Psychiatry (intro

Question 1

what is psychiatry

Answer 1

Medical speciality concerned with the recognition and treatment of disorders of the mind

Question 2

anxiety disorders

Answer 2

pathological when energy reserved for action becomes too intense, frequent of persistent therefore interferes with functioning of the invidual

Question 3

symptoms of anxiety

Answer 3

Psychological 
-	sense of dread
-	irritability 
-	fear of loss of control
-	avoidance 
-	panic
Physical
-	palpitations
-	shortness of breath
-	chest pains
-	butterflies
-	sweating 
-	dry mouth 
-	nausea

Question 4

phobic disorder types

Answer 4

1) simple phobias
- specific animal phobias
2) social phobia
3) agoraphobia

Question 5

presentations of phobic disorders

Answer 5

• delayed presentation
• looking anxious
• cancel appts at short notice/fail to attend

Question 6

body dysmorphic disorder

Answer 6

• the affected person is excessively concerned about a perceived defect in his or her physical features

Question 7

hypochrondriasis

Answer 7

Abnormal preoccupation about the presence of an underlying serious physical disease
e.g. they think dry mouth is proof of oral cancer

Question 8

somatoform pain

Answer 8

psychological rather than organic/physical

Question 9

characteristics of somatoform pain

Answer 9

• Inconsistent with anatomical landmarks
• May be continuous and bilateral
• May prevent sleep but does not wake patient
• Repeated negative investigations
• Analgesia ineffective

Question 10

affective disorders

Answer 10

Extremes of mood with associated symptoms and impaired function can be delineated into illness

e.g. unipolar/bipolar affecive disorder

Question 11

depression

Answer 11

depressed mood 2 wks or more

Question 12

mania

Answer 12

elated or irritable mood for more than 1 week

Question 13

mania symptoms/signs

Answer 13

• Over-activity
• Disinhibition
• Risk taking activity
• Distractibility
• Reduced need for sleep
• Inflated self esteem
• Rapid, loud speech

Question 14

schizophrenia and symptoms

Answer 14

• Abnormal thoughts and experiences

Positive symptoms of schizophrenia

• Delusions
• Hallucinations
• Passivity Phenomena
• Thought disorder

Negative symptoms of schizophrenia

• Social withdrawal
• Emotional blunting
• Apathy: A lack of drive, motivation and volition

Question 15

eating disrodser examples

Answer 15

anorexia nervosa

bulimia nervosa

Question 16

anorexia nervosa

Answer 16

• Body weight <15% expected

- BMI <17.5

Question 17

personality disorder definition

Answer 17

severe disturbance in the characterological constitution and behavioural tendencies of the individual

Question 18

dementia

Answer 18

acquired impairment of cognitive function which is progressive and irreversible

Question 19

delirium

Answer 19

A reversible state characterised by:

• Impairment of consciousness
• Disturbed attention
• Perceptual abnormalities
• Emotional disturbances
• Disturbed sleep wake cycle
• Fast onset