Psychiatric H&P Flashcards Preview

Disciplines (Cholley) > Psychiatric H&P > Flashcards

Flashcards in Psychiatric H&P Deck (27):
1

Perception abnormalities

Hallucinations & illusions

2

Define hallucinations

Sensory perceptions generated within the CNS in ABSENCE of external stimuli

3

Define formication

Sensation of insects crawling under skin

4

Visual hallucinations are prominent in which cognitive psychoses? (3)

- Delerium tremens
- Psychedelic drug use
- Schizophrenia

5

What do disoriented pts usually do?

Try to hide mistakes w/ confabulation

6

Abstract thinking relies on what?

- Culture
- Intelligence
- Education

7

Define Memory loss

Organic brain disease or injury

8

Define Retrograde amnesia

Inability to remember events prior to injury or disease

9

Define Anterograde amnesia

Inability to form new memories

10

Which body fxns preserve health & energy?

- Sleep
- Appetite & weight
- Energy level
- Daily mood variation
- Sexual interest

11

GAD: "Worry WARTS" Mnemonic

- Wound up
- Worn out
- Absentminded
- Restless
- Touchy
- Sleepless

12

GAD: "Watchers" Mnemonic

- Worry
- Anxiety
- Tension in muscles
- Concentration difficulties
- Hyperarousal
- Energy loss
- Restlessness
- Sleep disturbance

13

Depressive disorder: "SIG E CAPS" Mnemonic

- Sleep
- Interest
- Guilt
- Energy
- Concentration
- Appetite/weight
- Psychomotor
- Suicidal ideations

14

Depressive disorder: "DIGFAST" Mnemonic

- Distractibility
- Insomnia
- Grandiosity
- Flight of ideas
- Agitation
- Activities
- Sexual exploits
- Talkative

15

What makes up a mental status exam?

- General appearance
- Psychomotor behavior
- Mood & affect
- Speech
- Cognition
- Thought patterns
- Level of consciousness

16

What are 2 subcategories of thinking/perception?

- Thought form
- Thought content

17

Define thought form

Flow of thought

18

Thought form defects

1. Association
2. Rate & rhythm

19

Define circumstantiality

Overinclusion of trivial or irrelevant details impede sense of getting to point

20

Define clang association

Thoughts associated by the sound of words rather than their meaning through rhyming or assonance

21

Define derailment

Breakdown in the connection btwn ideas & the overall sense of goal-directedness.
- The words make sense, but the sentences don’t make sense

22

Define flight of ideas. How is it expressed?

Succession of multiple associations, so that thought seems to move abruptly from idea to idea
- Often expressed through rapid speech

23

Define neologisms

Invention of new words or phrases or use of conventional phrases in idosyncratic ways

24

Define perseveration

Repetition, out of context, of words, phrases or ideas

25

Define tangentiality

In response to a question, the pt gives a reply that is appropriate to the general topic w/out actually answering the question

26

Define thought blocking

Sudden disruption of thought or break in the flow of ideas

27

How do you arrive at a dx?

Gather info, PE, & review previous health records