Classification and Assessment pyschmentor Flashcards

Question

CADSIL

Answer 1

generally presents with stroke, memory impairment, migraine, and severe mood disturbances.

Answer 2

fatigue, depression, and confusion bones (bone pain), groans (abdominal pain), stones (renal stones) psychic moans caused by lithium use (and thiazide diuretics) 50% ca bound to proteins mainly alb

Answer 3

``` Mania with poverty of thought (decreased thought) Inhibited mania (decreased will) Manic stupor (decreased will and thought) ``` ``` Depression with flight of ideas (elevated will) Excited depression (elevated thought) Depressive mania (elevated will and thought) ``` NOW TWO: ``` Dysphoric mania (full mania is present with some depressive symptoms) Depressive mixed state (full depression is present with some manic symptoms) ```

Answer 4

greater than 27 indicates normal cognition severe (

Answer 5

The term paramnesia was coined by Emil Kraepelin = MEMORY DISORDER where fantasy and reality are confused. Reduplicative paramnesia The delusion that a place, person, or time has been duplicated Retrospective falsification The process of distorting a memory Cryptomnesia - having a thought without realising you have had the thought before (some PLAGIARISTS claim they are unaware that they were recounting other peoples work)

Answer 6

A parapraxis is also known as a 'slip of the tongue' Paraschemazia= parts of the body are distorted or twisted or that they are separated from the rest of the body association with hallucinagenic use, epileptic aura, and migrane.

Answer 7

Schizoid personality disorder is characterised by:- ``` Indifference to praise and criticism Preference for solitary activities Lack of interest in sexual interactions Lack of desire for companionship Emotional coldness Few interests Few friends or confidants other than family ``` Histrionic personality disorder is characterised by:- Inappropriate sexual seductiveness Need to be the centre of attention Physical appearance used for attention seeking purposes Rapidly shifting and shallow expression of emotions Suggestibility Impressionistic speech lacking detail Self dramatization Relationships considered to be more intimate than they are NARCISSISTIC * Grandiose sense of self importance * Preoccupation with fantasies of unlimited success, power, or beauty * Sense of entitlement * Taking advantage of others to achieve own needs * Lack of empathy * Excessive need for admiration * Chronic envy * Arrogant and haughty attitude

Answer 8

catecholamine-secreting tumor of chromaffin cells located in the adrenal glands ``` HTN, tachycardia, postural hypotnesion sweating, cold and clammy skin livedo retciularis (mottled skin) headache angina, palpitations nausea, vomitting ``` diagnosed by measuring catecholamine products in the blood or urine. principal urinary metabolic products of epinephrine and norepinephrine = (VMA) and homovanillic acid (HVA).

Answer 9

PPTS: Barbiturates, Benzodiazepines Sulpiride SOME mood stabilizers ``` Symptoms to look out for include:- Abdominal pain Mental state changes Constipation Vomiting Muscle weakness ```

Answer 10

'the emotional tone of language' Aprosodias non-dominant hemisphere (RIGHT IN 95%) right premotor cortex or the basal ganglia. Receptive prosody- posterior superior right temporal lobe. tested asking the patient to repeat a neutral sentence with different emotions (anger, fear, sadness)

Answer 11

The GMSS (Geriatric Mental State Schedule) is used to screen for depression in the elderly. BDI (Beck depression inventory) severity of depression. 21 items, each is score out of 0-3. revised in 1966. 0-13 indicates minimal depression, 14-19 mild depression, 20-28 moderate, and 29-63 severe depression. DESS (Discontinuation-Emergent Signs and Symptoms scale)- 43-item rating scale GDS (geriatric depression scale) 30 item scale, Each question has either a yes or no response 0-9 is deemed normal, 10-19 is mild depression, and 20-30 is severe depression. HAMA is a 14 item scale MADRS (Montgomery-Asberg depression rating scale) TEN-item diagnostic questionnaire used to measure the severity of depressive episodes/ more sensitive to the changes brought on by antidepressants and other forms of treatment. YMRS (Young mania rating scale) 11-item instrument used to assess the severity of mania in diagnosis of bipolar disorder. BPRS 18 and 24 items (symptom constructs) which are rated from 1 to 7 according to the degree of severity. The minimum score is therefore 18. CONSIDERS BEHAVIOUR OVER 2-3 DAYS SAS Simpson-Angus scale was devised to measure drug-induced parkinsonism, providing standardised ratings for rigidity, tremor and salivation. The scale is entirely sign led HAMD (Hamilton depression rating scale) multiple choice questionnaire to rate the severity of depression. Depending on the version used there are either 17** or 21 items. Each scored between 3 and 5 points. scores on 17: between 0 and 54. over 24 indicate a severe depression LUNSERS 51 items, 41 known SEs and 10 red herrings: hair loss, chillblains UKU = (the gold standard which takes about 60 minutes to do).

Answer 12

low T3 syndrome, non thyroid illness | often seen in anorexia/prolonged starvation

Answer 13

refers to a marginal variety of flight of ideas seen in hypomania where clang and verbal associations are less frequent, there is a general direction of thought and it is not as rapid.

Answer 14

- hallucinations in people who have lost their sight

Answer 15

WISC Wechsler Intelligence Scale for Children AGED 6-16. Can be done without readin/writing (WASI) Wechsler Abbreviated Scale of Intelligence quick estimate of intellectual functioning. 30 mins (full WAIS 60-90mins) WTAR Wechsler Test of Adult Reading measure of premorbid intelligence, WAIS 16 and 90. ``` Verbal Comprehension Index Perceptual Reasoning Index --> GENERAL ABILITY INDEX Working Memory Index Processing Speed Index ``` TOTAL--> IQ SCORE standard deviation of 15 (85-115)

Answer 16

disease of copper storage and failure to excrete ``` hepatolenticular degeneration (putaman and GP) mutation in protein ATP7B gene= codes enzyme which transports cu into bile incorporates into ceruloplasmin ``` levels of cu and ceruloplasmin are low in 90% presentation: dystonia, P tremor, rigidity, behavioral

Classification and Assessment pyschmentor Flashcards

(40 cards)