Lange - Adult Psychopathology Flashcards
Patient presents with belief that people he knows have been replaced by imposters - diagnosis?
Capgras
Prevalence of schizophrenia?
Concordance in monozygotic twins?
1%
50%
Patient presents with nihilistic delusions (“there is no world”) – Diagnosis?
Cotard
Shared delusions aroused in one person by the influence of another?
Folie à duex
Patient presents with postpartum psychosis. The most common underlying disorder is?
Bipolar disorder
Downward drift hypothesis?
Tendency of patients of a mental illness to move downward through the social strata
Classic catatonic features?
#Negativism #Hypomotorism #Echolalia #Echopraxia
Before prescribing any antidepressants, need to rule out?
Bipolar disorder
Sleep disturbance that most consistently is associated with major depression?
Early-morning awakenings
Earliest biologic observation in depression?
Elevated Cortisol
Disease that has the strongest genetic link of major psychiatric illnesses?
Bipolar disorder
Risk of a mood disorder in the 1st° relative of a patient with bipolar disorder?
25%
Patient presents with psychosis and abdominal pain – suspected diagnosis?
Porphyria
Patient presents with lack of a fear response, docility, hypersexuality, and amnesia. Syndrome? The type of amnesia? Most closely associated with severe damage to which part of the brain?
Klüver-Bucy
Anterograde amnesia
Amygdala bilaterally
Patient develops movement disorder due to traumatic damage to the substantia nigra – syndrome?
Punchdrunk syndrome
Congenital absence of the facial nerves?
Möbius syndrome
Superior temporal gyri are associated in the processing of?
Complex auditory information
Hormone/metabolic ELEVATIONS in anorexia?
#Elevated BUN #Elevated cortisol #Elevated growth hormone
Specific Treatment of choice for panic disorder?
Fluoxetine
Hormone test for major depression?
Dexamethasone suppression test (blunted response)
Agoraphobia versus avoidant personality?
Fear of panic symptoms and public versus distressing fear of social rejection
Patient with lacunar stroke – finding on imaging?
Hypointensities in subcortical areas
Alcoholic – elevated labs?
#GGT #uric acid #Serum triglycerides
Acute dress disorder versus PTSD?
Under four weeks versus over four weeks
Lifetime incidence of suicide in patients with schizophrenia?
10%
