CLASSIFICATION IN PSYCHIATRY AND COMMON MENTAL DISORDERS

Question 1

Chapter V of ICD-10 was produced by a _____________ with a constitutional public health mission ( _______ )

Answer 1

global health agency

WHO

Question 2

DSM –IV was designed by _______________ for the classification of mental disorders ( _____________ )

Answer 2

Psychiatrist in America

American Psychiatric Association

Question 3

Currently ICD _____ and DSM-___

Answer 3

11

5

Question 4

( ICD or DSM ?) supersede (ICD or DSM ?)

Answer 4

ICD

DSM

Question 5

The DSM-5 boasts over _____ mental health disorders

It has undergone major revisions throughout the last six decades.

Answer 5

300

Question 6

The most recent version of the DSM (version _____) was published in 2013, and stands on the shoulders of more than 60 years of research

Answer 6

5

Question 7

one of the most important differences between ICD-10 and DSM-5 is??

Answer 7

DSM-5 is strictly intended formental disorders.

ICD-10 includes those same conditions, it contains conditions and diseases related to the entire human physiology, and doesnotcover mental disorders in the same depth as the DSM-5 does.

Question 8

DSM-5 is strictly intended for __________.

Answer 8

mental disorders

Question 9

(DSM-5 or ICD-10?) is strictly intended formental disorders

Answer 9

DSM-5

Question 10

________ includes those same conditions, it contains conditions and diseases related to the entire human physiology,

Answer 10

ICD-10

Question 11

ICD-10 covers mental disorders in the same depth as the DSM-5 does.

T/F

Answer 11

F

ICD 10 doesnotcover mental disorders in the same depth as the DSM-5 does.

Question 12

Key Differences Between ICD-10 And DSM-5 Systems
ICD-10 DSM-5

Asperger’s disorder

Substance usage,abuse and dependence classification

Answer 12

Categorizes Asperger’s disorder under F84.5
Diagnosis for Asperger’s disorder is included in the Autism Spectrum Disorder (F84).

Broadly classifies substance usage, abuse, and dependence; Provides no explicit distinction between substance abuse and dependenceied under DSM-5

Question 13

What is mental health

Answer 13

Mental Health
Mental health is more than just the absence of mental disorders or disabilities
It is the State of well-being in which an individual realizes his or her own abilities

Question 14

ANXIETY DISORDERS

Anxiety disorders are abnormal states in which the most striking features are _______________________ symptoms of _______ in the absence of _______________ or another ____________

Answer 14

mental and physical ; anxiety

organic brain disease

psychiatric disorder

Question 15

SYMPTOMS OF ANXIETY DISORDER

Autonomic arousal

Gastrointestinal ( ________,_______ , ___________, excessive ______, frequent or loose motions)

Respiratory (chest _________, difficulty __________ )

Cardiovascular ( _________ , chest discomfort, awareness of _______________ )

Genitourinary (_____________ micturition, failure of ________, _________ discomfort, amenorrhea)

Answer 15

dry mouth, difficulty swallowing, epigastric discomfort

wind; constriction; inhaling

palpitations; missed heartbeats

frequent or urgent ; erection; menstrual

Question 16

SYMPTOMS OF ANXIETY DISORDER

Psychological ( ________ anticipation, irritability, sensitivity to ______, restlessness, poor __________ , worrying __________ )

Sleep disturbance (_________,___________ )

Muscle tension (tremor, headache, aching muscles)

Answer 16

fearful; noise; concentration; thoughts

insomnia, night terror

Question 17

Generalized anxiety disorder anxiety is continuous although may fluctuate in intensity

T/F

Answer 17

T

Question 18

Similarity and Differences between panic and phobic disorders?

Answer 18

Phobic disorders anxiety is intermitent, arising in particular circumstances

Panic disorder anxiety is intermittent, but not related to any particular circumstances

Question 19

TREATMENT for anxiety disorders

____________ approach
_________ and psychoeducation
_________ training
_______________________ therapy
__________therapy
SSRI
______________ for short term treatment
Buspirone
Pregabalin

Answer 19

Stepped care

Self help

Relaxation; Cognitive behavioural

Pharmaco ; Benzodiazepine

Question 20

Psychotic Disorders

psychotic condition that involves the (gradual or sudden?) onset of psychotic symptoms and last _____ or more but less than _________

Answer 20

Sudden

1 day; 1 month

Question 21

Psychotic Disorders

It occurs more often among (younger or older?) patients _____ and _____

Higher incidence in (men or women?)
People living in developing countries
_____ socioeconomic status
Major cultural changes
Disaster

Answer 21

younger; 20s and 30s

Women

Low

Question 22

Psychotic disorders
The cause is ____________

Patients who have a personality disorder may have a_______________________ for the development of psychotic symptoms

Family history of _____________ or _________

It could also be a defense against a prohibited fantasy, the fulfillment of an unattained wish or an escape from a stressful psychosocial situation

Answer 22

not known; biological or psychological vulnerability

schizophrenia or mood disorder

Question 23

Clinical Features of psychotic disorders

_________
___________
_______________ speech
Impaired memory of recent event
______ mood
________
Impaired __________

Answer 23

Delusion
Hallucinations
Disorganized speech
Impaired memory of recent event
Labile mood
Confusion
Impaired attention

Question 24

Schizophrenia

Schizophrenia is one of the most severe mental disorders, the _________ leading cause of disability-adjusted life years in the age group ____-_____ years.

Answer 24

eighth; 15-44

Question 25

Schizophrenia It is characterized by _______ and relative ________ superimposed on (acute or chronic?) __________ and ________ state.

Answer 25

relapses; remission Chronic ; deterioration; disabling

Question 26

Schizophrenia is described as a _______geneous psychotic disorder characterized by a disintegration of __________ and ___________ with manifestations of auditory ____________ , delusions, _________ speech with significant social and/ or occupational dysfunction”.

Answer 26

hetero thought process and emotional responsiveness hallucinations; disorganized

Question 27

Schizophrenia has a lifetime risk of around _____%, and is associated with substantial morbidity and mortality.

Answer 27

1

Question 28

EPIDEMIOLOGY OF SCHIZOPHRENIA Age of Onset: 15 – 45 years Male: __________ years Female: ________ years Median age of Onset: Males: 28 years Females: 32 years Gender: __________ among men and women Social Class: Increased prevalence in _______ social class. Season of birth: Increased incidence in ________ Birth order: Increased incidence of low birth order if from a large family

Answer 28

15 – 25 25 – 35 Equally common; lower Winter

Question 29

POOR PROGNOSTIC FACTORS IN SCHIZOPHRENIA _______ onset ______ age at onset  ______ pre-morbid adjustment _____ duration of untreated psychosis Unmarried Prominent negative symptoms  ______ sex _______________ signs Past psychiatric history Medical co-morbidities

Answer 29

Insidious; Young Poor; Long; Male Neurological soft

Question 30

POOR PROGNOSTIC FACTORS IN SCHIZOPHRENIA Poor psychosexual adjustment  ____________ affective symptoms Additional ________________ History of violence Poor work record Enlarged __________ Poor compliance

Answer 30

No or few mental retardation ventricles

Question 31

Mood – _______________________________________ that is experienced _______ and that influences a person’s behaviour and perception of the world. Affect- __________________ of mood.

Answer 31

pervasive and sustained feeling tone internally External expression

Question 32

Mood Disorders/Affective Disorders- refer to a range of common clinical conditions in which the most prominent features are __________ or ___________ of mood.

Answer 32

elevation or depression

Question 33

Mood disorders : Episodes and Patterns List 5

Answer 33

Depressive episode Manic episode Mixed episode Hypomanic episode Cycling patterns

Question 34

Major depressive episode ______ or more of the following, most of the day and/or nearly every day, including at least symptom ________ : 1. ___________ mood (_______________) 2. _________________________ 3. Change in weight or appetite 4. Sleep changes 5. Noticeable change in movement 6. Fatigue 7. Feelings of worthlessness or guilt 8. Impaired cognition or volition 9. Repeated thoughts of death or suicide, planned or attempted suicide

Answer 34

Five; 1 or 2 Depressed ; Sad, empty, weepy; irritable, anger Loss of interest or pleasure in previously enjoyable activities

Question 35

Major depressive episode The _____ symptoms must occur in the same ___________

Answer 35

Five two weeks

Question 36

Depressive disorders Can either be : _____,_______, or _______

Answer 36

Minor Major Dysthymic

Question 37

Dysthymic Disorder _________ of __________ _________ mood ________________ depression symptoms (appetite, sleep, energy, concentration, low self-esteem, hopeless feelings)

Answer 37

Two years chronically depressed Two additional

Question 38

MANIC Episode ___________ of persistently _____,_______, or __________ mood, and ____ of: Grandiose self-esteem Lower sleep need Overly talkative Racing thoughts Easily distracted Increased activity or agitation High risk activities

Answer 38

One-two week high, expansive, or irritable 3

Question 39

Mixed episode _________ of _____________ symptoms with rapidly alternating moods Common symptoms: Agitation Insomnia Irregular appetite (binge eating-fast) Delusions Thoughts of suicide

Answer 39

One week both manic and major depressive

Question 40

Hypomanic episode ___________ of ______ episode symptoms Mood disturbance _____________________ ability to work or maintain social responsibilities Response pattern is uncharacteristic Not euthymia

Answer 40

Four-seven days; manic does not critically impair

Question 41

Bipolar affective disorder Common illness affecting ____% of the world population ( ____% if one includes __________ disorders) _____th leading cause of medical disability in the developed nations Prominent cognitive abnormalities

Answer 41

2; 5; spectrum 6