Clinical Approach to Psychosomatic Disorders (Hill)

Question 1

Psychosomatic Medicine can be characterized by?

Answer 1

A medical condition separate from the mental disorder is present

Question 2

In regards with psychosomatic medicine, what mood disorder is a risk factor for coronary heart disease, stroke, and is related to the number of diabetic symptoms?

Answer 2

Depression

Question 3

In regards with psychosomatic medicine, what mood disorder is a risk factor for coronary artery disease, asthma, and specific phobias?

Answer 3

Anxiety

Question 4

A circumstance that disturbs, or is likely to disturb, the normal physiological or psychological functioning of a person describes what term?

Answer 4

Stress

Question 5

When you are stressed what system is triggered?

What occurs?

Answer 5

1) Sympathetic nervous system

2) Tachycardia, Hypertension, Increased CO

Question 6

What neurotransmitter responses are seen with stress?

Answer 6

1) Release in Catecholamines
2) Increased Serotonin Turnover
3) Increased Dopaminergic Neurotransmission

Question 7

What endocrine responses are seen with stress?

Answer 7

Corticotropin-releasing factor (CRF) triggers the release of ACTH

Question 8

What immune responses are seen with stress?

Answer 8

Inhibition of immune functioning

Question 9

What connective tissue disorder presents with medical symptoms such as fever, butterfly rash, and joint pain along with psychiatric symptoms such as depression, psychosis, and delusions?

Answer 9

Systemic Lupus Erythematosus (SLE)

Question 10

What disorder presents with medical symptoms such as transient motor/sensory disturbances, impaired vision, and diffuse neuro signs with remissions and exacerbations along with psychiatric symptoms such as anxiety, euphoria, and mania?

Answer 10

Multiple Sclerosis (MS)

Question 11

What disorder presents with medical symptoms such as sensory distortions, violence, and belligerence along with psychiatric symptoms such as confusion, psychosis, and catatonic-like state?

Answer 11

Seizure Disorder

Question 12

Depression, anxiety, type A behavior, hostility, anger, and acute mental stress have been evaluated as risk factors for the development and expression of?

Answer 12

Coronary disease

Question 13

Cardiac Arrhythmias and Sudden Cardiac Death are profoundly sensitive to?

Answer 13

Acute emotional stress

Question 14

30% of asthmatics meet criteria for what mental disorders?

Answer 14

Panic disorder or agoraphobia

Question 15

Anxiety disorder and panic disorder have high prevalence in what respiratory system disease?

Answer 15

COPD

Question 16

What endocrine disorder presents with medical symptoms such as heat intolerance, excessive seating, and bulging eyes along with psychiatric symptoms such as nervousness, psychosis, and visual hallucinations?

Answer 16

Hyperthyroidism

Question 17

What endocrine disorder presents with medical symptoms such as cold intolerance, dry skin, weight gain along with psychiatric symptoms such as lethargy, depression, and paranoia?

Answer 17

Hypothyroidism

Question 18

What endocrine disorder presents with medical symptoms such as increased urination/thirst and high glucose levels along with psychiatric symptoms such as depression?

Answer 18

Diabetes Mellitus

Question 19

What metabolic disorder presents with medical symptoms such as excessive thirst, polydipsia, stupor, and coma along with psychiatric symptoms such as delirium, lethargy, and personality changes?

Answer 19

Hyponatremia

Question 20

What metabolic disorder presents with medical symptoms such as neuropathy, cardiomyopathy, and Wernicke-Korsakoff syndrome along with psychiatric symptoms such as poor concentration, confusion, and confabulation?

Answer 20

Thiamine Deficiency

Question 21

What metabolic disorder presents with medical symptoms such as pallor, dizziness, and peripheral neuropathy along with psychiatric symptoms such as irritability, inattentiveness, and dementia?

Answer 21

Cobalamin (Vitamin B12) Deficiency

Question 22

What GI disorder is characterized by increased gastric acid excretion associated with psychological stress?

Answer 22

Peptic Ulcer Disease

Question 23

What GI disorder has shown increased prevalence with dependent personalities?

Answer 23

Ulcerative Colitis

Question 24

What GI disorder is associated with preexisting panic disorder?

Answer 24

Crohn’s Disease

Question 25

Which antidepressants have the highest rate of GI disturbances?

Answer 25

SSRIs

Question 26

What hepatic/pancreatic disorder is characterized by weight loss, abdominal pain, depression, lethargy, anhedonia, apathy, and decreased energy?

Answer 26

Pancreatic Carcinoma

Question 27

What hepatic/pancreatic disorder presents with medical symptoms such as abdominal pain, fever, n/v, and peripheral neuropathy along with psychiatric symptoms such as acute depression, agitation, paranoia, and visual hallucinations?

Answer 27

Acute Intermittent Porphyria

Question 28

What hepatic/pancreatic disorder presents with medical symptoms such as asterixis, hyperreflexia, spider angioma, and palmar erythema along with psychiatric symptoms such as euphoria, disinhibition, and depression?

Answer 28

Hepatic Encephalopathy

Question 29

Mood changes, irritability, facetiousness, impaired judgment, impaired memory, delirium, loss of speech, and loss of smell are symptoms of a brain tumor in what location?

Answer 29

Frontal lobe

Question 30

Consultation-Liason Psychiatry is the study, practice, and teaching of the relation between?

Answer 30

Medical and psychiatric disorders

Question 31

What are common Consultation-Liason problems?

Answer 31

1) Suicide attempt
2) Depression
3) Hallucinations
4) Sleep disorders

Question 32

Delirium is common in what populations?

Answer 32

Elderly, surgical, and ICU patients

Question 33

What medications should be avoided in elderly hospitalized patients to prevent delirium?

Answer 33

Benzodiazepines

Question 34

What substance-induced organic mental disorder presents with medical symptoms such as elevated BP, tachycardia, nystagmus along with psychiatric symptoms such as agitation with blank stare, anxiety, and aggression?

Answer 34

Phencyclidine (PCP)

Question 35

What Substance-Induced Organic Mental Disorder presents with mania and psychosis (hallucinations)?

Answer 35

Corticosteroids

Question 36

What Substance-Induced Organic Mental Disorder presents with mania (bipolar patient), anxiety, and insomnia?

Answer 36

Antidepressants