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NCMHCE Exam > DSM 5 Rule Out Medical Conditions (38) > Flashcards

DSM 5 Rule Out Medical Conditions (38) Flashcards

1
Q

What medical issues need to be ruled out before you make a diagnosis of Acute Stress Disorder?

A

Sleep Disorder (i.e. obstructive sleep apnea, insomnia)
Stroke

Epilepsy

Migraine

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2
Q

What medical issues need to be ruled out before you make a diagnosis of Alcohol Use Disorder?

A

Diabetes
A seizure disorder

Hypoclycemic attack

Diabetic ketoacidosis

Cerebellar ataxia

Multiple Sclerosis

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3
Q

What medical issues need to be ruled out before you make a diagnosis of Anorexia Nervosa?

A

Lupus
Crohn’s Disease

Lyme Disease

Addison’s Disease

Emetophobia

Phagophobia

Body Dysmorphic Disorder

Cholelithiasis

Hepatitis

Intestinal Obstruction

Irritable Bowel Syndrome

Celiac Disease

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4
Q

What medical issues need to be ruled out before you make a diagnosis of Attention-Deficit/Hyperactivity Disorder?

A

Undiagnosed lead poisoning (relevant symptoms: irritability loss of appetite weight loss fatigue, learning difficulties)
Hearing or vision impairment (relevant symptoms: depressed mood, avoiding social interaction, difficulty understanding directions)

Hypothyroidism (relevant symptoms: poor mental development, poor growth, impaired memory)

Child abuse (relevant symptoms: aggression, anger, hyperactivity, changes in school performance, anxiety, loss in self-confidence, defiance, difficulty sitting, inappropriate emotional development/expression)

Medication side-effects

Sleep disturbance (relevant symptoms: difficulty concentrating, forgetfulness)

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5
Q

What medical issues need to be ruled out before you make a diagnosis of Avoidant/Restrictive Food Intake Disorder?

A

Poverty
Neglect

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6
Q

What medical issues need to be ruled out before you make a diagnosis of Bulimia Nervosa?

A

Diabetic gastroparesis
Gastroparesis

Gastroesophogeal Reflux Disease (GERD)

Peptic Ulcer Disease

Post nasal drip

Parasitic infections

Cancer

Intestinal obstruction

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7
Q

What medical issues need to be ruled out before you make a diagnosis of Conduct Disorder?

A

Traumatic Brain Injury (TBI) or Mild TBI (MTBI) (relevant symptoms: violent outbursts, lack of empathy)
Substance use

Intoxication

Epilepsy

Endocrinopathies (i.e. high testosterone levels leading to anger outbursts, non-compliance)

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8
Q

What medical issues need to be ruled out before you make a diagnosis of Conversion Disorder?

A

Epilepsy
Multiple Sclerosis

Lupus

Drug interaction

Undiagnosed stroke

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9
Q

What medical issues need to be ruled out before you make a diagnosis of Cyclothymic Disorder?

A

Multiple Sclerosis
Thyroid gland abnormalities

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10
Q

What medical issues need to be ruled out before you make a diagnosis of Depersonalization/Derealization Disorder?

A

Epilepsy
Migraine

Drug side-effect or interaction

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11
Q

What medical issues need to be ruled out before you make a diagnosis of Dissociative Amnesia?

A

Normal Aging
A seizure disorder

Head trauma

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12
Q

What medical issues need to be ruled out before you make a diagnosis of Encopresis?

A

Child abuse
Crohn’s Disease

Celiac Disease

Inflammatory Bowel Disease

Pancreatitis

Ulcerative colitis

Food allergies

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13
Q

What medical issues need to be ruled out before you make a diagnosis of Enuresis?

A

Obstructive sleep apnea
Child abuse

Urinary tract infections

Overactive bladder syndrome

Interstitial cystitis

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14
Q

What medical issues need to be ruled out before you make a diagnosis of Erectile Disorder?

A

Vascular disease
Arteriosclerosis

Atherosclerosis

Heart disease

High cholesterol

High blood pressure

Hyperlipidemia

Diabetes Mellitus

Obesity

Metabolic Syndrome

Parkinson’s Disease

Multiple Sclerosis

Low testosterone

Peyronie’s Disease

Alcoholism

Medication interactions/side-effects

Spinal issues

Stress

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15
Q

What medical issues need to be ruled out before you make a diagnosis of Exhibitionistic Disorder?

A

Pick’s Disease

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16
Q

What medical issues need to be ruled out before you make a diagnosis of Factitious Disorder?

A

Pernicious Anemia
Multiple Sclerosis

Alzheimer’s Disease

Epilepsy

Lupus

Drug interaction

Undiagnosed stroke

17
Q

What medical issues need to be ruled out before you make a diagnosis of Female Orgasmic Disorder?

A

Substance use issues
Medication side-effects (i.e. certain anti-depressants and antipsychotics)

Spinal cord damage

Damage to pelvic blood vessels

18
Q

What medical issues need to be ruled out before you make a diagnosis of Frotteuristic Disorder?

A

Pick’s Disease
Dementia

Temporal lobe epilepsy

Kleine-Levin Syndrome

19
Q

What medical issues need to be ruled out before you make a diagnosis of Gambling Disorder?

A

Side-effect of dopamine agonist (used in treating Parkinson’s Disease)

20
Q

What medical issues need to be ruled out before you make a diagnosis of Generalized Anxiety Disorder?

A

Lyme Disease
Hyperthyroidism

Chronic Fatigue Syndrome

PTSD

Wilson’s Disease (type of copper overload)

Drug addiction

Heart attack

Angina

Hypertension

Hypoxia

Pheochromocytoma

21
Q

What medical issues need to be ruled out before you make a diagnosis of Illness Anxiety Disorder?

A

Chronic Fatigue Syndrome
Chronic Pain

Fibromyalgia

Hypothyroidism

22
Q

What medical issues need to be ruled out before you make a diagnosis of Insomnia Disorder?

A

Chemotherapy
Medication side-effects or interactions

Chronic pain

Neuropathic pain

Sleep apnea

Dyspnea

Restless Leg Syndrome

Stress

Caffeine

Nicotine

Alcohol

Illicit drug use

Gastroesophageal Reflux Disease (GERD)

Overactive thyroid

Changes in the body’s own circadian rhythms

Poor sleep hygiene

Aging

23
Q

What medical issues need to be ruled out before you make a diagnosis of Intermittent Explosive Disorder?

A

Temporal lobe epilepsy
Substance intoxication

Alzheimer’s Disease

Brain tumor(s)

Parkinson’s Disease

Traumatic Brain Injury

24
Q

What medical issues need to be ruled out before you make a diagnosis of Kleptomania?

A

Head trauma
Brain injury

25
Q

What medical issues need to be ruled out before you make a diagnosis of Major Depressive Disorder?

A

Parkinson’s Disease
Hyperthyroidism

Hypothyroidism

Anemia

Lyme Disease

Medication interaction

Lupus

Chronic Fatigue Syndrome

Multiple Sclerosis

Drug side-effect (i.e. steroids, interferon, anti-hypertensives)

Fibromyalgia

Grief

Burnout

Aging

26
Q

What medical issues need to be ruled out before you make a diagnosis of Narcolepsy?

A

Epilepsy
Hypersomnia

Obstructive Sleep Apnea

Chronic Fatigue Syndrome

Sleep paralysis

Hypnagogic and/or hypnopompic hallucinations

27
Q

What medical issues need to be ruled out before you make a diagnosis of Obsessive-Compulsive Disorder?

A

Temporal lobe epilepsy
Addiction (gambling, substance)

28
Q

What medical issues need to be ruled out before you make a diagnosis of Oppositional Defiant Disorder?

A

Epilepsy
Endocrinopathies (i.e. high testosterone levels leading to anger outbursts, non-compliance, tantrums)

Lyme Disease

Traumatic Brain Injury (TBI) or Mild TBI (MTBI)

29
Q

What medical issues need to be ruled out before you make a diagnosis of Panic Disorder?

A

Hypertension
Cardiac arrest

Endocrine dysfunction (thyroid adrenal)

Substance use disorders

Neurological problems

Mitral valve prolapse

Pheochromocytoma

Digestive issues

30
Q

What medical issues need to be ruled out before you make a diagnosis of Paranoid Personality Disorder?

A

Epilepsy (primarily temporal lobe)
Frontal lobe tumors

Herpes encephalitis

Neurosyphilis

AIDS

B-12 deficiency

Endocrinopathies (especially thyroid and adrenal)

Heavy metal poisoning (i.e. mercury, arsenic, manganese, thallium, nickel)

Huntington’s Disease

31
Q

What medical issues need to be ruled out before you make a diagnosis of Persistent Depressive Disorder?

A

Chronic Fatigue Syndrome
Lupus

Multiple Sclerosis

Drug side-effect (i.e. steroids, interferon)

Lyme Disease

Anemia

32
Q

What medical issues need to be ruled out before you make a diagnosis of Pica?

A

Malnutrition
Parental neglect/lack of supervision

Pregnancy

Nutritional deficiency (such as iron) which triggers a specific craving though the craving does not typically provide the needed mineral or other deficient substance

33
Q

What medical issues need to be ruled out before you make a diagnosis of Posttraumatic Stress Disorder (PTSD)?

A

Stroke
Epilepsy

Pseudotumor cerebri (idiopathic intracranial hypertension)

Addiction

Traumatic Brain Injury (TBI)

Post-Concussive Syndrome

34
Q

What medical issues need to be ruled out before you make a diagnosis of Premature (Early) Ejaculation?

A

Prostatitis
Abdominal or Pelvic Trauma

Erectile dysfunction <

Abnormal hormone levels

Thyroid problems

Urethra or prostate infection or inflammation

Limits in control of the urethral sphincter (insufficient amounts of neurotransmitter serotonin)

35
Q

What medical issues need to be ruled out before you make a diagnosis of Rumination Disorder?

A

Pneumonia (from aspirated food resulting from vomit)
Ulcers

Dehydration

Weight loss

Malnutrition

Failure to thrive

36
Q

What medical issues need to be ruled out before you make a diagnosis of Schizophrenia?

A

Anemia
Amphetamine overdose/psychosis

Systemic Lupus

Epilepsy

Tumors (especiall frontal lobe)

CNS infections (i.e. herpes encephalitis)

Neurosyphilis

AIDS

Acute Intermittent Porphyia

Endocrinopathies (adrenal and thyroid)

Metal poisoning (arsenic manganese mercury thallium)

Pick’s Disease

Wernicke-Korsakoff Syndrome

Wilson’s Disease

Syphilis

37
Q

What medical issues need to be ruled out before you make a diagnosis of Separation Anxiety Disorder?

A

Hyperthyroidism (restlessness anxiety disruptive behavior increased pulse)
Pruritus

38
Q

What medical issues need to be ruled out before you make a diagnosis of Somatic Symptom Disorder?

A

Hyperparathyroidism
Stroke

Epilepsy

A sleep disorder

Chronic Fatigue Syndrome

Fibromyalgia

Multiple chemical sensitivity

NCMHCE Exam (49 decks)

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