Exam 1

Question 1

What are the risk factors for suicide?

Answer 1

Sex (male > female)

Age (older for men, peaks in middle age for women)

Depression

Previous attempt

Ethanol abuse

Rational thinking loss

Social support lacking (including recent interpersonal loss)

Organized plan

No spouse (divorced, widowed, single)

Sickness (schizophrenia, substance abuse, recent hospital discharge)

Question 2

What symptoms must be present to diagnose schizophrenia?

Answer 2

2 or more of the following active phase symptoms:

Delusions

Hallucinations

Disorganized speech

Grossly disorganized or catatonic behavior

Negative symptoms

Question 3

What are the CAGE criteria?

Answer 3

Cut down

Annoyed (by other’s comments)

Guilty

Eye Opener

Question 4

What are the criteria for substance abuse disorder?

Answer 4

At least 2 of the following 11 in the past 12 months:

1. taken in larger amounts or longer period
2. persistant desire or lack of success in efforts to cut down
3. great deal of time spent getting, using, recovering
4. craving
5. failure to fulfill major role obligation
6. having persistent social or interpersonal problems
7. important social, occupational or recreational activities are given up
8. substance use in physically hazardous situations
9. substance use continues despite problems
10. tolerance
11. withdrawal

Question 5

What’s the Wernike-Korsakoff Triad?

Answer 5

Ataxia

Confabulation

Opthalmoplegia

Question 6

RED DANES

Answer 6

Rage, erythema, dilated pupils, delusions, amnesia, nystagmus, excitation, skin dryness

Question 7

SAD - classification

Answer 7

2-3 mild

4-5 moderate

>6 severe

dependence + relapsing = chronic dependence

Question 8

ASEPTIC Model

Answer 8

Appearance, Attitude

Speech

Emotion: Mood & Affect

Perceptions

Thought Content and Process

Insight and Judgement

Cognition

Question 9

Depression Is Worth Studiously Memorizing Extremely Grueling Criteria. Sorry.

Answer 9

Depressed mood

Loss of Interest or pleasure in activities

Weight loss or gain

InSomnia or hypersomnia

PsychoMotor agitation or retardation

Loss of Energy

Inappropriate Guilt or worthlessness

Decreased Concentration

Suicide

Question 10

SIG E. CAPS

Answer 10

Sleep

Interest

Guilt

Energy

Concentration

Appetite

Psychomotor changes

Suicidal ideation (hopelessness, helplessness)

Question 11

How many depressive symptoms do you need for MDD and for how long?

Answer 11

5 or more - more than 2 weeks

Must include either depressed mood or loss of interest

Question 12

melancholic features

Answer 12

1 of 2:

loss of pleasure

inability to respond to pleasurable stimuli

Plus 3 of 6:

Distinct depressed mood

Diurnal variation (worse in morning)

Early morning waking (terminal insomnia)

Marked psychomotor agitation or retardation

Significant anorexia/wt loss

Excessive or inappropriate guilt

Question 13

mixed features

Answer 13

At least 3 manic/hypomanic symptoms majority of days of MDD

Elevated, expansive mood

Inflated self-esteem or grandiosity

More talkative than usual or pressure to keep talking

Flight of ideas, racing thoughts

Increased in energy or goal-directed activity

Increase involvement in activity that have high potential for painful consequences

Decreased need for sleep

DDX: Bipolar disorder

Question 14

anxious features

Answer 14

At least 2 during majority of days of MDD or PDD

Feeling keyed up or tense

Feeling unusually restless

Difficulty concentrating because of worry

Fear that something awful may happen

Feeling that the individual might lose control of himself or herself