Evaluation and Diagnosis

Question 1

New way to assess function

Answer 1

WHODAS (WHO disability assesment schedule) assesses social, occupational, psychological function

Question 2

Not a clear timeframe for schizo symptoms but no clear inciting event. Phreniform or brief?

Answer 2

Psychotic things less than 6 months without a clear stressor means more likely phreniform vs brief psychotic d

Question 3

Projective identification

Answer 3

A patient is angry, projects anger onto therapist so thinks therapist is angry at pt. Therapist then begins to act angry= projective identification

Question 4

Is performance anxiety a specific phobia or social anxiety disorder?

Treatment?

Answer 4

Social anxiety

Treat with benzo for fast relief (buspirone and SSRI are slower)

Question 5

Somatic sx unconscious and unintentional?

Answer 5

Somatic symptom disorder (hypochondriac) is unconscious and unintentional production of symptoms

Question 6

Mimicking examiner’s actions and words?

Answer 6

Echopraxia and echolalia are mimicking examiners actions and words respectively

Question 7

New way to do Axis I-III

Psychosocial/environmental causes

Answer 7

Axis I, II, III are now all converted to diagnosis ICD. Psychosocial things are ICD-CM

Question 8

Can oppositional defiant annoy other people other than parents/authorities?

Answer 8

Oppositional defiant can annoy other people (non-authoritative) in addition to arguing with parents

Question 9

Malignant hyperthermia vs NMS

Answer 9

Malig hyperthermia will run in families, specifically have heart arrhythmia vs other things

NMS specifically has elevated CPK

Question 10

Thyrotoxicosis symptoms specific

Answer 10

Fever, arrythmia, GI after recent illness is thyrotoxicosis

Question 11

Serotonin syndrome specfic

Answer 11

Serotonin syndrome is sweating, HA, GI, hyperreflexia