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Psychiatry > Psychosis > Flashcards

Psychosis Flashcards

1
Q

Psychosis is a diagnosis, true or false

A

False

it is an umbrella term of symptoms rather than a diagnosis

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2
Q

what is psychosis

A

mental disorder in which the thoughts, affective response or ability to recognise reality are impaired

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3
Q

what are classical characteristics of psychosis

A

hallucinations, delusions, formal thought disorder, lack of insight

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4
Q

what are some organic causes of psychosis

A

dementia
delirium
TIA/stroke

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5
Q

what are some causes of substance misuse induced psychosis

A

intoxication
withdrawal
delirium tremens

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6
Q

define psychosis

A

inability to distinguish between subjective internal experience and objective external reality characterised by lack of insight

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7
Q

list psychotic experiences

A 
Hallucinations 
Ideas of reference
Delusions 
Formal thought disorder
Thought interference
Passivity phenomena 
Loss of insight
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8
Q

what is a hallucination

A

perception without an external stimulus

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9
Q

hallucinations have the same qualities as a normal perception, true or false

A

true

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10
Q

can hallucinations occur in any sensory modality

A

yes

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11
Q

hallucinations are significant only in the context of other relevant symptoms, true or false

A

true

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12
Q

what are ideas of reference

A

incidental events that have significant meaning by the person
“secret messages” to the person

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13
Q

examples of ideas of reference

A

newspaper, tv, radio, other people’s conversations

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14
Q

what are self referential experiences

A

belief that external events are related to oneself

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15
Q

what is a delusion

A

fixed falsely held belief held with unshakeable conviction despite evidence to the contrary

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16
Q

primary vs secondary delusion

A 
primary = comes fully formed and explained
secondary = to explain other stuff going on eg auditory hallucination
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17
Q

give examples of types of delusions

A 
paranoia
persecutory 
jealousy
love
nihilism 
guilt
sin 
poverty 
health 
religion 
of reference
grandiosity
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18
Q

what is a persecutory delusion

A

being spied on to be harmed

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19
Q

what is a grandiose delusion

A

overinflated sense of worth

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20
Q

delusion of guilt

A

claim to have committed sin

self critical

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21
Q

delusion of nihilism

A

belief that you are dead, organs have perished etc

22
Q

what is an erotomanic/De Clerambault delusion

A

that someone famous is in love with you

23
Q

what is a jealousy/Othello delusion

A

that you have an unfaithful partner

24
Q

what makes a delusion abnormal/false

A

that they are culturally inappropriate to the individual

25
Q

thought disorders can be directly observed, true or false

A

false

must be inferred from pattern of speech

26
Q

what is a neologism

A

made up vocabulary that makes sense to the individual

27
Q

what is circumstantiality

A

speech digressing from main topic but eventually return to the main topic

28
Q

what is tangientiality

A

never get back to original question because they add a lot of irrelevant details

29
Q

what is clanging and punning

A

change topic based on sounds or meaning of words

30
Q

what is loosening of association

A

unrelated jumping of ideas

31
Q

what is flight of ideas

A

rapidly shifting thoughts

32
Q

what is knight’s move thinking

A

changing topics based on words from the previous sentence

33
Q

what is verbigeration/word salad

A

random words thrown together in an unintelligible manner

34
Q

examples of thought intereference

A

thought insertion, withdrawal, broadcasting and blocking

35
Q

what is thought insertion

A

thoughts put into your head that dont belong to you

36
Q

what is thought withdrawal

A

thoughts being taken out your head

37
Q

what is thought broadcasting

A

everyone knows what you are thinking

38
Q

what is thought blocking

A

halfway through thinking and thought dries up

39
Q

examples of passivity phenomena

A

volition - made action
affect - made feeling
impulse - made urges
somatic passivity - influence on the body

40
Q

self referential delusions are specific to a certain disorder, true or false

A

false, not specific to any diagnosis

41
Q

describe drug induced psychosis

A

florid symptoms/acute onset or chronic onset

short lasting if drug removed

42
Q

describe depressive psychosis

A

low mood
delusions of worthlessness, guilt, hypochondriasis, poverty, nihilism
threatening 2nd person auditory hallucinations

43
Q

describe mania with psychosis

A

elevated mood/irritable
delusions of grandiose, persecution, special ability, religion
auditory hallucinations eg God’s voice
Flight of ideas

44
Q

describe delirium as a cause of psychosis

A 
acute transient disturbance - clouding of consciousness
fluctuating, worse at night 
impaired cognition 
visual hallucinations 
persecutory delusions 
psychomotor disturbance
irritability
insomnia
disorientation
45
Q

causes of drug induced psychosis

A 
steroids
cannabis 
cocaine 
tobacco
alcohol 
amphetamines
46
Q

is heroin a cause of psychosis

A

NO

47
Q

what is a functional hallucination

A

hallucination triggered by a stimulus in the same modality and can co-occur with it

48
Q

what are the dopaminergic pathways in the brain

A

tuberoinfundibular
nigrostriatal/extrapyramidal
mesolimbic/cortical

49
Q

what does the tuberoinfundibular pathway control

A

PRL release

50
Q

what does the mesolimbic pathway control

A

motivation and reward system

51
Q

what does the nigrostriatal pathway control

A

extrapyramidal system

Psychiatry (27 decks)

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