Wilson's Disease and Psychiatric Symptoms
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Questions and Answers

What type of auditory hallucination involves hearing one's own thoughts as if they were spoken?

  • Inner monologue
  • Thought insertion
  • Thought withdrawal
  • Thought echo (correct)
  • Which of the following describes thought insertion?

  • An individual perceives their thoughts being taken away without permission.
  • An individual hears voices giving them instructions.
  • An individual experiences their thoughts spoken back to them.
  • An individual feels someone is adding thoughts to their mind against their will. (correct)
  • What is a distinguishing characteristic of thought withdrawal?

  • Hearing external auditory compliments
  • Experiencing conversation between distinct voices
  • Feeling as though thoughts are being erased from one's mind (correct)
  • Thinking that one's thoughts are echoing back
  • Which auditory hallucination involves hearing voices in a dialogue or argument?

    <p>Hearing two distinct voices</p> Signup and view all the answers

    What is NOT an example of thought echo?

    <p>Hearing a voice instructing you to act</p> Signup and view all the answers

    Which of the following is a misconception about thought insertion?

    <p>It is the feeling of having one's thoughts echoed.</p> Signup and view all the answers

    When experiencing an auditory hallucination of songs, which of these cognitive phenomena is being described?

    <p>Hearing thoughts as music</p> Signup and view all the answers

    Which statement best characterizes the experience of hearing a voice giving compliments?

    <p>It indicates an auditory hallucination.</p> Signup and view all the answers

    What is the primary function of the Cornell Scale for Depression in Dementia (CSDD)?

    <p>To measure the severity of depressive symptoms in individuals with dementia</p> Signup and view all the answers

    Which scale is used for providing a general assessment of a patient's overall functioning?

    <p>Clinical Global Impression (CGI)</p> Signup and view all the answers

    What is NOT a purpose of the Cornell Scale for Depression in Dementia?

    <p>To diagnose depression</p> Signup and view all the answers

    Which of the following statements about the Clinical Global Impression (CGI) is accurate?

    <p>It incorporates considerations of functional impairment and clinical condition.</p> Signup and view all the answers

    What does the Global Assessment of Functioning (GAF) primarily assess?

    <p>The overall level of functioning in psychological, social, and occupational domains</p> Signup and view all the answers

    What is the primary purpose of the Beck Depression Inventory (BDI)?

    <p>To measure the severity of depressive symptoms</p> Signup and view all the answers

    Which population does the Geriatric Depression Scale (GDS) specifically target?

    <p>Older adults with symptoms of depression</p> Signup and view all the answers

    How is the Beck Depression Inventory (BDI) typically administered?

    <p>As a self-report questionnaire completed by the individual</p> Signup and view all the answers

    What type of symptoms does the GDS focus on assessing?

    <p>Common depression symptoms in older adults</p> Signup and view all the answers

    Which of the following statements about the BDI is accurate?

    <p>It includes individual self-reported symptoms.</p> Signup and view all the answers

    What is one of the main assessments carried out by the BDI?

    <p>Severity of sadness and guilt</p> Signup and view all the answers

    Which of the following is NOT a focus of the GDS?

    <p>Evaluating cognitive function</p> Signup and view all the answers

    What distinguishes the BDI from the GDS in their application?

    <p>BDI is for individuals diagnosed with depression, GDS is for older adults.</p> Signup and view all the answers

    Which statement regarding ECG findings is incorrect?

    <p>U waves are always abnormal</p> Signup and view all the answers

    What is referred to as tachycardia in ECG findings?

    <p>A rate of 100 bpm or above</p> Signup and view all the answers

    What should be the first step in taking a psychiatric history?

    <p>Gathering information about the patient's medical history</p> Signup and view all the answers

    Which of the following statements accurately describes U waves on an ECG?

    <p>U waves can sometimes be seen in healthy individuals</p> Signup and view all the answers

    Which condition is associated with prolonged flat T waves in ECG findings?

    <p>Hypokalaemia</p> Signup and view all the answers

    Which action is least relevant when taking a psychiatric history?

    <p>Conducting an immediate physical examination</p> Signup and view all the answers

    What heart rate is classified as bradycardia?

    <p>Less than 60 bpm</p> Signup and view all the answers

    Which of the following best describes a normal PR interval on an ECG?

    <p>0.12-0.20 seconds</p> Signup and view all the answers

    Which of the following best describes autoscopic hallucinations?

    <p>Experiencing oneself as being outside of one's body</p> Signup and view all the answers

    Who first identified the concept of first rank symptoms as associated with schizophrenia?

    <p>Kurt Schneider</p> Signup and view all the answers

    Which statement accurately reflects the nature of first rank symptoms?

    <p>Indicates abnormal perceptions or experiences strongly linked to schizophrenia</p> Signup and view all the answers

    What is a common medical condition associated with autoscopic hallucinations?

    <p>Epilepsy</p> Signup and view all the answers

    Which of the following experiences is NOT a characteristic of first rank symptoms?

    <p>Feeling a physical sensation that corresponds with a visual image</p> Signup and view all the answers

    How does the quantity of first rank symptoms relate to the prognosis of schizophrenia?

    <p>Higher numbers of symptoms indicate a worse prognosis</p> Signup and view all the answers

    What type of hallucination involves feeling sensations on the skin that are not caused by an external source?

    <p>Tactile hallucinations</p> Signup and view all the answers

    Which of the following statements about first rank symptoms is false?

    <p>Only individuals with schizophrenia experience first rank symptoms</p> Signup and view all the answers

    Which type of hallucination is characterized by hearing voices externally?

    <p>Extracampine hallucinations</p> Signup and view all the answers

    What type of hallucination occurs during the transition from sleep to wakefulness?

    <p>Hypnopompic hallucinations</p> Signup and view all the answers

    Which hallucination type is associated with the transition from wakefulness to sleep?

    <p>Hypnagogic hallucinations</p> Signup and view all the answers

    Which type of hallucination may occur as a result of medical conditions like brain tumors?

    <p>Extracampine hallucinations</p> Signup and view all the answers

    What form of hallucination is often perceived as real during the waking transition?

    <p>Hypnopompic hallucinations</p> Signup and view all the answers

    Which hallucination type can vary in form, from simple shapes to complex scenes during sleep transitions?

    <p>Hypnopompic hallucinations</p> Signup and view all the answers

    Which type of hallucination might not involve any sensory perception?

    <p>Functional hallucinations</p> Signup and view all the answers

    What type of hallucination could potentially be misattributed to external stimuli due to its vividness?

    <p>Hypnopompic hallucinations</p> Signup and view all the answers

    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.

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