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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 _____________________
___________________________________
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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
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