Assessment and rating scales Flashcards
1
Q
cut off for ace score
A
88
2
Q
what are the five components for ACE
A
visualspatial
attention
fluency
memory
language
3
Q
what is audit screen tool
A
score of 20 plus is deemed sinificant
10 items recommended by NICE for harmful, hazardous or dependence drinking alcohol
4
Q
what is the fast screening tool
A
3 or more hazardous
16 max
4 questions
- more than 8 or 6 (m , f) on one ocasison
- how often last year unable to remember night out
- how often failred to what expected
- relative or friend or doctor concerned about it and aske du to cut down
5
Q
CAGE
A
4 questions
cut down
angry
guilty
eye opener
6
Q
what is SASQ
A
when was last time you had 8 or 6 drinks (m,f) in one day
if within 3 months -hazardous drinking
7
Q
PAT
A
PADDINGTON
used bt A&E to assess for hazardous drinking
8
Q
MAST
A
michagan alcoholism
9
Q
PAPS4
A
FOR dependence
RAPS
Remorse
amnesia
perfromance
starts early AM drinking
10
Q
what is argyl robertson pupil associated with
A
teritary syphillis
the pupil responds poorly to light
small and irregular
accomodation retained
in diabetes soemtimes
11
Q
what is telopsia and pelopsia
A
object appears closer -pelopsia
telopsia - appears smaller /further
12
Q
Pareidolia.
A
detailed omage form shapes
13
Q
hypnopompic
A
WAKING from sleep
14
Q
HYPNAgognic
A
falling asleep
15
Q
5 components to personality
A
OCEAN
openness
conscientiousness
extravasion
agreeable
neurotism
16
Q
what is stupor
A
mutism and immobility
17
Q
what is wavey flexibility
A
in an uncomfortable position for a long time
18
Q
negavitism
A
gegenhatten
resistents attempt of examiner to move hand/arm etc
resistance strengthens
19
Q
what is automatic obedience
A
exagerrated cooperation
an example is mitmachen
20
Q
what is mitgehen
A
An extreme form of mitmachen in which the examiner is able to move the patient’s body with the slightest touch (anglepoise lamp sign), like in mitmachen, the body part returns to the original position once the force is removed.
The examiner lightly touches the patient’s arm, and the arm follows the movement with minimal resistance. Once the touch is removed, the arm returns to its initial position.
21
Q
mitmachen
A
A form of automatic obedience whereby the body of the patient can be put into any posture, even if the patient is given instructions to resist. The body part immediately returns to the original position once the force is removed (unlike in waxy flexibility). The examiner lifts the patient’s arm, which then falls back to its original position as soon as the examiner releases it.
22
Q
what is ambitendency
A
The patient alternates between resistance to and cooperation with the examiner’s instructions; for example, when asked to shake hands, the patient repeatedly extends and withdraws the hand. The patient extends their hand to shake the examiner’s hand but then quickly pulls it back, repeating this action sever
23
Q
who discovered term catatonia
A
kahlbaum
24
Q
what is psyhological pillow
A
invisible pillow
25
echopraxia
imitaties action of examiner
26
motor perservation
persistent action e.g. picking up pen action even when has done it
27
echopraxia
echolaiaia
involuntary repetition of someone elses action
involuntary repetition of someone elses words
28
logorrhoea
logoclonia
increased talkativeness
repetition of words
29
verbigeration
meaningless repetition of words
30
what is the clitfton assessment procedure
The CAPE evaluates the presence and severity of impairment in mental and behavioural functioning. It was intended for elderly long-term psychiatric patients.
quality of life
cognitive deficits
physical dependence -unmet needs?
behavioru rating
cognitivie
31
cognitive dysfucnction can be screened by
clock drawing testing
32
permorbid inteligence
50 irregularly spelt words
national adult ereading test -NART
33
The Wechsler Adult Intelligence Scale (WAIS)
The Wechsler Adult Intelligence Scale (WAIS) is an IQ test designed to measure intelligence and cognitive ability in adults and older adolescents.
34
stroop test
incongruencies like red written in purpple
35
rey osrettich complex figure
visual memory
copy item
immediate recall
delayed recall (20-30mins later)
36
testing for language
boston naming
naming objects or pictures
37
frontal lobe dysfunction
winsconsin card sorting
sort a card based on a specific rule
38
copropraxia
coproalalia
involuntary exhibition of socially inappropriate/obscene actions e.g. tics
involuntary exhibition of socially inappropriate language
39
what is amok
found in malaysia
males aggressive dissociative state rush in a frenzy
40
what is brain fag
west africa
identified in nigerian
seen in students reduced concenre`tion and poor concentration
41
ataque de nervios
attack of nurves
seen in latino community
itense emtoional upset, shaking, shouting, out of control
post stress
42
which condition is seen in cambodia
khyal attack
similar to panic attack
wnd attack
seen in refugee with ptsd
43
dhat
south asia
yoiung male
semen loss
44
what is koro seen in
chinese /south east asia
males
penis withdrawing inside abdomen
and think with die
often tie it with strings
45
what is kufungisia
shona of zinbabwe
thinking too miuch
46
latah
malaysia
females
sudden fright, starticle,
echopraxia,lalaia
hyperensisivty
47
what about phiblokto
eskimo comunity
extreme excitiment --> seizure --> death/coama
48
what is seen in haitian comunity
maladi moun
snet sickness
belief sent from others who are envious/see to cause malice
49
nevra
greek
loss of control/nerves
boil over
shouting, throwing screaming
50
wendigo
north america
scaricity of food in winters
cannabislistic urges
51
susto
fright
latino
frightful event--> soul leaves body --> unhappiness
52
difference between taijin kyofusho and shenjing
shuairo
japanese
anaxiety and avoidance of a situation,
fear that one body parts of function is embarassing or offensive to others
chinese
rriggered by stress fatigur, headache, cocnentraiton difficulty, sleep disturbance, memory loss
chinese medicine
53
four components of ego
Conscience
Emotion
reality
relationships
54
what are the three aspects of psychotic defense mechanisms
deliusional projection
Distortion - grossly reshaping external reality to suit their inner needs
Denial -refusal to accept
Three Ds
55
what is megalomanical belief
denial personal responsibility
belief that others is at faul
tcant do it
obessessed with power
cant see their fault
56
what are the 8 immature defenses
1. splitting (seen in BPD)
2. projection
3. projective identification
4. schizoid fantasy
5. 5. hypodchondriasis
6. passive aggresisce
7. acting out
8. rwgression
57
# at are
what is splitting
emotional conflict
positive and negative qualities of one/other
goes from black and qhite
opposite affect and failing to integrate
58
what is projection
attributing your own unacceptable and unacknowledged feeling onto another person
58
how does that differ from projective identification
ego projected onto another
it takes impact onto recipient who feels what is projected into them
sense of feeling of being controlled or manipulated
58
schizoid fantasy
tendency to use fantastic
and indjuge in autistic retreat for purpose of conflict resolution
58
define
hypodhcondriasis
transformation of reroach towards tohers arising from lonliness bearevament
worrying about serious illness
58
passive aggressive
indirect ineffective passively or directly against the self
59
60
61
62
acting out and regression
acting out -impulsive action to avoid dealing with distressing impulse/anxiety e.g. tempers
regression- going back to erlierstage of development when faced with an unpleasant emotion
63
what are the four mature mechanisms
alturism - service to others
humour -expression of ideas/feelings without discomfort to self or others
suppression - (sub)concious decision to proposone paying attention to the conscious impulse/conflict
sublimation - indrection or attenuated expression of instinct without consequences into a healthier i.e. playing a sport
64
what is valliant level
classifies the above levels of defences
level 1
- psychotic <5
- level 2 -immature 3-15
- level 3- neurotic 3-90
-c
level IV - mature 12-90
65
what is DMSR
perry defensve mechanism trating scale
30 processes of defence into 7 catgeories
66
what are the six neurotic ones
dissocation - block in that feeling
displacement -reidrecting pulse to another
undoing - as below
interlectulisation - excessively analytical or abstract thought patterns
reaction formation -reacting opposite way
repression
67
what is ungeschehenmachen
to supress
aim to make an attempt to cause past thoguts/words to not have occured
68
what are the breakdown of delusional structure
polarised - delusional and fact mingled
juzrapsposed - both delusion and fact exist but ar enot interacting
autistic - reality is not taken into accoutn and patient lives in delusinal woard
monothematic -single theme
polythematic -multiple themes
fragmented - unorganised, disconnected delusions
69
what is the difference between a primary and seconary delusion
primary -arises spontenaousely from normal psychological meaning
seocndayr -conseuqnce of morbid experience
70
what is fregoli
people are the same in diguse
71
capgras
someone they know has been replaced by an imposter
72
subjective double
dopplerganger
73
delusional companion
non living objects have consciousness
think, feel, independently
74
what is intermetamorhosis
swapped identified but same apperance e.g. brother is your father
75
folie deux
shared delusion between two people
76
ekbom syndrome
infested with insects
77
otheollo
partner is cheating
78
pseudocyesis
belief woman is pregnant
79
declarembount
lots of lovers
80
lycanthropy
have transformed into an animal
81
what is digit span
examiner reads numbers
patients recalls forwardas and backwards
longer sequece incrwasingly
when patient fails both f AND Backward-digit span value
normal 7 plus/minus 2
82
what are dissociative seizures
non epileptical seizures
F>M
teens /late adolececes
differs from epileptic
83
dissociative seizures
duration >2 minutes
gradual onset
eyes closed
more violence
incontinence not common
biting mouth uncommon
can recall
whereas epileptic <2 mins , less violnt, incotinence common, biting common, recall rare
84
what did an RCT show aboiut dissoaitive seizure
improvement with cbt
85
what is the difference betweeN ICD and dsm1
ICD -PARIS
ALL healthcar practioners
diagnostic and guidances and world clasisification
no operational criteria
under diagnoses
whereas DSM1 - USA
psuchaitrist
usa CLASSIFICATO
INCREASE diagnoses with each revision
depedent on operational criteria
86
what is EPDS
edinburgh post natal depression scale
10 item self reported questionnaire
over 7 days
selection 1of. 4 responses with rating of 0-3
0-9 low 10-12 moderate 13 plus high
87
what defines epilepsy
2 unprovoked seizure over 24 hours apart
88
first rank syymptoms
running commentary
thought echo
voices hearding arguijng
thought insertion
thought withdrawal
thought broadcast
delusional perception
somatic passivity
89
flynn effect
arise over time in standardised intelligence test
90
hayling brixton test
2 sets of 14 sentences each with rising last words
meassure response initation speed
to test frontal lobe
91
what is kraepelin mixed state
most mood states tend to be mixed with pure maria and pure depression being less common
92
how many types of kraepelin mixed states were there
6 but has now been reduced to 2
1. dysphoric manaia - mania plus some depression
2. depressivex mixed state -full depression with some mania
93
what codnition is associated with lambert eaton syndrome
small cell lung cancer
(breast and ovarian soemtimes)
antibody is directed against presysnamic voltage dated claicum channel in PNS
muscle contractions to increase strength
limbe girdle weakness
resused reflxe
sdry mouth
micturation
opthalmolegia
repetitive electrical stimulation
mx cancer, redpnsiolone, azithroprine
94
four types of doctor patient relationship
1. paternalisitc
2. informative
3. intepretivie
4. deliberative
95
define each type of dr patient relationship
1. paternalisitc: dr knows best
2. informative: provides info to pt, pt decides
3. intepretative - dr helps patient, knows patients alues but lets them decide
4. deliberative- acts as a guide but gives perefences
96
akinesia va akasthisa
aknesina - loss of muscle movement
akathesia - restlessness
97
what is athoesis
worm like movement involutnarry
seen in cerebral palsy, stroke
slow withering
98
hemiballismus
damage to subthalamic nucelus
large involuntarry limb movement
usually lower limb and unilateral
99
what is myahtesia gravis
autoimmune disorder
insufficiency of acetylcholine receptors
antibiodies and aceptchline recipe to NMJ
diplopia
weakness in face, neck, limbs
ptosis
dysphagia
100
how is M.G diagnosed
CT thorax
electromyogram
CK normal
antibiodies
Mx with pyridostigamine (anticholsteramise)
prednisolone,
IV IG
101
what can aggrevate m.G
TCA
Haloperidol
so use SSRI
102
what is PANSS
positive and negative syndrome scale
for schzioprhenia
103
what is phaeochromtcytoma associated with
MEN TYPE 10% familal
Neurofibromosis -VHL syndrome
bilateral 10%
malignant 10%
extradrenal 10%
104
where are they found phaemcchromcytoma out of adrenal gland
zuckernkendall burification of aorta
105
how to test for phachromotyctoma
24 hour metanephrine urinary collection of catecalomines
definitive management with surgery but can use alpha and beta blockers to manage symptoms
106
who discovered paramnesia
emil kraepelin
107
what is prosody
emotional tone of lanfguaage
inflections and melodious quality
108
what is bodily diistress disorder
multiple body symptoms which vary over time
focus is to a single symptom e.g. pain/fatigue
1. persistent coupational negative consequences
2. rpeeated consequences with healthcare
3. focus on those symptoms
4. more days for several months
109
bodily integrity disorder
intense persistent desire to become disabled e.g. blind, paraplegic
attempts to harm self, imapired feeling not within another medical disorder
110
factitious dx
factitious - attenpton
malingering - internatl benefits
111
how does OCD differ
ocd - thoughts, images, urges
compulsions -acts
112
what is a trance dx
marked alternative in individuals consciosuness state or a loss of identity
narrowed awareness of surroundings
113
what is SUDEP
sudden unexpected death of epilepsy patient
20-30% of deaths in these patients
114
diffrisk factors for SUDEP
male
lamotrigine
intellectual disability
noctural seizure
no meidications
115
difference in lithium long term use and toxicity
coarse temor in toxicity
fine tremor in long term (physiological)
116
what are the hz of tremors
intentional -2hz
parkinson -5hz
essential 7hz
physiological 10hz
psychogenic variable
117
what is psychogenic polydipsia
thirst regulation
water balance in body controlled by plasma osmbaility
release of ADH from piturary gland
hypothalamus has osmoreceptors
118
whatwhat does ADH do
promote water retention
therefore hypohatramic
increase instake, reduce Na, as excreeds excretion
20% schizophrenia drink 5-15L a day
wont say they are thirsty but have a delusional explanation
119
which depresson anxiety screening ar eself rated
becks
gd
UZG
EDINRBURGH -POSTNATAL
120
which are clinical rating scales
madrs
hamilton
BASREC
hama
correll dementia
121
which scale used in ocd
y bocs s scale
122
sf36
26 item survey
8 scales
function and wealking
general health
123
what is WHO DAS
| what
dusability assessement schedule
previous 30 datys
mobility
self care
connection with people
social/society
124
what does deficiency in following vitamins cause:
A - night blindness
D rikets, osteomalacia
E- ataxia,
k coagulaiton
B1 -thamine - wernkeries, beri beri
b2 -rivoflacvin - goltittiis
b3 -niacin -pellgara
b6 -poly
b7 bitoin - alopecia, paresjhaia
b12 -anesia neuro depementia
c -scuvrvy
b9 folic acid - NTD, anacrotic anaemia
125
what is prosody
emoitonal tone of language
meladious
quality
inflection poijnt
divided into execuetive and receptive ( expressive and undderstadning)
pre motor cortex and temporal lobe
frontal -non dominant
126
what is the hayling test used to test for
sentence completion 2 sets of 15 questions
with last work missing
second part has an unrelated word and looks for response initation
127
what is brixton test used for
rule detection and following
128
whcih scale is heriachial
gutman scale
129
what is bleuler coin?
schizophrenia term but also acessory vs basic
130
what are the four 4
who is associated
bleuler
affectivie
autism
ambuvilence
loose of associations
131
what does the tower of london test look at
executive function
132
sf36
8 scales looks as
social and physical functioning
bodily pain
vitality - fatifue
emotion
MH
General health
133
korean cultural bound ilnness
fire
supressed anger
hwa byong
134
what scale is used for OCD
what does it measure
y bocs
severity and response to Rx
135
what scale is used for antidepressant s
DESS
dicontinuation emergency signs symptoms
43 items
136
scale associated with neuroleptic induced parkinsoms
item 10
simpson angus
gait, rigidity (6), tap,tremor, salivation 3items
137
LUNSER is
antipsychoetic medication
neuroleptic s/e
138
AIMS
tardive dyskinesia
with >2 or moew signfiicant
12 items
139
cornell scale
depression in dementia
140
madras
change with antidperessant medixcation
