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Phase 3a > Psychiatry > Flashcards

Psychiatry Flashcards

1
Q

What is an illusion?

A

The mis-interpretation of a stimulus that exists in real life

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2
Q

What is a Hallucination?

A

A perception of a stimulus when there is no stimulus

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3
Q

What are the types of auditory Hallucinations?

A

2nd person where they are talking to the person hallucinating
3rd person where they are talking about the person

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4
Q

What are pseudo-hallucinations?

A

They are hallucinations that are recognised by the person eperiencing them as not real

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5
Q

What is an overvalued idea?

A

A single belief that is held even with evidence to the contrary but not as strongly as a delusion. It is taking over the person’s life

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6
Q

What is a delusion?

A

A belief that is objectively not true to others and not held by most in a community. The person cannot be convinced otherwise

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7
Q

What is a delusional perception?

A

When a true stimulus or belief is interpreted incorrectly by a person

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8
Q

What is a delusion of reference?

A

When a person interprets events as being personally significant

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9
Q

What is concrete thinking?

A

Thinking that is based on what you can see hear and feel around you

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10
Q

What is Loosening of association?

A

When a person talks about seemingly random topics with very little connection between them

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11
Q

What is circumstantiality?

A

When a patient answers your questions but mentions many other details before getting to that point

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12
Q

What is perseveration?

A

When someone is stuck on a particular topic and they cannot move on from it

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13
Q

What is cofabulation?

A

When someone recounts things that happened which are fabricated lies but they are not purposefully doing so

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14
Q

What is somativ passivity?

A

Experiencign somatic sensations that are imposed on a person by someone else.

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15
Q

What is pressure of speech?

A

When a person feels the need to fill time with talking and it is hard to interrupt them

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16
Q

What is anhedoinia?

A

The inability to enjoy things

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17
Q

What is incongruity of affect?

A

When a person’s percieved mood is different to their reported mood. mood and affect are different

18
Q

What is blunting of affect?

A

Difficulty expressing how they feel and reduction in facial expression, gestures etc

19
Q

What is Belle indifference?

A

When there is very little response to having a serious mental illess

20
Q

What is depersonalisation?

A

Depersonalisation is when you feel outside yourself and a though you are not yourself.

21
Q

What is thought alientation?

A

It is when you believe that your thoughts are not in your control it includes broadcasting, insertion and withdrawl

22
Q

What is thought insertion?

A

When a patient believes that their thought are being put into their head by another person or external force

23
Q

WhWhat is thought broadcast?

A

When someone believes that their thoughts can be heard by others

24
Q

What is thought Echo?

A

When someone believes that their thoughts are being read aloud

25
Q

What is thought block?

A

When someone is talking and suddenly they stop talking because their thoughts stop

26
Q

What is Akathesia?

A

It is a restlessness that is felt by a patient internally often casued as a result of antipsychotic use

27
Q

What is clouding of consciousness?

A

When someone is still consioud bit it is reduced eg they may be less alert or responsive

28
Q

What is catatonia?

A

abnormality of movement and behaviour arising from a disturbed mental state (typically schizophrenia). It may involve repetitive or purposeless overactivity, or catalepsy, resistance to passive movement, and negativism.

29
Q

What is psychomotor retardation?

A

Reduction in tone rate of speech as well as movement as a result of a depressive illness

30
Q

What is flight of ideas?

A

When a patient cannot stop taking and moving from one idea to another

31
Q

What is derealisation?

A

feel that the world around you is unreal or that things that are happening are not really happening

32
Q

What is a formal thought disorder?

A

When a person is unable to express their thoughts in a coherent manner and the thoughts are not coherent

33
Q

What are first rank symptoms of schizophrenia?

A

Thought Echo, Thought insertion of withdrawal, Thought broadcasting, 3rd Person auditory hallucinations, Delusional perception, Passivity and somatic passivity

34
Q

What are the types of schizophrenia in ICD10?

A

Paranoid, Hebphrenic, catatonic, undifferentiated,residual and mixed

35
Q

What are the negative symptoms of schizophrenia?

A

Blunted affect Apathy, Social isolation, Poverty of speech, Poor self-care

36
Q

What are the positive symptoms of schizophrenia?

A

Thought echo (hearing your own thoughts out loud), Thought insertion or withdrawal, Thought broadcasting, 3rd person auditory hallucinations, Delusional perception , Passivity and somatic passivity, Odd behaviour, Thought disorder, Lack of insight

37
Q

What are the symptoms of neuroleptic malignant syndrome?

A

when a patient has hyperthermia, muscle rigidity altered mental status, dysautonomia and hypermetabolism with raised CK, as a result of treatment with dompamine antagonists and sometiems from abrupt withdrawal from them

38
Q

What is treatment of neuroleptic malignant syndrome?

A

Restart or stop antipsychotic depending on what preciptiated the NMS and supportive care with temp reductions and treatmetn or Rhabdomyalysis if present

39
Q

What are the symptoms of serotonin syndrome?

A

Neuromuscular excitation, autonomic effects, and altered mental status. Clinical diagnosis

40
Q

What causes serotonin syndrome?

A

Clinical manifestation of ecxess serotonin in the CNS resulting from theraputiv use or overdose of seratonergic drugs ect SSRI

Phase 3a (9 decks)

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