Mehl. delusional + NBME 10 8Q. Flashcards

1
Q

Definition of delusional?

A

Usually one, fixed, non-bizarre delusion, without other signs of psychosis or mood disorder.

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2
Q

Usually one, fixed, non-bizarre delusion, without other signs of psychosis or mood disorder. Dx?

A

delusional disorder

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3
Q

By non-bizarre, as discussed earlier, this refers to potentially plausible scenarios (e.g., people at work are stealing from or trying to undermine you) that are not true, whereas bizarre on USMLE is anything that involves aliens, demons, the heavens, the lord, etc.

A

.

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4
Q

The person’s behavior and thinking, apart from the delusion itself, what is?

A

tend to be normal.

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5
Q

The difference between delusional disorder and paranoid personality disorder is that???

A

PPD impacts many areas of life and can involve many people. There is no specific delusion / false belief.

DD, in contrast, tends to be more narrowly focused on one area of life, such as just believing coworkers are stealing, but apart from this, there are no problems outside of work.

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6
Q

Delusional. Tx? 4

A

Tx = CBT,
anti-psychotics (e.g., risperidone),
mood-stabilizers (lithium),
and/or anti-depressants (SSRIs).

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7
Q

NBME 10 8Q. Buvo case kad worms under skin, tai turejo nbme pavadinima Delusional parasitosis .

A

.

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8
Q

NBME 10 8Q. Delusional. typical Tx?

A

antipsychotic medication and psychotherapy

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9
Q

NBME 10 8Q. kiti ats.
Discrete episodes of depression and mania, which can sometimes be accompanied by psychotic symptoms such as hallucinations and delusions. Dx?

A

Bipolar disorder

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10
Q

NBME 10 8Q. kiti ats.
anxiety + excessive and difficult to control worrying, hyperactivity, disordered sleep, fatigue, and trouble relaxing for at least 6 months. Dx?

A

Generalized anxiety disorder

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11
Q

NBME 10 8Q. kiti ats.
2 or more weeks of depressive symptoms and psychotic symptoms that occur concurrently. The psychotic symptoms are typically mood congruent (eg, delusions of guilt) and can be conceptualized as secondary to depression. Dx?

A

Major depressive disorder with psychotic features

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12
Q

NBME 10 8Q. kiti ats.
chronic psychotic disorder characterized by delusions, hallucinations, disorganized speech, disorganized behavior, and negative symptoms (eg, alogia, apathy, flattened affect). Dx?

A

Schizophrenia

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