Symptoms And Signs

Question 1

Name the 3 groups of psychotic symptoms

Answer 1

1. Disordered thought form - disorganized speech
2. Disordered thought content - delusions
3. Disordered perception - hallucinations, illusions

Question 2

Name 2 conditions that pressure of speech is a symptom of

Answer 2

Mania and bipolar

Question 3

Name the 3 affects that show reduction in observable expression of emotion and rank them from least to most severe.

Answer 3

1. Restricted
2. Blunted
3. Flat

Question 4

In which patient does flight of ideas occur?

Answer 4

Mania eg bipolar

Question 5

Define catatonic disorder (12)

Answer 5

At least 3:

1. Negativism (opposition/ no response to instructions/ external stimuli)
   2 stereotypy
2. Mannerisms and tics
3. Echopraxia (mimick movement)
4. Catalepsy (passive induction of a posture held against gravity)
5. Waxy flexibility (slight/ resistance to positioning by examiner)
6. posturing,
7. stupor,
8. Agitation not influenced by external stimuli
9. mutism,
10. Grimacing
11. Echolalia

Question 6

Name 8 types delusions

Answer 6

1. Persecutory
2. Referential (hidden meanings)
3. Grandiose
4. Religious
5. Somatic
6. Nihilistic (believe they or other people world not exist or coming to end )
7. Bizarre
8. Delusion of control ( will/thoughts/ feelings controlled by external force)

Question 7

Which delusion is described by the belief that one’s thoughts have been “removed” by some outside force?

Answer 7

Thought withdrawal-bizarre delusion

Question 8

Which delusion is described by the belief that one’s thoughts are being put into the mind by aliens?

Answer 8

Thought insention - bizarre delusion

Question 9

Which delusion is described by the belief that one’s body or actions are being acted on or manipulated by some outside force?

Answer 9

Delusions of control- bizarre delusion

Question 10

How do mental status exam (11)

Answer 10

ASEPTIC: appearance + attitude + behaviour, speech, emotion, perception, thought form + content, insight+ judgement, cognition.

• General appearance
• attitude: uncooperative/ suspicious/hostile
• behaviour: psychomotor agitation/ retardation, abnormal movements, attention, eye contact
• speech
• mood, affect.
• thought form
• thought content
• Perception : hallucination, illusion, depersonalisation, derealization
• cognition: loc, orientation, memory, mocA
• insight
• judgement