8.6.2013(psychiatry) 31 Flashcards
(99 cards)
0
Q
The term schizhphrenia was coined by
A
Eugene bleuler
1
Q
Who coined the term dementia praecox
A
Emil kraeplin
2
Q
Phenomenology was associated with
A
Karl jaspers
3
Q
First rank symptoms of schizophrenia was elucidated by
A
Kurt Schneider
4
Q
First rank symptoms
A
Delusion
Auditory hallucinations
Thought disorder(passivity of thought)
Passivity experience
5
Q
Auditory hallucinations in schizophrenia
A
Thought echo(audible thought)
Voices arguing or discussing about the patient
Voices commenting on the pts action
6
Q
Thought disorders in schizophrenia
A
Thought withdrawal
Thought insertion
Thought broadcast
7
Q
Delusion of control
A
Passivity of affect(made feelings)
Passivity of impulse(made drives)
Passivity of volition
Somatic passivity
8
Q
Second rank symptoms
A
Sudden delusional ideas
Perplexity
Mood changes
Other disorders of perception
9
Q
Bleulers 4 As
A
Loosening of association
Flat affect
Autism
Ambivalence
10
Q
Negative symptoms of schizhophrenia
A
Flat affect Alogia Avolition apathy Anhedonia Asociality
11
Q
Alexithymia is seen in
A
Somatisation disorder
12
Q
Positive and negative symptoms of schizophrenia was enunciated by
A
Nancy andrasen
13
Q
Deficit schizophrenia
A
Enduring idiopathic negative symptoms Poorer social function Decreased incidence of depression and suicide Gradual onset More cognitive impairment More involuntary movement
14
Q
Deficit schizophrenia was coined by
A
Carpenter
15
Q
Who divided schizophrenia into type 1 and 2
A
T.J Crowe
16
Q
Type 1 schizhophrenia
A
Positive symptoms predominate Acute Outcome reversible Cognitive impairment not seen Caused due to increased dopamine receptors
Type 2 is opposite of type 1
17
Q
Cause of type 2 schizhophrenia
A
Cell loss
18
Q
Schizhophrenia with mental retardation
A
Propf schizhophrenia
19
Q
Incidence of schizhophrenia
A
1%
20
Q
Concordance rate in monozygotic twins,schizhophrenia
A
50%
21
Q
Non twin siblings with schizhophrenia,risk
A
8%
22
Q
Child of one parent with schizhophrenia,risk
A
12%
23
Q
Child of both parents with schizhophrenia,risk
A
40%
24
Good prognostic factor in schizhophrenia
```
Late onset
Married
Precipitating factors+
Positive symptoms
Good premorbid personality
Family H/O mood disorder
Catatonic features
Depression(mood symptoms)
Confusion
```
25
Bad prognostic factors in schizhophrenia
```
Negative symptoms
Neurological symptoms and signs
Early onset
Withdrawn
F/h schizhophrenia
Unmarried
```
26
Diagnostic criteria for schizhophrenia
```
Characteristic Sx(2 or more for 1 month,even if bizarre delusions are present)
Delusions
Hallucinations
Disorganised speech
Grossly disorganised or catatonic behaviour
Negative symptoms
B.social or occupational dysfunction
C.duration>6 months
```
27
Duration of delusions <1 month
Acute psychosis
28
Subtypes of schizhophrenia
```
Paranoid
Disorganised(hebephrenic ICD)
Catatonic
Undifferentiated
Residual
Post schizhophrenic depression ICD
Simple schizhophrenia ICD
```
29
Most common type of schizhophrenia
Paranoid
30
No h/o of delusions or hallucinations in which type of schizhophrenia
Simple
31
Predominant negative symptoms are found in
Residual schizhophrenia
32
Diff btw simple and residual schizhophrenia
Past h/o delusions and hallucinations present in residual
33
Prominent delusions and hallucinations
Paranoid schizhophrenia
34
Delusional disorder
```
Non bizarre delusions,well systematised(logical)
Hallucinations absent(except tactile and olfactory)
```
35
Duration of delusional disorder
```
1 month(DSM)
3 months (ICD)
```
36
Delusion of adultery
Othello syndrome
37
Erotomanic delusion
De clerambault syndrome
38
ECT is indicated in which type of schizhophrenia
Catatonia
39
Indications for ECT
```
Severe depressive illness
Suicide
Stupor
Danger to physical health
Catatonia
Prolonged and severe manic episode
Intolerable side effects
Treatment resistance
```
40
symptoms of schizhophrenia that respond well to ECT
Positive symptoms
Affective symptoms
Acute
41
Complications of ECT
Memory loss(temporary,anterograde and retrograde)
Headache,confusion,delirium
Muscle pain
Small electrical burns
42
Relative CI of ECT
ICSOL
Recent MI
increased ICT
increased risk of intracranial bleeding
43
Folie a deux is
Induced psychosis
44
Synonyms of Folie au deux
Shared psychotic disorder
Double insanity
Communicated psychosis
45
Common cause of death in schizhophrenia
Heart disease
| Suicide
46
Ocular abnormalities in schizhophrenia
Impaired pursuit movements
47
Expressed emotions
Over involvement with pt care
Hostile comments
Criticality
48
Effect of expressed emotions on pts
More relapse
49
Schizoaffective disorder
Delusions,hallucinations and mania are prominent
First rank symptoms are seen
Antipsychotics are effective
50
Pseudohallucination
Occur in inner subjective space
Evanascent
Like fantasy
Cannot be changed at will
51
The phenomenon that occurs in inner subjective space and can be stopped at will
Imagery
52
Increased incidence of schizhophrenia is seen with which substance abuse
Cannabis
53
The cancer that can present with depressed mood,crying spells,loss of energy and appetite
Pancreatic Ca
54
Type of insomnia in depression
Terminal insomnia
55
Interpersonal therapy for depression
Klerman and Weismann
56
Double depression
Depression on dysthymia
57
Dysthymia
Very longstanding depression of mood
| Not severe enough
58
Depression with dementia
Pseudo dementia
59
Diff btw dementia and pseudo dementia
Pts give nearby answers in dementia,pts family members tell about problems.
In pseudo dementia pts give "I don't know" answer
60
Adjustment disorder
Occurs within 3 months of stressor(DSM) 1 month(ICD)
61
Cotrad syndrome
Intense nihilistic delusions
62
Cognitive dysfunctions in depression
```
Overgeneralisation
Personalisation
Magnification
Selective abstraction
Arbitrary inference
Dichotomous thinking
```
63
Treatment of rapid cyclers
Combination of sodium valproate+ li or CBZ
64
Rapid cyclers
More than 4 episodes per year
65
Rx of type 1 bipolar disorder
Li
66
Best drug for dysphoric mania
Valproate
67
Rx of bipolar depression
Lamotrigine
| Quetiapine
68
Rx for euphoric mania
Li
69
Rx of bipolar+ substance abuse
Sodium valproate
70
Mixed episode
Single episode having both depression and mania
71
Rx if mixed episode
Sodium valproate
72
Use of li in pure depressive disorder
For augmenting treatment of Rx resistant depression
73
Anti maniac drug with anti suicidal properties
Li
74
Endocrine effects of Li
Hypothyroidism
Hyperthyroidism
Hyperparathyroidism
75
Side effects of Li
Acne
Psoriasis
Weight gain
76
Therapeutic levels of Li
0.8-1.2(1.5)
77
Prophylactic serum Li
0.5-1
78
Elevation of Li levels are caused by
Diuretics
| Dehydration
79
Indication of hemodialysis in Li intoxication
Serum levels >4mEq/L
80
Learning by imitation
Modelling
81
Bright light treatment is most effective for
Seasonal affective disorder
82
Most common psychiatric disorder in postpartum period
Bipolar disorder
83
Mood worse in atypical depression is seen in
Evening
84
Psychological autopsy
postmortem study of possible reasons of a persons suicide
85
Neurotransmitter implicated in suicidal patient
Serotonin
86
Sociological theory of suicide was put forward by
Emil Durkheim
87
Types of suicide
Egoistic
Fatalistic(sati,excessive social regulation)
Altruistic
Anomic(society in chaos,war)
88
Opposite of egoistic suicide
Altruistic suicide
89
Suicide is inverted homicide..who said this?
Karl meninger
90
Freud theory of suicide
Aggression turned inward
91
Predictor of long term suicide risk
Hopelessness
92
Parasuicude
Self mutilation without intention to due
93
Most common psychiatric disorder associated with suicide
Depression
94
Psychosurgery is used in the Rx of
OCD
| chronic intractable depression
95
Best indication for TMS
Depressive disorder
96
Specific antibodies found in pts with polymyositis
Anti Jo 1
97
Myositis specific antibodies with good prognosis and good response to Rx
Anti Mi-2
98
Myositis specific antibody with poor prognosis,poor response to Rx and cardiac involvement
Anti-SRP
