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Boards And Beyond Psychiatry > Anxiety Disorders and Eating Disorders > Flashcards

Anxiety Disorders and Eating Disorders Flashcards

1
Q

Sudden onset of intense fear

-Often occur with no trigger

A

Panic Attack

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2
Q

Is brief and only lasts minutes to an hour

A

Panic Attack

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3
Q

Items in room look foggy or unreal. Patient feels like they are in a foreign place despite being at home

-Hallmark of panic attack

A

Derealization

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4
Q

Classified as an “out of body experience.”

  • Detached, looking at self from above
  • Also a hallmark of panic attack
A

Depersonalization

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5
Q

Recurrent, unexpected panic attacks

  • Not post-traumatic
  • Not responsive to phobia
A

Panic Disorder

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6
Q

Attacks followed by 1 month or more of persistent concern or worry about panic attacks

A

Panic Disorder

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7
Q

Median age of onset for panic disorder is

A

24 years old

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8
Q

If you have a first degree relative with panic disorder, you are at

A

Increased risk

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9
Q

Chronic, persistent anxiety. Lasts longer than 6 months

A

Generalized Anxiety Disorder

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10
Q

Fear of a specific object or situation

-Leads to avoidance behavior

A

Specific Phobias

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11
Q

Specific phobia of social settings with an excessive fear of embarrassment

A

Social anxiety disorder

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12
Q

Fear of leaving a safe place for a public setting

-Fear of needing to flea with no help available

A

Agoraphobia

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13
Q

Is NOT fear of scrutiny and embarrassment

A

Agoraphobia

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14
Q

Imagining exposure to feared stimulus

-Relaxation

A

Systematic Desensitization

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15
Q

Recurrent, persistent thoughts, urges, or images

-Intrusive and unwanted

A

Obsessions

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16
Q

Patient attempts to ignore or suppress causes distress

A

Obsessions

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17
Q

Repetitive behaviors or mental acts

-Done to relieve obsessions

A

Compulsions

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18
Q

Commonly occurs with schizophrenia or schizoaffective disorder, bipolar disorder, and eating disorders

A

Obsessive Compulsive Disorder

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19
Q

What are two pharmacological treatments to obsessive compulsive disorder?

A

SSRIs and Clomipramine (TCA)

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20
Q

What are three forms of treatment for PTSD?

A

CBT, SSRIs, Prazosin

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21
Q

Alpha-1 blocker that reduces nightmares and improves sleep

-May cause orthostatic hypertension

A

Prazosin

22
Q

Exposure to threatened death, injury, or sexual assault can cause

A

Acute Stress Disorder

23
Q

Characterized by recurrent, intrusive memories and lasts less than one month

A

Acute stress disorder

24
Q

Abnormal eating patterns that disrupt or psychosocial functioning

A

Eating Disorder

25
Q

Excessive diet and exercise that leads to low body weight

-BMI of less than 18.5 kg/m^2

A

Anorexia Nervosa

26
Q

Have an intense fear of gaining weight and increased mortality from malnutrition

A

Anorexia Nervosa

27
Q

What are the endocrine effects of Anorexia Nervosa?

A

Decreased GnRH and decreased LH/FSH, and amenorrhea

28
Q

The type of amenorrhea seen with anorexia Nervosa is

A

Functional hypothalamic amenorrhea

29
Q

Anorexic patients have a inability to concentrate urine and have characteristic free water loss and accompanying

A

Hyponatremia

30
Q

What is a major physiological sign of anorexia Nervosa?

A

Decreased creatinine and this decreased muscle mass

31
Q

Anorexic patients have decreased bone density due to

A

Low estrogen and high cortisol

32
Q

We often see bone marrow suppression, anemia, leukopenia, and thrombocytopenia with

A

Anorexia Nervosa

33
Q

On physical exam, why will we see in a patient with anorexia Nervosa?

A

Bradycardia, hypotension, lanugo hair growth

34
Q

The hallmark of re-feeding syndrome is

A

Hypophosphatemia

35
Q

Most fatalities from re-feeding syndrome are

A

Cardiac

36
Q

Have poor contractility and low stroke volume due to cardiac and respiratory failure from loss of ATP

A

Re-feeding syndrome

37
Q

Binge eating followed by vomiting or the use of laxatives to compensate and avoid weight gain

A

Bulimia Nervosa

38
Q

Occurs at least once a week for three months

A

Bulimia Nervosa

39
Q

Contrasts with anorexia Nervosa in that these patients have normal weight

A

Bulimia Nervosa

40
Q

What are three complications that wee see as a result of purging from bulimia Nervosa?

A

Contraction alkalosis, loss of K+, and low urinary chloride

41
Q

A useful test to perform when we have a metabolic acidosis with an unknown cause

A

Urinary chloride

42
Q

Urinary chloride is low (Less than 10-20) in

A

Vomiting

-Due to loss of Cl- in gastric secretions

43
Q

A young woman with an unexplained metabolic alkalosis and low urinary chloride is likely to have

A

Bulimia Nervosa

44
Q

Two other purging complications in bulimia Nervosa are

A

PArotid swelling and erosion of dental enamel

45
Q

Scars on knuckles from induced-vomiting

A

Russel’s Sign

46
Q

Compulsive overeating of excessively large amounts of food

A

Binge eating

47
Q

Occurs at least once a week for three months

A

Binge eating disorder

48
Q

Binge eating disorder often occurs with other disorders such as anxiety and depression. The first line of treatment is

A

Psychotherapy (CBT)

49
Q

An ADHD stimulant used to treat Binge eating disorder

A

Lisdexamfetamine

50
Q

A seizure medication used to treat binge eating disorder

A

Topiramate

51
Q

Clinical trials of lisdexamfetamine and topiramate show increased abstinence from binge episodes. This leads to

A

Reduced weight

52
Q

In anorexia Nervosa, we give inpatient treatment to individuals below

A

75-80% of ideal body weight

Boards And Beyond Psychiatry (18 decks)

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