Intro To Psych

Question 1

What is the difference between mania and hypomania?

Answer 1

Mania (BAD1) is criteria met for 7 days

Hypomania (BAD2) is criteria met for less than 7 days

Question 2

What does SIG E CAPS stand for?

Answer 2

SI- suicidal ideation
G = Guilt
E= Change of energy
C = concentration difficulty
A = Appetite
P = psychomotor agitation or depression subjective report)
S = Sleep problems

Question 3

When the SIG E CAPS criteria is met for 7 day or more

Answer 3

Mania (BAD1)

Question 4

When the SIG E CAPS criteria is met for less than 7 days

Answer 4

Hypomania (BAD2)

Question 5

Alternating episodes of minor depression

Answer 5

Cyclothymia

Question 6

Include the patient’s psychiatric history under PMH when chief complaint is

Answer 6

Not psych related

Question 7

If patient’s chief complaint is psych related, than we want to add a separate

Answer 7

Past psychiatric history heading

Question 8

Functioning is a score of 1-100, often referred to as global assessment of functioning. What is

1. ) Superior function
2. ) Imminent danger to yourself or others

Answer 8

1. ) 100

2. ) 1

Question 9

What are the three P’s for evaluating the factors contributing to mental illness?

Answer 9

Predisposing, Precipitating, Perpetuating

Question 10

What are the aspects of social functioning for your patients?

Answer 10

SHOVEL and Axes

Social support, housing, occupations, value (economic), education, legal issues, and access to healthcare

Question 11

Has one overall goal: keep the friction/ anxiety between what you want to do and what you are allowed to do at a sub threshold level

Answer 11

The ego

Question 12

Defined when deficits in 2 or more of cognitive, impulse control, affective, or interpersonal domains results in impairment in social, occupation, or interpersonal functioning

Answer 12

A Personality disorder

Question 13

Is NOT a screening tool for major neurological disorder (dementia) or a serial assessment for delerium

Answer 13

Mental Status Examination

Question 14

We only use the mini-mental state examination for

Answer 14

Dementia (Major neurocognitive disorder)

Question 15

In psychiatry, ABC’s stand for

Answer 15

Appearance, Behavior, Cooperation

Question 16

Marked psycho-motor (behavioral) disturbance

Answer 16

Catatonia

Question 17

To break down psycho-motor, we would say

Answer 17

Psycho = Decreased engagement

Motor = Abnormal motor activity

Question 18

Psychologically, with psycho motor, we want to focus on

Answer 18

Decreased engagement

Question 19

Moderate motoric immobility

Answer 19

Catalepsy

Question 20

Severe motoric impairment

Answer 20

Stupor

Question 21

Tested by asking patient. Please read ad obey the following: “close your eyes”

Answer 21

Comprehension

Question 22

When a patient veers off topic and they never get back to their point

Answer 22

Tangential

Question 23

Derailment is a disturbance of association that contains

Answer 23

Flight of Ideas (FoI) and Looseness of Associations (LoA, aka word salad)

Question 24

If the sentences make sense, but when the individual puts them together, the paragraph makes no sense

-Single sentence in a vacuum makes sense

Answer 24

Flight of Ideas

Question 25

If neither the sentences or the paragraphs made from them make sense, we have a

Answer 25

Looseness of Association

Question 26

One example of the Clang association is

Answer 26

Looseness of Association (LoA)

Question 27

Themes are comprised of

Answer 27

Delusions and non-delusional thoughts

Question 28

Fixed beliefs, that have no basis in reality

Answer 28

Delusional Thoughts

Question 29

Thoughts such as obsessions and preoccupations (e.g. somatic symptom and eating disorders)

Answer 29

Non-delusions thoughts

Question 30

The difference between delusional and non-delusional is that

Answer 30

The patient knows they are not rational and does it anyway if they are non-delusional. Delusional patients believe they are rational

Question 31

Asking, “if you could describe how you feel in one word, what word would you choose?” Gives us the patient’s

Answer 31

Mood

Question 32

When you report intensity of affect to your attending, you are presenting the

Answer 32

Average intensity

Question 33

Looks at the peaks and troughs of the patients affect intensity

Answer 33

Range

Question 34

If the range of affect intensity is too broad, I.e. and expansive range, we call it

Answer 34

Mania

Question 35

If the difference between peaks and troughs of the affect intensity curve are very small, we have a

Answer 35

Constricted range

Question 36

If we want to know how quickly they change from peak to trough in intensity, we want to know the slope. What do we call it if 1. ) Patient gets there too quickly? 2. ) Too slowly?

Answer 36

1. ) Over-controlled | 2. ) Labile

Question 37

Relation to thought content or situation

Answer 37

Appropriateness of affect

Question 38

A clinical term for the inappropriate affect seen with conversion disorder

Answer 38

La Belle Indifferenceq

Question 39

Illusions and hallucinations are forms of

Answer 39

Perceptual disturbance

Question 40

Perceptual disturbances that are cued by an environmental stimulus

Answer 40

Illusions

Question 41

Perceptual disturbances that are NOT cued by an environmental stimulus

Answer 41

Hallucination

Question 42

A misinterpretation of a REAL environmental stimulus

Answer 42

Illusion

Question 43

The level of consciousness is measured by being

Answer 43

Awake, alert, and oriented

Question 44

When the patients alertness is preventing them from interacting with their environment despite painful stimuli

Answer 44

Comatose

Question 45

Estimate of current level of functioning as measured by the tasks required by the test

Answer 45

Intelligence quotations (IQ)

Question 46

We test immediate recall by asking the patient to

Answer 46

Name 3 things that are not visually present in the room

Question 47

Of the three objects you ask about, one of the three should be an

Answer 47

Abstract concept

Question 48

Working memory and attention is tested using the

Answer 48

Digit span test

Question 49

The digit span test tests the

Answer 49

Frontal lobe

Question 50

Observe if any deficits are not better accounted for by

Answer 50

Concentration

Question 51

A person with normal concentration should be able to do the serial 7’s test (subtract 7 over and over again from 100) and get

Answer 51

5 responses in a row correct without getting 2 in a row incorrect

Question 52

Ability to discuss emotions and see their connectivity with content of thought

Answer 52

Abstract thought

Question 53

Abstract thought is assessed formally via the

Answer 53

Similarities sub scale

Question 54

A more accurate test for abstract thought in the low educated population

Answer 54

Abstract thought

Question 55

Part of the comprehension subscale -I.e. don’t cry over spilled milk

Answer 55

Proverbs

Question 56

Manifestations of behavior that are contrary to acceptable behaviors in the culture

Answer 56

Formal judgement

Question 57

Formal judgement is assessed via the

Answer 57

Comprehension scale

Question 58

Asking, what should a person do if he/she sees smoke or fire in a grocery store? Is testing

Answer 58

Formal Judgement

Question 59

We close our MSE by stating if the findings are

Answer 59

Reliable

Question 60

If what the patient says is NOT reliable, then we want to present that information in the

Answer 60

Introductory sentence