Rule out diagnoses Flashcards

Question

What needs to be ruled out before you make a dx of Female Orgasmic Disorder? 6

Answer 1

Nonsexual mental disorder Interpersonal factors (e.g. IPV, severe relational distress) Another medical condition Substance/medication use Other sexual dysfunction Incompatible sexual technique or inadequate sexual stimulation

Answer 2

- Nonsexual mental disorders - Interpersonal factors (e.g. intimate partner violence, severe relational distress) - Substance/medication use - Another medical condition - Other sexual dysfunctions - Inadequate or absent sexual stimuli

Answer 3

Tranvestic disorder Sexual mashochism disorder or other paraphilic disorders Schizophrenia Major or minor neurocognitive disorder Situational difficulties Fetishistic behavior without fetishistic disorder

Answer 4

``` Major neurocognitive disorder Schizophrenia Conduct disorder Antisocial personality disorder Substance use disorders Situational difficulties ```

Answer 5

Nondisordered gambling Manic episode (obvious mood evaluation seen) as in Bipolar I Personality disorders Adverse effect of medication

Answer 6

Hermaphroditism Severe distress about homosexuality Body dysmorphic disorder Schizophrenia and other psychotic disorders

Answer 7

``` PTSD Adjustment disorders Depressive disorders Psychotic disorders Bipolar disorders Anxiety disorder due to another medical condition OCD Social anxiety disorder Substance/medication-induced anxiety disorder Panic disorder ```

Answer 8

- Occasional pain associated with sexual intercourse - Another medical condition (e.g. pelvic inflammatory disease, endometrioisis) - Inadequate sexual stimuli - Somatic symptom disorder and related disorders - Specific phobia

Answer 9

- Borderline personality disorder (includes chronic feelings of boredom and emptiness and suicidal behavior) - Narcissistic personality disorder (includes feelings of superiority) - Dependent personality disorder (not characterized by flamboyance or an overly emotional state) - Hypomanic symptoms in cyclothymic disorder - Antisocial personality disorder - Substance use disorders - Personality change due to another medical condition

Answer 10

``` Other medical conditions Somatic symptoms in children Somatic symptom disorder GAD OCD Major depressive episode Separation anxiety disorder Body dysmorphic disorder Specific phobia Psychotic disorders Panic disorder Adjustment disorders MDD ```

Answer 11

``` Use stimulant drugs, particularly caffeine Sedative abuser seeking drugs Normal sleep variations Restless legs syndrome Parasomnias Breathing-related sleep disorders Narcolepsy Situational/acute insomnia Circadian rhythm sleep-wake disorders Substance/medication-induced sleep disorder, insomnia type ```

Answer 12

- Alcohol or drug intoxication or withdrawal - Psychotic disorders - Conduct disorders - Dissociative disorders - Amok is a single episode of explosive behavior seen most commonly in Southeast Asian countries; dissociative symptoms are present - Disruptive mood dysregulation disorder - Antisocial personality disorder - Major neurocognitive disorder - Delirium - ADHD - Oppositional defiant disorder - Autism spectrum disorder - Personality change due to another medical condition, aggressive type - Borderline personality disorder

Answer 13

- Stealing for actual gain - Faking kleptomania (malingering) to avoid prosecution for stealing - Conduct disorder in childhood and antisocial personality disorder in adulthood - A manic episode in a bipolar disorder - Major neurocognitive disorder - Psychotic disorders

Answer 14

- Cancers present as depression - Renal and cardiopulmonary disease - Infectious disease - Neurologic Illness (e.g. Parkinson disease, MS, dementia, stroke - particularly left frontal) - Nutritional deficiency - Endocrinologic abnormalities, particularly thyroid dysfunction - Manic episodes with irritable mood or mixed episodes - Substance/medication-induced depressive disorder - ADHD - Adjustment disorder with depressed mood - Sadness

Answer 15

- Normal aging - MDD - Delirium - Other neurocognitive disorders (e.g. Lewy-body disease, frontotemporal lobar degeneration) - Medical conditions (e.g. Vitamin B12 deficiency, thyroid disorders)

Answer 16

- Delirium - Other neurocognitive disorders - Other medical conditions (e.g. brain tumor, encephalitis, toxins) - MDD

Answer 17

- Substance/medication use - Interpersonal factors (e.g. stress relationship distress) - MDD or other nonsexual mental disorders - Another medical condition - Other sexual dysfunctions - Occasional problems with sexual desire

Answer 18

- Narcissistic traits without disorder - Histrionic personality disorder - Borderline personality disorder (both include emotionality and instability) - Obsessive-compulsive personality disorder (includes feelings of imperfection) - Bipolar disorders with mania - Bipolar disorders with hypomania - Substance use disorders - Antisocial personality disorder

Answer 19

``` Hypersomnolence Sleep deprivation and insufficient nocturnal sleep Sleep apnea leading to daytime sleepiness Abuse of sedative drugs Withdrawal from stimulant drugs Seizures Chorea and movement disorders Schizophrenia Conversion disorder MDD ```

Answer 20

``` Tourette's disorder and other tic disorders Temporal lobe epilepsy Schizophrenia and other psychotic disorders Obsessive-compulsive personality disorder Eating disorders MDD Body dysmorphic disorder Hoarding disorder Trichotillomania Stereotypic movement disorder Generalized anxiety disorder Specific phobia Social anxiety disorder ```

Answer 21

Obsessive-compulsive disorder (presence of actual obsessions and compulsions with anxiety if they are not carried out) Substance use disorder Personality change due to another medical condition Hoarding disorder Narcissistic personality disorder Schizoid personality disorder Antisocial personality disorder

Answer 22

``` Primary snoring Narcolepsy Hypersomnia, including relating to depression Insomnia disorder Central sleep apnea Sleep-related hypoventilation Circadian rhythm sleep disorders Panic attacks Substance/medication-induced sleep disorders ```

Answer 23

``` Normal oppositional behavior Conduct disorder ADHD Depressive disorders Bipolar disorders Disruptive mood dysregulation disorder Social anxiety disorder Intermittent explosive disorder Intellectual explosive disorder Intellectual disability Difficulty understanding instructions, due to a language disability or poor hearing ```

Answer 24

- Myocardial infraction - Social anxiety disorder - Specific phobia - GAD - Depressive disorders - Illness anxiety disorder - Factitious disorder - Substance/medication-induced anxiety disorder - Anxiety disorder due to another medical condition (e.g. arrhythmia, hyperthyroidism) - Other mental disorders with panic attacks as an associated feature (if panic attacks occur only in response to specific triggers for example) - Malingering

Answer 25

- Delusional disorder persecutory type - Schizophrenia - Bipolar or depressive disorder with psychotic features (all include frank psychotic symptoms) - Personality change due to another medical conditions - Substance use disorders - Borderline personality disorder - Narcissistic personality disorder - Antisocial personality disorder - Schizotypal personality disorder

Answer 26

``` Major neurocognitive disorder Schizophrenia Situational difficulties Antisocial personality disorder Alcohol and substance use disorder Obsessive-compulsive disorder Antisocial personality disorder ```

Answer 27

- Bereavement or adjustment disorder with depressed mood - Substance abuse - MDD (the residual phase is characterized by dysthymic disorder in some patients, so-called double-depression) - Psychotic disorders - Personality disorders - Substance/medication-induced depressive or bipolar disorder - Depressive or bipolar and related disorder due to another medical condition

Answer 28

Occasional problems with premature ejaculation | Substance/medication-induced sexual dysfunction

Answer 29

``` Traumatic brain injury caused by the traumatic event Substance abuse Borderline personality disorder Factitious disorder Malingering GAD Adjustment disorders Dissociative disorders Conversion disorder Psychotic disorders MDD Acute stress disorder Anxiety disorders Obsessive-compulsive disorder ```

Answer 30

Insurance gain Purposeful arson Normal curiosity about fire or experimentation by children Impaired judgment due to another mental condition Fire set due to conduct disorder or similar disorder

Answer 31

``` Psychotic disorder due to another medical condition Delirium Major neurocognitive disorder Substance/medication-induced psychotic disorder Subtance/medication-induced delirium Schizophrenia Bipolar disorder with psychotic features MDD with psychotic features Brief psychotic disorder Schizotypal personality disorder Paranoid personality disorder Delusional disorder Schizophreniform disorder ```

Answer 32

- Loner without pathology - Delusional Disorder - Schizophrenia - Mild form of autism spectrum disorder (stereotyped behavior patterns as well as impaired social behavior) - Bipolar disorders with psychotic features - MDD with psychotic features - Substance use disorders - Personality change due to another medical condition - Schizotypal personality disorder - Paranoid personality disorder

Answer 33

``` Temporal lobe epilepsy Neurologic disease or trauma Poisoning Endocrine disorders Brief psychotic disorders Schizophreniform and schizoaffective disorders Manic phase of bipolar disorders Delusional disorders Schizoid and schizotypal personality disorders Substance abuse Autism spectrum disorder Communication disorders Other medical disorder with psychotic episodes Obsessive-compulsive disorder Body dysmorphic disorder PTSD Depressive or bipolar disorder with psychotic or catatonic features ```

Answer 34

``` Brief psychotic disorder Delirium Major neurocognitive disorder Depressive or bipolar disorder with psychotic or catatonic features Schizophrenia Delusional Disorder Autism spectrum disorder ADHD PTSD TBI OCD Disorders of disorganized speech in childhood Schizotypal personality disorder Other schizophrenia spectrum or other psychotic disorder Schizoaffective disorder Substance/medication-induced psychotic disorder or delirium ```

Answer 35

``` Delusional disorder Schizophrenia Mood disorder with psychotic features Substance use disorder Personality change due to another medical condition Mild form of autism spectrum disorder Communication disorders Bipolar or depressive disorder with psychotic features Paranoid personality disorder Schizoid personality disorder Borderline personality disorder Transient emotional turmoil of adolescence ```

Answer 36

``` Pragmatic communication disorder Speech sound disorder Language disorder Childhood-onset fluency disorder Lack of knowledge of the language Schizophrenia or other psychotic disorder Severe intellectual diability Social anxiety disorder Autism spectrum disorder ```

Answer 37

``` Pervasive developmental disorder Schizophrenia or other psychotic disorders GAD Panic disorder with agoraphobia Agoraphobia without hx of panic disorder Psychotic disorders Conduct disorder Developmentally appropriate levels of separation anxiety ```

Answer 38

``` Major neurocognitive disorder Schizophrenia Situational difficulties Dependent personality disrder Alcohol and substance use disorder Other paraphilic disorders Sexual masochism in the absence of distress ```

Answer 39

``` Other medical conditions Schizophrenia Illness anxiety disorder Panic disorder GAD Depressive disorders Sexual dysfunction Conversion disorder Dissociative disorder OCD Body dysmorphic disorder Delusional disorder ```

Answer 40

``` Normal shyness OCD Illness anxiety disorder Separation anxiety disorder Paranoid personality disorder Panic disorder Schizoid personality disorder MDD Agoraphobia Social anxiety disorder Eating disorders Schizophrenia spectrum and other psychotic disorders Trauma and stressor-related disorder ```

Answer 41

``` Abnormal movements from medical conditions Effects of a substance Choreiform, dystonic, athetoid, myoclonic, hemiballismic movements Spasms Hemifacial spasm Synkinesis Medication induced movement fisorders Stereotypic movement disorder Autism spectrum disorders Compulsions Schizophrenia Provisional tic disorder Chronic motor disorder Persistent motor or vocal tic disorder ```

Answer 42

``` Major neurocognitive disorder Schizophrenia Situational difficulties Fetishistic disorder Gender dysphoria ```

Answer 43

- Alopecia or hair pulling due to a medical condition - Normative hair removal or manipulation - Obsessive-compulsive disorder, which is commonly not limited to one compulsion but may be related to symmetry - Stereotypic movement disorder - Psychotic disorders

Answer 44

``` Major neurocognitive disorder Schizophrenia Situational difficulties Antisocial personality disorder Conduct disorder Substance use disorder ```