CLASSIFICATION IN PSYCHIATRY AND COMMON MENTAL DISORDERS Flashcards

1
Q

Chapter V of ICD-10 was produced by a _____________ with a constitutional public health mission ( _______ )

A

global health agency

WHO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

DSM –IV was designed by _______________ for the classification of mental disorders ( _____________ )

A

Psychiatrist in America

American Psychiatric Association

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Currently ICD _____ and DSM-___

A

11

5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

( ICD or DSM ?) supersede (ICD or DSM ?)

A

ICD

DSM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

The DSM-5 boasts over _____ mental health disorders

It has undergone major revisions throughout the last six decades.

A

300

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

The most recent version of the DSM (version _____) was published in 2013, and stands on the shoulders of more than 60 years of research

A

5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

one of the most important differences between ICD-10 and DSM-5 is??

A

DSM-5 is strictly intended formental disorders.

ICD-10 includes those same conditions, it contains conditions and diseases related to the entire human physiology, and doesnotcover mental disorders in the same depth as the DSM-5 does.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

DSM-5 is strictly intended for __________.

A

mental disorders

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

(DSM-5 or ICD-10?) is strictly intended formental disorders

A

DSM-5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

________ includes those same conditions, it contains conditions and diseases related to the entire human physiology,

A

ICD-10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

ICD-10 covers mental disorders in the same depth as the DSM-5 does.

T/F

A

F

ICD 10 doesnotcover mental disorders in the same depth as the DSM-5 does.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Key Differences Between ICD-10 And DSM-5 Systems
ICD-10 DSM-5

Asperger’s disorder

Substance usage,abuse and dependence classification

A

Categorizes Asperger’s disorder under F84.5
Diagnosis for Asperger’s disorder is included in the Autism Spectrum Disorder (F84).

Broadly classifies substance usage, abuse, and dependence; Provides no explicit distinction between substance abuse and dependenceied under DSM-5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is mental health

A

Mental Health
Mental health is more than just the absence of mental disorders or disabilities
It is the State of well-being in which an individual realizes his or her own abilities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

ANXIETY DISORDERS

Anxiety disorders are abnormal states in which the most striking features are _______________________ symptoms of _______ in the absence of _______________ or another ____________

A

mental and physical ; anxiety

organic brain disease

psychiatric disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

SYMPTOMS OF ANXIETY DISORDER

Autonomic arousal

Gastrointestinal ( ________,_______ , ___________, excessive ______, frequent or loose motions)

Respiratory (chest _________, difficulty __________ )

Cardiovascular ( _________ , chest discomfort, awareness of _______________ )

Genitourinary (_____________ micturition, failure of ________, _________ discomfort, amenorrhea)

A

dry mouth, difficulty swallowing, epigastric discomfort

wind; constriction; inhaling

palpitations; missed heartbeats

frequent or urgent ; erection; menstrual

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

SYMPTOMS OF ANXIETY DISORDER

Psychological ( ________ anticipation, irritability, sensitivity to ______, restlessness, poor __________ , worrying __________ )

Sleep disturbance (_________,___________ )

Muscle tension (tremor, headache, aching muscles)

A

fearful; noise; concentration; thoughts

insomnia, night terror

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Generalized anxiety disorder anxiety is continuous although may fluctuate in intensity

T/F

A

T

18
Q

Similarity and Differences between panic and phobic disorders?

A

Phobic disorders anxiety is intermitent, arising in particular circumstances

Panic disorder anxiety is intermittent, but not related to any particular circumstances

19
Q

TREATMENT for anxiety disorders

____________ approach
_________ and psychoeducation
_________ training
_______________________ therapy
__________therapy
SSRI
______________ for short term treatment
Buspirone
Pregabalin

A

Stepped care

Self help

Relaxation; Cognitive behavioural

Pharmaco ; Benzodiazepine

20
Q

Psychotic Disorders

psychotic condition that involves the (gradual or sudden?) onset of psychotic symptoms and last _____ or more but less than _________

A

Sudden

1 day; 1 month

21
Q

Psychotic Disorders

It occurs more often among (younger or older?) patients _____ and _____

Higher incidence in (men or women?)
People living in developing countries
_____ socioeconomic status
Major cultural changes
Disaster

A

younger; 20s and 30s

Women

Low

22
Q

Psychotic disorders
The cause is ____________

Patients who have a personality disorder may have a_______________________ for the development of psychotic symptoms

Family history of _____________ or _________

It could also be a defense against a prohibited fantasy, the fulfillment of an unattained wish or an escape from a stressful psychosocial situation

A

not known; biological or psychological vulnerability

schizophrenia or mood disorder

23
Q

Clinical Features of psychotic disorders

_________
___________
_______________ speech
Impaired memory of recent event
______ mood
________
Impaired __________

A

Delusion
Hallucinations
Disorganized speech
Impaired memory of recent event
Labile mood
Confusion
Impaired attention

24
Q

Schizophrenia

Schizophrenia is one of the most severe mental disorders, the _________ leading cause of disability-adjusted life years in the age group ____-_____ years.

A

eighth; 15-44

25
Q

Schizophrenia

It is characterized by _______ and relative ________ superimposed on (acute or chronic?) __________ and ________ state.

A

relapses; remission

Chronic ; deterioration; disabling

26
Q

Schizophrenia is described as a _______geneous psychotic disorder characterized by a disintegration of __________ and ___________ with manifestations of auditory ____________ , delusions, _________ speech with significant social and/ or occupational dysfunction”.

A

hetero

thought process and emotional responsiveness

hallucinations; disorganized

27
Q

Schizophrenia has a lifetime risk of around _____%, and is associated with substantial morbidity and mortality.

A

1

28
Q

EPIDEMIOLOGY OF SCHIZOPHRENIA

Age of Onset: 15 – 45 years
Male: __________ years
Female: ________ years
Median age of Onset: Males: 28 years
Females: 32 years
Gender: __________ among men and women
Social Class: Increased prevalence in _______ social class.
Season of birth: Increased incidence in ________
Birth order: Increased incidence of low birth order if from a large family

A

15 – 25
25 – 35

Equally common; lower

Winter

29
Q

POOR PROGNOSTIC FACTORS IN SCHIZOPHRENIA

_______ onset
______ age at onset
 ______ pre-morbid adjustment
_____ duration of untreated psychosis
Unmarried
Prominent negative symptoms
 ______ sex
_______________ signs
Past psychiatric history
Medical co-morbidities

A

Insidious; Young

Poor; Long; Male

Neurological soft

30
Q

POOR PROGNOSTIC FACTORS IN SCHIZOPHRENIA
Poor psychosexual adjustment
 ____________ affective symptoms
Additional ________________
History of violence
Poor work record
Enlarged __________
Poor compliance

A

No or few

mental retardation

ventricles

31
Q

Mood – _______________________________________ that is experienced _______ and that influences a person’s behaviour and perception of the world.

Affect- __________________ of mood.

A

pervasive and sustained feeling tone

internally

External expression

32
Q

Mood Disorders/Affective Disorders- refer to a range of common clinical conditions in which the most prominent features are __________ or ___________ of mood.

A

elevation or depression

33
Q

Mood disorders : Episodes and Patterns

List 5

A

Depressive episode
Manic episode
Mixed episode
Hypomanic episode
Cycling patterns

34
Q

Major depressive episode
______ or more of the following, most of the day and/or nearly every day, including at least symptom ________ :

  1. ___________ mood (_______________)
  2. _________________________
  3. Change in weight or appetite
  4. Sleep changes
  5. Noticeable change in movement
  6. Fatigue
  7. Feelings of worthlessness or guilt
  8. Impaired cognition or volition
  9. Repeated thoughts of death or suicide, planned or attempted suicide
A

Five; 1 or 2

Depressed ; Sad, empty, weepy; irritable, anger

Loss of interest or pleasure in previously enjoyable activities

35
Q

Major depressive episode

The _____ symptoms must occur in the same ___________

A

Five

two weeks

36
Q

Depressive disorders

Can either be : _____,_______, or _______

A

Minor

Major

Dysthymic

37
Q

Dysthymic Disorder

_________ of __________ _________ mood

________________ depression symptoms (appetite, sleep, energy, concentration, low self-esteem, hopeless feelings)

A

Two years

chronically depressed

Two additional

38
Q

MANIC Episode

___________ of persistently _____,_______, or __________ mood, and ____ of:

Grandiose self-esteem
Lower sleep need
Overly talkative
Racing thoughts
Easily distracted
Increased activity or agitation
High risk activities

A

One-two week

high, expansive, or irritable

3

39
Q

Mixed episode

_________ of _____________ symptoms with rapidly alternating moods

Common symptoms:
Agitation
Insomnia
Irregular appetite (binge eating-fast)
Delusions
Thoughts of suicide

A

One week

both manic and major depressive

40
Q

Hypomanic episode

___________ of ______ episode symptoms

Mood disturbance _____________________ ability to work or maintain social responsibilities
Response pattern is uncharacteristic
Not euthymia

A

Four-seven days; manic

does not critically impair

41
Q

Bipolar affective disorder

Common illness affecting ____% of the world population ( ____% if one includes __________ disorders)

_____th leading cause of medical disability in the developed nations

Prominent cognitive abnormalities

A

2; 5; spectrum

6