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MRCPsych > Descriptive psychology > Flashcards

Descriptive psychology Flashcards

1
Q

What is an overvalued idea?

A

A belief that is neither delusional nor obsessional but influences a persons life to a notable extent

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2
Q

When does crowding of thoughts occur?

A

Schizophrenia

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3
Q

What is stereotypy?

A

Repetitive, non-goal directed motor activity

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4
Q

The doppleganger phenomenon is best described as what type of disturbance?

A

Ideational disturbance

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5
Q

In which syndrome are pseudohallucinations seen?

A

Ganser

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6
Q

What is mitgehen?

A

A form of extreme cooperation in which a patient moves their body in the direction of the slightest pressure on the part of the examiner. Once the pressure stops, the body moves back to the original position.

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7
Q

How is concrete thinking tested?

A

Proverb testing

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8
Q

Retardation in depressive disorder is a disturbance of what?

A

Disturbed stream of thought

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9
Q

When the word pink is considered, linked words such as barbie are activated in the brain. What is the called?

A

Direct priming

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10
Q

What is catalepsy?

A

Patient maintains unusual posture for long period of time with no resistance to passive movement

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11
Q

What is advertance?

A

Where schizophrenic patient turns fully towards doctor when spoken to

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12
Q

What is aversion?

A

Where schizophrenic patient turns completely away from examiner

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13
Q

What is automatic obedience?

A

Patient carries out every instruction regardless of the consequence

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14
Q

What are some characterisitics of schizophrenic auditory hallucinations?

A
  • Increase in background noise reduces severity
  • Voices have different accent but same language
  • Never continuous, always episodic
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15
Q

What is a mannerism?

A

A repetitive act that is apparently goal-directed but not necessary or required

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16
Q

What is a perceptual distortion?

A

Change in perception resulting from a change in intensity and quality of the stimulus or the spatial form of the perception

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17
Q

What is dereistic thinking?

A

Unrealistic thinking

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18
Q

What are some formal thought disorders described by Carl Schenider?

A 
Fusion 
Omission 
Substitution 
Derailment 
Drivelling
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19
Q

What is astasia-abasia?

A

Inability to walk or stand in a normal manner - gait appears bizarre and is not suggestive of organic lesion

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20
Q

What condition is astasia-abasia a symptom of?

A

Conversion disorder

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21
Q

What is motor perseveration?

A

An example would be a patient being asked to draw a square and drawing it, then asked to draw a circle but continues drawing squares

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22
Q

What is pseudologia fantastica?

A

Pathological lying - may believe their own stories

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23
Q

What conditions is pseudologia fantastica common in?

A

Personality disorders - antisocial or hysterical

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24
Q

What is couvade syndrome?

A

A conversion symptom seen in partners of expectant mothers during their pregnancy - symptoms mimic pregnancy symptoms

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25
Q

What is jamais vu?

A

That knowledge that an event has occurred before but is not currently associated with the feelings of familiarity

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26
Q

What is deja entendu?

A

The feeling of auditory recognition

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27
Q

What is deja pense?

A

A new thought recognised as having previously occurred

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28
Q

Commonest cause of stupor in psych inpatient unit?

A

Depression

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29
Q

Where is a true hallucination perceived?

A

External space, outside of conscious control

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30
Q

Where are pseudohallucinations experienced?

A

Inner subjective space

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31
Q

Auditory hallucinations with clear consciousness are least likely due to

A

Temporal lobe epilepsy

32
Q

What is anhedonia?

A

Total inability to experience pleasure

33
Q

Made impulse

A

Owns up to action but not the impulse behind it

34
Q

What are the most common hallucinations in alcoholic hallucinosis?

A

Unstructured sounds or voices that may be characteristically malign and threatening

35
Q

How long do the hallucinations in alcoholic hallucinosis tend to last for?

A

A few days

36
Q

Diffrence between hallucinations in delirium tremens and alcoholic hallucinosis

A

Alcoholic hallucinosis have a clear sensorium

37
Q

Features of pure word blindness

A

Reduced reading comprehension but patient can speak and understand spoken word
They can write spontaneously and to diction

38
Q

What are the 2 stages of delusional perception?

A

Normal perception and delusional significance

39
Q

What is dysmorphophobia?

A

Overvalued idea where patient believes one aspect of body is abnormal or deformed
Sometimes can reach delusional intensity

40
Q

Which phenomena is eyo-syntotic?

A

Delusions - patient experiencing them does not feel uncomfortable by them

41
Q

What is a freudian slip otherwise known as?

A

Parapraxis

42
Q

What are 3rd person hallucinations?

A

Auditory hallucinations where patients hear voices talking about themselves, referring to them in the 3rd person

43
Q

What can improve an essential tremor?

A

Alcohol

43
Q

What can improve an essential tremor?

A

Alcohol

44
Q

What are teichoscopic hallucinations otherwise known as?

A

Scintillating scotoma

45
Q

What do approximate answers suggest a problem with?

A

Thought form

46
Q

What are metonyms?

A

Imprecise expressions that are used in place of more exact words

47
Q

What are most cases of dysmorphophobia associated with?

A

Major mood disorder

48
Q

What is the type token ratio?

A

Measure of vocabulary variation within a written text or persons speech - reduced in schizophrenic speech

49
Q

EEG in hypnogognic hallucination

A

Flow of alpha rhythm at time of hallucination

50
Q

What is the commonest psychiatric cause of autoscopy?

A

Depression

51
Q

What is dysmegalopsia?

A

A change in the perceived shape of an object

52
Q

If somebody has rigidity at rest but carries out voluntary movements normally, do they have catatonia?

A

Yes

53
Q

What is reduced symbolic thinking a feature of?

A

Alexithymia

54
Q

Flashback phenomenon is reported after taking what type of drug?

A

Hallucinogens

55
Q

What are pareidolic illusions?

A

Meaningful percepts produced when experiencing a poorly defined stimulus

56
Q

When does a hypnagognic hallucination occur?

A

When falling asleep

57
Q

Is thought blocking a first rank symptom?

A

no

58
Q

Definition of age disorientation

A

Misstating one’s age by 5 or more years

59
Q

What is asyndesis?

A

Lack of genuine causal link in speech

60
Q

What is palilalia?

A

Compulsive involuntary repetition of semantically acceptable word or phrase spoken by the patient themselves

61
Q

What is logoclonia?

A

Repetition of last syllable

62
Q

What condition does logoclonia occur in?

A

Parkinson’s

63
Q

What is verbigeration?

A

Repetition of senseless sound, syllables or words

64
Q

When does vebigeration occur?

A

Expressive aphasia

Catatonic schizophrenia

65
Q

What is the best predictor of persistence of delusional beliefs?

A

Diagnosis of schizophrenia

66
Q

Delusions of motor control are thought to be related to what

A

Failure to predict sensory feedback of one’s own movements

67
Q

Depersonalisation is often described as as __ phenomenon

A

As if - use as if to describe their experience

68
Q

Which thought disorder is more common in schizophrenia than mania?

A

Derailment
Thought blocking
To some extent, tangentiality and poverty of speech

69
Q

Which thought disorder occurs when figure-ground differentiation apparently fails?

A

Circumstantality

70
Q

What is paraschemazia?

A

Distortion of body image

71
Q

What are the 4 types of primary delusions?

A

Delusional mood
Delusional perception
Delusional memory
Autochthonous delusions

72
Q

What is pathological depersonalisation associated with?

A

Intense affective change

73
Q

How is pure word deafness characterised?

A

Patient able to speak, read and write fluently
Patient unable to understand speech
Hears words as sounds but cannot recognise the meaning

74
Q

Who coined the term anhedonia?

A

Ribot

75
Q

How is overinclusive thinking tested?

A

Sorting test

76
Q

When do illusions occur?

A

When the sensory perceptual threshold is reduced

MRCPsych (19 decks)

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