CAGE Questionnaire and Self-Harm Quiz

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Questions and Answers

What is the main purpose of the CAGE questionnaire?

To identify potential alcohol problems (correct)

To evaluate mental health issues

To measure physical fitness levels

To assess general health conditions

How sensitive is the CAGE questionnaire in detecting alcohol problems?

70%

100%

90% (correct)

50%

Which of the following statements about the CAGE questionnaire is true?

It is not widely used in clinical settings.

It contains five questions.

It is exclusively used for inpatient assessments.

It is a reliable indicator of alcohol-related issues. (correct)

In what context is the CAGE questionnaire typically utilized?

During a general health enquiry Signup and view all the answers

What feature makes the CAGE questionnaire effective in screening for alcohol problems?

Its high sensitivity rate Signup and view all the answers

Where are lesions typically found on the body?

On the upper central chest, over the back, and groins Signup and view all the answers

Which of the following psychological conditions may accompany the presence of lesions?

Paranoid or mood disorders Signup and view all the answers

What is one potential cognitive effect associated with the condition mentioned?

Temporofrontal dementia Signup and view all the answers

Which body area is least likely to show lesions according to the content?

Lower back Signup and view all the answers

What is the primary physical characteristic of the lesions described?

They appear as coagulated debris Signup and view all the answers

What defines deliberate self-harm according to the information provided?

Self-injurious behavior that occurs without conscious suicidal ideation. Signup and view all the answers

Which statement is true regarding self-injurious behavior?

It can exist as a distinct syndrome. Signup and view all the answers

Which of the following is NOT a characteristic of the self-harm syndrome discussed?

Is characterized by immediate intent to end one's life. Signup and view all the answers

How do authors differentiate self-mutilation from other forms of self-harm?

Self-mutilation can occur without conscious suicidal thoughts. Signup and view all the answers

What misconception about self-injurious behavior is implied in the content?

All self-harm is driven by suicidal ideation. Signup and view all the answers

What is the current consensus regarding the relationship between isotretinoin and mood changes?

There is enough doubt about the validity of this relationship. Signup and view all the answers

Which patient assessment is recommended for individuals prescribed isotretinoin?

Routine assessment for suicidal thoughts before, during, and after treatment. Signup and view all the answers

Why is it particularly important to assess certain patients for suicide risk when they are on isotretinoin?

They are frequently prescribed isotretinoin due to psychosocial co-morbidities. Signup and view all the answers

What is the best approach to monitoring patients with acne who are taking isotretinoin?

Regular assessment for suicide risk is crucial. Signup and view all the answers

What aspect of care is emphasized for patients with acne and psychosocial co-morbidities when using isotretinoin?

Routine monitoring for mood changes and suicidal thoughts. Signup and view all the answers

What class of antipsychotics includes clozapine and risperidone?

Second-generation antipsychotics Signup and view all the answers

Which receptor do typical antipsychotics primarily antagonize?

D2 dopamine receptors Signup and view all the answers

Which of the following is NOT classified as an atypical antipsychotic?

Haloperidol Signup and view all the answers

Which of the following options includes only atypical antipsychotics?

Quetiapine, Olanzapine, Risperidone Signup and view all the answers

Which one of the following is a characteristic of atypical antipsychotics?

They have lower affinity for D2 dopamine receptors. Signup and view all the answers

What is the recommended nightly dosage range for clomipramine?

25-100 mg Signup and view all the answers

Which side effects are caused by the blockage of muscarinic, histamine, and alpha-adrenergic receptors?

Dry mouth and sedation Signup and view all the answers

What is the highest suggested nightly dosage for desipramine?

300 mg Signup and view all the answers

Which drug has a lower maximum dosage as compared to nortriptyline?

Doxepin Signup and view all the answers

What is the dosage range for nortriptyline?

25-150 mg Signup and view all the answers

Study Notes

Psychocutaneous Disorders - II

Psychodermatology is a branch of dermatology focusing on the complex interaction between the brain, cutaneous nerves, cutaneous immune system, and skin.
Table 82.1 classifies psychodermatological disorders:

i) Psychophysiological Disorders

Includes conditions like psoriasis, atopic dermatitis, acne excoriee, hyperhidrosis, urticaria, recurrent herpes simplex infection, seborrheic dermatitis, oral aphthosis, and rosacea.
Also includes pruritus.

ii) Psychiatric Disorders with Dermatologic Manifestations

Includes dermatitis artefacta, delusions of parasitosis, obsessive-compulsive disorder, disorders of obsession (dysmorphophobia, acarophobia), and disorders of compulsion such as trichotillomania, neurotic excoriations, onychotillomania, lip-licking, cheek biting.
Also includes eating disorders and psychogenic pruritus.

iii) Dermatologic Disorders with Psychiatric Symptoms

This category includes alopecia areata, vitiligo, psoriasis, chronic eczema, ichthyosiform syndromes, rhinophyma, neurofibroma, albinism, cutaneous sensory syndromes (glossodynia, vulvodynia, scalp pruritus), psychogenic purpura syndrome, and pseudopsychodermatologic disease.
Also includes suicide in dermatology patients and psychiatric side effects of dermatological and psychotropic drugs.

iv) Miscellaneous

Includes disorders like cutaneous sensory syndromes, vitiligo, psoriasis, and chronic eczema.

Factitious Skin Disease

Clinical deception involves a spectrum of intentional deception regarding the motivation and level of inducing illness.
DSM-5 criteria include: falsification of physical or psychological signs/symptoms or injury, presenting as ill/impaired/injured, deceptive behavior evident without external rewards, and behavior not better explained by another mental disorder.
Dermatitis Artefacta is a skin disease entirely caused by the patient's actions.
In adults, female patients are more prevalent than male patients. In prepubescent children, there is an equal sex ratio for this condition.
Patients often create a 'hollow history', providing fabricated lies, or appearing to not know how the lesions developed.
Lesions commonly appear suddenly and symmetrically.
Patients may display a detached attitude or an apparent indifference, often described with a "Mona Lisa smile"nonchalance and innocence.
Common areas of involvement are the face (particularly cheeks), dorsum of the hands (in children), and forearms (usually on the non-dominant side).

Factitious Cheilitis

Less common in young girls, typically involving the simulation of the condition through application of substances like paper, glue and colorants.
Lesions appear as inflammation and crusting with variable hemorrhaging.

Factitious Nail Disease

This involves traumatic or chemical damage to the nails and nail fold.
Children often show chronic paronychia, caused by inserting nails, pins or splinters.

Hair Artefact

A distinctive pattern of hair loss occurs after cutting or shaving, resulting in rough or patterned shaved alopecia.

Witchcraft Syndrome

Artefact dermatitis may be provoked on an unknowing victim.

Constriction Artefact

Edema in one limb is constricted at a time.

Purpura Artefact

Purpura and bruising result from suction, friction, or blunt trauma.

Dermal Artefact

Skin lesions may show manifestations that mimic panniculitis-type lesions and boggy swellings.
Needle tracks, presence of injected substances, may be present.

Post Surgical Artefact

Non-healing wounds are a common sign of this condition, often following minor procedures like breast biopsies or laparoscopies, followed by recurrence or infection by microbes such as MRSA.

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Description

Test your knowledge on the CAGE questionnaire and its use in identifying alcohol-related problems. Additionally, explore the characteristics and implications of self-harm behaviors. This quiz covers various psychological aspects, making it a valuable resource for those studying mental health.