Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Psychiatry Year 3 Dundee > Psychosis > Flashcards

Psychosis Flashcards

1
Q

What is Psychosis?

A

A description of symptoms rather than a diagnosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the core symptoms of psychosis?

A 
Hallucinations
Delusions
Ideas of reference
Formal thought disorder
Thought interference
Loss of insight 
Passivity phenomena
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What mental disorders can result in psychosis?

A

Bipolar affective
Schizoaffective
Schizophrenia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How can an organic issue result in psychosis?

A

Damage to the area of the brain that controls perception of reality

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How can substance use result in psychosis?

A

Acute use

Or withdrawal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are primary delusions?

A

Arrive in the consciousness fully formed without need for explanation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are secondary delusions?

A

Often an attempt to explain the psychotic experiences e.g. hallucination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is a Capgras delusion?

A

Belief that people are being switched with identical doubles.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is a Fregoli delusion?

A

Misidentification delusion

Belief that two separate individuals are in fact the same person just in-disguise.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is a De clerambault delusion?

A

Belief that a public figure is infatuated with them and communicating with them through media.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the Othello delusion?

A

That there significant other is cheating on them

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How can you see if a patient has a thought disorder?

A

Unable to directly observe, Can be inferred from patterns of speech.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Someone with a thought disorder often has what pattern of speech?

A

Clanging and punning
Loosening of association
Tangents
Circumferentiality

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the types of thought interference?

A

Thought insertion
Thought withdrawal
Thought Broadcasting
Thought blocking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is thought insertion?

A

Thoughts in your head that don’t belong to you

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is thought withdrawal?

A

Information is extracted from your brain by someone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is thought broadcasting?

A

Every knows what you are thinking all the time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is thought blocking?

A

Halfway through thinking something when the thought just disappears.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What can a psychotic patient have passivity in?

A

Volition
Affect
Impulse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is passivity of volition?

A

Someone is controlling their movements

21
Q

What is passivity of affect?

A

Someone is controlling their feelings

22
Q

What is passivity of Impulse?

A

Someone is controlling their urges

23
Q

Why does someone with psychosis have loss of insight?

A

reality testing is broken down so ability to interpret external world is hindered.

24
Q

Why is lack of insight an issue?

A

Creates disharmony between patient and Dr as they can’t see that they need treatment

25
Q

What should you think about when consulting a patient with psychosis?

A

Recognise importance of their experience
Don’t give impression you think it is all in their head
Don’t jeopardise fragile rapport by being confrontational
Don’t play along as at some point say you will have to say you believe they are unwell as you will need to treat them.

26
Q

How can you satisfy it is psychotic beliefs in a consultation with a potentially psychotic patient?

A

“do you think it could be”

“what would you think if your friend came and told you what you just said to me?”

27
Q

What are the commonest causes of psychosis?

A

Organic
Substance misuse
paranoid psychoses
Mood disorders

28
Q

Delirium

A

Acute transient disturbance from persons normal cognitive function.

29
Q

What are some common causes of delirium?

A 
Infection
Inflammation
Endocrine
Drug use
Steroids
Hypoglycaemia
30
Q

How does someone with delirium present?

A

Clouding of consciousness
Impaired concentration and short term memory
Visual hallucinations
Persecutory delusions

31
Q

Drug induced psychosis

A

Very florid acute or insidious onset

Short lasting if drug is removed

32
Q

In a suspected drug induced psychosis what must you take into account?

A

There is a high incidence of drug misuse in disorders i.e. schizophrenia and Bipolar affective disorder.

33
Q

A patient with depressive psychosis can presents with?

A

Delusions of worthlessness guilt poverty nihilism
Hallucinations of accusatory threatening 2nd person
Cottards syndrome - already dead

34
Q

A patient presents with Mania with psychosis.

A

Delusions of grandeur special purpose and special ability
Hallucinations tend to be 2nd person e.g. gods voice
Flight of ideas

35
Q

Schizotypal

A

Eccentric behaviour and anomalies of thinking bt no definite schizophrenic anomalies

36
Q

How does someone with schizotypal disorders present?

A

Cold inappropriate affect
Odd eccentric
Socially withdrawn
Paranoid or bizarre ideas not quite amounting to true delusion.

37
Q

Persistent Delusional Disorder

A

Fixed well describe delusions

38
Q

Causes of Delirium

A 
IWATCHDEATH
I- Infection
W - Withdrawal
A - Acute causes
T - Toxins/drugs
C - CNS pathology
H - Hypoxia
D - Deficiencies 
E - Endocrine
A - Acute vascular
T - Trauma
H - Heavy metals
39
Q

Delirium - Infection

A

UTI
Pneumonia
Encephalitis

40
Q

Delirium - Withdrawal

A

Alcohol

BDZ

41
Q

Delirium - Acute causes

A

Electrolyte imbalances
Dehydration
Alkalosis/ Acidosis

42
Q

Delirium - Toxins/Drugs

A

Opiates
Salyciliate
Indomethicin

43
Q

Delirium - CNS pathology

A 
Stroke
TIA
Seizures
Haemorrhage
Infection
44
Q

Delirium - Hypoxia

A

Anaemia
Pulmonary or cardiac failure
Hypotension

45
Q

Delirium - Deficiencies

A

Thiamine (alcoholics)

B12

46
Q

Delirium - Endocrine

A

thyroid
Hypo/Hyperglycaemia
Adrenal dysfunction
Hyperparathyriod

47
Q

Delirium - Acute Vascular

A

Hypertensive Encephalopathy

48
Q

Delirium - Trauma

A

Head injury
Post operative
Hyper/Hypothrmia

49
Q

Delirium - Heavy metals

A

Lead
Mercury
Managanese

Psychiatry Year 3 Dundee (21 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions