Dianoses

Question 1

MDD criteria

Answer 1

LA CAPSULES 2/52

4: 8 including
- Low mood or Anhedonia
- Concentration poor
- Psychomotor features
- Sleep disturbance
- Unworthy (worthlessness or guilt)
- Low Energy
- Suicidality

Question 2

Bipolar Disorder mania diagnosis

Answer 2

DIG FAST (7/7, can be less if hospitalised)

Elevated mood with 3:7 or 
Irritable mood with 4:7 of
-Distracted 
-Indiscretion (excessive involvement in pleasurable activity) 
-Grandiose 
-Flight of Ideas 
-Activity Increased
-Sleepless
-Talkative

Question 3

Dysthymia/PDD dx

Answer 3

ACHEWS
2:6 with depressed mood for 2 years

Appetite disturbed (increase or decrease)
Contraction poor
Hopelessness
Energy poor 
Worthlessness 
Sleeplessness 

(Achew- allergic to happiness)

Question 4

Schizophrenia Dx DSM 5
And
First Rank Symptoms

Answer 4

DSM 5
2 symptoms for 1/12 (1 must be D/H/disorg Speech)
5 months prodrome 
-Delusions 
-Herald (Hallucinations)
-Schizophrenia’s (Speech Disorganisation)
-Bad (Behaviour disorganisation)
-News (Negative Symptoms)

First Rank “3 deros with auditory hallucinations”

• Delusional perception (bizarre interpretations of normal perception/life)
• Delusion of thought interference (withdrawal/insertion/broadcast)
• Delusion of control/passivity
• Auditory hallucinations (running commentary, arguing voices, audible thoughts)

Question 5

SUD criteria and screen

Answer 5

Tempted With Cognac 2:11

• tolerance
• withdrawal
• control loss/craving

CAGE (2 or more high prob SUD)

• felt you needed cut down?
• annoyed at criticism of you use?
• felt guilty because of drinking?
• ever needed an eye opener?

Question 6

Panic Disorder dx

Answer 6

ABC 355
4:13

A- heart

• chest tightness
• palpitations
• nausea

B-breathing

• SOB
• choking sensation
• dizzy
• parathesia
• chills and hot flash

C-Fear

• fear of dying
• fear of going crazy
• shaking
• sweating
• depersonalisation

Question 7

Bulimia nervosa dx

Answer 7

• Bulimics (Binges)
• Over (out-of-control feeling when eating)
• Consume (concern with body shape)
• Pastries (purging/compensatory behaviour)

Question 8

Anorexia Nervosa dx

Answer 8

-Weight (significantly low)
-Fear (fear of fatness)
-Bothers (body image distortion)
Anorexics

Question 9

GAD dx

Answer 9

6/12

3: 6
- Macbeth (muscle tension)
- Frets (fatigue)
- Constantly (concentration problems)
- Regarding (restless & on edge)
- Illicit (irritable)
- Sins (sleep problems)

Question 10

Dementia dx

Answer 10

Memory LAPSE 1:6

• Memory
• Language
• Attention (complex)
• Perceptual-motor
• Social cognition
• Executive function

Question 11

Delirium dx

Answer 11

Medical FRAT 5:5

• Medical cause
• fluctuating course
• recent (acute) onset
• attention impaired (inattention)
• thinking (cognitive) disturbance

Question 12

ADHD Dx

Answer 12

MOAT 6:9

• Movement excess (hyperactivity symptoms)
• Organisation problems (difficulty finishing tasks)
• Attention problems
• Talking impulsively

(Some present before 12yo. Symptoms in 2 or more settings)

Question 13

BPD dx

Answer 13

I DESPAIRR

• Identity disturbance
• Disordered (unstable) affect
• Emptiness (chronic)
• Suicidal (recurrent)
• Paranoid ideation
• Abandonment fears (real or imagined)
• Impulsiveness
• Rage inappropriately
• Relationship problems (alternating extremes)

Question 14

ACE criteria

Answer 14

Activity
Cognition
Emotion

Question 15

Mixed state types

Answer 15

Transitional (one pole to another)
Cycling mixed state
Treatment/iatrogenic mixed state

Question 16

Suicide risk factors

Answer 16

SIPAP

Sex - young male 
Intent, Illness, Intoxicating substances, Indigenous, Infantry
Provocation - stressor, recent loss 
Access to lethal means (firearm)
Phx and Fhx 
-mental illness
   - Long duration illness
   - Non adherence 
   - DC hospital <1 week
   - Depression, anorexia
   - Command hallucination
-suicidality 
   -phx attempt with lethal means 
   -fhx suicide 
   -suicide in contact