

A

winsconsin card sorting
sort a card based on a specific rule

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38
Q

copropraxia
coproalalia

A

involuntary exhibition of socially inappropriate/obscene actions e.g. tics
involuntary exhibition of socially inappropriate language

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39
Q

what is amok

A

found in malaysia
males aggressive dissociative state rush in a frenzy

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40
Q

what is brain fag

A

west africa
identified in nigerian
seen in students reduced concenre`tion and poor concentration

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41
Q

ataque de nervios

A

attack of nurves
seen in latino community
itense emtoional upset, shaking, shouting, out of control
post stress

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42
Q

which condition is seen in cambodia

A

khyal attack
similar to panic attack
wnd attack
seen in refugee with ptsd

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43
Q

dhat

A

south asia
yoiung male
semen loss

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44
Q

what is koro seen in

A

chinese /south east asia
males
penis withdrawing inside abdomen
and think with die
often tie it with strings

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45
Q

what is kufungisia

A

shona of zinbabwe
thinking too miuch

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46
Q

latah

A

malaysia
females
sudden fright, starticle,
echopraxia,lalaia
hyperensisivty

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47
Q

what about phiblokto

A

eskimo comunity
extreme excitiment –> seizure –> death/coama

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48
Q

what is seen in haitian comunity

A

maladi moun
snet sickness

belief sent from others who are envious/see to cause malice

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49
Q

nevra

A

greek
loss of control/nerves
boil over
shouting, throwing screaming

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50
Q

wendigo

A

north america
scaricity of food in winters
cannabislistic urges

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51
Q

susto

A

fright
latino

frightful event–> soul leaves body –> unhappiness

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52
Q

difference between taijin kyofusho and shenjing
shuairo

A

japanese
anaxiety and avoidance of a situation,
fear that one body parts of function is embarassing or offensive to others

chinese

rriggered by stress fatigur, headache, cocnentraiton difficulty, sleep disturbance, memory loss
chinese medicine

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53
Q

four components of ego

A

Conscience
Emotion
reality
relationships

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54
Q

what are the three aspects of psychotic defense mechanisms

A

deliusional projection

Distortion - grossly reshaping external reality to suit their inner needs

Denial -refusal to accept

Three Ds

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55
Q

what is megalomanical belief

A

denial personal responsibility
belief that others is at faul
tcant do it
obessessed with power
cant see their fault

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56
Q

what are the 8 immature defenses

A
  1. splitting (seen in BPD)
  2. projection
  3. projective identification
  4. schizoid fantasy
    1. hypodchondriasis
  6. passive aggresisce
  7. acting out
  8. rwgression
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57
Q

at are

what is splitting

A

emotional conflict
positive and negative qualities of one/other
goes from black and qhite
opposite affect and failing to integrate

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58
Q

what is projection

A

attributing your own unacceptable and unacknowledged feeling onto another person

58
Q

how does that differ from projective identification

A

ego projected onto another
it takes impact onto recipient who feels what is projected into them
sense of feeling of being controlled or manipulated

58
Q

schizoid fantasy

A

tendency to use fantastic
and indjuge in autistic retreat for purpose of conflict resolution

58
Q

define
hypodhcondriasis

A

transformation of reroach towards tohers arising from lonliness bearevament
worrying about serious illness

58
Q

passive aggressive

A

indirect ineffective passively or directly against the self

59
Q
A
60
Q
A
61
Q
A
62
Q

acting out and regression

A

acting out -impulsive action to avoid dealing with distressing impulse/anxiety e.g. tempers
regression- going back to erlierstage of development when faced with an unpleasant emotion

63
Q

what are the four mature mechanisms

A

alturism - service to others
humour -expression of ideas/feelings without discomfort to self or others
suppression - (sub)concious decision to proposone paying attention to the conscious impulse/conflict
sublimation - indrection or attenuated expression of instinct without consequences into a healthier i.e. playing a sport

64
Q

what is valliant level

A

classifies the above levels of defences

level 1
- psychotic <5
- level 2 -immature 3-15
- level 3- neurotic 3-90
-c
level IV - mature 12-90

65
Q

what is DMSR

A

perry defensve mechanism trating scale
30 processes of defence into 7 catgeories

66
Q

what are the six neurotic ones

A

dissocation - block in that feeling
displacement -reidrecting pulse to another
undoing - as below
interlectulisation - excessively analytical or abstract thought patterns
reaction formation -reacting opposite way
repression

67
Q

what is ungeschehenmachen

A

to supress
aim to make an attempt to cause past thoguts/words to not have occured

68
Q

what are the breakdown of delusional structure

A

polarised - delusional and fact mingled
juzrapsposed - both delusion and fact exist but ar enot interacting
autistic - reality is not taken into accoutn and patient lives in delusinal woard

monothematic -single theme
polythematic -multiple themes
fragmented - unorganised, disconnected delusions

69
Q

what is the difference between a primary and seconary delusion

A

primary -arises spontenaousely from normal psychological meaning
seocndayr -conseuqnce of morbid experience

70
Q

what is fregoli

A

people are the same in diguse

71
Q

capgras

A

someone they know has been replaced by an imposter

72
Q

subjective double

A

dopplerganger

73
Q

delusional companion

A

non living objects have consciousness
think, feel, independently

74
Q

what is intermetamorhosis

A

swapped identified but same apperance e.g. brother is your father

75
Q

folie deux

A

shared delusion between two people

76
Q

ekbom syndrome

A

infested with insects

77
Q

otheollo

A

partner is cheating

78
Q

pseudocyesis

A

belief woman is pregnant

79
Q

declarembount

A

lots of lovers

80
Q

lycanthropy

A

have transformed into an animal

81
Q

what is digit span

A

examiner reads numbers
patients recalls forwardas and backwards
longer sequece incrwasingly
when patient fails both f AND Backward-digit span value

normal 7 plus/minus 2

82
Q

what are dissociative seizures

A

non epileptical seizures
F>M
teens /late adolececes
differs from epileptic

83
Q

dissociative seizures

A

duration >2 minutes
gradual onset
eyes closed
more violence
incontinence not common
biting mouth uncommon
can recall

whereas epileptic <2 mins , less violnt, incotinence common, biting common, recall rare

84
Q

what did an RCT show aboiut dissoaitive seizure

A

improvement with cbt

85
Q

what is the difference betweeN ICD and dsm1

A

ICD -PARIS
ALL healthcar practioners
diagnostic and guidances and world clasisification
no operational criteria
under diagnoses

whereas DSM1 - USA
psuchaitrist
usa CLASSIFICATO
INCREASE diagnoses with each revision
depedent on operational criteria

86
Q

what is EPDS

A

edinburgh post natal depression scale
10 item self reported questionnaire
over 7 days
selection 1of. 4 responses with rating of 0-3

0-9 low 10-12 moderate 13 plus high

87
Q

what defines epilepsy

A

2 unprovoked seizure over 24 hours apart

88
Q

first rank syymptoms

A

running commentary
thought echo
voices hearding arguijng
thought insertion
thought withdrawal
thought broadcast
delusional perception
somatic passivity

89
Q

flynn effect

A

arise over time in standardised intelligence test

90
Q

hayling brixton test

A

2 sets of 14 sentences each with rising last words
meassure response initation speed
to test frontal lobe

91
Q

what is kraepelin mixed state

A

most mood states tend to be mixed with pure maria and pure depression being less common

92
Q

how many types of kraepelin mixed states were there

A

6 but has now been reduced to 2

  1. dysphoric manaia - mania plus some depression
  2. depressivex mixed state -full depression with some mania
93
Q

what codnition is associated with lambert eaton syndrome

A

small cell lung cancer
(breast and ovarian soemtimes)
antibody is directed against presysnamic voltage dated claicum channel in PNS

muscle contractions to increase strength
limbe girdle weakness
resused reflxe
sdry mouth
micturation
opthalmolegia
repetitive electrical stimulation

mx cancer, redpnsiolone, azithroprine

94
Q

four types of doctor patient relationship

A
  1. paternalisitc
  2. informative
  3. intepretivie
  4. deliberative
95
Q

define each type of dr patient relationship

A
  1. paternalisitc: dr knows best
  2. informative: provides info to pt, pt decides
  3. intepretative - dr helps patient, knows patients alues but lets them decide
  4. deliberative- acts as a guide but gives perefences
96
Q

akinesia va akasthisa

A

aknesina - loss of muscle movement
akathesia - restlessness

97
Q

what is athoesis

A

worm like movement involutnarry
seen in cerebral palsy, stroke
slow withering

98
Q

hemiballismus

A

damage to subthalamic nucelus
large involuntarry limb movement
usually lower limb and unilateral

99
Q

what is myahtesia gravis

A

autoimmune disorder
insufficiency of acetylcholine receptors
antibiodies and aceptchline recipe to NMJ

diplopia
weakness in face, neck, limbs
ptosis
dysphagia

100
Q

how is M.G diagnosed

A

CT thorax
electromyogram
CK normal
antibiodies

Mx with pyridostigamine (anticholsteramise)
prednisolone,
IV IG

101
Q

what can aggrevate m.G

A

TCA
Haloperidol
so use SSRI

102
Q

what is PANSS

A

positive and negative syndrome scale
for schzioprhenia

103
Q

what is phaeochromtcytoma associated with

A

MEN TYPE 10% familal
Neurofibromosis -VHL syndrome

bilateral 10%
malignant 10%
extradrenal 10%

104
Q

where are they found phaemcchromcytoma out of adrenal gland

A

zuckernkendall burification of aorta

105
Q

how to test for phachromotyctoma

A

24 hour metanephrine urinary collection of catecalomines

definitive management with surgery but can use alpha and beta blockers to manage symptoms

106
Q

who discovered paramnesia

A

emil kraepelin

107
Q

what is prosody

A

emotional tone of lanfguaage
inflections and melodious quality

108
Q

what is bodily diistress disorder

A

multiple body symptoms which vary over time
focus is to a single symptom e.g. pain/fatigue

  1. persistent coupational negative consequences
  2. rpeeated consequences with healthcare
  3. focus on those symptoms
  4. more days for several months
109
Q

bodily integrity disorder

A

intense persistent desire to become disabled e.g. blind, paraplegic
attempts to harm self, imapired feeling not within another medical disorder

110
Q

factitious dx

A

factitious - attenpton

malingering - internatl benefits

111
Q

how does OCD differ

A

ocd - thoughts, images, urges
compulsions -acts

112
Q

what is a trance dx

A

marked alternative in individuals consciosuness state or a loss of identity
narrowed awareness of surroundings

113
Q

what is SUDEP

A

sudden unexpected death of epilepsy patient
20-30% of deaths in these patients

114
Q

diffrisk factors for SUDEP

A

male
lamotrigine
intellectual disability
noctural seizure
no meidications

115
Q

difference in lithium long term use and toxicity

A

coarse temor in toxicity
fine tremor in long term (physiological)

116
Q

what are the hz of tremors

A

intentional -2hz
parkinson -5hz
essential 7hz
physiological 10hz
psychogenic variable

117
Q

what is psychogenic polydipsia

A

thirst regulation
water balance in body controlled by plasma osmbaility
release of ADH from piturary gland

hypothalamus has osmoreceptors

118
Q

whatwhat does ADH do

A

promote water retention

therefore hypohatramic
increase instake, reduce Na, as excreeds excretion
20% schizophrenia drink 5-15L a day

wont say they are thirsty but have a delusional explanation

119
Q

which depresson anxiety screening ar eself rated

A

becks
gd
UZG
EDINRBURGH -POSTNATAL

120
Q

which are clinical rating scales

A

madrs
hamilton
BASREC
hama
correll dementia

121
Q

which scale used in ocd

A

y bocs s scale

122
Q

sf36

A

26 item survey
8 scales
function and wealking
general health

123
Q

what is WHO DAS

what

A

dusability assessement schedule
previous 30 datys
mobility
self care
connection with people
social/society

124
Q

what does deficiency in following vitamins cause:

A

A - night blindness
D rikets, osteomalacia
E- ataxia,
k coagulaiton

B1 -thamine - wernkeries, beri beri
b2 -rivoflacvin - goltittiis
b3 -niacin -pellgara
b6 -poly

b7 bitoin - alopecia, paresjhaia
b12 -anesia neuro depementia
c -scuvrvy
b9 folic acid - NTD, anacrotic anaemia

125
Q

what is prosody

A

emoitonal tone of language
meladious
quality
inflection poijnt

divided into execuetive and receptive ( expressive and undderstadning)
pre motor cortex and temporal lobe
frontal -non dominant

126
Q

what is the hayling test used to test for

A

sentence completion 2 sets of 15 questions
with last work missing
second part has an unrelated word and looks for response initation

127
Q

what is brixton test used for

A

rule detection and following

128
Q

whcih scale is heriachial

A

gutman scale

129
Q

what is bleuler coin?

A

schizophrenia term but also acessory vs basic

130
Q

what are the four 4
who is associated

A

bleuler

affectivie
autism
ambuvilence
loose of associations

131
Q

what does the tower of london test look at

A

executive function

132
Q

sf36

A

8 scales looks as
social and physical functioning
bodily pain
vitality - fatifue
emotion
MH
General health

133
Q

korean cultural bound ilnness

A

fire
supressed anger
hwa byong

134
Q

what scale is used for OCD
what does it measure

A

y bocs
severity and response to Rx

135
Q

what scale is used for antidepressant s

A

DESS
dicontinuation emergency signs symptoms
43 items

136
Q

scale associated with neuroleptic induced parkinsoms

A

item 10

simpson angus
gait, rigidity (6), tap,tremor, salivation 3items

137
Q

LUNSER is

A

antipsychoetic medication
neuroleptic s/e

138
Q

AIMS

A

tardive dyskinesia
with >2 or moew signfiicant
12 items

139
Q

cornell scale

A

depression in dementia

140
Q

madras

A

change with antidperessant medixcation

LS MRPSYCH (17 decks)

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