Block 3 PSYCH Exam -- Psych History & Mental Status Exam (#2)
Terms
undefined, object
copy deck
- Spasticity ("Clasp Knife") is a sign of what?
- Corticospinal lesion
- Rigidity ("Lead Pipe") is a sign of what?
- Extrapyramidal symptoms
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What is paratonia ("Gegenhalten sign")?
What is it a sign of? -
Increased resistance throughout flexion or extension
Extensive brain disease - Stereotypies
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Purposeless, restricted, repetitive behaviors
Often ritualistic
Carried out at expense of all other motor activity - Catatonia
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Loss of volitional movement
1 motor sign - Catalepsy, Waxy flexibility, Posturing
+
1 sign of catatonic withdrawal/excitement - Catalepsy
- Holding an awkward position for an extended time
- Waxy flexibility
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Passive resistance which gives way
Often followed by catalepsy - Posturing
- Assuming bizarre body stances
- Negativism
- Refusal to cooperate, even with simple requests
- Verbigeration
- Meaningless repetition of words or phrases
- Flight of Ideas
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Pressured, highly accelerated speech
"Racing thoughts"
Still goal directed, BUT goal changes constantly
Most often seen in MANIC patients - Circumstantial speech
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Associations can be followed
BUT, many unnecessary digressions
Can be seen in OBSESSIONAL personalities
Also, in some pathological states - Loosening of Associations
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Loss of goal-directed quality of speech
Most commonly seen in SCHIZOPHRENIA - Tangentiality
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Patient answers a ? with a response that is irrelevant
Specific example of a derailment - Clang associations
- Associations between words relies on similar FIRST syllables
- What type of patient often uses rhyme associations
- MANIC patients
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Mnemonic for Neurovegetative Symptoms
SIGECAPS -
Sleep
Interest in usual activities (anhedonia)
Guilt
Energy
Concentration
Appetite
Psychomotor retardation
Suicidal ideation - Do hallucinations involve an external stimulus?
- NO
- Most common type of hallucination
- Auditory
- Disorder to consider if olfactory or gustatory hallucinations
- Epilepsy
- Hypnogogic hallucination
- Upon falling asleep
- Hypnopompic hallucination
- Upon walking
- Pseudohallucination vs. Vivid thought
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Pseudo --> Inside of self, but "foreign"
Vivid --> Recognized as internal - Distinguishing characteristic of obsessions
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Experienced as intrusive and inappropriate
Cause marked anxiety or distress - Compulsions
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Repetitive behaviors
REDUCE ANXIETY assoc. w/ obsessions - Phobia
- Marked and persistent fear of specific objects/situations
- Three types of phobias
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Specific
Agoraphobia
Social - Specific phobia
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Fear of clearly discernible circumscribed objects/situations
Stimulus is avoided - Agoraphobia
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Fear of places/situations in which escape might be difficult
Associated with PANIC DISORDER - Social phobia
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Fear that behavior in public will lead to embarrassment
Associated with autonomic response (sweating, etc.)
Can become self-fulfilling prophecy - Most useful gauge of level of intelligence
- Vocabulary