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SD- Psych > Intro/Eating DOs Lectures > Flashcards

Intro/Eating DOs Lectures Flashcards

1
Q

True or False…

PCPs are the sole contact for more than half of all patients with mental illness

A

True

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2
Q

Biggest 3 mental health issues seen in primary care?

A

Depression

Anxiety

Substance abuse

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3
Q

MC psych issue?

A

Major depressive disorder

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4
Q

~37,000 people in US die from ________ each year

A

Suicide

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5
Q

>____% of pts who commit suicide had contact with their PCP within year of death

A

75%

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6
Q

After starting psych pt on medication, how soon should you follow up?

A

Within 2-4 weeks

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7
Q

If no response to psych med within ______ weeks, consider referral

A

6-8 weeks

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8
Q

broad concept that prohibits professionals from revealing information about a client to anyone (some exceptions)

A

Confidentiality

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9
Q

narrower concept that describes specific types of information may not be disclosed in a legal setting

A

Privilege

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10
Q

Up to __% of healthcare providers are victims of violence sometime during their careers

A

50%

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11
Q

There is an increased reuptake of _______ in anorexics and bulimics

(this decreases appetite)

A

Serotonin

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12
Q

There is an increased release in serotonin during….

A

Binging

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13
Q

Peptide Tyrosine Tyrosine (PYY) (aka satiety peptide)

this is _______ in gut of anorexics and bulimics

A

increased!

(results in decreased appetite)

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14
Q

What do CCK levels look like in anorexics?

A

Increased!

(results in decrease appetite)

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15
Q

Hunger hormone

dysfunctional in binge eaters

A

Ghrelin

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16
Q
  1. Genetic/neurochemical
  2. Sociological
  3. Psychological
A

All impact/influence eating disorders

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17
Q

Overall sense of anxiety
Difficulty coping with stress
Awkwardness with interpersonal relationships
Low self esteem
Lack of assertiveness
Unable to express emotions

A

Personality traits assciated with eating disorders

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18
Q

Prevalence of eating disorders is highest in….

A

Adolescent and young adult women

(medain age 18-21 yo)

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19
Q

Median age for women with eating disorders?

A

18-21 yo

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20
Q

Women account for what percentage of eating disorders?

A

90-95%

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21
Q

2 types of anorexia?

A
  1. Restrictive
  2. Binge eating/purging
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22
Q

What is the prevalence of:

Anorexia?
Bulimia?
Binge eating?

A

Anorexia: 0.6%

Bulimia: 1.0%

Binge eating disorder: 2.8%

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23
Q

Eat 26 Test

SCOFF Self Test

…2 screening tools for?

A

Eating disorders

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24
Q

Persistent restriction of energy intake leading to significantly low body weight

either an intense fear of gaining weight or becoming fat, or persistent behavior that interferes with weight gain

Disturbance in the way one’s body weight or shape is experienced

25
Q

Weight loss is most obvious clue

*emaciated person believes they are overweight and tries to lose more weight

26
Q

True or false…

The 2 types of anorexia (restrictive and binging/purging) can be seen in the same person

27
Q

unable to refrain from binge eating and purging

Often self destructive tendencies

Often impulsive, dramatic, emotional personalities

Frequently abuse alcohol and drugs, stimulants, or laxatives

Evident by continued weight loss

A

Binge/purge type of anorexia

28
Q

Can limit to 300-600 calories a day

Limited food selection

Obsessive and compulsive symptoms regarding food, eating habits, and exercise

A

Restrictive type anorexia

29
Q

BMI over 17 is associated with what severity of anorexia?

30
Q

BMI of 16-16.99 is associated with what severity of anorexia?

31
Q

BMI of 15 to 15.99 is what severity of anorexia?

BMI under 15 is what severity?

A

15-15.99= Severe

Under 15= Extreme

32
Q

Is severity of anorexia only based upon BMI?

A

NO..also reflected by symptoms and degree of functional disability

33
Q

Recurrent episodes of binge eating characterized by:

  1. Eating, in a discreet period of time, an amount of food that is larger than what most individuals would eat in a similar period of time
  2. Sense of lack of control over eating during the episode
34
Q

Includes recurrent inappropriate behavior in order to prevent weight gain

such as….
Purging (self induced vomiting)
Laxatives, diuretics, fasting, excessive exercise

35
Q

For bulimia…
The binge eating and inappropriate compensatory behaviors both occur, on average, at least once a week for……..

36
Q

Is bulimia associated with anorexia?

37
Q

Felling of lack of control while eating

Regularly engages in inappropriate compensatory behavior to prevent weight gain (vomiting, laxatives, etc)

typically normal weight!!

A

Bulimia

(often diagnosed later in life, good at hiding behavior)

38
Q

The severity of bulimia is based upon….

A

Number of compensatory behaviors done per week

39
Q

What severity of bulimia is:

1-3 epsiodes of inappropriate compensatory behaviors a week

40
Q

What severity of bulimia is:

4-7 epsiodes of inappropriate compensatory behaviors a week

41
Q

What severity of bulimia is:

8-13 epsiodes of inappropriate compensatory behaviors a week

42
Q

What severity of bulimia is:

14 or more epsiodes of inappropriate compensatory behaviors a week

43
Q

Eating disorder
Osteoporosis
Amenorrhea

A

Female athlete triad

44
Q
  1. Nutritional (disordered eating)
  2. Endocrine (amenorrhea, diminished hormones)
  3. Musculoskeletal (loss of Ca from bones)
A

Female athlete triad

45
Q

Electrolyte abnormalities (hypokalemia)
Enamel erosion
Russell’s sign

A

Medical complications of self induced vomiting

46
Q

Hypochloremic metabolic acidosis

can be caused by _______ and ______

A

Vomiting and diuretics

47
Q

Hyperchloremic metabolic acidosis
Rectal prolapse
Hemorrhoids

A

Medical complicatons of over using laxatives

48
Q

Sores on knuckles from self induced vomiting

A

Russell’s sign

(sign of bulimia)

49
Q

Urine (ketones, pH, specific gravity, hydration)
Ht, wt, BMI (remove baggy clothes)
Temp
Orthostatics
EKG
CBC, CMP, Amylase, Lipase, Phosphorus, Thyroid screening

A

Labs to get if suspicious of eating DO

50
Q

Mostly seen in females

up to 30-40% of obsese ppl may meet this criteria

A

Binge eating DO

51
Q

Recurrent episodes of binge eating characterized by both of the following:

Eating in a discreet period of time an amount of food larger than what most would eat

A sense of a lack of control over eating during the episode

NO compensatory behavior, so they gain weight

A

Binge eating disorder

52
Q

The binge eating episodes are associated with 3 or more of the following

Eating very rapidly
Until uncomfortably full
Large amounts when not hungry
Eating alone due to embarrassment over the amount
Feeling disgusted with oneself, depressed, or very guilty afterward

at least once a week for 3 months
NOT associated with bulimia or anorexia

A

Binge eating disorder

53
Q

What is the severity of binge eating disorder based upon?

A

Number of binges per week

54
Q

1-2 binges a week = ?

4-7 binges a week = ?

8-13 binges a week= ?

14 + binges a week= ?

A

1-2= mild

4-7= moderate

8-13= severe

14+= extreme

55
Q

Cornerstone treatment for eating disorders?

A

Cognitive behavioral therapy (CBT)

56
Q

True or False..

some studies show there may be benefit from SSRIs wth anorexia and bulimia

57
Q

With anorexia, the lifetime prevalance of major depression is?

58
Q

What percent of ppl with anorexia never achieve a normal weight?

SD- Psych (7 decks)

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