First aid Psychiatry: Examination and Diagnosis Flashcards Preview

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Flashcards in First aid Psychiatry: Examination and Diagnosis Deck (45)
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1
Q

La belle indifference

A

patients are surprisingly calm and unconcerned when describing their symptoms

2
Q

4 P’s for HPI

A

Predisposing to
Precipitating
Perpetuating
Protecting

3
Q

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

A

history

4
Q

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

A
  • how they got to the ER

- why patient is seeking treatment today

5
Q

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

A

NSAIDS decrease lithium excretion

- therefore increase lithium concentrations

6
Q

akinesia

A

absence of movement

7
Q

hypokineisa or bradykinesia

A

slowlness of movement

8
Q

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

A
appearance
behavior
Speech
mood/affect
thought process
thought content
perceptual disturbances
cognition
insight
judgement/impulse
9
Q

mood

A

emotion that the patient tells you he feels

10
Q

labile affect

A

patient who is laughing one second and crying the next

11
Q

inappropriate affect

A

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

12
Q

Affect

A

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

13
Q

flat affect

A

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

14
Q

thought process

A

how the patient expresses his or her thoughts

15
Q

Circumstantiality

A

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

16
Q

tangentiality

A

point of conversation never reached

17
Q

loosening of associations

A

no logical connection from one thought to another

18
Q

flight of ideas

A

thoughts change abruptly from one idea to another

19
Q

Neologism

A

made-up words

20
Q

word salad

A

incoherent collection of words

21
Q

clang association

A

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

22
Q

thought blocking

A

abrupt cessation of communication before the idea is finished

23
Q

thought content

A

types of ideas expressed by patient

24
Q

Grandeur delusion

A

belief that one has special powers or is someone important

25
Q

Paranoid delusion

A

belief that one is being persecuted

26
Q

Reference delusion

A

belief that some event is uniquely related to patient

27
Q

thought broadcasting delusion

A

belief that one’s thoughts can be heard by others

28
Q

Religious delusion

A

conventional belief exaggerated ( Jesus is talking to me)

29
Q

Somatic delusion

A

false belief concerning body image

I have cancer

30
Q

Hallucination

A

sensory perceptions that occur in the absence of an actual stimulus

31
Q

Illusion

A

Inaccurate perception of existing sensory stimuli

32
Q

Derealization/Depersonalization

A

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

33
Q

Insight

A

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

34
Q

Judgement

A

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

35
Q

Alcoholic hallucinosis is usually what type of hallucination

A

auditory

36
Q

What is mini state examination

A

brief test used to asses gross cognitive functioning

37
Q

what is included in the mini state examination

A
  • orientation
  • memory
  • concentration/attention
  • language
  • complex command
  • visuospatial ability
38
Q

Tarasoff rule

A

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

39
Q

what is the mean IQ and SD

A

100

15

40
Q

Wechsler Adult Intelligence Scale (WAIS)

A

intellectual functioning for age 16-90

41
Q

Wechsler Intelligence Scale fore Children WISC

A

intellectual functioning for age 6-16

42
Q

What does Minnesota Personality Inventory (MMPI) asses

A

person’s personality and identify psychopathologies

43
Q

What is Thematic Appreception test? what does it asses

A
  • test taker creates stories based on pictures of peoples in various situations
  • evaluate motivations behind behaviors
44
Q

Roschach test? asses?

A
  • interpretation of Inkblots

- identify thought disorders and defense mechanisms

45
Q

automatisms

A

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