Psychiatry-Midterm

Front 1

A complex illness or group of disorders characterized by hallucinations, delusions, behavioral disturbance and disrupted social fncing in usually clear sensorium...is?

Back 1

schizophrenia

Front 2

Fixed false beliefs are ....?

Back 2

delusions

Front 3

A belief that being conspired against, spied on, followed, poisoned, etc are what type of delusions?

Back 3

paranoid-the most common

Front 4

A type of delusion that is also referred to as megalomania, that is a belief that a person has a great but unrecognized talent or has mad an important discovery, ie: they are God....what type of delusion?

Back 4

grandiose delusion

Front 5

Something wrong with one's body, such as infested with insects, or certain parts of their body is not functioning...what type of delusion?

Back 5

somatic delusions

Front 6

The belief that one has died or that the world will be coming to an end, more commonly seen in depression is what type of delusion?

Back 6

nihilistic delusions

Front 7

If a person believes that they are intensely loved by another, usually a celebrity...is what type of delusion?

Back 7

Erotomanic delusions

Front 8

The delusion that one's spouse is unfaithful is what type of delusion?

Back 8

Jealous type delusion

Front 9

The belief that one has committed a terrrible sin and needs to be punished...what type of delusion?

Back 9

Delusion of sin or guilt

Front 10

Person believes that he/she is being controlled by external forces is what type of delusion?

Back 10

Delusions of control-very bizarre

Front 11

A fixed false sensory belief not associated with real external stimuli....is what?

Back 11

Hallucinations

Front 12

A nonpathological false sensory perception occurring while falling asleep is?

Back 12

hyponagogic

Front 13

A nonpathological false sensory perception occurring while awakening from sleep is ?

Back 13

hypnopomipic

Front 14

What type of hallucination is most common in psychiatric disorders?

Back 14

Auditory

Front 15

What is a false perception of sound?

Back 15

auditory hallucination

Front 16

If a pt believes they continuously smell bad and take repeated showers, what type of hallucination is this?

Back 16

olfactory hallcination

Front 17

what type of hallucination is most commonly seen with an underlying medical condition that is a false perception of taste?

Back 17

gustatory hallucination

Front 18

If a pt. perceives bugs crawling on their skin, which is seen most commonly in pt's withdrawing from drugs...what type of hallucinations is this?

Back 18

tactile hallucinations

Front 19

If a pt. feels a false perception of things occurring in or on their body, such as "someone is in my body" is what type of hallucination?

Back 19

somatic hallucination

Front 20

What are the 5 subtypes of schizophrenia?

Back 20

P-paranoid type
U-undifferentiate
C-catatonic type
R-residual type
D-disorganized type

Front 21

What are some negative sx's of schizophrenia? mneumonic is NEGATIVETRACK.

Back 21

N-negligible response to convention antipsychotics
E-eye contact is decreased
G-grooming & hygiene decline
A-affective flat responses
T-thought blocking
I-inattentiveness
V-volition is diminshed
E-expressive gestures decline
T-time= inc. symptoms
R-recreational interests decline
A-asocial
C-content of speech declines
K-knowledge, cognitive deficits increase

Front 22

Thorazine, Mellaril, Haldol, Prolixin, Navane, Moban, Stelazine are what type of antipsychotics

Back 22

1st generations

Front 23

Clozaril, Risperadol, Seroquel, Zyprexa, Geodon and Abilify are what type of antipsychotics?

Back 23

2nd generation

Front 24

In the tx of schizophrenia, what type of antipsychotics are 1st line?

Back 24

2nd generations due to their decreased side effects.

Front 25

What condition is identical to schizophrenia except it lasts longer than 1 month but less than 6 months?

Back 25

schizophreniform disorder

Front 26

Which condition usually has a better outcome, schizophrenia or schizophreniform disorder?

Back 26

schizophreniform disorder, usually return to baseline rapidly after the start of treatment.

Front 27

Schizophrenia with a mood disorder on top of it is ...?

Back 27

schizoaffective disorder

Front 28

When is clozaril therapy appropriate?

Back 28

only after the pt. has failed 2 other treatments due to its severe side effects

Front 29

A disorder in which 5 symptoms are present during a 2 week period in which one of the 5 must be either a depressed mood or a loss of interest or pleasure...what is it?

Back 29

major depressive disorder

Front 30

Significant unintentional wt. gain
insomnia or hypersomnia nearly every day
fatigue or loss of energy nearly everyday
feelings of worthlessness or excessive guilt nearly everyday
are all symptoms of what disorder?

Back 30

major depressive disorder

Front 31

To diagnose mdd, what 2 things must be ruled out?

Back 31

-mood disorder
-medical condition

Front 32

post partum depression must occur within _ weeks of delivery.

Back 32

4 weeks

Front 33

which depression occurs at...
-specific times of the year
-has occurred for at least 2 years
-episodes usually occur in the fall or winter
What is it?

Back 33

seasonal affective disorder

Front 34

What disorder is characterized by:
-hx of multiple and recurring physical complaints over several years which begin before age 30
-complaints results in medical tx or cause significant fcnal impairment
-at least 4 pain syx each in different areas of the body
-one sexual sx other than pain
-one pseudo neuro symptom

Back 34

somatization disorder