S2_L1: Typical Signs and Symptoms of Psychiatric Illness Flashcards
What are the elements of a good psychiatric interview?
A - Attitude
R - Rapport
F - Freedom from Interruption
P - Psychological Privacy
E - Emotional Objectivity
This is part of the initial psychiatric interview that reviews the stages of the patient’s life
Developmental & Social History
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.
Past Medical History
What are the 3 elements of the human brain?
cognition, affect, and conation
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
Coprolalia
This is a kind of disturbance in conation wherein there is a repeated but non-goal-directed movements
Stereotypy
This is a kind of disturbance in conation wherein there is an overt expression of intense animosity or antagonism in action, feeling, or attitude
Hostility
Match the following descriptions with its medical term.
- Stuttering
- Paraphasia
- Dysarthria
- Dysprosody
- 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
- C
- E
- A
- B
- D
This is known as the normal range of mood
Euthymic Mood
This is the communicated emotional illness between two (or three) persons
Folie a deux (or folie a trois)
A normal thought process must be (1)____, (2)_____, and (3)____.
- Linear
- Organized
- Goal-directed
This is the persistent craving for unnatural, non nutritive substance
Pica
Determine which terms are part of what disturbances:
- Floccillation
- Anhedonia
- Dysprosody
- Suicidal Behavior
- Apathy
A. Disturbances of Mood
B. Disturbance in Speech
C. Disturbance in Conation
- C
- A
- B
- C
- A
TRUE OR FALSE: A person may have a normal thought process with significantly delusional thought content.
True
This happens when there is an excessive attention and focus on both internal and external stimuli
Hypervigilance
This is the highest level of insight
True Emotional Insight
TRUE OR FALSE: Irritability, aggression & hostility can be found in almost all of the psychiatric illnesses
True
Determine which description corresponds to what medical term:
- Dysphoria
- Melancholia
- Bulimia
- Trance
- 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
- E
- B
- A
- C
- D
Retreat from reality by hallucinations and delusions and by social withdrawal typically characterizes ______ disorders
A. anxiety
B. personality
C. psychotic
D. dissociative
C. psychotic
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
B. delusional
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
C. hallucinations
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
D. Schizophrenia
What are false beliefs, often of persecution or grandeur, that may accompany psychotic disorders?
Delusions
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. hallucination; delusion
This eating disorder is when one starves themselves despite being under weight?
Anorexia
repetitive ritual behaviors, often involving checking or cleaning something:
A. obsessions
B. panic attacks
C. psychological disorders
D. compulsions
D. compulsions
Someone who is diagnosing and treating mental illnesses in the United States will use the ______________ to find descriptions and demographics for each disorder listed.
DSM-5
What is the 2-fold purpose of a psychiatric interview?
diagnostic & therapeutic
First task of the interviewer: convey that the patient is:
- Accepted
- Valued
- Validated
This is the psychiatric equivalent of Physical Examination
Mental Status Examination (MSE)
This kind of disturbance of mood is when there is an expression of feelings without restraints
Expansive Mood
This is the expression of mood or what the patient’s mood appears to be to the clinician
Affect
This describes how the thoughts are formulated, organized, and expressed
Thought Process
____ is the process of transferring physical stimulation into psychological information
Perception
This is known as blocking out only those things that generate anxiety
Selective inattention
The elements of cognitive functioning that should be assessed are:
alertness, orientation, concentration, memory, calculation, and fund of knowledge.
This is known as the harmonious responsiveness of the physician to the patient, and vice versa
Rapport
MSE provides a ____ of the patient’s mental status at the time of interview
snapshot
TRUE OR FALSE: A parasuicidal behavior aims for death
False
What are the 5 elements of speech?
- Fluency
- Amount
- Rate
- Tone
- Volume
This is the difficulty initiating or maintaining a restorative sleep
Insomnia
This is a kind of disturbance in affects wherein there is an emotional expression that is reduced in range and intensity
Restricted Affect
This is the misperception of a stimuli
Illusion
This is also known as shared psychosis or shared delusional disorder (SDD)
Folie a deux (or folie a trois)
This is the total absence of insight into one’s mental illness
Anosognosia
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
Insight
This disturbance pertains to total or near absence of appropriate emotional responses to situations and events
Flat Affect
This refers to the person’s capacity to make good decisions & act on them
Judgment
This disturbance in consciousness means that he or she can be roused only by vigorous and repeated stimuli
Stupor
These are thoughts are associated by the sound of words rather than by their meaning
Clang Associations
This is the invention of new words or phrases or the use of conventional words in idiosyncratic ways
Neologism
This is the inability to enjoy experiences or activities that normally would be pleasurable
Anhedonia
This type of paraphasia is where a phoneme or a syllable may be substituted within a word
Literal Paraphasia
This pertains to aimless grasping, plucking or picking at clothing or bedding
Floccillation
TRUE OR FALSE: Psychiatric review of systems is done in conjunction with HPI.
True
A patient’s behaviour during a psychiatric interview may be described as:
- Cooperative
- Agitated
- Disinhibited
- Disinterested
In patients with akathisia, they will often have a subjective report of ___
Inner restlessness
Tardive dyskinesia is due to the prolonged use of ___
Antipsychotics
This is the inclination to result and critically adopt the ideas, beliefs, attitudes and actions of others.
Suggestibility
When a patient is in a obtunded state, he or she is in a ____
Semi-coma
TRUE OR FALSE: Folie a Deux is a kind of disturbance of suggestibility
True
TRUE OR FALSE: Based on DSM-5, if a patient has good judgement, he/she automatically exhibits a good insight as well.
False.
Level of judgement may or may not correlate level of insight.
