BM - Intro to BM

Question 1

Define mental illness

Answer 1

Medical conditions involving a change in emotion, thinking (cognition) and/or behavior. Associated with distress and/or difficulty functioning in social, work and/or family life.

Question 2

Define behavioral medicine

Answer 2

Interdisciplinary field that integrates behavioral, psychosocial, and biomedical science knowledge and techniques

Question 3

Define psychiatry

Answer 3

Medical specialty for the diagnosis, treatment, and prevention of mental disorders

Question 4

What is the role of the PA in behavioral medicine

Answer 4

take care of medical problems of psychiatric patients and/or deal with psychiatric issues

Question 5

What is the etiology of mental illnesses

Answer 5

Biopsychosocial model - an approach to describing and explaining how biological, psychological, and social factors combine and interact to influence physical and mental health

Question 6

What are some characteristics of good mental health

Answer 6

1. Having a positive attitude
2. Feeling good about self and others
3. Able to recognize and express feelings appropriately
4. Acting responsibly in work and relationships
5. Able to plan and set goals

Question 7

What is the DSM 5

Answer 7

Diagnostic and statistical manual of mental disorders, 5th addition; describes symptoms and what disorder they are associated with

Question 8

What are some medical conditions that cause psychiatric symptoms

Answer 8

Neurological, endocrine, metabolic/systemic, toxic, nutritional, infectious, autoimmune, neoplastic

Question 9

What are the most important components of assessing the psychiatric patients

Answer 9

History, mental status exam, physical exam, diagnostic tests

Question 10

What should be recorded in the patient’s history

Answer 10

1. Chief complaint
2. Identifying data
3. History of the present illness
4. Past medical history
5. Personal history
6. Family history
7. Review of symptoms

Question 11

What does the patient’s physical exam depend on

Answer 11

patient’s status - may be paranoid, delusional, angry, etc; can defer PE to a later time

Question 12

What is the purpose of a diagnostic test

Answer 12

establish normal function for medical use; find anything contributing to illness

Question 13

What are some standard laboratory tests

Answer 13

CBC, glucose, chemistries, TSH, U/A, toxicology screening, drug levels, HIV, etc.

Question 14

What are some examples of psychological evaluations

Answer 14

Intelligence tests, personality test (ex. Rorschach evaluation)

Question 15

What is the mental status exam (MSE)

Answer 15

Observations and questions at the time of interview that changes depending on the time; different than mini-mental exam which is used to test patient’s cognitive ability

Question 16

What is described in the general description portion of the MSE

Answer 16

Appearance (alert, impaired, posture, clothes, gender, race) and Attitude (cooperative, hostile, withdrawn, pleasant; written as a sentence or two about the patient

Question 17

Describe mood and affect as per MSE

Answer 17

Mood - subjective/emotion reported by patient
Affect - objective/observed expression (flat affect, labile affect, etc.)

Question 18

How is speech defined per the MSE

Answer 18

By volume, articulation (slurring, stuttering, monotonous), pace (rapid vs. slow)

Question 19

How is perception defined per MSE

Answer 19

Are there hallucinations - false sensory perception not associated with real external stimuli (Auditory, visual, olfactory, tactile, gustatory)

Question 20

How is thought defined per MSE

Answer 20

1. Delusions - false belief that cannot be corrected by reasoning
2. Obsessions - pathological persistence of a thought or feeling that cannot be eliminated by logical effort
3. Phobia - persistent, irrational, or exaggerated fear
4. Suicidal and homicidal thoughts (S/I, H/I) - must ask patient

Question 21

How is sensorium and cognition tested per MSE

Answer 21

Consciousness, orientation (person, place, time), memory (immediate, recent, remote), and concentration (serial 7s, WORLD backwards)