History taking and examination

Question 1

why is it important to ask about premorbid personality

Answer 1

to get a gauge of what youre aiming to restore

Question 2

advantages to classify psychiatric conditions

Answer 2

effective communication and diagnosis
predictive power
incidence/prevalence
guidance of treatment

Question 3

disadvantages to classify psychiatric conditions

Answer 3

oversimplified
overdiagnosed
labelling stigma
discounts possible cultural explanations

Question 4

important childhood considerations in hx

Answer 4

bullying?
social connection
abuse?
academic achievement

Question 5

important considerations in SHx

Answer 5

smoking 
stress
past relationships 
risky behaviour 
premorbid personality 
religion 
relationship with alcohol
finance

Question 6

considerations and questions to ask when evaluating suicidal tendencies

Answer 6

concrete plans 
method 
node 
thoughts 
intention 
premeditation

Question 7

screening factors in depression

Answer 7

low mood 
low motivation 
low energy and fatigue 
change in appetite/sleep 
poor concentration

Question 8

1st rank features of schizophrenia

Answer 8

3rd person auditory hallucination 
delusions of thought 
delusion of control
delusion of perception 
somatic hallucination

Question 9

what is thought withdrawal

Answer 9

thougths being taken awayy

Question 10

what is thought insertion

Answer 10

agency adding thoughts

Question 11

waht is thought broadcasting

Answer 11

everyone hears your thoughts

Question 12

what is a delusion of control

Answer 12

someone is controlloing you

Question 13

what is a delusion of perception

Answer 13

giving meaning to something specific

Question 14

components of appearance on MSE

Answer 14

age, sex, race 
body habitus 
grooming 
attire 
posture 
hand gesture 
movement and gait 
smell

Question 15

components of behaviour on MSE

Answer 15

eye contact 
rapport 
open/guarded/suspicious
agitation/psychomotor retardation 
disinhibition

Question 16

components of speech on MSE

Answer 16

rate 
amount 
tone 
delay
volume

Question 17

components of insight on MSE

Answer 17

does the patient know they are unwell? do they attribute this to a mental health issue
do they accept the neex for tx

Question 18

components of affect/mood on MSE

Answer 18

mood is subjective and is how the patient feels

affect is an observation of how the patient appears through examination, objective

Question 19

components of cognitive function on MSE

Answer 19

orientation to time, place, person - date, time, where they are, name, DOB, age
concentration - months backwards
memory - autobiographical, anterograde, retrograde

Question 20

what is a hallucination

Answer 20

perception in absence of external stimuli

Question 21

types of hallucination

Answer 21

auditory - 2nd/3rd person 
visual 
olfactory 
gustatory 
somatic

Question 22

what is passivity phenomena

Answer 22

behaviour controlled as external agency rather than by individual
thought insertion/withdrawal/broadcasting

Question 23

what is flight of ideas

Answer 23

words used inappropriately due to meaning or rhyme so patient wanders, jumping topic to topic with distraction, rhyme or pun

Question 24

what is loosening of word association

Answer 24

muddled, illogical speech and hard to follow

patient talks freely but so vaguely that no information is given

Question 25

what is neologism

Answer 25

patient makes up new words/phrases in bizarre ways but are idiosyncratic to pt

Question 26

knights move thinking?

Answer 26

patient jumps from topic to topic with no connection at all

Question 27

what is a delusion

Answer 27

false belief or belief held on false grounds

great personal significance but cannot be explained or modified by reason

Question 28

theme of delusion in mania

Answer 28

religion, persecution, grandiosity

Question 29

theme of delusion in schizophrenia

Answer 29

control, persecution, reference, love, religion

Question 30

theme of delusion in depression

Answer 30

nihilistic, sin, guilt, disease, poverty