Psychiatry - Clinical Exam

Question 1

Pressure of speech

Answer 1

Tendency to speak rapidly, motivated by urgency

Question 2

Mood

Answer 2

Patients individual subjective internal state

Question 3

Affect

Answer 3

Expressed and observed emotion

Question 4

Thoughts - loose associations

Answer 4

Moving rapidly from one topic to another with no apparent connection

Question 5

Thoughts - circumstantial

Answer 5

Lots of irrelevent and unnecessary details

Question 6

Thoughts - tangental

Answer 6

Digressions from main conversation subject, introducing thoughts that are unrelated

Question 7

Flight of ideas

Answer 7

Accelerated tempo of speech (pressure of speech), can go off topic evoked by accidental connections

Question 8

Thought blocking

Answer 8

Sudden cessation of thought, typically mid-sentence

Question 9

Thoughts - perseveration

Answer 9

Repetition of particular response despite absence/removal of stimulus

Question 10

Thoughts - neologisms

Answer 10

Words the patient has made up

Question 11

Delusions

Answer 11

Firm, fixed belief based on inadequate grounds

Question 12

Obsessions

Answer 12

Thoughts, images or impulses that occur repeatedly and out of the persons control, patient is aware they are irrational

Question 13

Compulsions

Answer 13

Repetitive behaviours that patient feels compelled to perform despite recognising the irrationality of behaviour

Question 14

Overvalued ideas

Answer 14

Abnormal belief that is neither delusional nor obsessional, but is preoccupying to the extent where dominating patients life

Question 15

Thought insertion

Answer 15

Belief that thoughts can be inserted into patients mind

Question 16

Thought withdrawal

Answer 16

Beleif that thoughts can be removed from patients mind

Question 17

Thought broadcasting

Answer 17

Belief that others can hear patients thoughts

Question 18

Hallucinations

Answer 18

Sensory perception without external stimulation to extent where patient believes is real

Question 19

Pseudo-hallucination

Answer 19

Hallucination, but patient is aware is not real

Question 20

Illusions

Answer 20

Misinterpretation of external stimulus

Question 21

Depersonalisation

Answer 21

Patient feels no longer true self and are someone different or strange

Question 22

Derealisation

Answer 22

Sense that world around patient is not true reality