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16 Cards in this Set
- Front
- Back
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What are the elements of a mental state examination
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appearance
behaviour speech mood thought - process and content perception orientation insight judgement cognition |
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What are risk factors concerning delusions
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Danger to others or self if persecutory or paranoid. Danger to self from grandiose delusions eg special relationship to god, the world.
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What axis do bulaemia, ocd and sexual orentation disorder fall in
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Axis 1
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List 5 types of delusion
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grandiose, persecutory, bizarre, control,
reference (attributing a personal meaning to unrelated objects, events or comments) |
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List 3 organic causes of psychosis
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delerium
dementia metabolic -thyroid, electrolytes, hepatic encephalopathy |
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What are risk factors concerning delusions
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Danger to others or self if persecutory or paranoid. Danger to self from grandiose delusions eg special relationship to god, the world.
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List the DSM IV criteria for schizophrenia
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Psychotic Sx. for >1mth
Significant impaired psychosocial function >6mths of continuous signs of illness Absence of a prominent mood disorder or an organic brain syn. Be mindful of a pervasive developmental disorder |
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List some prodromal signs and symptoms of schizophrenia
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Anxious, suspicious, unkempt, progressive social withdrawal, decreased social interactions, increased attention to the internal
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List what are referred to as negative symptoms
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Things that are ‘taken away/missing’
Alogia (speech poverty) Amotivation/avolition Social withdrawal Blunted affect/ decreased emotional expression Abstract thought |
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List positive symptoms…
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‘Added symptoms’
Delusions, hallucinations, catatonia, thought disorder. |
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Explain catatonia
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Bizarre posturing or mannerisms, disorganised/purposeless/disinhibited behaviour.
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Describe the cognitive changes observed in a schizophrenic patient while suffering the condition and following effective treatment
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During: decreased memory, attention and general intelligence.
After: intelligence does not reach levels prior to illness. |
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Provide some epidemiological info regarding schizophrenia
♂ vs ♀ and age peak |
♂ > ♀ ♂ 18-25 y.o. ♀ 25-35y.o.
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What brain changes are observed in the schizophrenic pt?
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Increased ventricle size
Increased extracerebral space Decreased hippocampus Decreased gray matter (dendritic and axonal branch pruning) |
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In a thought disorder, what is meant by derailment?
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No logical link b/n ideas expressed. Subject shifting.
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What are neologisms?
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Creating new words that have no meaning to anyone else.
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