Psychology - Neurological presentations of psychiatric illness Flashcards

1
Q

9
involuntary disruption in the normal integration of motor, sensory or cognitive functions lasting several hours , with clinical findings not consistent with a recognised disease of the nervous system and no other cause (substance misuse etc)

a.functional neurological disorder
b.sudep
c.hypochondrical disorder
d. neurasthenia
e.factitious disorder

A

a.functional neurological disorder

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2
Q

onset of which condition is associated with a traumatic or adverse life event

a.functional neurological disorder
b.sudep
c.hypochondrical disorder
d. neurasthenia
e.factitious disorder

A

a.functional neurological disorder

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3
Q

risk factors for which condition include prior physical injury and history of childhood abuse or neglect

a.functional neurological disorder
b.sudep
c.hypochondrical disorder
d. neurasthenia
e.factitious disorder

A

a.functional neurological disorder

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4
Q

visual disturbance, auditory disturbance, dizziness, non epileptic seizures , movement disorder and cognitive symptoms preceeded by a traumatic event with preceeding childhood abuse indicates what

a.functional neurological disorder
b.sudep
c.hypochondrical disorder
d. neurasthenia
e.factitious disorder

A

a.functional neurological disorder

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5
Q

monosymptomatic functional neurological disorder starting young with acute onset and a clearly identifiable stressor has a ………. prognosis

a.good
b.poor

A

a.good

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6
Q

functional neurological disorder preenting with monosympatomatic paralysis, blindness or deafness has a ………… prognosis

a.good
b.bad

A

a.good

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7
Q

polysmptomatic functional neurological disorder presenting with tremor or non epileptic seizures with comorbid anxiety/depression and a history of sexual abuse has a ………. prognosis

a.good
b.poor

A

b.poor

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8
Q

which symptoms of neurological functional disorder are associated with a poor prognosis

a.blindness, deafness, paralysis

b.tremor, non epileptic seizures

A

b.tremor, non epileptic seizures

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9
Q

the majority of people with functional neurological disorder are…

a.male
b.female

A

b.female

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10
Q

in FND traumatic life events are likely to be ……………. onset

a.closer to
b.further from

A

a.closer to

temporally related

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11
Q

what are the most common preceding traumatic events in FND

a.family / relationship
b. criminal
c. financial

A

a.family / relationship

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12
Q

history of abuse is associated with with…………. onset of functional neurological disorder

a.early
b.late

A

a.early

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13
Q

acute memory loss following a traumatic or highly stressful event is known as

a.retrospective amnesia
b. anterograde amnesia
c. transient global amnesia
d.dissociative amnesia

A

d.dissociative amnesia

onset may occur immediately after or after a significant delay
interval and duration of episodes vary
ptsd may develop following regained memories

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14
Q

what may develop following memories being regained in dissociative amnesia

a. depression
b.anxiety
c.ptsd
d. functional neurological disorder

A

c.ptsd

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15
Q

in which age group is dissociative amnesia most commonly diagnosed

a. 10-20
b. 20-40
c. 40-60
d.70+

A

b. 20-40

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16
Q

persistent preoccupation or fear about the possibility of having one or more serious, progressive or life threatening illness

a.functional neurological disorder
b.sudep
c.hypochondrical disorder
d. neurasthenia
e.factitious disorder

A

c.hypochondrical disorder

repetitive and excessive health related behaviours such as repeated body checking, large amounts of time researching, and repeatedly seeking reassurance
often catastrophic misinterprations of bodily signs or symptoms

17
Q

hypochondrial disorder often overlaps with which other condisitions

a.functional neurological disorder
b.dissociative amnesia
c. anxiety and OCD
D. depression

A

c. anxiety and OCD

18
Q

persistent and distressing complaints of feelings of exhaustion after minor mental effort eg performing every day tasks

or persistent and distressing complaints of fatigue and bodily weakness after minor physical effort

describes which condition

a.functional neurological disorder
b.sudep
c.hypochondrical disorder
d. neurasthenia
e.factitious disorder

A

d. neurasthenia

19
Q

in neurasthenia fatigue/ weakness after minor mental tasks or minor physical effort plus which emotion and one of muscle aches, dizziness . tension headache, sleep disturbance and inability to relax with inability to recover by normal periods of rest for more than 6 months

a.irritability
b.anxiety
c,stress
d. euphoria

A

a.irritability

20
Q

a group of chronic diagnoses such as ibs, chronic fatigue syndrome, fibromyalgia, with no identifiable organic cause is known as

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

A

f. functional somatic syndromes

21
Q

childhood adversity, childhood experience of parental ill health , personality disorders and stressful life events can preceed which condition

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

A

f. functional somatic syndromes

22
Q

treatment of FSS

A

organ specific interventions

cognitive interpersonal approach

physcial therapy

23
Q

what is given for CFS, fibromyalgia and back pain

a.organ specific treatment
b.cognitive interpersonal approach
c. physical therapy
d.antidepressants

A

c. physical therapy

24
Q

what is given for IBS and fibromyalgia

a.organ specific treatment
b.cognitive interpersonal approach
c. physical therapy
d.antidepressants

A

d.antidepressants

25
Q

feigning, falsifying or intentionally inducing medical, psychological or behavioural signs and symptoms or injury associated with identified deception

the individual seeks treatment or presents themselves as impaired based on the feigned symptoms

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

A

e.factitious disorder

26
Q

somebody fabricates or induces symptoms of illness in themselves

A

munchausens