Week 4

Question 1

In ______, there is a recurrent failure to resist impulses to steal objects that are not needed for personal use or for their monetary value. A novel treatment is ________.

Answer 1

Kleptomania, Memantine

Question 2

TRUE/FALSE:
The temperament of the individuals who listen to metal music predisposes them to high risk behaviours. This temperament would be present regardless of whether the music was listened to or not.

Answer 2

True

Question 3

______ is the repeated elimination of feces into inappropriate places and the most frequently seen co-existent disorder is ______. Improvement in the ______ is seen following treatment of the ______.

Answer 3

Encopresis, ADHD, Encopresis, ADHD.

Question 4

______ has a more benign course outside of the West. Culture impacts the content of ______. Future treatment may be to change personal views about hearing voices.

Answer 4

Schizophrenia, Hallucinations

Question 5

______ is paying attention to thoughts and feelings without judging them. It is to notice our experience without reacting.

Answer 5

Mindfulness

Question 6

What three things {+ one bonus} were improved with mindfulness meditation compared to controls?

Answer 6

• Anxiety
• Depression
• Pain

+ Increase in Antibody Titre following vaccination

Question 7

What are the three hallmark symptoms of Normal Pressure Hydrocephalus {NPH}?

Answer 7

• Thinking and Reasoning problems
• Difficulty in walking {Gait Apraxia}
• Loss of Bladder Control

Symptoms of NPH often overlap with those found in dementia.

Question 8

What ventricles will be enlarged in Alzheimer’s Disease?

Answer 8

Enlarged Inferior Horns of the Lateral Ventricles {Hippocampal Formation and Parahippocampal Gyrus Shrinkage}

Question 9

What ventricles will be enlarged in Korsakoff’s Syndrome?

Answer 9

Enlarged Inferior Horns of the Lateral Ventricles {Hippocampal Formation Shrinkage} & Third Ventricle {Thalamic Shrinkage}

Question 10

What ventricles will be enlarged in Schizophrenia?

Answer 10

Enlarged Inferior Horns of the Lateral Ventricles {Hippocampal Formation Shrinkage} & Third Ventricle {Thalamic Shrinkage}

Question 11

What ventricles will be enlarged in Post Traumatic Stress Disorder {PTSD}?

Answer 11

Enlarged Inferior Horns of the Lateral Ventricles {Hippocampal Formation Shrinkage}.

Question 12

______ is the process by which psychological distress is expressed as ______ symptoms. It is an unconscious process, and a ______ phenomenon.

Answer 12

Somatization, Physical, Normal

Question 13

Somatization may take the form of many things, including:

Answer 13

• Headaches
• Insomnia
• GI Upset
• Tachycardia

Question 14

To be diagnosed with a ______ ______ Disorder the patient must be unaware of the connection between symptoms and underlying emotional distress. If they are aware {and are causing the symptoms} the diagnosis is ______ or ______ Disorder.

Answer 14

Somatic Symptom
Malingering
Factitious

Question 15

Risk Factors for Somatization Disorder include:

Answer 15

• Increasing Age
• Low SES
• Hx of Physical Illness
• Alexithymia
• Cultural Emotional Views
• Fear of Stigma
• Female Gender
• Personality

Question 16

Somatic Symptom Disorder is associated with what personality disorders?

Answer 16

Histrionic, Borderline, and Dependant Personality Disorders.

Question 17

______ ______ Disorder is a preoccupation with having or acquiring a serious illness. If they have an illness, the preoccupation with it is clearly excessive or disproportionate.

Answer 17

Illness Anxiety

Somatic Symptoms are not present or, if present, are only mild.

Question 18

______ Disorder is a falsification of physical signs or symptoms or induction of injury to disease, associated with identified deception. They present themselves as ill and will do whatever they need to in order to receive medical care. There is an absence of obvious external rewards.

Answer 18

Factitious

Question 19

What are two major differences between Malingering and Factitious Disorder?

Answer 19

• Malingering is motivated by external factors, Factitious these factors cannot be easily identified.
• Malingering will protect self {get out of there when surgery is suggested} while Factitious will follow through {get me to the OR!}.