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Jason's MD3 Psychiatry Rot > DSM V Criterions > Flashcards

DSM V Criterions Flashcards

1
Q

3 diagnostic criteria for intellectual disability?

A
  1. deficits in intellectual function: abstract thinking, reasoning, problem solving
  2. deficits in adaptive functioning: no sociocultural standards
  3. onset during developmental period
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2
Q

what are the key features of psychotic disorders?

A
  1. Delusions
  2. Hallucinations
  3. disorganized thinking(speech)
  4. disorganized motor behaviour (catatonia)
  5. negative symptoms
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3
Q

definition of hallucinations?

A

perception-like experience that occur without an external stimulus

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4
Q

what are the two prominent negative symptoms in schizophrenia?

A
  1. Diminished emotional expression

2. Avolition

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5
Q

diagnostic criteria for schizophrenia?

A

A. two or more during a 1/12 time:

  1. delusions
  2. hallucinations
  3. disordered thinking/speech
  4. disordered motor behaviour/catatonia
  5. negative symptoms

B. disruption at work, relations, self care
C. disturbance for 6/12
D.schizoaffective and bipolar ruled out
E. not due to a substance
F. If autism in childhood, schizo only if prominent delusions/hallucinations

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6
Q

what is diagnostic criteria of schizoaffective disorder?

A
  1. uninterrupted period of mania/depression concurrent with schizo
  2. delusions or hallucinations for >2/52 in absence of depression/mania
  3. not due to a drug
  4. symptoms of major mood episodes are present for majority of time.
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7
Q

what is bipolar I?

A

mania 7 days

major depressive episode

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8
Q

what is bipolar II?

A

hypomania: 4 consecutive days

major depressive episode

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9
Q

diagnostic criteria for mania?

A 
7 days
3 of:
-inflated self-esteem/grandiosity
-no need for sleep
-more talkative-
flight of -ideas
-distractibility
-increase goal-directed activity
-excessive high risk involvement
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10
Q

diagnostic criteria for major depressive episode?

A

A. 14 days of
5 or more of:

1.depressed mood (must)
or
2. anhedonia (must)
3. weight loss
4. insomnia
psychomotor agitation/retardation
6. fatigue/loss of energy
7. worthlessness/guilt
8. diminished ability to think/concentrate
9. thoughts of death

B. distress in social/work etc.

C. not from drug

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11
Q

do you need depression for bipolar I?

A

Nope, just mania is enough

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12
Q

diagnostic criteria for major depression?

A

A. 14 days of
5 or more of:

1.depressed mood (must)
or
2. anhedonia (must)
3. weight loss
4. insomnia
psychomotor agitation/retardation
6. fatigue/loss of energy
7. worthlessness/guilt
8. diminished ability to think/concentrate
9. thoughts of death

B. distress in social/work etc.

C. not from drug

D. Not schizoaffective

E. never been a manic episode

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13
Q

difference between fear and anxiety?

A

Fear: emotional response to real or perceived IMMINENT threats

Anxiety: anticipation of future threat

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14
Q

diagnostic criteria panic attack?

A

A. RECURRENT with 4 or more of:

palpitations
wearing
trembling
dyspnoea
chest pain
nausea
dizzy
chills or heat 
sense of impending doom
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15
Q

diagnostic criteria of OCD?

A

A. presence of obsessions and/or compulsions
B. time consuming (>1hour/day)
C. not a drug
D. Not another mental disorder like generalized anxiety

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16
Q

what is obsession? 2 things

A
  1. persistent thought/urges, intrusive/unwanted, causes anxiety/distress
  2. attempts to ignore or suppress urges
17
Q

what is a compulsion? 2 things

A
  1. repetitive behaviours/mental acts, feel driven to do

2. the behaviours are to prevent anxiety of a threat but not connected realistically

18
Q

diagnostic criteria for anorexia nervosa?

A
  1. Persistent restriction of energy intake
  2. fear of gaining weight
  3. disturbance in body experience, little insight
19
Q

diagnostic criteria for bulimia nervosa?

A

A.

  1. eating in discrete period more than what most ppl would eat
  2. lack of control over eating during episode

B. compensatory behaviours: vomiting, laxatives, diuretics, exercise

C. at least 1/7 for 3/12

D. self-evaluation influenced by body shape and weight

E. does not occur during episodes of anorexia nervosa

20
Q

Criteria to consider for CAT team?

A
  1. Appears to have severe mental disorder
  2. In a crisis
  3. Acute stage?
  4. Risk to the individual
  5. Risk to CAT service members: violence, agitation, children,
21
Q

mood disorders and substance abuse, 5 things:

A
  1. Disorder fostering disorder
  2. Self medicate
  3. Confounding Dx
  4. Drug-drug interaction
  5. Overlapping Neuro-biological pathways

Jason's MD3 Psychiatry Rot (23 decks)

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