KAPLAN & SADOCK'S SYNOPSIS OF PSYCH EXAM QUESTIONS AND ANSWERS %
CORRECT.
What is the purpose of having systems of classification for psychiatric diagnoses?
answer >>>>> 1. to distinguish one psychiatric diagnosis from another, so most
effective treatment can be offered
2. to provide a common language among healthcare practitioners
3. to explore the still unknown causes of many mental disorders
2 important psychiatric classifications are: answer >>>>> 1. Diagnostic and
Statistical Manual of Mental Disorders (DSM) - APA
2. International Classification of Diseases (ICD) - WHO
How many DSM editions have there been? answer >>>>> Original plus 6
DSM-I, DSM-II, DSM-III, DSM-III-R, DSM-IV, DSM-IV-TR (text revision), DSM-5
Latest versions of DSM & ICD answer >>>>> DSM-5, ICD-10
All in DSM-5 are in ICD-10, but not all ICD-10 is in DSM-5
Official US nomenclature answer >>>>> DSM-5
Medicare & Medicaid requires answer >>>>> ICD-10 codes for mental disorders
What is meant by descriptive approach? answer >>>>> DSM-5 is theoretical re:
causes
,KAPLAN & SADOCK'S SYNOPSIS
Describes clinical features, only rarely discusses how it came about
What is meant by diagnostic criteria? Purpose? answer >>>>> Specified
diagnostic criteria are provided for each mental disorder, with features that must
be present for diagnosis to be made.
-increase reliability of diagnostic process
What is meant by systematic description? answer >>>>> Systematically describes
each disorder:
age, culture, gender-related features
prevalence, incidence, risk
course
complications
predisposing factors
familial pattern
Dads
when relevant labs & physical signs/symptoms
What is not included in DSM? answer >>>>> theories of causes, management or
TX
controversial issues
Neurodevelopmental Disorders (6) answer >>>>> usually 1st diagnosed in infancy,
childhood, or adolescence
Include:
,KAPLAN & SADOCK'S SYNOPSIS
-Intellectual Disability/Intellectual Developmental Disorder (prep mental
retardation)
-Communication Disorders
-Autism Spectrum Disorder
-ADHD
-Specific Learning Disorders
-Motor Disorders
Intellectual Disability/Intellectual Developmental Disorder answer >>>>>
Neurodevelopmental Disorder
-Significant, below average intelligence and impairment in adaptive functioning
(how effective pal are in achieving age-appropriate common demands;
communication, self-care, interpersonal skills)
-Classifications from DSM-IV: mild (50-55 to 70 IQ), moderate (35-40 to 50-55),
severe (20-25 to 35-40), profound (below 20-25)
Global developmental delay answer >>>>> variation of Intellectual disability
children >5yrs
severe defects exceeding Intellectual Disability Classification
Borderline intellectual functioning answer >>>>> not clearly differentiated from
intellectual disability in DSM-5
DSM-IV it meant IQ of about 70
Communication Disorders answer >>>>> Neurodevelopmental Disorder
4 types:
, KAPLAN & SADOCK'S SYNOPSIS
1. Language Disorder (impaired vocab, difficulty in age-appropriate sentences)
2. Speech sound disorder (difficulty in articulation)
3. childhood-onset fluency disorder/stuttering (difficulty in fluency, rate, rhythm)
4. social/pragmatic communication disorder (difficulty in social
interaction/communication w/ peers)
Autism Spectrum Disorder answer >>>>> Neurodevelopmental Disorder
-range of behaviors; multiple developmental areas (social relatedness,
communication, range of activity & repetitive & stereotypical patterns of behavior
inch speech)
Level 1: able to speak w/ reduced social interaction (resembles Asperger's, not in
DSM-5)
Level 2: minimal speech, minimal social interaction (Ds as Rhett’s disorder in
DSM-IV, not in 5)
Level 3: total lack of speech, no social interaction
Attention-Deficit/Hyperactivity Disorder answer >>>>> Neurodevelopmental
Disorder
-persistent inattention, hyperactivity and impulsivity, or both that cause clinically
significant impairment in functioning
-unclear line town age-appropriate normal & disordered behavior; concern
children w/o are misdiagnosed & medicated
Specific Learning Disorders answer >>>>> Neurodevelopmental Disorder
-maturational deficits in development, associated w/ acquiring skills
-dyslexia - reading