Intro to psych and the DSM-5

Question 1

What are key parts of the psychiatric HPI

Answer 1

onset, duration, severity, course
how does this compare to baseline
any triggers/stressors
any associated ‘medical’ symptoms
past treatments and results
patient preferences

Question 2

What is SIG E CAPS

Answer 2

prompts for depressive symptoms

Sleep
Interests
Guilt
Energy
Concentration
Appetite
Psychomotor
Suicide

Question 3

What is DIG FAST

Answer 3

Cardinal symptoms of mania

Distractibility
Indiscretion
Grandiosity
Flight of ideas
Activity increase
Sleep deficit
Talkativeness

Question 4

What is the CAGE questionnaire used for

Answer 4

quick screen for SUD

Question 5

What are ACEs

Answer 5

Adverse childhood experiences

Abuse (physical, sexual, emotional)
Neglect (physical or emotional)
Parental loss (death, divorce, abandonment)
Parental incarcerations
Caregiver with SUD
Caregiver with mental illness

Question 6

What is the difference between mood and affect

Answer 6

mood is patient reported emotional state
affect is your interpretation of patient mood - non-verbal signs of emotion

Question 7

what is constricted or blunted mood

Answer 7

difficulty expressing emotion
display some emotion but not full range

Question 8

What are types of delusions

Answer 8

persecutory
paranoid
delusions of reference
grandiosity
erotomanic
delusional jealousy
delusions of control

Question 9

what is persecutory delusions

Answer 9

someone/something wants to harm them

Question 10

what are delusions of reference

Answer 10

innocuous events/coincidence are directed at them
signs

Question 11

what is grandiosity

Answer 11

they have special abilities/powers/importance

Question 12

what is erotomanic delusions

Answer 12

someone is in love with/pursing them

Question 13

what are delusions of control

Answer 13

thought insertion - thoughts aren’t their own, someone interjected them
thought withdrawal - someone removed their thoughts
thought broadcasting - others around can hear their thoughts

Question 14

what are types of perception

Answer 14

depersonalization - distorted sense of self
derealization - distorted sense of reality
illusions - sensory disturbances in response to external stimuli
hallucinations - sensory disturbances in absence of external stimuli

Question 15

what are different types of Hallucinations

Answer 15

auditory
visual
tactile
olfactory
gustatory

Question 16

what is the Mini-Mental Status Exam used for

Answer 16

quick assessment of cognition
more useful in delirium/dementia

Question 17

what does the MMSE assess

Answer 17

orientation
attention
memory
language
visuospatial skills

Question 18

What is DSM-5

Answer 18

defines ‘criteria’ for diagnosis of mental disorders

authoritative guide to the diagnosis of mental disorders - contains descriptions, symptoms and other criteria for diagnosing mental disorders

Question 19

What are the 4 D’s of DSM-5 Diagnostic criteria

Answer 19

Deviance
Dysfunction
Distress
Danger

Question 20

What is Deviance

Answer 20

degree of difference from cultural/societal norm

Question 21

what is Dysfunction

Answer 21

degree to which a person’s life is disrupted

Question 22

what is distress

Answer 22

degree to which a person’s is disturbed by dysfunction

Question 23

what is danger

Answer 23

does it threaten the safety of the patient or others