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Psych > Psychosis and Psychotic Disorder > Flashcards

Psychosis and Psychotic Disorder Flashcards

1
Q

_________ is broadly defined as a loss of contact with reality

A

Psychosis

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2
Q

This defines what?
(a) Strongly held false beliefs
(b) Beliefs are broadly classified as bizarre vs non-bizarre

A

Delusions

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3
Q

Bizarre vs Non Bizarre delusions
Belief that family members have been replaced by body-doubles

A

Bizarre

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4
Q

Bizarre vs Non Bizarre delusions
Belief that spouse is cheating despite overwhelming evidence
to the contrary

A

Non bizarre

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5
Q

What type of delusion
Belief that one is being followed or harassed by outside entity

A

Persecutory delusions

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6
Q

What type of delusion
Belief that one is a billionaire

A

Grandiose delusions

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7
Q

What type of delusion
Believing a famous person is in love with them

A

Erotomanic delusions

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8
Q

What type of delusion
Believing ones sinuses have been infested with worms

A

Somatic delusions

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9
Q

What type of delusion
Believing a dialog on TV is directed towards you

A

Delusions of reference

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10
Q

What type of delusion
Believing one’s thoughts and movements are being controlled by a
powerful outside force
-Such as planetary overlords or government

A

Delusions of control

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11
Q

Wakeful sensory experiences of content that is not actually present
1) NOT illusions

A

Hallucinations

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12
Q

What is an illusion?

A

misinterpretations of sensory experiences

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13
Q

True/False
Hallucinations can occur in any of the five sensory modalities

A

True

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14
Q

Evidence of thought disorganization is derived from the patients ______ during the interview process/

A

speech pattern

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15
Q

What type of thought disorganization?
a) Very little information conveyed by speech
b) Often very sparse reply or lack of spontaneous speech

A

Alogia/poverty of content

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16
Q

What type of thought disorganization?
a) Suddenly losing train of thought
b) Characterized by abrupt interruptions in speech

A

Thought blocking

17
Q

What type of thought disorganization?
Speech content that has ideas presented in a sequence that is not closely related or does not make sense

A

Loosening of association

18
Q

What type of thought disorganization?
a) Answers to interview questions diverge from topic being asked about
b) Is the interview question ever answered?

A

Tangentiality

19
Q

What type of thought disorganization?
a) Using words in a sentence that are linked by rhyming or sounding similar
b) “I fell down the well sell bell”

A

Clanging or clang association

20
Q

What type of thought disorganization?
a) Using words in a sentence that are linked by rhyming or sounding similar
b) “I fell down the well sell bell”

A

Clanging or clang association

21
Q

What type of thought disorganization?
a) Real words are linked together incoherently
b) Real words but basically nonsense

A

Word salad

22
Q

What type of thought disorganization?
Repeating words or ideas persistently

A

Perseveration

23
Q

acute psychosis is also associated with what issues?

A

Agitation and aggression

24
Q

What is done in order to work towards a dx of acute psychosis?

A

diagnosis of exclusion
R/o Biological cause
-Substance induced
-Psychosis associated with medical conditions

25
Q

What is used to treat acute agitation associated with psychosis

A

Haldol
-In certain scenarios may be able to simply “re-direct” the patient to help them with their agitation
1) Offer reassurance and simply talking to them may be enough

26
Q

What is this issue? Side effect of antipsychotics
a) Involuntary movements of the face
b) Sucking or smacking of the lips
c) Movements of the tongue
d) Facial grimacing
e) Odd movements of extremities
f) Usually occur after greater than six months of treatment on antipsychotic

A

Tardive Dyskinesia

27
Q

Second generation antipsychotics examples

A

Aripiprazole, risperidone, quetiapine, olanzapine

28
Q

What is this issue? Side effect of antipsychotics
a) Looks like Parkinson’s Disease
(1 Mask like facies, resting tremor, cogwheel rigidity, shuffling gait,
psychomotor retardation (bradykinesia)

A

Parkinsonian syndrome

29
Q

What is this issue? Side effect of antipsychotics
Involuntary contractions of muscles

A

Dystonia

Psych (21 decks)

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