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USMLE Step 2 CK Classic Clues Classic clues seen in clinical case scenarios in USMLE Step 2 CK questions.


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Old 07-26-2011
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Default pattern of speech associated with psychiatric disorders

Clanging
occurs when a string of words that rhyme or sound alike are strung together. the patient responds “goose, bruce, noose, juice, juicing zeus.”

Echolalia
occurs when the patient repeats what someone else has said over and over (think of a parrot).

Neologism
occurs when new words are created that have no meaning except to the patient.

Perseveration
as applied to speech, is said to occur when a patient excessively focuses on a particular topic regardless of what they are asked by an interviewer

Poverty of thought
occurs when there is little spontaneous speech. Complete voluntary absence of speech is termed mutism.

Thought blocking
occurs when a patient suddenly stops speaking in the midst of a sentence.

Word salad
(e.g., meaningless, disconnected word choices)
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Old 07-26-2011
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Thank you for the nice list, but you need to tell us in which disease(s) we see each of these speech patterns!
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Old 07-28-2011
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Originally Posted by Breex View Post
Thank you for the nice list, but you need to tell us in which disease(s) we see each of these speech patterns!
Manifestations of Schizophrenia all of them


also


Negative :::::

Thought blocking
Interrupted or halting thought due to hallucinations

Impaired abstraction
Difficulty determining meaning beyond concrete or superficial ideas

Poverty of speech or content of speech

Use of few words or words with little meaning that relay little information

Avolition
Reduced physical activity, grooming, and hygiene

Affective flattening
Behavioralcal inflection, and eye contact

Anhedonia
Reduced activities, social interactions, and intimacy
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Old 08-13-2011
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Default Type of Delusion with Example of Patient Statement

Type of Delusion with Example of Patient Statement


Erotomanic
"The DJ on the radio is sending me romantic messages."

Grandiose
"I am more gifted than other workers, and I will be selected for special treatment."

Jealous
"Those telemarketing calls are really messages from my husband's lover."
Persecutory "

My fellow workers are sabotaging my work production."

Somatic
"The fungus on my foot has invaded my entire body, causing a strange odor."


delusion of influence or delusion of control
occurs when a person believes they are under the influence or control (hence, the name) of another individual. Thought insertion (where persons believe specific thoughts are put into their mind) or thought withdrawal

(Delusions of reference)

This delusion is the belief that events specifically reference or occur with meaning to the patient. Newspapers may publish pictures of children, which patients believe are a special sign to them that it will be sunny outside. References to the president are really references about them. These delusions are often very closely tied to delusions of persecution
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