Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

4 Finals > Psychiatry > Flashcards

Psychiatry Flashcards

You may prefer our related Brainscape-certified flashcards:
WSET ® Level 4 D2 Business of Wine flashcards
1
Q

In an MSE what is assessed for in appearance?

A 
age
physique/build
dress/evidence of self neglect
effort with appearance
tattoos
signs of physical ill health
posture
physical expression
physical features of alcoholism or drug abuse
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

In an MSE what is assessed for in behaviour?

A

what is the pt doing and is it appropriate
psychomotor agitation/retardation
eye contact
attitude/rapport

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

In an MSE what is assessed for in speech?

A 
form of speech
pressure or poverty of speech
spontaneous speech
latency
rate
volume
tone
articulation
sudden silences
accent
vocabulary
abnormalities of articulation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

In an MSE what is assessed for in mood?

A

objective and subjective description of mood
neutral, euthymic, dysphoric, euphoric, anxious, angry, apathetic, irritable
rating of mood on a scale

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

In an MSE what is assessed for in affect?

A

congruent/incongruent
intensity - normal, blunted, exaggerated, flat, heightened
extent to which affect changes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

In an MSE what is assessed for in suicidality?

A

suicidal ideation
thoughts of life not worth living
thoughts of wanting to self-harm, methods, plans

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

In an MSE what is assessed for in thought?

A 
form
tempo
flight of ideas
poverty of thought
formal thought disorder
thought blocking
loosening of associations
knights move thinking
tangential thinking
circumstantiality
neologisms
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is knights move thinking?

A

Jumping from topic to topic with no connections between them

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is a formal thought disorder?

A

a disturbance in organisation, control and processing of thoughts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is tangential thinking?

A

Wandering from the topic and never providing the information asked for

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is Circumstantiality?

A

Inability to answer a question without providing an excessive amount of detail.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

In an MSE what is assessed for in thought content?

A

preoccupations
overvalued idea
delusional ideation
delusions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

In an MSE what is assessed for in perception?

A

derealisation/depersonalisation
illusions
hallucinations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What should be assessed for in auditory hallucinations?

A 
Interna; vs external space
open to conscious manipulation
2nd or 3rd person
number of voices
gender
content
running commentary
thoughts spoken 
commanding voices
compelled to act on them
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

In an MSE what is assessed for in cognition?

A 
attention and concentration
orientation
memory
calculation
language
visuospatial functioning
executive functioning
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

In an MSE what is assessed for in insight?

A

Awareness of symptoms
Attribution of symptoms to a mental disorder
Appraisal and analysis of consequences of such symptoms
Acceptance of treatment

17
Q

In depression what can the MSE show about a persons’ appearance and behaviour?

A 
reduced facial expression
brow classically 'furrowed'
reduced eye contact
limited gesturing
rapport often difficult to establish
18
Q

In depression what can the MSE show about a persons’ speech?

A

reduced rate, volume and innotation
lowered pitch
increased speech latencies
limited content

19
Q

In depression what can the MSE show about a persons’ mood?

A

low, miserable, unhappy, sad
can be described as flat
often empty

20
Q

In depression what can the MSE show about a persons’ affect?

A

depressed
reduced range
limited reactivity

21
Q

In depression what can the MSE show about a persons’ thought?

A

form typically normal
flow - slow, pondering, can almost be absent
content - negative, self-accusatory, failure, guilt, low self-esteem, pessimism
delusions can occur
paranoia - increased sensitivity to the criticisms of others

22
Q

In depression what can the MSE show about a persons’ perception?

A

hallucinations - almost always auditory, 2nd person and derogatory, typically reflecting negative and depressive themes

23
Q

In depression what can the MSE show about a persons’ cognition?

A

slow - poor memory
‘psuedo-dementia’
typical deficits in working memory, attention and planning

24
Q

In depression what can the MSE show about a persons’ insight?

A

typically preserved

attribution however can often be affected

25
Q

How is depression diagnosed?

A 
last at least 2 weeks
no hypomanic or manic symptoms
2 of 
- depressed mood
- loss of pleasure or interest
- decreased energy
26
Q

What are the additional symptoms (non core) in depression?

A 
loss of confidence
unreasonable feelings of guilt
any suicidal thoughts/behaviour
diminished ability to think/concentrate
any agitation or retardation
sleep disturbance
change in appetite
27
Q

What is mild depression?

A

2/3 main symptoms + additional symptoms to make 4

28
Q

What is moderate depression?

A

2/3 main symptoms + additional symptoms to make 6

29
Q

What is severe depression?

A

3/3 main symptoms + additional symptoms to make 8

30
Q

What is somatic syndrome?

A

4 of the following:

  • loss of interest or pleasure
  • lack of emotional reactions
  • early waking
  • psychomotor retardation/agitation
  • loss of appetite
  • weight loss
  • marked loss of libido
31
Q

What is atypical depression?

A 
Mood is reactive
2 or more of:
- weight gain or increased appetite
- hypersomnia
- leaden paralysis
- longstanding personal rejection
32
Q

What is psychotic depression?

A

Occasional paranois, typically mood-congruent or hypochondrial
Cotard’s syndrome with nihilistic delusions

33
Q

What is a hypomanic episode?

A

Mood elevated or irritable more than normal for individual for at least 4 days and 3 of the following must be present:

  • increased activity/restlessness
  • increased talkativeness
  • difficulty concentration/distractability
  • decreased need for sleep
  • increased sexual energy
  • mild spending sprees or other types of reckless or irresponsible behaviour
34
Q

What is a manic episode?

A

Mood predominantly elevated, expansive or irritable
Mood sustained for at least 1 week
At least 3 of following:
- increased activity or physical restlessness
- increased talkativeness
- flight of ideas
- loss of normal social inhibitions
- decreased need for sleep
- distractability or constant changes in activity or plans
- foolhardy or reckless behaviour
- marked sexual energy

35
Q

What is mania with psychotic symptoms?

A

Mania with delusions or hallucinations are present - grandiose, self-referential, erotic or persecutory.

36
Q

What is the lifetime prevalence of BPD?

A

1-4%

4 Finals (20 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions