Chapter 2_Examination and Diagnosis Flashcards
Good question to help screen for compulsions?
Do you clean, check, or count things on a repetitive basis?
Components of MSE?
appearance, behavior/eye contact/psychomotor activity, speech, mood/affect, thought process, thought content, perceptual disturbances, cognition, insight/judgement
What is alcoholic hallucinosis? Differentiate from DT
refers to hallucinations (usually auditory, sometimes visual/tactile), occuring either during or after a period of heavy alcohol consumption. Patients usually know these are not real…as opposed to DT where sensorium is markedly clouded and vital signs are unstable
Two ways to test ability to abstract
- similarities (orange and apple?)
2. Proverbs
Tarasoff rule
when patient expresses imminent threats against friends, family, or others, the doctor should notify potential victims and/or protection agencies when appropriate.
What is the most important predictor of future violence?
prior history of violence
Two types of intelligence tests (besides IQ)
- Wechsler adult intelligence scale (WAIS) - 16-90 yo, assess overall intellectula functioning, four index scores: verbal, perceptual, orking memory, processing speed
- Wechsler intelligence scale for children (WISC) - for kids
Example of objective personality assessment test
Minnesota multiphasic personality inventory (MMPI-2- - tests personality for different pathologies and behavioral patterns, most commonly used
Type of test that have no structured response format, often ask for interpretation of ambiguous stimuli
projective (personality) assessment test
Example of projective assessment tests
thematic apperception test (TAT) - test taker creates stories based on pictures of people in various situations (creepy old cards)
Rorschach test - interpretation of inkblots
What is the Rorshach test useful for?
Identifying thought disorders and defense mechanisms
