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(2) Psychology 👥 > S2_L1: Typical Signs and Symptoms of Psychiatric Illness > Flashcards

S2_L1: Typical Signs and Symptoms of Psychiatric Illness Flashcards

1
Q

What are the elements of a good psychiatric interview?

A

A - Attitude
R - Rapport
F - Freedom from Interruption
P - Psychological Privacy
E - Emotional Objectivity

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2
Q

This is part of the initial psychiatric interview that reviews the stages of the patient’s life

A

Developmental & Social History

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3
Q

This is part of the initial psychiatric interview that presents the account of major medical illnesses and conditions as well as tx, both past and present.

A

Past Medical History

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4
Q

What are the 3 elements of the human brain?

A

cognition, affect, and conation

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5
Q

This is a kind of disturbance in conation wherein there is a spontaneous, unprovoked, and uncontrollable use of obscene or profane words and expressions, particularly those related to feces

A

Coprolalia

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6
Q

This is a kind of disturbance in conation wherein there is a repeated but non-goal-directed movements

A

Stereotypy

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7
Q

This is a kind of disturbance in conation wherein there is an overt expression of intense animosity or antagonism in action, feeling, or attitude

A

Hostility

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8
Q

Match the following descriptions with its medical term.

  1. Stuttering
  2. Paraphasia
  3. Dysarthria
  4. Dysprosody
  5. Aphasia

A. Characterized by difficulty speaking coherently
B. Atypical or absent rhythm, intonation, melody or start/stop pattern
C. Frequent repetition or prolongation of sounds, syllables, or words
D. Loss or impairment of the production or comprehension of spoken or written language
E. Incorrect, distorted, or inappropriate words or sounds

A
  1. C
  2. E
  3. A
  4. B
  5. D
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9
Q

This is known as the normal range of mood

A

Euthymic Mood

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10
Q

This is the communicated emotional illness between two (or three) persons

A

Folie a deux (or folie a trois)

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11
Q

A normal thought process must be (1)____, (2)_____, and (3)____.

A
  1. Linear
  2. Organized
  3. Goal-directed
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12
Q

This is the persistent craving for unnatural, non nutritive substance

A

Pica

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13
Q

Determine which terms are part of what disturbances:

  1. Floccillation
  2. Anhedonia
  3. Dysprosody
  4. Suicidal Behavior
  5. Apathy

A. Disturbances of Mood
B. Disturbance in Speech
C. Disturbance in Conation

A
  1. C
  2. A
  3. B
  4. C
  5. A
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14
Q

TRUE OR FALSE: A person may have a normal thought process with significantly delusional thought content.

A

True

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15
Q

This happens when there is an excessive attention and focus on both internal and external stimuli

A

Hypervigilance

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16
Q

This is the highest level of insight

A

True Emotional Insight

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17
Q

TRUE OR FALSE: Irritability, aggression & hostility can be found in almost all of the psychiatric illnesses

A

True

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18
Q

Determine which description corresponds to what medical term:

  1. Dysphoria
  2. Melancholia
  3. Bulimia
  4. Trance
  5. Circumstantiality

A. insatiable hunger and voracious eating
B. Archaic name for severe depression
C. Focused attention and altered consciousness
D. Overinclusion of trivial or irrelevant details that impede the sense of getting to the point
E. Characterized by generalized discontent & agitation

A
  1. E
  2. B
  3. A
  4. C
  5. D
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19
Q

Retreat from reality by hallucinations and delusions and by social withdrawal typically characterizes ______ disorders

A. anxiety
B. personality
C. psychotic
D. dissociative

A

C. psychotic

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20
Q

Marco says “I am the ruler of Xylomek and have come to your planet to marry my long time lover, who has been communicating to me through television waves,” Marco is:

A. engaging in word salad
B. delusional
C. paranoid
D. exhibiting multiple personalities

A

B. delusional

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21
Q

Psychotic disorders frequently involve perceptions of nonexistent sensory stimulation, such as voices. Symptoms such as these are called:

A. delusions
B. paraphillas
C. hallucinations
D. psychic phenomena

A

C. hallucinations

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22
Q

Which disorder is a group of severe disorders characterized by disorganized and delusional thinking, disturbed perceptions, and inappropriate emotions and actions?

A. Depression
B. Dependent Personality Disorder
C. PTSD
D. Schizophrenia

A

D. Schizophrenia

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23
Q

What are false beliefs, often of persecution or grandeur, that may accompany psychotic disorders?

A

Delusions

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24
Q

Seeing one-eyed monsters would be a(n) ________. Believing that you are Christopher Columbus would be a ________.

A. hallucination; delusion
B. hallucination; compulsion
C. obsession; delusion
D. delusion; compulsion

A

A. hallucination; delusion

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25
Q

This eating disorder is when one starves themselves despite being under weight?

A

Anorexia

26
Q

repetitive ritual behaviors, often involving checking or cleaning something:

A. obsessions
B. panic attacks
C. psychological disorders
D. compulsions

A

D. compulsions

27
Q

Someone who is diagnosing and treating mental illnesses in the United States will use the ______________ to find descriptions and demographics for each disorder listed.

A

DSM-5

28
Q

What is the 2-fold purpose of a psychiatric interview?

A

diagnostic & therapeutic

29
Q

First task of the interviewer: convey that the patient is:

A
  1. Accepted
  2. Valued
  3. Validated
30
Q

This is the psychiatric equivalent of Physical Examination

A

Mental Status Examination (MSE)

31
Q

This kind of disturbance of mood is when there is an expression of feelings without restraints

A

Expansive Mood

32
Q

This is the expression of mood or what the patient’s mood appears to be to the clinician

A

Affect

33
Q

This describes how the thoughts are formulated, organized, and expressed

A

Thought Process

34
Q

____ is the process of transferring physical stimulation into psychological information

A

Perception

35
Q

This is known as blocking out only those things that generate anxiety

A

Selective inattention

36
Q

The elements of cognitive functioning that should be assessed are:

A

alertness, orientation, concentration, memory, calculation, and fund of knowledge.

37
Q

This is known as the harmonious responsiveness of the physician to the patient, and vice versa

A

Rapport

38
Q

MSE provides a ____ of the patient’s mental status at the time of interview

A

snapshot

39
Q

TRUE OR FALSE: A parasuicidal behavior aims for death

A

False

40
Q

What are the 5 elements of speech?

A
  1. Fluency
  2. Amount
  3. Rate
  4. Tone
  5. Volume
41
Q

This is the difficulty initiating or maintaining a restorative sleep

A

Insomnia

42
Q

This is a kind of disturbance in affects wherein there is an emotional expression that is reduced in range and intensity

A

Restricted Affect

43
Q

This is the misperception of a stimuli

A

Illusion

44
Q

This is also known as shared psychosis or shared delusional disorder (SDD)

A

Folie a deux (or folie a trois)

45
Q

This is the total absence of insight into one’s mental illness

A

Anosognosia

46
Q

This refers to the patient’s understanding of how he or she is feeling, presenting, and functioning as well as the potential causes of his or her psychiatric presentation

A

Insight

47
Q

This disturbance pertains to total or near absence of appropriate emotional responses to situations and events

A

Flat Affect

48
Q

This refers to the person’s capacity to make good decisions & act on them

A

Judgment

49
Q

This disturbance in consciousness means that he or she can be roused only by vigorous and repeated stimuli

A

Stupor

50
Q

These are thoughts are associated by the sound of words rather than by their meaning

A

Clang Associations

51
Q

This is the invention of new words or phrases or the use of conventional words in idiosyncratic ways

A

Neologism

52
Q

This is the inability to enjoy experiences or activities that normally would be pleasurable

A

Anhedonia

53
Q

This type of paraphasia is where a phoneme or a syllable may be substituted within a word

A

Literal Paraphasia

54
Q

This pertains to aimless grasping, plucking or picking at clothing or bedding

A

Floccillation

55
Q

TRUE OR FALSE: Psychiatric review of systems is done in conjunction with HPI.

A

True

56
Q

A patient’s behaviour during a psychiatric interview may be described as:

A
  1. Cooperative
  2. Agitated
  3. Disinhibited
  4. Disinterested
57
Q

In patients with akathisia, they will often have a subjective report of ___

A

Inner restlessness

58
Q

Tardive dyskinesia is due to the prolonged use of ___

A

Antipsychotics

59
Q

This is the inclination to result and critically adopt the ideas, beliefs, attitudes and actions of others.

A

Suggestibility

60
Q

When a patient is in a obtunded state, he or she is in a ____

A

Semi-coma

61
Q

TRUE OR FALSE: Folie a Deux is a kind of disturbance of suggestibility

A

True

62
Q

TRUE OR FALSE: Based on DSM-5, if a patient has good judgement, he/she automatically exhibits a good insight as well.

A

False.

Level of judgement may or may not correlate level of insight.

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