Psychiatric H & P

Question 1

How well the thought goes from one to another - Association + Rate/ rhythm

Answer 1

Thought Form

Question 2

Too much detail and not getting to the point

Answer 2

Circumstantiality

Question 3

Thought Associated with the sound of the word instead of the meaning of the word

Answer 3

Clang Association

Question 4

words make sense but sentences do not

Answer 4

Derailment

Question 5

speaking rabidly with a lot of ideas

Answer 5

Flight of Ideas

Question 6

Invention of new word or using old phase in a new weird way

Answer 6

Neologism

Question 7

Repetition / Out of context

Answer 7

Perseveration

Question 8

Reply to general topic but not the actual question

Answer 8

Tangentiality

Question 9

sudden disruption of thought/ break in the flow of idea

Answer 9

Thought Blocking

Question 10

A 79-year-old woman is describing her headaches to her doctor. “They start in the morning. I’ll wake up at 6 or 6:30, and then by the time I have my coffee…well sometimes I’ll have tea. I like it with lemon and just a bit of sugar…or honey. I always take milk with coffee. And like I was saying, after coffee I may turn on the TV for a half hour or so. Well, unless there’s something really good. If I’m watching the news, I many not even notice the headache, but by lunch they are so bad I have to lie down”

Answer 10

Circumstantiality

Question 11

I watched TV but the newspaper didn’t come

Answer 11

Derailment

Question 12

A 31-year-old male in the manic phase of bipolar d/o was asked if he had any trouble sleeping. He replied, “I never have trouble sleeping. I never have trouble peeping. I never have trouble pooping.”

Answer 12

Clang Association

Question 13

A 37-yo-male who is in the middle of a manic episode is speaking with great rapidity: “I just got back from New York. Call it the Big Apple, but it’s rotten to the core. Nobody can take me. I could beat up my father. He was tough, a salesman. He sold his soul for a pig in a poke.”

Answer 13

Flight of Idea

Question 14

A 25-yo-male with dx of chronic undifferentiated schizophrenia described his activities during a pass from a psychiatric hospital: “We went to the park. It was hot, but not too hot. It was burging.”

Answer 14

Neologism

Question 15

A psychiatrist interviewing an 86-yo-female: “Do you know what day it is?”
Patient: “Yes, Tuesday”
Psychiatrist: “And, where are we now?”
Patient: “Tuesday”

Answer 15

Perseveration

Question 16

A 40-yo-male with depression being evaluated by a psychiatrist–
Psychiatrist: “Have you had trouble sleeping through the night?”
Patient: “I usually sleep in my bed but now I’m sleeping on the sofa.”

Answer 16

tangentiality

Question 17

Interview of a 55-y.o.-female
Psychiatrist: “Have you been drinking more than usual in the last couple of months?”
Patient: “ Not really. I’ve always been a pretty big drinker…could hold my liquor well.”
Psychiatrist: “How much would you drink on a normal day?”
Patient: ”Maybe a pint. Two pints sometimes…no (pause)”
Psychiatrist: “What?”
Patient: “I forgot. What were we talking about? What did you ask me?”

Answer 17

Thought Blocking

Question 18

A fixed, false belief not explained by the patient’s culture; you cannot shake that belief

Answer 18

Delusions

Question 19

False sensory perceptions. Hearing most commonly involved

Answer 19

Hallucination

Question 20

Fear that isn’t directed at or caused by something the patient can pinpoint

Answer 20

Anxiety

Question 21

Unreasonable, intense fear associated with a situation or object; Social phobia

Answer 21

phobia

Question 22

Dominating thought/belief/idea (commonly involve money, dirt, or time)

Answer 22

Obsession

Question 23

Acts performed repeatedly, often to combat and obsession: counting, heeding superstitions or following rituals

Answer 23

Compulsions

Question 24

type of hallucination that has the sensation of burning, itching, bug crawling under skin

Answer 24

Tactile Hallucination

Question 25

Proverbs, similarities and differences - relies on culture, inteligence and education

Answer 25

Abstract Thinking

Question 26

inability to remember even prior to injury

Answer 26

Retrograde Amnesia

Question 27

Inability to form new memories

Answer 27

Anterograde Amnesia