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Maddy - NMSP Exam I - psych pharm > Clin - Psychosomatic Disorders > Flashcards

Clin - Psychosomatic Disorders Flashcards

1
Q

patients with depression are at at risk for what somatic disorders

A
  • coronary heart disease
  • stroke
  • diabetic symptoms
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2
Q

patients with anxiety are at at risk for what somatic disorders

A
  • coronary artery disease
  • asthma
  • specific phobias
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3
Q

how does stress affect the immune system

A

inhibition of immune functioning

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4
Q

what psychiatric symptoms are associated with lupus

A

depression, mood disturbances, psychosis, delusions, hallucinations

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5
Q

what psychiatric symptoms are associated with MS

A

anxiety, euphoria, mania

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6
Q

what psychiatric symptoms are associated with seizure disorder

A

confusion, psychosis, dissociative states, catatonic-like state, bizarre behavior

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7
Q

what psychiatric symptoms are associated with heart transplant patients

A

elicit anxiety, depression, elation, and coping with grief

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8
Q

what psychiatric symptoms are associated with COPD patients

A

anxiety disorder and panic disorder

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9
Q

what psychiatric symptoms are associated with hyperthyroidism

A

nervousness, excitability, irritability, pressured speech, insomnia, psychosis, and visual hallucinations

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10
Q

what psychiatric symptoms are associated with hypothyroidism

A

lethargy, depression, personality change, paranoia

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11
Q

what psychiatric symptoms are associated with diabetes

A

frustration, loneliness, dejecting, depression

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12
Q

what psychiatric symptoms are associated with pheochromocytoma

A

anxiety, apprehension, feeling of impending doom, panic

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13
Q

what psychiatric symptoms are associated with hyponatremia

A

confusion, lethargy, personality changes

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14
Q

what psychiatric symptoms are associated with thiamine deficiency

A

poor concentration, confusion, confabulation

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15
Q

what psychiatric symptoms are associated with cobalamin (B12) deficiency

A

irritability, inattentiveness, psychosis, dementia

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16
Q

how do vitamin toxicities cause psychiatric symptoms

  • vitamin A & D, iron
  • copper
  • B6 and B12
  • lead
A
  • vitamin A & D, iron: confusion
  • copper: psychosis
  • B6 and B12: peripheral nerve function
  • lead: cognitive dysfunction
17
Q

what psychiatric symptoms are associated with PUD

A

increased gastric acid excretion associated w/ psychological stress

18
Q

what psychiatric symptoms are associated with UC

A

some evidence to show increased prevalence of dependent personalities

19
Q

what psychiatric symptoms are associated with Crohn’s dz

A

high rates of preexisting panic disorders

20
Q

most common psychiatric drug side effects affecting somatic system

A
  • SSRI: highest rate of GI disturbances (nausea, diarrhea)

- anticholinergic effects (constipation, dry mouth)

21
Q

what psychiatric symptoms are associated with pancreatic CA

A

weight loss, depression, lethargy, anhedonia, apathy, decreased energy

22
Q

what psychiatric symptoms are associated with acute intermittent porphyria

A

acute depression, agitation, paranoia, visual hallucinations

23
Q

what psychiatric symptoms are associated with hepatic encephalopathy

A

euphoria, disinhibition, psychosis, depression

24
Q

what psychiatric symptoms are associated with atopic dermatitis

A

increased prevalence of anxiety and depression

25
Q

what psychiatric symptoms are associated with psoriasis

A

anxiety, depression, personality disorders

26
Q

what psychiatric symptoms are associated with urticaria

A

anxiety, depression, stress

27
Q

what psychiatric symptoms are associated with frontal lobe tumors

A

mood changes, irritability, facetiousness, impaired judgement, impaired memory, delirium, loss of speech, loss of smell

28
Q

what psychiatric symptoms are associated with occipital lobe tumor

A

aura, visual hallucinations

29
Q

what psychiatric symptoms are associated with head trauma

A

confusion, personality changes, memory impairment

30
Q

define consultation-liaison psychiatry

A

the study, practice, and teaching of the relation b/w medical and psych disorders

31
Q

what are some common consultation-liaison problems

A

1) suicide attempt/threat
2) depression
3) agitation/dementia
4) hallucinations (delirium tremens)
5) sleep disorder
6) confusion

32
Q

what psychiatric symptoms are associated with PCP use

A

agitation w/ blank stare, anxiety, stupor, aggression, panic, bizarre behavior

33
Q

what psychiatric symptoms are associated with corticosteroid use

A

mania, psychosis (hallucinations)

34
Q

what psychiatric symptoms are associated with antidepressants

A

mania (bipolar patient), anxiety, insomnia

Maddy - NMSP Exam I - psych pharm (23 decks)

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