40 Questions
What type of disorders include anxiety disorders and phobic anxiety disorders?
Neurotic, Stress-related and Somatoform Disorders
Which of the following ICD-10 versions is used for research?
Diagnostic Criteria for Research
What is the purpose of the diagnostic hierarchy in ICD-10?
To consider higher-level diagnoses before lower-level ones
What type of disorders would take precedence over a diagnosis of primary mood disorder?
Alcohol and drug induced disorders
What is the category range for Behavioural and Emotional Disorders with Onset Usually Occurring in Childhood and Adolescence?
F90-F98
Which of the following is not a category of disorders in ICD-10?
Mood Disorder with No Known Cause
What is the purpose of the Clinical Descriptions and Diagnostic Guidelines (CDDG) version of ICD-10?
For clinical descriptions and diagnostic guidelines
Which category range includes somatoform disorders and reaction to stress?
F40-F48
What is the term used to describe a disturbance that does not appear to be a true perception or a disturbance of cognitive functions?
Pseudohallucination
What is the primary purpose of Folstein's mini mental state examination?
To systematically examine higher mental functions
What is the method used to assess the level of alertness in a patient?
Calling the patient's name in a normal voice
What is the scale used to rate the level of consciousness in a patient?
Glasgow Coma Scale
What is the purpose of asking the patient how they came to the room/hospital?
To evaluate the patient's recent memory
What is the term used to describe a type of hallucination where the voices heard are addressing the person directly?
Second person hallucination
What is the purpose of giving an address to be memorized and asking it to be recalled later?
To evaluate the patient's recent memory
What is the term used to describe a state of awareness characterized by a decreased level of responsiveness?
Somnolence
What is the primary aspect of insight that a healthcare professional assesses in a patient?
The patient's awareness of their illness
According to the six-point scale, what level of insight corresponds to awareness of being sick but attributing it to external or physical factors?
Level 3
What is the primary difference between intellectual insight and true emotional insight?
The impact on future behavior
What is the purpose of assessing a patient's judgement?
To evaluate the patient's ability to make sound decisions
What is social judgement in the context of psychiatry?
The evaluation of personal judgement during the hospital stay and interview session
What is the role of medical screening in psychiatry?
To rule out underlying medical conditions
What is the difference between intellectual insight and true emotional insight in terms of action?
True emotional insight leads to basic changes, while intellectual insight does not
What is the purpose of assessing a patient's attitude towards their current state?
To determine the level of insight
What is the usual site of lesion in cortical dementia?
Cortex
What is a common feature of subcortical dementia?
Dysarthria
Which type of dementia is often associated with depression?
Subcortical dementia
What is the typical severity of subcortical dementia?
Mild to moderate
Which of the following is a characteristic of cortical dementia?
Simple delusions
What is the typical effect of cues on short-term memory recall in cortical dementia?
Cues have little to no effect on recall
What is a common example of cortical dementia?
Alzheimer's disease
What is the typical cognitive speed in cortical dementia?
Slowed
What is an important aspect of childhood history that should be explored?
Breastfeeding and weaning history
What is a significant aspect of job history that should be explored?
Reasons for job changes
What is a type of neurotic trait that should be noted?
Nail biting
What is an important aspect of sexual history that should be explored?
Masturbation habits
What is a significant aspect of marital history that should be explored?
Duration of marriage
What is an important aspect of educational history that should be explored?
Age of finishing formal education
What is a type of developmental milestone that should be noted?
Age of passing each important developmental milestone
What is an important aspect of job satisfaction that should be explored?
Relationships with authorities
Study Notes
Neurotic, Stress-related and Somatoform Disorders
- F40-F48 codes categorize anxiety disorders, phobic anxiety disorders, obsessive-compulsive disorder, dissociative (conversion) disorders, somatoform disorders, reaction to stress, and adjustment disorders.
- Anxiety disorders include phobic anxiety disorders and obsessive-compulsive disorder.
- Dissociative disorders include dissociative (conversion) disorders.
Behavioural and Emotional Disorders
- F90-F98 codes categorize hyperkinetic disorders, conduct disorders, mixed disorders of conduct and emotions, and other behavioral and emotional disorders.
- Hyperkinetic disorders involve restlessness, overactivity, and attention deficit.
Behavioural Syndromes Associated with Physiological Disturbances and Physical Factors
- F50-F59 codes categorize sleeping disorders, feeding disorders, and sexual dysfunction.
Psychiatric Classification Systems
- ICD-10 has four versions: Clinical Descriptions and Diagnostic Guidelines, Diagnostic Criteria for Research, Multi-axial Classification Version, and Primary Care Version.
- The hierarchical structure of ICD-10 implies that higher categories must be considered before lower categories.
Childhood History
- Enquire about the patient's upbringing, breastfeeding, weaning, and maternal deprivation.
- Note the age of passing each developmental milestone.
Educational History
- Enquire about the patient's academic achievements, relationships with peers and teachers, and significant events.
Neurotic Traits
- Note the occurrence of stuttering, stammering, tics, enuresis, encopresis, night terrors, thumb sucking, nail biting, head banging, body rocking, morbid fears, phobias, and somnambulism.
Consciousness
- Evaluate the level of consciousness using the Glasgow Coma Scale.
- Test consciousness by calling the patient's name, light touch on the arm, vigorous shaking, or painful stimulus.
Insight
- Evaluate the patient's awareness and understanding of their illness.
- Graded on a six-point scale, insight can range from denial to intellectual insight to true emotional insight.
Judgement
- Evaluate the patient's ability to assess situations correctly and act appropriately.
- Assess social judgement during hospital stay and the interview session.
Dementia
- Cortical dementia involves lesions in the frontal, temporoparieto-occipital association areas, and hippocampus.
- Subcortical dementia involves lesions in the subcortical grey matter, thalamus, basal ganglia, and rostral brain stem.
- Examples of cortical dementia include Alzheimer's disease and Pick's disease.
- Examples of subcortical dementia include Huntington's chorea, Parkinson's disease, and progressive supranuclear palsy.
This quiz covers the classification of neurotic, stress-related, and somatoform disorders, including anxiety disorders, phobic anxiety disorders, and more. It also includes behavioral and emotional disorders with onset in childhood and adolescence.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
