Psychiatric Interviewing

Question 1

What are loose associations?

Answer 1

sequences of ideas that aren’t related to each other. may be totally nonsensical

Question 2

What is circumstntial thought process?

Answer 2

responses to interviewer’s questions drift away with unnecedssary details but eventually return to the topic. common in many people.

Question 3

What is thought blocking?

Answer 3

speech interrupted for several seconds. unanticipated complete emptying of the mind. implies psychosis- so careful about when you use it. may be brought on by discussions of emotionally charged topics.

Question 4

flight of ideas

Answer 4

rapid fire speech with topic swithes that may be logically connected but so rapid that it is hard/impossible to keep up
typical of mania

Question 5

In what diseases are auditory hallucinations most common? What about visual hallucinations?

Answer 5

auditory common with psychophrenia

visual common with psychosis

Question 6

What is dissociation?

Answer 6

alterned state of consiousness where there is detachment from a particular aspect of awareness such as emotions, body, memory, or self

Question 7

What is delusion?

Answer 7

fixed false belief that is not shared with anyone. may be bizarre or non-bizarre. often paranoid, grandiose, somatic, or ideas of reference (taking cues from the environment personally)
person doesn’t think these thoughts are irrational.

Question 8

What is rumination?

Answer 8

repetitive, internal focus on negative thoughts,

these thoughts aren’t intrusive

Question 9

What is obsession?

Answer 9

intrusive irrational and unwanted thoughts that are relieved by compulsions.

Question 10

What is the difference between an impulse and a compulsion?

Answer 10

compulsions relieve obsession

impulses are enjoyed behaviors

Question 11

What is sterotypy?

Answer 11

complex repetitive movement (hand flapping, rocking) that comforts the patient and is used to self-soothe. often seen in autism

Question 12

What is catatonia?

Answer 12

robot behaviors associated with extreme anxiety. ay be catalepsy (wavy flexibility), posturing, resistance fo movement, mutism, echolalia (repeating what someone says) or echopraxia (repeating what someone does)

Question 13

What is level of evidence?

Answer 13

validity of an individual study based on an assesment of its study design

Question 14

What are the levels of evidence?

Answer 14

1,2,3. 1: validated decision rules, systemic review or meta anayslsis, high quality RCT
2: unvalidated decision rules, systemic reveiw or meta analysis with mixed findings, cohorts, case controls
Level 3: consensus guidelines, extrapolations from bench research

Question 15

What does the strength of recommendation describe?

Answer 15

evaluates a body of evidence addressing a specific practice vial level of evidence of individual studies, number of studies, consistency and coherence of evidence, and relationships between benefits, harms and costs

Question 16

What are characteristics of secondary point of care resources? Examples?

Answer 16

Good for answering clinical questions
use level of evidence to make recommendations
are transparent about how they gather evidence, how they choose which evidence to include or exclude, and any conflicts of interest.
Examples include National Guidelines Clearinghouse and Cochrane Library

Question 17

What are foraging tools? Examples?

Answer 17

tools used to keep up with the literature.
info filtered for validity and relevence
ex. Daily POEMs

Question 18

STEPS of drug usefulness

Answer 18

safety, tolerability, effectiveness, price, simplicity

Question 19

What are strengths and weaknesses of Access Medicine?

Answer 19

source of online textbooks. Thus, may be outdated. But, does have video and audio content.

Question 20

What should be my first source for patient education content? Disadvantages of this source?

Answer 20

MD consult. Info in both Spanish and English.

similar to Up-To-Date in terms of content but less user friendly

Question 21

What are some pros and cons of Up-To-Date?

Answer 21

pros: user friendly
cons: sometimes not very up-to-date (updated every 4 months). Written by individual authors and partially subsidized by industry. May not be the best source for diagrams or visuals

Question 22

What are pros and cons of Essential Evidence Plus?

Answer 22

direct feed from cochrane and POEMS etc. But, less user friendly and may be difficult to find answers to specific questions.

Question 23

What is clinical evidence?

Answer 23

free souce that provides systematic reviews of important clinical conditions

Question 24

How do you convert from lbs to kg?

Answer 24

DIVIDE BY 2.2