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appendix 5 FORM FOR THE PSYCHIATRIC EXAMINATION Mark all the disorders you have seen: Perception Cenesthopathy Illusions True hallucinations Pseudohallucinations Derealisation Depersonalisation Thought Pressure of talk Inhibition of thought Circumstantiality (stiffness) Reasoning, philosophical intoxication Schizophasia Incoherence Perseveration Mentism Thought blocking Symbol thinking Paralogia Delusions Write in all types according to content 1.___________________ 2.___________________ 3.___________________ Systematised? Acute? Overvalued ideas Obsessions Memory Hypomnesia Failure of registration Organic amnesia Psychogenic amnesia Confabulation Intellect Disorder of understanding Loss of the ability for abstract thinking Insight No sense of illness Formal complaints Well-uderstanding Will and motivation Hyperbulia Hypobulia Abulia Compulsions Emotions Hypothymia Hyperthymia Euphoria Dysphoria Anxiety Phobias Ambivalence Apathy Flattering of affect Emotional rigidity, stiffness Emotional lability Emotional incontinence Movement Excitement Stupor Non-convenient posture Waxy flexibility Negativism Automatic obedience Impulsivity Stereotype movement Echo-symptoms Manneristic behavior Somatic (or somatoform) disorders Hypochondria Disorders of sleep Disorders of eating Sexual disorders Consciousness Deficiencies of grasp and comprehension Deficiencies of attention Disorientation in time Disorientation of place Self-disorientation Dual orientation Neurologic symptoms________________ __________________________________ Praxis disorders _____________________ Speech disorders _____________________ ___________________________________ 87 Conclusion: Neurotic state Psychotic state Functional disorder Organic disorder Syndrome: 1. 2. 3. The type of course: acute chronic (progressive, regressive, recurrent-periodic) Nosological diagnosis Possible treatment: neuroleptic antidepressant tranquilizer mood stabilizer antiparkinsonic drugs anticonvulsive psychotherapy Prognosis 88 appendix 6 QUESTIONS FOR THE EXAMINATIONS First question Answering these questions (characterizing syndrome) you should mark the following: 1. Clinical types of the disorder (if exist); 2. Symptoms; 3. Diagnostical significance: - Productive – Negative; - Psychotic – Neurotic level; - Functional – Organic; - Reversible – Irreversible; - Acute – Chronic; - Nosological specialty. 1. Asthenic syndrome 2. Obsessive-phobic syndrome 3. Depressive states 4. Maniacal states 5. Catatonic states 6. Apathy and abulia 7. Clerambault’s syndrome (mental automatism syndrome) 8. Paranoid states (paranoia, paranoid, paraphrenia) 9. Organic brain syndrome (psychoorganic syndrom) 10. Korsakov`s syndrome 11. Obscured (disturbance of) consciousness 12. Deterioration (decreasing) of consciousness 13. Delirium 14. Abstinent (withdrawal) syndrome 15. Mental retardation 16. Dementia 17. Types of psychomotor excitement 18. Paroxysmal disorders 89 Second question Answering these questions (characterizing nosology) you should mark the following: Aetiology, cause of the disorder Deterioration of structure Type of course and prognosis Signs, symptoms and syndromes 1) Affective psychoses (including bipolar psychosis) 2) Schizophrenia: Nosological definition 3) Schizophrenia: Syndromal forms 4) Schizophrenia: Types of course 5) Neuroses: Nosological definition 6) Neuroses: Neurasthenia 7) Neuroses: Dissociative disorders 8) Neuroses: Obsessive-compulsive disorder 9) Acute stress induced disorders 10) Personality disorders: Nosological definition 11) Personality disorders: Clinical types 12) Degenerative disorders (Alzheimer`s, Pick`s) 13) Alcoholism and alcohol psychoses 14) Substance-related disorders 15) Infection induced mental disorders 16) Mental disorders due to cerebral trauma 17) Epilepsy 18) Mental disorders due to somatic diseases 90 Third question (please answer these questions briefly and concrete) Explain the difference between: 1. True hallucinations – Pseudohallucinations 2. Depression – Apathy 3. Acute delusions – Chronic delusions 4. Obsessions – Overvalued Ideas – Delusions Define: 5. Diagnostic criteria for the disorders of consciousness 6. Diagnostic criteria for the psychogenous disorders 7. Exogenous types of reaction Tell about: 8. Indications for neuroleptic therapy 9. Neurological adverse-affects of neuroleptic therapy 10. Somatic adverse-affects of neuroleptic therapy 11. Classification of the antidepressants 12. Adverse-affects of tricyclic antidepressants 13. Indications for using tranquilizers 14. Precautions and adverse-affects of using tranquilizers 15. Precautions and adverse-affects of using anticonvulsant drugs 16. Indications for psychotherapy 17. Indications for ECT 18. Indications for hospitalization 19. Treatment of alcohol abstinent syndrome 20. Treatment of status epilepticus 91