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Module 4: Neuro > Psychology > Flashcards

Psychology Flashcards

1
Q

What are somatoform disorders?

A

Group of conditions characterized by physical symptoms that defy medical investigation.

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2
Q

What is somatization disorder?

A
  • Characterized by multiple somatic symptoms that are medically unexplained and are often presented dramatically
  • Begins at age <30
  • Must have at least 8 unexplained symptoms:
    4 pain
    2 GI
    1 sexual
    1 pseudoneurologica    l
  • Subconcious Disorder
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3
Q

What is undifferentaited somatoform disorder?

A

1 or more physical symptoms that last >=6 months

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4
Q

What is conversion disorder?

A

Involves symptoms that suggest a neurological or general medical conditions

  • Change or deficit in voluntary motor or sensory function
  • Females > Males
  • Unconctious Disorder
  • Precipitated by acute stressor
  • Chronic and fluctuating course
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5
Q

What is hypochondriasis?

A
  • Excessive preoccupation or worry about having a serious illness for >= 6months
  • Not delusional
  • Not related to appearance
  • Subconcious disorder
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6
Q

What is Body Dysmorphic Disorder?

A

Preoccupied with an imagined defect in appearance

  • Not delusional; patient is able to acknowledge concerns are exaggerated
  • Social phobia is often concurrent
  • Chronic, but fluctuates in severity and intensity
  • 20% suicide rate
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7
Q

What is factitious disorder?

A

Intentional production of physical or psychological symptoms

  • No obvious external incentive for behavior
  • Thought to be motivated by an unconcious desire to occupy the sick role
  • Atypical or grossy exacerbated presentation of illness
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8
Q

What is Factitious disorder by Proxy?

A

Intentionally inducing or simulating patients on another person in order to get the medical treatment

Example: Munchausen syndrome by proxy where parents induce illness on child for repeated hospitalizations

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9
Q

What is malingering?

A

Intentional production of false or grossly exaggerated physical or psychological symptoms motivated by external incentives

  • Concious
  • Used to try and evade an unwanted situation
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10
Q

During a psychiatric history what are the uses of questionaires and surveys?

A

Opportunity for direct patient input

Symptom tracking

Not for diagnostic use!

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11
Q

What is the objective component of the psychiatric H and P?

A

Mental status exam

(be the tool)

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12
Q

What are the components to the mental status exam?

A

Appearance

Attitude

Behavior

Mood

Affect

Thought Process

Thought Content

Sensorium

Memory

Calculations

Abstract reasoning

Fund of knowledge

Insight

Intelligence

Judgement

Impulse control

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13
Q

What is assessed as thought content?

A

Suicidal/Homicidal Ideatons
Preoccupatons
Perceptons
Delusions

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14
Q

Name 4 preoccupations:

A

Phobias

Obsessions

Compulsions

Hypochondriasis

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15
Q

What’s the difference between an illusion and a hallucination?

A

An illusion is a misperception of sensory stimuli while a hallucination is perception in the absence of sensory input

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16
Q

What is a delusion?

A

Fixed false belief

Does not have a basis in reality

Not part of religion or culture

Can not be talked out of belief

May be mood congruent or incongruent

17
Q

What are the 3 types of memory and how are they assessed?

A

Long term - facts of life

Recent - days events

Short term - 3 objects immediately/5 min

18
Q

What are the 5 DSM-!V Axes?

A

Axis I - Clinical Disorders

Axis II - Personality Disorders, Mental Retardation

Axis III - General Medical Conditions

Axis IV - Psychosocial and Environmental Problems

Axis V - Global Assessment of Functioning

19
Q

What are the 4-P’s of the bio-psycho-social model?

A

Predisposing factors

Protective

Precipitating

Perpetuating

20
Q

What are the two types of mood disorders?

A

Bipolar disorders

Depressive disorders

21
Q

What are the 4 types of bipolar disorders?

A

Bipolar I

Bipolar II

Cyclothalmic disorder

Bipolar disorder - NOS

22
Q

What proportion of bipolar patients don’t take their medications?

Why?

A

40-45%

positive aspects of manic states

Living alone

Side effects

Denial/lack of insight

Substance abuse

Personality disorder

23
Q

What are the types of depressive disorders?

A

Major depressive disorder (MDD)

Dysthymic disorder

Deprssive disorder - NOS

24
Q

What’s the difference between bipolar I and bipolar II?

A

Bipolar I is at least one episode of mania but can be many as long as the patient’s interepisode functioning is normal.

Bipolar II breeds true in families and is characterized by hypomanic eipsodes between manic and depressive poles. Higher comorbidity with other disorders like substance abuse and tend to experience more depressive symptoms.

25
Q

What is a manic episode?

A

distinct period of abnormally and persistently elevated, expansive, or irritable mood, lasting at least 1 week or requiring hospitalization.

26
Q

What are the 7 symptoms of mania?

A

inflated self esteem or grandiosity

decreased need for sleep

talkative

Flight of ideas

distractibility

increase in goal-directed activity

excessie involvement in pleasurable activities with a high potential for painful consequences (shopping, sex, investments, gambling)

27
Q

What are the symptoms of major depression?

A

“Depression Is Worth Studiously Memorizing Extremely Grueling Criteria. Sorry.”

Depressed Mood
Interest
Weight
Sleep
Motor activity
Energy
Guilt
Concentration
Suicide

SIG E CAPS

Sleep
Interest
Guilt
Energy
Concentration
Appetite
Psychomotor
Suicide

28
Q

What is cyclothymia?

A

least severe form of bipolar disorder characterized by swings from hypomania to depression but remains socially and professionally functional

Module 4: Neuro (17 decks)

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