Psychology - Introduction to functional Neurological Disorder

Question 1

real and disabling symptoms not accounted for by diagnosable psychiatric conditions or hypochondriac

a.functional neurological disorder
b.sudep
c.hypochondrical disorder
d. malingering
e.factitious disorder
f. functional somatic syndromes

Answer 1

a.functional neurological disorder

Question 2

intentional and false with incentive such as avoidance (work or prosecution) , drugs or money or cost benefit analysis

a.functional neurological disorder
b.sudep
c.hypochondrical disorder
d. malingering
e.factitious disorder
f. functional somatic syndromes

Answer 2

d. malingering

Question 3

intentional and false but without an incentive, pathological need to be ‘sick’

a.functional neurological disorder
b.sudep
c.hypochondrical disorder
d. malingering
e.factitious disorder
f. functional somatic syndromes

Answer 3

e.factitious disorder

Question 4

hallmark features of functional neurological disorder

Answer 4

voluntary motor movement takes excessive effort

involuntary movements spared

inconsistency of symptoms eg . variable, shifting,positional, situational

incompatible with neurological disease/physiology
eg convulsive seizure with intact awareness and normal ecg. NORMAL INVESTIGATIONS

reversibility

Question 5

dsm-5 criteria for functional neurological syndrome

(4)

Answer 5

1.altered voluntary motor or sensory function

2. clinical findings provide evidence of incompatibility between symptoms and other recognised neurological /medical conditions

3.symptoms not better explained by another medical or mental disorder

4.the symptom causes clinically significant distress or impaired functioning

Question 6

hoovers sign

Answer 6

involuntary strength where weakness of hip extension returns to normal with contralateral hip flexion against resistance

HALLMARK inconcsitency of FND

Question 7

management of functional neurological disorder

Answer 7

diagnostic counselling

education

physical therapy

talking therapy

MDT

Question 8

what is the first line treatment for motor FND

a. diagnostic counselling

b. education

c. physical therapy

d.talking therapy

e. MDT

Answer 8

c. physical therapy

Question 9

what is the first line treatment for seizure FND

a. diagnostic counselling

b. education

c. physical therapy

d.talking therapy

e. MDT

Answer 9

d.talking therapy

Question 10

what is the first line treatment for polysymptomatic FND

a. diagnostic counselling

b. education

c. physical therapy

d.talking therapy

e. MDT

Answer 10

e. MDT