History taking and examination Flashcards

1
Q

why is it important to ask about premorbid personality

A

to get a gauge of what youre aiming to restore

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2
Q

advantages to classify psychiatric conditions

A

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

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3
Q

disadvantages to classify psychiatric conditions

A

oversimplified
overdiagnosed
labelling stigma
discounts possible cultural explanations

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4
Q

important childhood considerations in hx

A

bullying?
social connection
abuse?
academic achievement

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5
Q

important considerations in SHx

A
smoking 
stress
past relationships 
risky behaviour 
premorbid personality 
religion 
relationship with alcohol
finance
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6
Q

considerations and questions to ask when evaluating suicidal tendencies

A
concrete plans 
method 
node 
thoughts 
intention 
premeditation
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7
Q

screening factors in depression

A
low mood 
low motivation 
low energy and fatigue 
change in appetite/sleep 
poor concentration
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8
Q

1st rank features of schizophrenia

A
3rd person auditory hallucination 
delusions of thought 
delusion of control
delusion of perception 
somatic hallucination
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9
Q

what is thought withdrawal

A

thougths being taken awayy

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10
Q

what is thought insertion

A

agency adding thoughts

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11
Q

waht is thought broadcasting

A

everyone hears your thoughts

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12
Q

what is a delusion of control

A

someone is controlloing you

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13
Q

what is a delusion of perception

A

giving meaning to something specific

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14
Q

components of appearance on MSE

A
age, sex, race 
body habitus 
grooming 
attire 
posture 
hand gesture 
movement and gait 
smell
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15
Q

components of behaviour on MSE

A
eye contact 
rapport 
open/guarded/suspicious
agitation/psychomotor retardation 
disinhibition
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16
Q

components of speech on MSE

A
rate 
amount 
tone 
delay
volume
17
Q

components of insight on MSE

A

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

18
Q

components of affect/mood on MSE

A

mood is subjective and is how the patient feels

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

19
Q

components of cognitive function on MSE

A

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

20
Q

what is a hallucination

A

perception in absence of external stimuli

21
Q

types of hallucination

A
auditory - 2nd/3rd person 
visual 
olfactory 
gustatory 
somatic
22
Q

what is passivity phenomena

A

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

23
Q

what is flight of ideas

A

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

24
Q

what is loosening of word association

A

muddled, illogical speech and hard to follow

patient talks freely but so vaguely that no information is given

25
what is neologism
patient makes up new words/phrases in bizarre ways but are idiosyncratic to pt
26
knights move thinking?
patient jumps from topic to topic with no connection at all
27
what is a delusion
false belief or belief held on false grounds | great personal significance but cannot be explained or modified by reason
28
theme of delusion in mania
religion, persecution, grandiosity
29
theme of delusion in schizophrenia
control, persecution, reference, love, religion
30
theme of delusion in depression
nihilistic, sin, guilt, disease, poverty