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Questions and Answers
What type of auditory hallucination involves hearing one's own thoughts as if they were spoken?
What type of auditory hallucination involves hearing one's own thoughts as if they were spoken?
Which of the following describes thought insertion?
Which of the following describes thought insertion?
What is a distinguishing characteristic of thought withdrawal?
What is a distinguishing characteristic of thought withdrawal?
Which auditory hallucination involves hearing voices in a dialogue or argument?
Which auditory hallucination involves hearing voices in a dialogue or argument?
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What is NOT an example of thought echo?
What is NOT an example of thought echo?
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Which of the following is a misconception about thought insertion?
Which of the following is a misconception about thought insertion?
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When experiencing an auditory hallucination of songs, which of these cognitive phenomena is being described?
When experiencing an auditory hallucination of songs, which of these cognitive phenomena is being described?
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Which statement best characterizes the experience of hearing a voice giving compliments?
Which statement best characterizes the experience of hearing a voice giving compliments?
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What is the primary function of the Cornell Scale for Depression in Dementia (CSDD)?
What is the primary function of the Cornell Scale for Depression in Dementia (CSDD)?
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Which scale is used for providing a general assessment of a patient's overall functioning?
Which scale is used for providing a general assessment of a patient's overall functioning?
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What is NOT a purpose of the Cornell Scale for Depression in Dementia?
What is NOT a purpose of the Cornell Scale for Depression in Dementia?
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Which of the following statements about the Clinical Global Impression (CGI) is accurate?
Which of the following statements about the Clinical Global Impression (CGI) is accurate?
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What does the Global Assessment of Functioning (GAF) primarily assess?
What does the Global Assessment of Functioning (GAF) primarily assess?
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What is the primary purpose of the Beck Depression Inventory (BDI)?
What is the primary purpose of the Beck Depression Inventory (BDI)?
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Which population does the Geriatric Depression Scale (GDS) specifically target?
Which population does the Geriatric Depression Scale (GDS) specifically target?
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How is the Beck Depression Inventory (BDI) typically administered?
How is the Beck Depression Inventory (BDI) typically administered?
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What type of symptoms does the GDS focus on assessing?
What type of symptoms does the GDS focus on assessing?
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Which of the following statements about the BDI is accurate?
Which of the following statements about the BDI is accurate?
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What is one of the main assessments carried out by the BDI?
What is one of the main assessments carried out by the BDI?
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Which of the following is NOT a focus of the GDS?
Which of the following is NOT a focus of the GDS?
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What distinguishes the BDI from the GDS in their application?
What distinguishes the BDI from the GDS in their application?
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Which statement regarding ECG findings is incorrect?
Which statement regarding ECG findings is incorrect?
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What is referred to as tachycardia in ECG findings?
What is referred to as tachycardia in ECG findings?
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What should be the first step in taking a psychiatric history?
What should be the first step in taking a psychiatric history?
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Which of the following statements accurately describes U waves on an ECG?
Which of the following statements accurately describes U waves on an ECG?
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Which condition is associated with prolonged flat T waves in ECG findings?
Which condition is associated with prolonged flat T waves in ECG findings?
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Which action is least relevant when taking a psychiatric history?
Which action is least relevant when taking a psychiatric history?
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What heart rate is classified as bradycardia?
What heart rate is classified as bradycardia?
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Which of the following best describes a normal PR interval on an ECG?
Which of the following best describes a normal PR interval on an ECG?
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Which of the following best describes autoscopic hallucinations?
Which of the following best describes autoscopic hallucinations?
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Who first identified the concept of first rank symptoms as associated with schizophrenia?
Who first identified the concept of first rank symptoms as associated with schizophrenia?
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Which statement accurately reflects the nature of first rank symptoms?
Which statement accurately reflects the nature of first rank symptoms?
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What is a common medical condition associated with autoscopic hallucinations?
What is a common medical condition associated with autoscopic hallucinations?
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Which of the following experiences is NOT a characteristic of first rank symptoms?
Which of the following experiences is NOT a characteristic of first rank symptoms?
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How does the quantity of first rank symptoms relate to the prognosis of schizophrenia?
How does the quantity of first rank symptoms relate to the prognosis of schizophrenia?
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What type of hallucination involves feeling sensations on the skin that are not caused by an external source?
What type of hallucination involves feeling sensations on the skin that are not caused by an external source?
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Which of the following statements about first rank symptoms is false?
Which of the following statements about first rank symptoms is false?
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Which type of hallucination is characterized by hearing voices externally?
Which type of hallucination is characterized by hearing voices externally?
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What type of hallucination occurs during the transition from sleep to wakefulness?
What type of hallucination occurs during the transition from sleep to wakefulness?
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Which hallucination type is associated with the transition from wakefulness to sleep?
Which hallucination type is associated with the transition from wakefulness to sleep?
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Which type of hallucination may occur as a result of medical conditions like brain tumors?
Which type of hallucination may occur as a result of medical conditions like brain tumors?
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What form of hallucination is often perceived as real during the waking transition?
What form of hallucination is often perceived as real during the waking transition?
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Which hallucination type can vary in form, from simple shapes to complex scenes during sleep transitions?
Which hallucination type can vary in form, from simple shapes to complex scenes during sleep transitions?
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Which type of hallucination might not involve any sensory perception?
Which type of hallucination might not involve any sensory perception?
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What type of hallucination could potentially be misattributed to external stimuli due to its vividness?
What type of hallucination could potentially be misattributed to external stimuli due to its vividness?
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Study Notes
Wilson's Disease
- An inherited disorder causing copper accumulation in the body, primarily liver and brain.
- Caused by mutations in the ATP7B gene, responsible for copper transport and excretion.
- Accumulation in the liver can lead to cirrhosis.
- Accumulation in the brain leads to neurological symptoms like tremors, speech difficulties, and psychiatric issues.
- Diagnosis involves clinical presentation, lab tests, and genetic testing.
- Treatment aims at removing excess copper and preventing further accumulation.
Psychiatric Symptoms
- Running commentary: A voice providing continuous commentary on thoughts, feelings, or actions.
- Thought echo: Hearing one's thoughts repeated as if spoken aloud.
- Thought insertion: Thoughts being inserted into the mind without consent.
- Thought withdrawal: Thoughts being taken out of the mind without consent.
- Thought broadcast: Belief that one's thoughts are being transmitted to others.
- Delusional perception: A normal perception altered or manipulated by an external force.
- Somatic passivity: Belief one's body is being controlled by an external force.
- Made affect: Belief one's feelings are controlled by an external force.
- Made volition: Belief one's impulses or behavior are controlled by an external force
Assessment of Psychiatric Disorders
- Important first step: Observing the patient's behaviour and appearance.
- Question type: Open-ended questions for detailed information about symptoms, treatment, and medical history.
- Mental State Examination (MSE) steps: Observing patient behaviour and appearance, followed by open-ended questioning about symptoms, treatment, and medical history.
- Alcohol Abuse Screening: NICE recommends the AUDIT screening tool.
- FAST (Fast Alcohol Screening Test): A simple ten-question test to screen for excessive drinking, but not to diagnose alcoholism.
- Psychiatric History Focus: Current mental state, symptoms, functioning level, and past psychiatric history.
Psychiatric Scales
- YMRS (Young Mania Rating Scale): Measures severity of manic symptoms in bipolar disorder. (11 items)
- CAMDEX (Cambridge Mental Disorders of the Elderly Examination): Used to diagnose cognitive disorders in older adults (40 items)
- MADRS (Montgomery-Åsberg Depression Rating Scale): Measures severity of depressive symptoms in those with a depressive disorder.
- HAMD (Hamilton Depression Rating Scale): Measures severity of depressive symptoms.
- HAMA (Hamilton Anxiety rating scale): Measures severity of anxiety symptoms.
- BASDEC (Brief Assessment Schedule Depression Cards): Screens for depression in at-risk individuals.
- CSDD (Cornell Scale for Depression in Dementia): Measures depressive symptom severity in individuals with dementia.
- CGI (Clinical Global Impression): General assessment of a patient's overall functioning (symptoms, functional impairment, overall clinical condition).
- GAF (Global Assessment of Functioning): Comprehensive assessment of a patient's overall functioning in various aspects of life.
- AIMS (Abnormal Involuntary Movement Scale): Measures severity of abnormal involuntary movements (e.g., tardive dyskinesia). (Used with antipsychotics)
- SAS (Simpson-Angus Scale): Measures side effects of antipsychotic medication, particularly (extrapyramidal) EPS symptoms.
- Y-BOCS (Yale-Brown Obsessive Compulsive Scale): Measures severity of obsessive-compulsive symptoms in OCD patients.
- BPRS (Brief Psychiatric Rating Scale): Measures severity of symptoms for a range of psychiatric disorders (anxiety, depression, thought disorder, hostility).
- PANSS (Positive And Negative Syndrome Scale): Measures severity of symptoms in schizophrenia, particularly positive and negative symptoms.
- BDI (Beck Depression Inventory): Measures severity of depressive symptoms, self-report based.
- GDS (Geriatric Depression Scale): Specifically designed to assess symptoms of depression in older adults. (Focuses on common issues)
- EDPS (Edinburgh Postnatal Depression Scale): Screens for depression and anxiety in recently given birth women.
- BPRS (Brief Psychiatric Rating Scale): Measures severity of symptoms of psychiatric disorders.
- LUNSERS (Liverpool University Neuroleptic Side Effects Rating Scale): Measures severity of neuroleptic-induced side effects like Parkinsonism, akathisia, dystonia.
- DESS (Discontinuation-Emergent Signs and Symptoms scale): Measures severity of symptoms during withdrawal from medication.
- Types of hallucinations: Auditory, visual, olfactory, gustatory, tactile (haptic).
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Description
Explore the inherited disorder of Wilson's Disease, characterized by copper accumulation in the body leading to serious health issues, including liver cirrhosis and neurological symptoms. Additionally, delve into psychiatric symptoms associated with mental health, including thought disturbances and delusions. This quiz covers mechanisms, symptoms, diagnosis, and treatment.