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Exam (elaborations)

Primary Care Psychiatry

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Primary Care Psychiatry

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  • September 3, 2024
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  • 2024/2025
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Test Bank For Primary Care Psychiatry 2nd Edition By Robert
McCarron 9781496349217 Chapter 1-26 Complete Guide .

screening questions for depression - ANSWER: are you feeling low?
do you ever feel life isn't worth living
anhedonia
energy
sex life
sleep and appetite
guilt, regret or feeling hopeless

screening questions for mania - ANSWER: do you feel you have more energy than
other people, despite not sleeping
are you finding difficulty focusing or setting
are you spending more than usual
are you more interested in sex

screening for psychosis? - ANSWER: (hallucinations, delusions, persecutory beliefs)
anything odd or unusual been happening lately?
do you know why this may be?
have you had any unusual thoughts, thoughts being put in your head or taken away,
is someone controlling you?
can other people hear or access your thoughts?
do you ever hear voices when there is no-one around?

screening for obsessions - ANSWER: any worries/anxiety, is it constant or discrete
attacks?
what causes this and how do you manage your anxiety?

screening for eating disorders? - ANSWER: how do you feel about your weight, what
is your eating pattern like?
SCOFF

SCOFF - ANSWER: have you ever made yourself sick
do you feel you have lost control?
have you lost more than one stone in 3 months?
do you feel fat even though others say you are thin?
Food - preoccupation, dominates your life

differential diagnosis and formulation? - ANSWER: differential - most relevant
possibilities
formulation- 3ps, predisposing, precipitating, perpetuating factors

, aspects of the mental state examination (9) - ANSWER: appearance, behaviour,
speech, mood, perception, thought, risk/suicide, cognition, insight

when might you have to break confidentiality? - ANSWER: patient or another
individual is at risk of serious harm or death
the patient continues to drive against medical advice
if unsure seek advice

enlarged parotids can be due to - ANSWER: alcohol use
bulimia nervosa

knuckle calluses and swollen sore parotid may be a feature of - ANSWER: bulimia
nervosa

cerebellar disease and gait? - ANSWER: broad based gait (lithim toxicity, alcohol)

belief held unshakeably despite concrete evidence to the contrary - ANSWER:
delusioin

primary and secondary delusions - ANSWER: primary - arise, fully formed with no
apparent trigger (schizophrenia)
secondary - arise based on circumstances (fear, stress, hope)

most common type of delusions> - ANSWER: persecutory (feeling of being followed
and conspired against)

ideas of reference - what are they and what are they associated with? - ANSWER:
coincidental events are interpreted to have personal significance
associated with social phobia, psychosis, stress

delusions of reference - ANSWER: dogs bark includes a coded message

hallucinations - ANSWER: any sensory modality
no external stimulus
occur in external space
are felt to be 100% reality
not willed or induced

types of auditory hallucinations - ANSWER: thoughts spoken aloud after they are
thought
someone talking to them, giving instructions (second person hallucinations)
voices arguing or giving a running commentary (third person hallucinations)

visual hallucinations are common in - ANSWER: eye pathology
epilepsy
delirium

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