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Questions and Answers
What type of disorders include anxiety disorders and phobic anxiety disorders?
What type of disorders include anxiety disorders and phobic anxiety disorders?
Which of the following ICD-10 versions is used for research?
Which of the following ICD-10 versions is used for research?
What is the purpose of the diagnostic hierarchy in ICD-10?
What is the purpose of the diagnostic hierarchy in ICD-10?
What type of disorders would take precedence over a diagnosis of primary mood disorder?
What type of disorders would take precedence over a diagnosis of primary mood disorder?
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What is the category range for Behavioural and Emotional Disorders with Onset Usually Occurring in Childhood and Adolescence?
What is the category range for Behavioural and Emotional Disorders with Onset Usually Occurring in Childhood and Adolescence?
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Which of the following is not a category of disorders in ICD-10?
Which of the following is not a category of disorders in ICD-10?
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What is the purpose of the Clinical Descriptions and Diagnostic Guidelines (CDDG) version of ICD-10?
What is the purpose of the Clinical Descriptions and Diagnostic Guidelines (CDDG) version of ICD-10?
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Which category range includes somatoform disorders and reaction to stress?
Which category range includes somatoform disorders and reaction to stress?
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What is the term used to describe a disturbance that does not appear to be a true perception or a disturbance of cognitive functions?
What is the term used to describe a disturbance that does not appear to be a true perception or a disturbance of cognitive functions?
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What is the primary purpose of Folstein's mini mental state examination?
What is the primary purpose of Folstein's mini mental state examination?
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What is the method used to assess the level of alertness in a patient?
What is the method used to assess the level of alertness in a patient?
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What is the scale used to rate the level of consciousness in a patient?
What is the scale used to rate the level of consciousness in a patient?
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What is the purpose of asking the patient how they came to the room/hospital?
What is the purpose of asking the patient how they came to the room/hospital?
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What is the term used to describe a type of hallucination where the voices heard are addressing the person directly?
What is the term used to describe a type of hallucination where the voices heard are addressing the person directly?
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What is the purpose of giving an address to be memorized and asking it to be recalled later?
What is the purpose of giving an address to be memorized and asking it to be recalled later?
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What is the term used to describe a state of awareness characterized by a decreased level of responsiveness?
What is the term used to describe a state of awareness characterized by a decreased level of responsiveness?
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What is the primary aspect of insight that a healthcare professional assesses in a patient?
What is the primary aspect of insight that a healthcare professional assesses in a patient?
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According to the six-point scale, what level of insight corresponds to awareness of being sick but attributing it to external or physical factors?
According to the six-point scale, what level of insight corresponds to awareness of being sick but attributing it to external or physical factors?
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What is the primary difference between intellectual insight and true emotional insight?
What is the primary difference between intellectual insight and true emotional insight?
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What is the purpose of assessing a patient's judgement?
What is the purpose of assessing a patient's judgement?
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What is social judgement in the context of psychiatry?
What is social judgement in the context of psychiatry?
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What is the role of medical screening in psychiatry?
What is the role of medical screening in psychiatry?
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What is the difference between intellectual insight and true emotional insight in terms of action?
What is the difference between intellectual insight and true emotional insight in terms of action?
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What is the purpose of assessing a patient's attitude towards their current state?
What is the purpose of assessing a patient's attitude towards their current state?
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What is the usual site of lesion in cortical dementia?
What is the usual site of lesion in cortical dementia?
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What is a common feature of subcortical dementia?
What is a common feature of subcortical dementia?
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Which type of dementia is often associated with depression?
Which type of dementia is often associated with depression?
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What is the typical severity of subcortical dementia?
What is the typical severity of subcortical dementia?
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Which of the following is a characteristic of cortical dementia?
Which of the following is a characteristic of cortical dementia?
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What is the typical effect of cues on short-term memory recall in cortical dementia?
What is the typical effect of cues on short-term memory recall in cortical dementia?
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What is a common example of cortical dementia?
What is a common example of cortical dementia?
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What is the typical cognitive speed in cortical dementia?
What is the typical cognitive speed in cortical dementia?
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What is an important aspect of childhood history that should be explored?
What is an important aspect of childhood history that should be explored?
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What is a significant aspect of job history that should be explored?
What is a significant aspect of job history that should be explored?
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What is a type of neurotic trait that should be noted?
What is a type of neurotic trait that should be noted?
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What is an important aspect of sexual history that should be explored?
What is an important aspect of sexual history that should be explored?
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What is a significant aspect of marital history that should be explored?
What is a significant aspect of marital history that should be explored?
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What is an important aspect of educational history that should be explored?
What is an important aspect of educational history that should be explored?
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What is a type of developmental milestone that should be noted?
What is a type of developmental milestone that should be noted?
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What is an important aspect of job satisfaction that should be explored?
What is an important aspect of job satisfaction that should be explored?
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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.
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Description
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.
