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Psych 1: Exam and Dx
First Aid for Psych Clerkship, Chapter 1
Question | Answer |
---|---|
Hospitalized pt complains of anxiety and agitation after being hospitalized for a week. Which substance should be ruled out b/f treatment? | Nicotine and caffeine. May cause anxiety and agitation in hospitalized pts if they don't have access. |
How do NSAIDs affect lithium concentration in the body? Possible exceptions? | Increases [lithium] by decreasing its excretion from the body. Sulindac and aspirin. |
Involuntary movements that occur during an altered state of consciousness; can range from purposeful to disorganized. | Automatisms |
Proverb interpretation is a test of which skill? | Abstraction |
Vocabulary definition is a test of which skill? | Intelligence |
Mood or affect? The pt's emotion as reported or conveyed by the pt | Mood |
Mood or affect? Examiner's assessment of pt's mood (quality, motility, and appropriateness) | Affect |
No logical connection from 1 thought to another | Loosening of associations |
Which delusion am I? Belief that one has special powers or is someone important (e.g., God) | Grandeur |
Which delusion am I? Belief that one is being persecuted | Paranoid |
Which delusion am I? Belief that some event is uniquely related to patient (e.g., getting messages from TV) | Reference |
Which delusion am I? Belief that one's thoughts can be heard by others | Thought broadcasting |
Which delusion am I? Conventional beliefs exaggerated | Religious |
Which delusion am I? False belief concerning body image (e.g., I cannot swallow) | Somatic |
Fixed false beliefs that are not shared by a person's culture and cannot be changed by reasoning; classified as bizarre (impossible) or nonbizarre (possible) | Delusions |
Repetitive, intrusive thoughts | Obsessions |
Reptitive behaviors usually linked to certain thoughts | Compulsions |
Sensory perception that occur in the absence of an actual stimulus | Hallucinations |
Hallucinations experienced only before falling asleep | HypnaGOgic (GOing to sleep) |
Hallucinations experienced only before waking up | Hypnapompic |
Inaccurate perception of existing sensory stimuli (e.g., wall appears as though it is moving) | Illusions |
When does alcoholic hallucinosis develop? When does it resolve? | Develops within 12-24 hours of abstinence and resolves within 24-48 hours. Pts are usually aware that hallucinations are not real. |
Which axis am I? Describes physical disorders | Axis III |
Which axis am I? Describes describes clinical disorders | Axis I |
Which axis am I? Describes describes the severity of psychosocial factors | Axis IV |
Which axis am I? Describes developmental and personality disorders | Axis II |
Which axis am I? Provides a global assessment of functioning | Axis V |
What is the most important predictor of future violence? | A prior history of violence. Duh! |
Which objective test is used to assess a person's personality and identify psychopathologies? What is the mean score and std dev? | Minnesota Multiphasic Personality Inventory (MMPI). Mean is 50 and std dev is 10. |
What does an IQ score of 100 mean? What is the mean and std dev of the IQ test? | 100 signifies that mental age equals chronological age and corresponds to the 50th percentile in intellectual ability for the general population. Mean is 100 and std dev is 100. |
Which IQ score correlates with mild mental retardation | 50-70. Mental retardation is defined as an IQ <70. |