4/12/25, 8:14 NR 547 midterm- diff dx |
PM
NR 547 MIDTERM- DIFF DX EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
Terms in this set (115)
medical causes of anxiety, restlessness, thryoid- TFT
depression, mood swings, sleepng
difficulties, concentration problems, short
term memory lapses, and lack of mental
alertness include what?
What lab would you order?
common psychiatric conditions depression, mania, psychosis, cognitive impairment
associated with vitamin B12 deficiency
low vitamin D levels can cause what? depression, anxiety, psychosis
25-hyroxy vitamin D blood test
how to measure vitamin D levels and what
normal level 20-50
are normal levels
less than 12= deficiency
What is SNAPPS Summarize, narrow, analyze, prove, plan, select
Overinclusion of trivial or irrelevant details that impede the sense of getting to
define circumstantiality
the point.
Thoughts are associated by the sound of words rather than by their meaning (e.g.,
define clang associations
through rhyming or assonance
(loose associations)- A breakdown in both the logical connection between ideas
define derailment and the overall sense of goal directedness. The words make sentences, but the
sentences do not make sense.
A succession of multiple associations so that thoughts seem to move abruptly
define flight of ideas from idea to idea; often (but not invariably) expressed through rapid,
pressured speech.
The invention of new words or phrases or the use of conventional words in
define neologism
idiosyncratic ways.
define perseveration Repetition of out of context words, phrases, or ideas
In response to a question, the patient gives a reply that is appropriate to the
define tangentiality
general topic without actually answering the question.
define thought blocking A sudden disruption of thought or a break in the flow of ideas.
1/
5
, 4/12/25, 8:14 NR 547 midterm- diff dx |
PM
define malingering based on motivation, clearly recognizable goal (insurance, legal, obtaining drugs)
define factitious disorder deceptive behavior present even in the absence of external rewards
things to watch for when ruling out external incentives, cluster of symptoms conforms to a lay perception of mental
malingering or factitious disorder illness, symptoms shift radically each encounter, when manipulative or suggestive
what is the first step in creating a R/O malingering or factitious disorder
differential dx
what is the second step in creating a DDx r/o substance etiology
psych symptoms can be attributed to substance abuse use if they stop within one
DSM 5 criteria for substance and month of stopping the substance
medication induced presentation is psych symptoms persist without substances, then psych disorder is primary
if symptoms improve when substance is gone, then substance is primary
what is the 3rd step in creating a DDx R/O disorder d/t a medical condition
rule of thumb for knowing that psych -if the psych symptoms begin following onset of medical condition
symptoms are caused by a medical -if they vary in severity with the severity of the med condition
condition -if they disappear when the med condition resolves
if the psych presentation is atypical in symptom pattern, age at onset, or course
when does a general medical condition
ex: severe memory loss accompanies depression- this does not go together-
need to be considered in the DDx
could be due to a medical issue
What is the 4th step in creating a DDx determine the specific primary disorder- use the DSM 5
differentiate adjustment disorders from the residual other specified or unspecific
what is the 5th step in creating a DDx
disorders
how do you know if something is an if symptoms have developed as a result of maladaptive response to a psych
adjustment disorder? stressor
how do you know if a psych dx falls under is a stressor is not responsible for the development of clinically significant
the "other specific/ unspecified" symptoms
category?
establish a boundary with no mental disorder- not everyone qualifies for mental
what is step 6 of creating a DDx
dx
choosing a single dx from among a group of competing, mutually exclusive Dxs
Define: DDx
to best explain a given symptom presentation
how long should meds be continued 6-12 mo
for anxiety after remission?
brief
have negative predictive value= is they screen negative, high level of confidence
what are good characteristics of
that they don't have it
screening tools?
good sensitivity
patient administered
top 3 residual problems of MDD cognitive problems, lack of energy, sleep problems
Define anhedonia inability to feel pleasure, positive emotions, or motivation
persistent, uncontrollable thoughts or actions that occur over an hour or more per
OCD is characterized by
day
acute intense attack of anxiety (panic attack) accompanied by feelings of
impending from
dx criteria for panic disorder occurs during discrete periods of intense fear that can vary from several attacks
DSM 5 criteria in 1 day to only a few/ year
1 mo of worry afterr 1 panic attack
may have avoidance behavior or anticipatory anxiety 1+ month
comorbid conditions of panic attacks agoraphobia- anxiety where escape may be difficult
2/
5
PM
NR 547 MIDTERM- DIFF DX EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
Terms in this set (115)
medical causes of anxiety, restlessness, thryoid- TFT
depression, mood swings, sleepng
difficulties, concentration problems, short
term memory lapses, and lack of mental
alertness include what?
What lab would you order?
common psychiatric conditions depression, mania, psychosis, cognitive impairment
associated with vitamin B12 deficiency
low vitamin D levels can cause what? depression, anxiety, psychosis
25-hyroxy vitamin D blood test
how to measure vitamin D levels and what
normal level 20-50
are normal levels
less than 12= deficiency
What is SNAPPS Summarize, narrow, analyze, prove, plan, select
Overinclusion of trivial or irrelevant details that impede the sense of getting to
define circumstantiality
the point.
Thoughts are associated by the sound of words rather than by their meaning (e.g.,
define clang associations
through rhyming or assonance
(loose associations)- A breakdown in both the logical connection between ideas
define derailment and the overall sense of goal directedness. The words make sentences, but the
sentences do not make sense.
A succession of multiple associations so that thoughts seem to move abruptly
define flight of ideas from idea to idea; often (but not invariably) expressed through rapid,
pressured speech.
The invention of new words or phrases or the use of conventional words in
define neologism
idiosyncratic ways.
define perseveration Repetition of out of context words, phrases, or ideas
In response to a question, the patient gives a reply that is appropriate to the
define tangentiality
general topic without actually answering the question.
define thought blocking A sudden disruption of thought or a break in the flow of ideas.
1/
5
, 4/12/25, 8:14 NR 547 midterm- diff dx |
PM
define malingering based on motivation, clearly recognizable goal (insurance, legal, obtaining drugs)
define factitious disorder deceptive behavior present even in the absence of external rewards
things to watch for when ruling out external incentives, cluster of symptoms conforms to a lay perception of mental
malingering or factitious disorder illness, symptoms shift radically each encounter, when manipulative or suggestive
what is the first step in creating a R/O malingering or factitious disorder
differential dx
what is the second step in creating a DDx r/o substance etiology
psych symptoms can be attributed to substance abuse use if they stop within one
DSM 5 criteria for substance and month of stopping the substance
medication induced presentation is psych symptoms persist without substances, then psych disorder is primary
if symptoms improve when substance is gone, then substance is primary
what is the 3rd step in creating a DDx R/O disorder d/t a medical condition
rule of thumb for knowing that psych -if the psych symptoms begin following onset of medical condition
symptoms are caused by a medical -if they vary in severity with the severity of the med condition
condition -if they disappear when the med condition resolves
if the psych presentation is atypical in symptom pattern, age at onset, or course
when does a general medical condition
ex: severe memory loss accompanies depression- this does not go together-
need to be considered in the DDx
could be due to a medical issue
What is the 4th step in creating a DDx determine the specific primary disorder- use the DSM 5
differentiate adjustment disorders from the residual other specified or unspecific
what is the 5th step in creating a DDx
disorders
how do you know if something is an if symptoms have developed as a result of maladaptive response to a psych
adjustment disorder? stressor
how do you know if a psych dx falls under is a stressor is not responsible for the development of clinically significant
the "other specific/ unspecified" symptoms
category?
establish a boundary with no mental disorder- not everyone qualifies for mental
what is step 6 of creating a DDx
dx
choosing a single dx from among a group of competing, mutually exclusive Dxs
Define: DDx
to best explain a given symptom presentation
how long should meds be continued 6-12 mo
for anxiety after remission?
brief
have negative predictive value= is they screen negative, high level of confidence
what are good characteristics of
that they don't have it
screening tools?
good sensitivity
patient administered
top 3 residual problems of MDD cognitive problems, lack of energy, sleep problems
Define anhedonia inability to feel pleasure, positive emotions, or motivation
persistent, uncontrollable thoughts or actions that occur over an hour or more per
OCD is characterized by
day
acute intense attack of anxiety (panic attack) accompanied by feelings of
impending from
dx criteria for panic disorder occurs during discrete periods of intense fear that can vary from several attacks
DSM 5 criteria in 1 day to only a few/ year
1 mo of worry afterr 1 panic attack
may have avoidance behavior or anticipatory anxiety 1+ month
comorbid conditions of panic attacks agoraphobia- anxiety where escape may be difficult
2/
5
