S2_L1: Typical Signs and Symptoms of Psychiatric Illness

Question 1

What are the elements of a good psychiatric interview?

Answer 1

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

Question 2

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

Answer 2

Developmental & Social History

Question 3

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.

Answer 3

Past Medical History

Question 4

What are the 3 elements of the human brain?

Answer 4

cognition, affect, and conation

Question 5

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

Answer 5

Coprolalia

Question 6

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

Answer 6

Stereotypy

Question 7

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

Answer 7

Hostility

Question 8

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

Answer 8

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

Question 9

This is known as the normal range of mood

Answer 9

Euthymic Mood

Question 10

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

Answer 10

Folie a deux (or folie a trois)

Question 11

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

Answer 11

1. Linear
2. Organized
3. Goal-directed

Question 12

This is the persistent craving for unnatural, non nutritive substance

Answer 12

Pica

Question 13

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

Answer 13

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

Question 14

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

Answer 14

True

Question 15

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

Answer 15

Hypervigilance

Question 16

This is the highest level of insight

Answer 16

True Emotional Insight

Question 17

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

Answer 17

True

Question 18

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

Answer 18

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

Question 19

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

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

Answer 19

C. psychotic

Question 20

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

Answer 20

B. delusional

Question 21

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

Answer 21

C. hallucinations

Question 22

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

Answer 22

D. Schizophrenia

Question 23

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

Answer 23

Delusions

Question 24

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

Answer 24

A. hallucination; delusion

Question 25

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

Answer 25

Anorexia

Question 26

repetitive ritual behaviors, often involving checking or cleaning something: A. obsessions B. panic attacks C. psychological disorders D. compulsions

Answer 26

D. compulsions

Question 27

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

Answer 27

DSM-5

Question 28

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

Answer 28

diagnostic & therapeutic

Question 29

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

Answer 29

1. Accepted 2. Valued 3. Validated

Question 30

This is the psychiatric equivalent of Physical Examination

Answer 30

Mental Status Examination (MSE)

Question 31

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

Answer 31

Expansive Mood

Question 32

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

Answer 32

Affect

Question 33

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

Answer 33

Thought Process

Question 34

____ is the process of transferring physical stimulation into psychological information

Answer 34

Perception

Question 35

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

Answer 35

Selective inattention

Question 36

The elements of cognitive functioning that should be assessed are:

Answer 36

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

Question 37

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

Answer 37

Rapport

Question 38

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

Answer 38

snapshot

Question 39

TRUE OR FALSE: A parasuicidal behavior aims for death

Answer 39

False

Question 40

What are the 5 elements of speech?

Answer 40

1. Fluency 2. Amount 3. Rate 4. Tone 5. Volume

Question 41

This is the difficulty initiating or maintaining a restorative sleep

Answer 41

Insomnia

Question 42

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

Answer 42

Restricted Affect

Question 43

This is the misperception of a stimuli

Answer 43

Illusion

Question 44

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

Answer 44

Folie a deux (or folie a trois)

Question 45

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

Answer 45

Anosognosia

Question 46

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

Answer 46

Insight

Question 47

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

Answer 47

Flat Affect

Question 48

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

Answer 48

Judgment

Question 49

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

Answer 49

Stupor

Question 50

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

Answer 50

Clang Associations

Question 51

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

Answer 51

Neologism

Question 52

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

Answer 52

Anhedonia

Question 53

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

Answer 53

Literal Paraphasia

Question 54

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

Answer 54

Floccillation

Question 55

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

Answer 55

True

Question 56

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

Answer 56

1. Cooperative 2. Agitated 3. Disinhibited 4. Disinterested

Question 57

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

Answer 57

Inner restlessness

Question 58

Tardive dyskinesia is due to the prolonged use of ___

Answer 58

Antipsychotics

Question 59

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

Answer 59

Suggestibility

Question 60

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

Answer 60

Semi-coma

Question 61

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

Answer 61

True

Question 62

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

Answer 62

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