Psychiatric Signs and Symptoms

Question 1

it means there is an impaired reality testing, detached to reality and disorder of thought

Answer 1

Psychosis

Question 2

T/F

Psychosis is a Symptom not an illness

Answer 2

True

Question 3

What are the 5 criteria of Psychosis and explain

Answer 3

1. Hallucination (false perception)
2. Delusions (false beliefs)
3. Disorganized behavior (aggressive, unruly, unkempt)
4. Disorganized Speech (no speech clarity or no words)
5. Negative Symptoms (something should be present but is absent)

Question 4

shows no emotion, poker face

Answer 4

flat affect

Question 5

lack of motivation

Answer 5

avolition

Question 6

inability to experience pleasure

Answer 6

anhedonia

Question 7

poverty of speech

Answer 7

Alogia

Question 8

lack of ability to socialize

Answer 8

asocial

Question 9

what are the 3 perceptual disturbances and explain

Answer 9

1. Hallucination - false perception without stimuli
2. Illusions - false perception WITH stimuli (e.g. mic as bomb)
3. Hallucinatory Gestures- actions that points out hallucination even if patient denies (talks to self)

Question 10

What are the 4 Thought content Disorders, explain

Answer 10

(laman ng isip)

1. Delusions-false beliefs
2. Preoccupations- religious or sexual themes, always occupying the person’s thought, too engrossed)
3. Obsessions- repetitive and specific intrusive thoughts
4. Ideations- ideas that they always think of (SHEA)

Question 11

What is the most common Ideations

Answer 11

Suicidal

Question 12

Type of delusion that cannot happen in real life

Answer 12

Bizarre

Question 13

What are the 2 Thought Process Disorders and explain

Answer 13

1. Tangentiality- most common wherein there is no connection in answers of cx
2. Looseness of Association (LOA)- moves from one point to another, and contain unnecessary details

Question 14

Type of Schizophrenia:
time frame 1 day to 1 month
not usually associated with negative sx, associated with stressor

Answer 14

Brief Psychotic Disorder

Question 15

Type of Schizophrenia:

time frame 1-6 months

Answer 15

Schizophreniform

Question 16

Type of Schizophrenia: time frame more than 6 months with active symptoms

Answer 16

Schizophrenia

Question 17

type of Psychotic Disorder where there is presence of psychotic sx and develops a major mood episode

Answer 17

Schizoaffective Disorder

Question 18

T/F

in schizoaffective Mood episodes develop first before psychosis

Answer 18

False

Question 19

Most common type of condition that later on results to psychosis

Answer 19

Systemic lupus Erythematosus (SLE)

Question 20

Time frame for Major Depressive Disorder and how many symptoms at least should be present

Answer 20

at least 2 weeks; 5/9 sx with at least 1 core sx

Question 21

2 more symptoms of MDD

Answer 21

Depressed mood and anhedonia

Question 22

3 psychological sx of MDD

Answer 22

Suicidality
Feeling of worthlessness or inappropriate guilt
Difficulty concentrating

Question 23

4 somatic sx of MDD

Answer 23

disturbance in appetite
disturbance in sleep
psychomotor agitation/retardation
fatigue

Question 24

Mood disorder where there is presence of
(+) manic episode and
(+/-) depressive episode

Answer 24

Bipolar 1 Disorder

Question 25

time frame for manic episode and depressive episode

Answer 25

1 week, 2 weeks

Question 26

Enumerate 7 manic symptoms

Answer 26

1. inflated self esteem/grandiosity 2. decreased need for sleep 3. more talkative/pressure of speech 4. Flight of ideas 5. Distractibility 6. increase in goal-directed activity/psychomotor agitation 7. excessive involvement in activities that have high potential for painful consequences

Question 27

mood disorder where there is: (+) hypomanic episode and (+) depressive episode

Answer 27

Bipolar 2 Disorder

Question 28

time frame for hypomanic episode in BPD 2

Answer 28

4 consecutive days

Question 29

Which among the bipolar disorders is less severe

Answer 29

Bipolar II Disorder

Question 30

A thought content disorder where client has false beliefs

Answer 30

Delusions

Question 31

delusions that can happen in extreme reality but simply not true

Answer 31

Non-bizarre

Question 32

a thought process disorder where patient's answer only partially connected with question, involves irrelevant details

Answer 32

Circumstantiality

Question 33

Thought process disorder where pt has a lot of ideas but coming out of mind too fast for completion

Answer 33

Flight of ideas

Question 34

Thought process disorder where cooperative patient does not answer particular questions

Answer 34

thought blocking

Question 35

speech-related disorder where there is restriction in the amount of speech used; monosyllabic (either yes/no only)

Answer 35

Poverty of speech/Laconic speech

Question 36

speech disorder there pt conveys little info (too vague, empty)

Answer 36

Poverty of content of speech

Question 37

speech disorder where there is increase in amount speech, rapid/ too loud

Answer 37

Pressured speech

Question 38

results to response to a threat that is unknown

Answer 38

Anxiety

Question 39

results to response to a known threat

Answer 39

Fear

Question 40

T/F | panic attack is a diagnosis

Answer 40

false | it is a criterion

Question 41

fear in enclosed spaces

Answer 41

Agoraphobia

Question 42

it is a spontaneous episode of severe anxiety characterized by a combination of psychological sx and physiological sx.

Answer 42

Panic attack

Question 43

stress-related disorder with time frame of 3 days to 1 month

Answer 43

Acute Stress Disorder

Question 44

stress-related disorder with time frame of more than 1 month

Answer 44

Post-traumatic Stress Disorder

Question 45

It refers to the development of an out of proportion emotion or behavioral symptoms in response to an identifiable stressor

Answer 45

Adjustment Disorder

Question 46

Time frame for Adjustment Disorder

Answer 46

within 3 months of onset

Question 47

where pt is under influence of the substance

Answer 47

intoxication

Question 48

pt suddenly stops use of substance and results to ____

Answer 48

withdrawal

Question 49

t/f | Anxiety is a response to a known threat while fear is a response to an unknown threat.

Answer 49

false

Question 50

t/f Psychosis is never a normal response to any stressor. Regardless of trigger, a patient presenting with psychosis receives a diagnosis falling under the psychosis category.

Answer 50

true

Question 51

These are false perceptual experiences that arise without a stimuli.

Answer 51

Hallucinations

Question 52

correct sequencing of psychotic disorders according to increasing minimum duration of persistent signs of disturbance as established by their DSM-V diagnostic criteria?

Answer 52

brief psychotic disorder – schizophreniform – schizophrenia

Question 53

Anita, a 85-year old patient, is currently experiencing severe cognitive decline as reported by her daughters. One time, she was found sleeping on the floor of their terrace because she forgot her way to her bedroom. She also often forgets the name of her daughters. What is her most probable diagnosis?

Answer 53

Major neurocognitive disorder

Question 54

t/f | A manic episode may occur concurrent with psychosis

Answer 54

true

Question 55

t/f | If the psychosis occurred first, the diagnosis given is schizophreniform disorder.

Answer 55

false

Question 56

This refers to the abrupt cessation of a drug that has been used for a prolonged period and in heavy amounts.

Answer 56

Substance withdrawal

Question 57

Patient has a lot of ideas which are connected to each other but are coming in and out of his/her mind too fast for completion. This psychiatric symptom is known as:

Answer 57

Flight of ideas

Question 58

An individual alternately exhibits laughter and crying throughout a treatment session. This behavior should be documented as:

Answer 58

Emotional lability