Rule Out Flashcards
(80 cards)
1
Q
What needs to be ruled out before you make a diagnosis of:
TOURETTE DISORDER
A
You need to rule out: Abnormal movements from medical conditions Effects of a substance Choreiform, Dystonic, Athetoid, Myoclonic, Hemiballismic movements Spasms Hemifacial spasm Synkinesis Medication-induced disorder NOS Movement disorder Pervasive Developmental disorders Compulsions Schizophrenia Transient Tic Disorder Tourette disorder Chronic motor disorder Tic disorder NOS
2
Q
What needs to be ruled out before you make a diagnosis of:
HYPOCHONDRASIS
A
You need to rule out: Somatic symptoms in children Generalized anxiety disorder Obsessive-compulsive disorder Major depressive episode Separation anxiety disorder Body dysmorphic disorder Specific phobias Psychotic disorders
3
Q
What needs to be ruled out before you make a diagnosis of:
SOMATIZATION DISORDER
A
You need to rule out: Schizophrenia Anxiety disorders Panic disorder Generalized Anxiety Disorder Mood disorders Depressive disorders Pain disorder associated with psychological factors Sexual dysfunction Conversion disorder Dissociative disorder
4
Q
What needs to be ruled out before you make a diagnosis of: CYCLOTHYMIC DISORDER (MINOR MOOD DISORDER)
A
You need to rule out:
Substance abuse
Major depressive disorder ( the residual phase is characterized by dysthymic disorder in some patients, so-called “double depression”)
5
Q
What needs to be ruled out before you make a diagnosis of:
NARCISSISTIC PERSONALITY DISORDER
A
You need to rule out:
Histrionic Personality Disorder
Borderline Personality Disorder (both include emotionality and instability)
Obsessive-compulsive Personality Disorder (includes feelings of imperfection)
6
Q
What needs to be ruled out before you make a diagnosis of:
SCHIZOPHRENIFORM DISORDER
A
You need to rule out:
Brief psychotic disorder
7
Q
What needs to be ruled out before you make a diagnosis of:
INTERMITTENT EXPLOSIVE DISORDER
A
You need to rule out:
Alcohol or drug intoxication
Psychosis
Conduct disorder/antisocial personality disorder
Dementia
Dissociative disorders
Amok is a single episode of explosive behavior seen most commonly in Southeast Asian countries; dissociative symptoms are present
8
Q
What needs to be ruled out before you make a diagnosis of:
SCHIZOPHRENIA
A
You need to rule out: Temporal lobe epilepsy Neurologic disease or trauma Poisoning Endocrine disorders Brief psychotic disorder Schizophreniform disorder Schizoaffective disorder Manic phase of bipolar disorder Delusional disorder Schizoid and schizotypal personality disorders Substance abuse
9
Q
What needs to be ruled out before you make a diagnosis of:
DELUSIONAL DISORDER
A
You need to rule out: Delirium Dementia Psychotic disorder due to a gen med condition Substance-induced psychotic disorder Schizophrenia Schizophreniform Mood disorders with psychotic features Psychotic disorder NOS Depressive disorder NOS Bipolar disorder NOS
10
Q
What needs to be ruled out before you make a diagnosis of:
PEDOPHILIA
A
You need to rule out:
Dementia
Schizophrenia
Situational difficulties
11
Q
What needs to be ruled out before you make a diagnosis of:
NARCOLEPSY
A
You need to rule out: Sleep deprivation Sleep apnea leading to daytime sleepiness Abuse of sedative drugs Withdrawal from stimulant drugs
12
Q
What needs to be ruled out before you make a diagnosis of:
ASPERGER DISORDER
A
You need to rule out: Autistic disorder Childhood schizophrenia Rett disorder (in girls) Obsessive-compulsive disorder Schizoid personality disorder
13
Q
What needs to be ruled out before you make a diagnosis of:
HISTRIONIC PERSONALITY DISORDER
A
You need to rule out:
Borderline Personality Disorder (includes chronic feelings of boredom and emptiness and suicidal behavior)
Narcissistic Personality Disorder (includes feelings of superiority)
Dependent Personality Disorder (not characterized by flamboyance or an overly emotional state)
Hypomanic episode in bipolar II or cyclothymic disorder (symptoms remit when the episode ends)
14
Q
What needs to be ruled out before you make a diagnosis of:
SEPARATION ANXIETY DISORDER
A
You need to rule out: Pervasive developmental disorders Schizophrenia Other psychotic disorders Generalized anxiety disorder Panic disorder with agoraphobia Agoraphobia without history of panic disorder Psychotic disorders Conduct disorder Developmentally appropriate levels of separation anxiety
15
Q
What needs to be ruled out before you make a diagnosis of:
GENDER IDENTITY DISORDER
A
You need to rule out:
Hermaphroditism
Schizophrenia
Serious distress about homosexuality (sexual disorder NOS)
16
Q
What needs to be ruled out before you make a diagnosis of:
PARANOID PERSONALITY DISORDER
A
You need to rule out:
Delusional disorder
Paranoid schizophrenia
Mood disorder with psychotic features ( al include frank psychotic symptoms)
17
Q
What needs to be ruled out before you make a diagnosis of:
DELIRIUM
A
You need to rule out:
Dementia
Psychosis,
Depression
18
Q
What needs to be ruled out before you make a diagnosis of:
MALE ERECTILE DISORDER
A
You need to rule out:
Presence of erections during REM sleep. morning erections, or erections with masturbation suggest a psychological rather than a physical cause.
19
Q
What needs to be ruled out before you make a diagnosis of:
INSOMNIA
A
You need to rule out:
Use of stimulant drugs, particularly caffeine
Sedative abuser seeking drugs
20
Q
What needs to be ruled out before you make a diagnosis of:
SEXUAL DESIRE DISORDER
A
You need to rule out:
Substance-induced sexual dysfunction
Another axis I disorder
Occasional problems with sexual desire
21
Q
What needs to be ruled out before you make a diagnosis of:
ATTENTION DEFICIT HYPERACTIVITY DIOSRDER (ADHD)
A
You need to rule out: Normal temperamental characteristics Mood disorder Anxiety disorder Learning problems
22
Q
What needs to be ruled out before you make a diagnosis of:
TELEPHONE SCATOLOGIA
A
You need to rule out:
Dementia
Schizophrenia
Situational difficulties
23
Q
What needs to be ruled out before you make a diagnosis of:
MAJOR DEPRESSIVE DISORDER
A
You need to rule out: Cancers- present as depression Renal and cardiopulmonary diseases Infectious disease Neurologic illnesses (e.g. Parkinson disease, multiple sclerosis, dementia, stroke (particularly left frontal) Nutritional deficiency Endocrinologic abnormalities, particularly thyroid dysfunction Prescription drugs
24
Q
What needs to be ruled out before you make a diagnosis of:
VOYEURISM
A
You need to rule out:
Dementia
Schizophrenia
Situational difficulties
25
What needs to be ruled out before you make a diagnosis of:
| PAIN DISORDER
```
You need to rule out:
Somatization disorder
Dyspareunia
Conversion disorder
Malingering
Factitious disorder
```
26
What needs to be ruled out before you make a diagnosis of:
| VAGINISMUS
You need to rule out:
Dyspareunia
Another axis I condition
27
What needs to be ruled out before you make a diagnosis of:
| SCHIZOID PERSONALITY DISORDER
You need to rule out:
Delusional disorder
Schizophrenia (both include frank psychotic symptoms)
Asperger disorder
Mild autistic disorder (stereotyped behavior patterns as well as impaired social behavior)
28
What needs to be ruled out before you make a diagnosis of:
| POSTTRAUMATIC STRESS DISORDER
```
You need to rule out:
Head injury caused by the traumatic event
Substance abuse
Borderline personality disorder
Factitious disorder
Malingering
Generalized anxiety disorder
```
29
What needs to be ruled out before you make a diagnosis of:
| HOMOSEXUALITY
You need to rule out:
Nonconformity to stereotypical sex role behavior
Transvestic fetishism
Concurrent congenital intersex condition
Schizophrenia
30
What needs to be ruled out before you make a diagnosis of:
| OBSESSIVE-COMPULSIVE PERSONALITY DISORDER
You need to rule out:
| Obsessive-compulsive disorder (presence of actual obsessions and compulsions with anxiety if they are not carried out)
31
What needs to be ruled out before you make a diagnosis of:
| FEMALE ORGASMIC DISORDER
You need to rule out:
| Incompatible sexual technique
32
What needs to be ruled out before you make a diagnosis of:
| AVOIDANT PERSONALITY DISORDER
You need to rule out:
Social phobia (experiences significant anxiety symptoms in social situations)
Dependent Personality Disorder (mainly seeks care from others)
Schizoid Personality Disorder (is content with little social contact)
33
What needs to be ruled out before you make a diagnosis of:
| AMNESTIC DISORDERS
```
You need to rule out:
Dementia
Delirium
Normal aging
Dissociative disorders
Factitious disorder
```
34
What needs to be ruled out before you make a diagnosis of:
| SCHIZOAFFECTIVE DISORDER
```
You need to rule out:
Psychotic disorder due to a general medical condition
Delirium
Dementia
Substance-induced psychotic disorder
Substance-induced delirium
```
35
What needs to be ruled out before you make a diagnosis of:
| DEPENDENT PERSONALITY DISORDER
You need to rule out:
| Depression (more episodic and not as chronic)
36
What needs to be ruled out before you make a diagnosis of:
| FROTTEURISM
You need to rule out:
Dementia
Schizophrenia
Situational difficulties
37
What needs to be ruled out before you make a diagnosis of:
| DISSOCIATIVE AMNESIA
```
You need to rule out:
Seizure disorders
Delirium
Dementia
Dissociative fugue
Dissociative identity disorder
Depersonalization disorder
Posttraumatic stress disorder
Acute stress disorder
Somatization disorder
Malingering
```
38
What needs to be ruled out before you make a diagnosis of:
| SHARED PSYCHOTIC DISORDER (FOLIE A DEUX)
```
You need to rule out:
Delirium
Dementia of the Alzheimer's type
Vascular Dementia
Substance-induced psychotic disorder
Primary psychotic disorder
Primary mood disorder with psychotic features
Hypnagogic hallucinations
Hypnopompic Hallucinations
```
39
```
What needs to be ruled out before you make a diagnosis of:
DYSTHYMIC DISORDER ( MINOR MOOD DISORDER)
```
You need to rule out:
Bereavement or adjustment disorder with depressed mood
Substance abuse
Major depressive disorder ( the residual phase is characterized by dysthymic disorder in some patients, so-called "double depression")
40
```
What needs to be ruled out before you make a diagnosis of:
FACTITIOUS DISORDER ( MUNCHAUSEN SYNROME)
```
You need to rule out:
Somatoform disorders
Malingering
41
What needs to be ruled out before you make a diagnosis of:
| KLEPTOMANIA
You need to rule out:
Stealing for actual gain
Faking kleptomania (malingering) to avoid prosecution for stealing
Conduct disorder in childhood and antisocial personality disorder in adulthood
A manic episode
Dementia
42
What needs to be ruled out before you make a diagnosis of:
| GENERALIZED ANXIETY DISORDER
You need to rule out:
| Other anxiety disorders, particularly panic disorder
43
What needs to be ruled out before you make a diagnosis of:
| DISSOCIATIVE FUGUE
```
You need to rule out:
Dissociative identity disorder
Dissociative amnesia
Depersonalization disorder
Manic episode
Schizophrenia
Malingering
```
44
What needs to be ruled out before you make a diagnosis of:
| ALZHEIMER DISEASE
You need to rule out:
Normal aging
Depression
Delirium
45
What needs to be ruled out before you make a diagnosis of:
| FETISHISM
You need to rule out:
Dementia
Schizophrenia
Situational difficulties
46
What needs to be ruled out before you make a diagnosis of:
| BULIMIA NERVOSA
You need to rule out:
Anorexia nervosa with binge eating and purging (body weight is much below normal)
Kleine-Levin syndrome (episodic eating binges and hypersomnia)
Borderline personality disorder (poor impulse control including impulsive eating)
47
What needs to be ruled out before you make a diagnosis of:
| SEXUAL MASOCHISM
You need to rule out:
Dementia
Schizophrenia
Situational difficulties
48
What needs to be ruled out before you make a diagnosis of:
| BIPOLAR DISORDER
```
You need to rule out:
Schizophrenia
Schizoaffective disorder
Substance abuse
Delirium
Cyclothymic disorder
```
49
What needs to be ruled out before you make a diagnosis of:
| PATHOLOGIC GAMBLING
```
You need to rule out:
Manic episode (Obvious mood elevation seen)
```
50
What needs to be ruled out before you make a diagnosis of:
| SCHIZOTYPAL PERSONALITY DISORDER
You need to rule out:
Delusional disorder
Schizophrenia
Mood disorder with psychotic features
51
What needs to be ruled out before you make a diagnosis of:
| PYROMANIA
You need to rule out:
Insurance gain
Normal curiosity about fire
Impaired judgment due to another mental condition
52
What needs to be ruled out before you make a diagnosis of:
| CONDUCT DISORDER
You need to rule out:
Mood disorder
ADHD
53
What needs to be ruled out before you make a diagnosis of:
| SLEEP APNEA
```
You need to rule out:
Narcolepsy
Hypersomnia related to depression
Use of sedative drugs
Withdrawal from stimulant drugs
```
54
What needs to be ruled out before you make a diagnosis of:
| EXHIBITIONISM
You need to rule out:
Dementia
Schizophrenia
Situational difficulties (i.e., lack of suitable partners)
55
What needs to be ruled out before you make a diagnosis of:
| PHOBIAS
```
You need to rule out:
OCD
Hypochondriasis
Paranoid personality disorder
Panic disorder
Normal shyness
Schizoid personality disorder
Major depressive disorder
```
56
What needs to be ruled out before you make a diagnosis of:
| BORDERLINE PERSONALITY DISORDER
You need to rule out:
Histrionic Personality Disorder
Narcissistic Personality Disorder
Paranoid Personality Disorder ( do not include self-destructive behavior or feelings of aloneness)
57
```
What needs to be ruled out before you make a diagnosis of:
PANIC DISORDER ( WITH OR WITHOUT AGORAPHOBIA)
```
```
You need to rule out:
Myocardial infarction
Social or specific phobias
Generalized anxiety disorder
Depression
Malingering
Hypochondriasis
Factitious disorder
```
58
What needs to be ruled out before you make a diagnosis of:
| ANTISOCIAL PERSONALITY DISORDER
```
You need to rule out:
Criminal behavior
Substance abuse
Narcissistic Personality Disorder
Paranoid Personality Disorder
Hypomanic episode in bipolar II or cyclothymic disorder
```
59
What needs to be ruled out before you make a diagnosis of:
| DEPERSONALIZATION DISORDER
```
You need to rule out:
Schizophrenia
Depression
Anxiety
Histrionic personality disorder
```
60
What needs to be ruled out before you make a diagnosis of:
| AUTISTIC DISORDER
```
You need to rule out:
Congenital hearing impairment
Schizophrenia with childhood onset
Mixed receptive/expressive language disorder
Psychosocial deprivation
```
61
What needs to be ruled out before you make a diagnosis of:
| SELECTIVE MUTISM
```
You need to rule out:
Communication disorder
Phonological disorder
Expressive language disorder
Mixed-receptive-expressive language disorder
Stuttering
Lack of knowledge of the language
Pervasive developmental disorder]
Schizophrenia
Other psychotic disorder
Severe mental retardation
Social phobia
```
62
What needs to be ruled out before you make a diagnosis of:
| ANOREXIA NERVOSA
You need to rule out:
Medical condition causing weight loss
Major depressive disorder resulting in lack of appetite and weight loss
63
What needs to be ruled out before you make a diagnosis of:
| CHILDHOOD DISINTEGRATIVE DISORDER
You need to rule out:
Autistic disorder
Rett disorder (in girls)
Asperger disorder
64
What needs to be ruled out before you make a diagnosis of:
| OBSESSIVE-COMPULSIVE DISORDER
```
You need to rule out:
Tourette disorder
Temporal lobe epilepsy
Schizophrenia
Obsessive-compulsive personality disorder
```
65
What needs to be ruled out before you make a diagnosis of:
| DYSPAREUNIA
You need to rule out:
Substance-induced sexual dysfunction
Another axis I disorder
Occasional pain associated with sexual intercourse
66
What needs to be ruled out before you make a diagnosis of:
| BODY DYSMORPHIC DISORDER
```
You need to rule out:
Anorexia nervosa
Gender identity disorder
Major depressive disorder
Avoidant personality disorder
Obsessive-compulsive disorder
Delusional disorder, somatic type
Koro
```
67
What needs to be ruled out before you make a diagnosis of:
| VASCULAR DEMENTIAS
You need to rule out:
| Delirium
68
What needs to be ruled out before you make a diagnosis of:
| PREMATURE EJACULATION
You need to rule out:
Occasional problems with premature ejaculation
Substance-induced sexual dysfunction
69
What needs to be ruled out before you make a diagnosis of:
| TRANSVESTIC FETISHISM
You need to rule out:
Dementia
Schizophrenia
Situational difficulties
70
What needs to be ruled out before you make a diagnosis of:
| TRICHOTILLOMANIA
You need to rule out:
Alopecia due to a medical condition
Obsessive-compulsive disorder, which is commonly not limited to one compulsion
71
What needs to be ruled out before you make a diagnosis of:
| NECROPHILIA
You need to rule out:
Dementia
Schizophrenia
Situational difficulties
72
What needs to be ruled out before you make a diagnosis of:
| CONVERSION DISORDER
```
You need to rule out:
Substance (including medication) induced etiologies
Pain disorder
Sexual dysfunction
Somatization disorder
Schizophrenia
Mood disorder
Panic attack
Body dysmorphic disorder
Dissociative disorders
```
73
What needs to be ruled out before you make a diagnosis of:
| RETT DISORDER
You need to rule out:
Autistic disorder
Childhood disintegrative disorder
Asperger disorder
74
What needs to be ruled out before you make a diagnosis of:
| DISSOCIATIVE IDENTITY DISORDER (MULTIPLE PERSONALITY DISORDER)
```
You need to rule out:
Mild forms may resemble:
Borderline personality disorder
Schizophrenia
Malingering must be ruled out when the patient presents in a forensic (legal) context
```
75
What needs to be ruled out before you make a diagnosis of:
| MALE ORGASMIC DISORDER
You need to rule out:
| Incompatible sexual technique
76
What needs to be ruled out before you make a diagnosis of:
| BRIEF PSYCHOTIC DISORDER
```
You need to rule out:
Psychotic disorder due to a general medical condition
Delirium
Substance-induced psychotic disorder
Substance-induced delirium
Substance intoxication
Mood episode
Schizophreniform disorder
Delusional disorder
Mood disorder with psychotic features
Psychotic disorder NOS
Factitious disorder with psychological signs and symptoms
Malingering
Personality disorders
```
77
What needs to be ruled out before you make a diagnosis of:
| ADJUSTMENT DISORDERS
You need to rule out:
Acute stress disorder (extremely severe stressor that elicits multiple psychological symptoms, e.g., anxiety, withdrawal, or dissociation lasting up to 2-4 weeks.)
78
What needs to be ruled out before you make a diagnosis of:
| OPPOSITIONAL DEFIANT DISORDER
You need to rule out:
Normal oppositional behavior
Conduct disorder
Mood disorder
79
What needs to be ruled out before you make a diagnosis of:
| FEMALE AROUSAL DISORDER
Substance-induced sexual dysfunction
80
What needs to be ruled out before you make a diagnosis of:
| ZOOPHILIA
You need to rule out:
Dementia
Schizophrenia
Situational difficulties
