Diagnoses - Delusions

Question 1

Pt reports the continuing suspicion that the spouse is committing adultery, but acknowledges the possibility of being wrong since there is no evidence to support the pt’s belief: (3x)

Answer 1

OVERVALUED IDEA

Question 2

Patient reports that an identical-appearing impostor has replaced his father. What is the name of this delusion? (2x)

Answer 2

CAPGRAS SYNDROME

Question 3

Appropriate response when pt describes paranoid delusions

Answer 3

ACKNOWLEDGE THE PATIENT’S EMOTIONAL REACTION TO DELUSION

Question 4

80 yo male tells PCP he thinks his wife of 55 years is having an affair, wife and two middle aged children disagree. Pt acknowledges no clear evidence of his belief. Pt is healthy, no psych history, no hallucinations, cognitive testing is normal for age. What is his most likely diagnosis?

Answer 4

DELUSIONAL DISORDER

Question 5

Length of time criteria for delusional d/o

Answer 5

ONE MONTH

Question 6

Body dysmorphic d/o vs. Delusional d/o somatic type:

Answer 6

INTENSITY W WHICH PT INSISTS ON PERCEIVED BODY DEFICITS

Question 7

Complaints of skin infection with insects, negative medical w/u:

Answer 7

DELUSIONAL D/O, SOMATIC TYPE

Question 8

Normal male, except that he is paranoid about wife cheating on him:

Answer 8

DELUSIONAL D/O

Question 9

26yo pt thinks his brow bridge is too prominent and looks like a neanderthal. Physician finds brow bridge prominent but WNL. Pt wants plastic surgery consult. What best describes the pt’s belief?

Answer 9

OVERVALUED IDEA

Question 10

Erotomania refers to which of the following conditions?

Answer 10

DELUSIONS OF A SECRET LOVER

Question 11

Isolated erotomania is a form of what?

Answer 11

DELUSIONAL D/O

Question 12

Pts complain of having lost not only possessions, status, and strength, but also heart, blood, and intestine suffer from which of the following syndromes?

Answer 12

COTARD

Question 13

Pt believes he is the Son of God. This symptom is called:

Answer 13

DELUSION

Question 14

Immediate intervention in case of a pt with paranoid delusion and idea of reference:

Answer 14

ASKING FOR DETAILS OF PERCEPTION THAT LED TO THIS DISTRESSING DISCOVERY.

Question 15

20 yo Japanese American patient present of complaining of personal body odor that is offensive to other people. This is most often compared to this DSM diagnosis?

Answer 15

SOCIAL PHOBIA, BODY DYSMORPHIC DISORDER, DELUSIONAL DISORDER (SOMATIC TYPE)

Question 16

A patient with somatic delusional disorder refusing to see a psychiatrist but sees a dermatologist regularly. What should the psychiatrist recommend the dermatologist do?

Answer 16

SUGGEST THAT THE DERMATOLOGIST ASK ABOUT DRUG USE

Question 17

Belief that television is sending you special messages

Answer 17

DELUSION OF REFERENCE

Question 18

A 20 y/o female patient reports menses stopped 4 months ago and she’s pregnant. Reports morning sickness and vomiting, bigger breasts. Pregnancy test negative, ultrasound negative, still thinks she’s pregnant. What’s the diagnosis

Answer 18

PSEUDOCYESIS