First aid Psychiatry: Examination and Diagnosis

Question 1

La belle indifference

Answer 1

patients are surprisingly calm and unconcerned when describing their symptoms

Question 2

4 P’s for HPI

Answer 2

Predisposing to
Precipitating
Perpetuating
Protecting

Question 3

What is the most important factor in formulating a diagnosis and treatment plan

Answer 3

history

Question 4

What is an important question to ask if you are seeing a patient in the ER? other questions?

Answer 4

• how they got to the ER

- why patient is seeking treatment today

Question 5

Why is it important to ask a patient if they use NSAIDS for psychiatry

Answer 5

NSAIDS decrease lithium excretion

- therefore increase lithium concentrations

Question 6

akinesia

Answer 6

absence of movement

Question 7

hypokineisa or bradykinesia

Answer 7

slowlness of movement

Question 8

what are the components of the mental status examination (10)

Answer 8

appearance
behavior
Speech
mood/affect
thought process
thought content
perceptual disturbances
cognition
insight
judgement/impulse

Question 9

mood

Answer 9

emotion that the patient tells you he feels

Question 10

labile affect

Answer 10

patient who is laughing one second and crying the next

Question 11

inappropriate affect

Answer 11

A patient who giggles while telling you the he set his house on fire and is facing criminal charges

Question 12

Affect

Answer 12

assessment of how the patient’s mood appears to the examiner

Question 13

flat affect

Answer 13

patient who remains expressionless and monotone even when discussing extremely sad or happy moments in his life

Question 14

thought process

Answer 14

how the patient expresses his or her thoughts

Question 15

Circumstantiality

Answer 15

the point of conversation is eventually reached but much trivial information is put in

Question 16

tangentiality

Answer 16

point of conversation never reached

Question 17

loosening of associations

Answer 17

no logical connection from one thought to another

Question 18

flight of ideas

Answer 18

thoughts change abruptly from one idea to another

Question 19

Neologism

Answer 19

made-up words

Question 20

word salad

Answer 20

incoherent collection of words

Question 21

clang association

Answer 21

word connections due to phonetics rather than actual meaning
“My car is red, I’ve been in bed, It hurts my head”

Question 22

thought blocking

Answer 22

abrupt cessation of communication before the idea is finished

Question 23

thought content

Answer 23

types of ideas expressed by patient

Question 24

Grandeur delusion

Answer 24

belief that one has special powers or is someone important

Question 25

Paranoid delusion

Answer 25

belief that one is being persecuted

Question 26

Reference delusion

Answer 26

belief that some event is uniquely related to patient

Question 27

thought broadcasting delusion

Answer 27

belief that one's thoughts can be heard by others

Question 28

Religious delusion

Answer 28

conventional belief exaggerated ( Jesus is talking to me)

Question 29

Somatic delusion

Answer 29

false belief concerning body image | I have cancer

Question 30

Hallucination

Answer 30

sensory perceptions that occur in the absence of an actual stimulus

Question 31

Illusion

Answer 31

Inaccurate perception of existing sensory stimuli

Question 32

Derealization/Depersonalization

Answer 32

experience of feeling detached from one's surrounding/mental process

Question 33

Insight

Answer 33

patient's level of awareness and understanding of his or her problem

Question 34

Judgement

Answer 34

Patient's ability to understand the outcome of his or her actions and use this awareness in decision making

Question 35

Alcoholic hallucinosis is usually what type of hallucination

Answer 35

auditory

Question 36

What is mini state examination

Answer 36

brief test used to asses gross cognitive functioning

Question 37

what is included in the mini state examination

Answer 37

- orientation - memory - concentration/attention - language - complex command - visuospatial ability

Question 38

Tarasoff rule

Answer 38

if patient expresses imminent threats against friends, family or others, the doctor should notify potential victims and/or protection agencies when appropriate

Question 39

what is the mean IQ and SD

Answer 39

100 | 15

Question 40

Wechsler Adult Intelligence Scale (WAIS)

Answer 40

intellectual functioning for age 16-90

Question 41

Wechsler Intelligence Scale fore Children WISC

Answer 41

intellectual functioning for age 6-16

Question 42

What does Minnesota Personality Inventory (MMPI) asses

Answer 42

person's personality and identify psychopathologies

Question 43

What is Thematic Appreception test? what does it asses

Answer 43

- test taker creates stories based on pictures of peoples in various situations - evaluate motivations behind behaviors

Question 44

Roschach test? asses?

Answer 44

- interpretation of Inkblots | - identify thought disorders and defense mechanisms

Question 45

automatisms

Answer 45

spontaneous, involuntary movements that occur during an altered state of consciousness