Diagnoses - Factitious disorder Flashcards
What condition shows motivation to assume the sick role? (3x)
FACTITIOUS DISORDER
What factor differentiates malingering from factitious disorder? (2x)
HAVING EXTERNAL INCENTIVE
25 y/o prisoner claiming to be depressed is hospitalized after he swallowed some razor blades. Razor blades were carefully wrapped with surgical tape before swallowing. Confesses he wanted some time out of prison. Dx? (x2)
FACTITIOUS DISORDER/MALINGERING? 2 ólík svör
Which EMG findings in pt complaining of involuntary myoclonic movements supports dx of conversion disorder?
RISING PRE-MOVEMENT POTENTIALS
Psychiatrist is evaluating frequent liar. Pt’s lies are grandiose and extreme. Pt appears to believe the stories. This is called:
PSEUDOLOGIA FANTASTICA
In contrast to pts with factitious disorder, pts with malingering are characterized by having:
MOTIVATION FOR SECONDARY GAIN.
Pt complaining of an inability to move his arm. Pt is becoming enraged at his wife and, on several occasions, feared he might strike her. Shortly after one argument, his arm became limp. Dx:
PRIMARY GAIN
Psych MD is asked to recommend treatment interventions for a 16 y/o pt with a presumptive diagnosis of conversion disorder. Which of the treatments is most likely to be both accepted by the pt and result in functional improvement:
REHABILITATIVE TREATMENT
24 y/o M seen in ED with chest pain claims to have a rare connective tissue d/o and said he required a recent heart transplant due to aorta dissection. He provides the MD with a list of immunosuppressive meds and requests that a transesophageal echo be done. He has no sternotomy scar and outside records indicate his story is false. Is this likely factitious d/o or malingering?
FACTITIOUS D/O (MALINGERERS USUALLY AVOID INVASIVE TESTS)
Hallucinations in patients with conversion disorder are characterized by?
HAVING A CHILDISH, FANTASTIC QUALITY
What key factor distinguishes factitious disorder from malingering
MOTIVATION TO BE IDENTIFIED AS ILL
