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Year 2 Psych exam I > Fundamentals Pysch > Flashcards

Flashcards in Fundamentals Pysch Deck (21):
1

components of Dxing mental illness

clinical observation
syndrome based
response to Tx

2

transference

set of expectations, beliefs and emotional responses that a patient brings into doctor patient relationship

3

countertrasnference

physicians unconscious or unspoken expectations and feelings about a patient

4

what are the axis in psychiatry

I- major syndrome presenting
II- arise in early life and persist (personality disorders)
III- medical conditions
IV- psychosocial, environmental stressors
V- global assessment of functioning

5

interview techniques for psychiatry

establish rapport
open ended question
closed ended question

6

obstables in psychiatric interview

voluntary vs involuntary Tx
confidentiality
embarassment
potential ramification on career, family, finances
altered mental status
aggression
stigma

7

components of psych exam

history and PE
mental status exam
neuro exam
lab
imaging

8

important Hx in psych exam

medical
substance
developmental: birth, prenatal, motor and verbal milestones, relationships, abuse
sexual Hx
social Hx

9

metal status exam includes

appearance, attitude, motor, thought content, thought process, speech, orientation, perceptions, calculations, attention, abstraction, judgement, insight

10

delusion

fixed false belief

11

hallucination

perceptual belief

12

tangential

instead of answering questions go off in giant tangents
manic patients!

13

what can cause false CBC white count elevation

lithium Tx

14

what labs ordered in pysch eval

plasma drug levels
CBC
electrolytes
Cr
liver funcion tests
thyroid
UA
pregnancy
toxicology screen
neuroimaging
EEG

15

what medical conditions likely lead to depression

hypothyroidism
DM
cushings
SLE
pancreatic carcinoma
PD
MS
dementia

16

what medical conditions assoc with mania

hyperthyroidism
head injury
complex partial seizures
HD

17

what medical conditions assoc with pyschosis

hyperthyroidism
brain tumor
seizure disorder
CNS infection
drug withdrawal/intoxication

18

what medical conditions assoc with anxiety

hyperthyroidism
CAD
pulmonary diseases
hypoglycemia
mitral valve prolapse
hypoxia
substance induced

19

components in neuro exam for pysch patient

intellectual functioning
attention and concentration
memory
language
visual spatial
executive functioning

20

components in neuro exam for pysch patient

intellectual functioning
attention and concentration
memory
language
visual spatial
executive functioning

21

Tx types for mental illness

psychotherapy
pharmacotherapy
family
substance abuse Tx
group therapy
structured living environment
vocational rehab
light therapy
ECT
magnetic stimulation