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Psych Shelf > Examination and Diagnosis > Flashcards

Examination and Diagnosis Flashcards

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1
Q

You should start a Psych interview by asking what type of questions?

A

Open-Ended Questions

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2
Q

What kind of questions do you use to obtain the remaining pertinent info?

A

Closed-Ended Questions

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3
Q

The patient should feel that the psychiatrist is what three things?

A

Interested, nonjudgemental and compassionate

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4
Q

In psychiatry, what is the most important factor in making a dx and tx plan?

A

History

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5
Q

The History of Present Illness (HPI) should include info about the current episode including what 5 descriptions of the current episode?

A

Symptoms, Duration, context, stressors and impairment in fxn

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6
Q

How should the chief complaint be written?

A

In the patient’s own words, no matter how bizarre

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7
Q

Analogous to performing a physical exam in other areas of medicine

A

Mental Status Examination

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8
Q

The mental status exam assesses the following?

A

Appearance/behavior, speech, perception, sensorium/cognition, insight/judgement

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9
Q

The mental status exam tells only about the mental status @?

A

that moment! it can change every hour or every day, etc

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10
Q 
When assessing physical appearance you should take specific notice of the following which may be clues for possible diagnoses:
Pupil size
Bruises in hidden areas
Eroding of tooth enamel
superficial cuts on arms
A

Pupil size: drug intoxication/withdrawl
Bruises in hidden areas: Increased suspicion for abuse
Eroding of tooth enamel: eating disorder
superficial cuts on arms: self-harm

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11
Q

The emotion that the patient tells you he feels or is conveyed nonverbally

A

Mood

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12
Q

an assessment of how the patient’s mood appears to the examiner, including the amount and range of emotional expression.

A

Affect

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13
Q

The patient’s form of thinking- how he or she uses language and puts ideas together

A

Thought Process

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14
Q

no logical connection from one thought to another

A

Loosening of associations

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15
Q

thoughts change abruptly from one idea to another, usually accompanied by rapid/pressured speech

A

Flight of ideas

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16
Q

made up words

A

Neologisms

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17
Q

Incoherent collection of words

A

Word Salad

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18
Q

Word connections due to phonetics rather than actual meaning. “My car is red. I’ve been in bed. It hurts my head”

A

Clang associations

19
Q

Abrupt cessation of communication before the idea is finished

A

Thought blocking

20
Q

Point of conversation never reached due to lack of goal directed assocations between ideas; responses usually in the ball park

A

Tangentiality

21
Q

Point of conversation is eventually reached but with overinclusion of trivial or irrelevant details

A

Circumstantiality

22
Q

Describes the types of ideas expressed by the patient

A

Thought Content

23
Q

Too few versus too many ideas expressed

A

Poverty of thought versus overabundance

24
Q

fixed, false beliefs that are not shared by the person’s culture and cannot be changed by reasoning. Classified as bizarre (impossible to be true) or nonbizarre (at least possible)

A

Delusions

25
Q

Belief that one has special powers or is someone important (jesus, president, MJ, etc)

A

Delusions of Grandeur

26
Q

belief that one is being persecuted

A

Paranoid

27
Q

belief that some event is uniquely related to patient (TV show character is sending patient messages)

A

reference

28
Q

belief that one’s thoughts can be heard by others

A

thought broadcasting

29
Q

conventional beliefs exaggerated (eg Jesus talks to me)

A

Religious

30
Q

false belief concerning body image (eg, I cannot swallow)

A

somatic

31
Q

Repetitive behaviors (usually linked with obsessive thoughts)

A

Compulsions

32
Q

Repetitive intrusive thoughts

A

Obsessions

33
Q

Level of knowledge in the context of the patient’s culture and education (eg. who is the president? who was picasso?)

A

Fund of Knowledge

34
Q

The patient’s level of awareness and understanding of his or her problem

A

insight

35
Q

The patient’s ability to understand the outcome of his or her actions and use this awareness in decision making

A

Judgement

36
Q

Tarasoff Rule

A

If the patient expresses imminent threats against friends, family or others, the doctor should notify potential victims and or protection agencies when appropriate

37
Q

The most important predictor of future violence

A

prior history of violence

38
Q

Axis I describes

A

all diagnoses of mental illness (including substance abuse and developmental disorders), not including personality disorders and mental retardation

39
Q

Axis II describes

A

Developmental and personality disorders

40
Q

Axis III describes

A

General medical conditions

41
Q

Axis IV describes

A

Severity of psychosocial factors (eg, homelessness, divorce, etc)

42
Q

Axis V provides

A

a global assessment of function (GAF) which rates overall level of daily functioning (social, occupational, psychological) on a scale of 0-100

43
Q

Criterion for hospitalization is a Global Assessment of Function score of?

A

less then or equal to 30

Psych Shelf (18 decks)

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