Dx criteria Exam 3

Question 1

Body Dissatisfaction screening

Answer 1

Scoff (2+ is ED)
ESP
EAT
PHQ

Question 2

Avoidant/Restrictive food intake disorder

Answer 2

Avoiding/restricting leads to persistent failure to meet nutritional or energy needs (1+ the following):

Sig wt loss, poor growth, or failure to achieve expected wt gain

Nutritional def, oral supp or enteral feeding req to achieve adeq nutrition

Impaired psychosocial fxning

usually BMI of 16 on a kid

Question 3

Anorexia Nervosa

Answer 3

Mild - BMI ≥ 17

Mod - BMI 16-16.99

Severe - BMI 15-15.99

Extreme - BMI < 15

Question 4

Bulima Nervosa

Answer 4

Recurrent binge eating and inapp compensatory behaviors ≥ 1 per wk for 3mo

MC compensation →
vomiting
Laxative use in 1/3

Less common - enemas, diuretics, fasting

Question 5

Binge Eating Disorder

Answer 5

Recurrent binging without compensatory behavior

Severity ranked by ep per week

mild 1 to 3
mod 4 to 7
severe 8 to 13
extreme 14+

Question 6

Psychosis

Answer 6

Disturbance in perception of reality 1+ of the following:

Hallucinations, delusions, incoherent speech, catatonic behavior, abd emotions, cogn difficulties

Hallmark of schizophrenia

Question 7

Schizophrenia

Answer 7

Chronic or recurrent psychosis

Imp fxn and disabling

Dx by: Characteristic symptom + social/occupational dysfxn for ≥ 6 mo

Question 8

Brief psychotic disorders

Answer 8

1+ psychotic symptom
Acute onset - at least 1 day and less than 1 month

Question 9

Schizophreniform

Answer 9

1 mo to 5 mo long
2+ psychotic symptoms
and more rapid onset

Question 10

Secondary Psychotic Disorder

Answer 10

1+ psychotic symptom

cause from something thast not schizo

Question 11

Schizoaffective Disorder

Answer 11

2 week period of no mood episode where psychotic syptoms are present

Question 12

Delusional Disorder

Answer 12

Isolated delusions in high fxn person greater than 1 month
hallucinations could be present but only delusional theme

Question 13

Insomnia

Answer 13

1+ of the following symptoms for > 1mo:
Difficulty initiating or maintaining sleep, Poor quality sleep, Early morning awakening
Symptoms occur despite adeq opportunities and circumstances for sleep

Transient Insomnia: < 7 days (assoc w/ anxiety) Acute Insomnia: < 30 days Chronic Insomnia: 30+ days
Differentiated by cause: Primary Insomnia - no cause
Comorbid Insomnia - secondary to other dz:

Question 14

Narcolepsy

Answer 14

**Tetrad of s/s:

Recurrent irresistible attacks of daytime sleepiness - unexpected, on daily basis for ≥ 3mo (2-6x/d; 10-20min ep)

Cataplexy - bilat loss of muscle tone; assoc w/ emotional trigger

Hallucinations: Hypoagogic - upon falling asleep Hypnopompic - on awakening

Sleep paralysis - liability to move or speak during transition btw sleep and wakefulness
MSLT multiple sleep latency test.
recorded naps for REM sleep, 2+ REM cycles during test
Shortened REM latency period

Question 15

Somnambulism

Answer 15

w/i first 1/3 of night (stage 3-4 NREM sleep) Eyes are open but gaze is unfocused

Question 16

Sleep Apnea

Answer 16

Home overnight pulse ox. = high rule out value
overnight polysomnography that measures EEG, pulse ox, airflow, electrooculography - reveals apenic episodes

Bradydysrrhythmia
Tachydysrhythmia

Question 17

Personality Disorder Screening

Answer 17

Minnesota Multiphasic Personality Inventiory 2 restr form MMPI 2RF (dx)

Million Clinical Multiaxial Inventory II (MCMIIII) info on personality style

Question 18

ADHD

Answer 18

fxn imp in 2+ settings
6+ s/s for 6+ mo
s/s before 12

Question 19

ASD screening & Dx

Answer 19

MCHAT R/F - 16-30 months

No babble by 9 mo
No point by 12 mo or no orient to name
No words by 16 mo
No symbolic play 18 mo
no 2 word phrase by 24 mo
any loss of language or skills at any point

Then if +, get hearing screen and serum lead level, genetic testing, specialist referral

Question 20

Rett

Answer 20

MECP2 gene mutation
deceleration of head grow by 2-3 mo
12-18 mo loss motor, IQ, language.

initial sign is losing interest in surroundings and less purposeful hand movements

epilepsy, bruxism, scoliosis, growth fail, motor dysfunction like teeth grinding, cardiac abnormalities , fractures, sleep disorder

watch for QT

Question 21

Somatic Symptom Disorder

Answer 21

1+ somatic s/s causing distress or sig disruption of daily living > 6mo

Excessive thoughts, feelings, behav related to somatic s/s or assoc health concerns (1+ of the following)

Disproportionate and persistent thoughts abt seriousness or symptoms

Persistent high level of anxiety abt health/sympt

Excessive time and energy devotes to sympt

Severity: Mild - 1 s/s Mod - 2+ s/s Severe - 2+ s/s + multiple somatic complaints or 1 severe complaint

Question 22

Functional Neuro

Answer 22

1 s/s affect vol motor or sensory

clinical findings incompatible
Hoover

Question 23

illness anxiety dis

Answer 23

6+ mo
preoccupation w having illness or getting one

Question 24

body dysmorphia

Answer 24

1+ flaw w/ checking comparing behavior

subtype is muscle dysmorphia

Question 25

Somatic sx disorder w pain

Answer 25

1+ somatic sx that is pain
for 6+ months
w excessive thought/actions above it