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OSCI > MH Dx 2 > Flashcards

MH Dx 2 Flashcards

1
Q

dementia s/sx

A
  1. memory difficulty
  2. difficulty in retaining new info
  3. handling complex tasks
  4. reasoning
  5. spatial ability and orienting (getting lost)
  6. lanuage
  7. behavior
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2
Q

dementia dd
3

A

UTI
MDD
personality disorder

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3
Q

dementia education
3

A
  1. try to keep a routine
  2. keep healthy habits - food, drinking plenty of water, structured bedtime routine
  3. exercise
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4
Q

dementia meds

A

cholinesterase inhibitors (can temporarily improve symptoms)

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5
Q

dementia tests
5

A

dsm 5
MSE
CT or MRI
CBC
urinalysis

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6
Q

dementia red flags
3

A
  1. worsening of s/sx
  2. activities that increase risk of safety - drinking, smoking, promiscuity
  3. wandering off
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7
Q

dementia f/u

A

4 weeks, refer to neurology, therapist, find support groups for loved ones

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8
Q

Pica

A

eating nonnutritive, nonfood substances over at least 1 month

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9
Q

eating nonnutritive, nonfood substances over at least 1 month

A

pica

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10
Q

rumination disorder

A

repeated regurgitation of food over a period of at least 1 month; food may be re chewed, re swallowed, or spit out

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11
Q

repeated regurgitation of food over a period of at least 1 month; food may be re chewed, re swallowed, or spit out

A

rumination disorder

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12
Q

partially digested food is brought into mouth without apparent nausea, involuntary retching, or disgust

A

rumination disorder

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13
Q

avoidant/restrictive food intake

A

lack of interest in food, avoidance, or concern about aversive consequences of eating

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14
Q

lack of interest in food, avoidance, or concern about aversive consequences of eating

A

avoidant/restrictive food intake

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15
Q

avoidant/restrictive food intake s/sx
4

A
  1. lack of interest or avoid food
  2. weight loss
  3. nutritional deficiency
  4. dependence on enteral feeding or oral nutritional supplements
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16
Q

lack of interest in food, avoidance, concerned about eating; weight loss

A

avoidant/restrictive food intake

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17
Q

anorexia nervosa

A

restricted intake of food leading to low body weight, intense fear of gaining weight

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18
Q

restricted intake of food leading to low body weight, intense fear of gaining weight

A

anorexia nervosa

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19
Q

bulimia nervosa

A
  1. recurrent binge eating
  2. eating in a discrete period of time a larger amount than what most would eat
  3. sense of lack of control
  4. self-induced vomiting, misuse of laxatives/diuretics, fasting or excessive exercise
20
Q

recurrent binge eating; lack of control; self induced vomiting or excessive exercise

A

bulimia

21
Q

lack of self control; eating fast; eating large amount

A

binge eating disorder

21
Q

binge eating disorder
6

A
  1. eating in a discrete period of time, an amount of food that is larger than what most would eat
  2. lack of self control
  3. eating more rapidly than normal
  4. eating until feeling uncomfortably full
  5. eating large amounts
  6. eating alone because of feeling embarrassed
22
Q

eating disorder DD
5

A
  1. anorexia
  2. bulimia
  3. pica
  4. binge eating
  5. PTSD
23
Q

eating disorder education
4

A
  1. choose healthy lifestyle choices such as drinking plenty of fluid, healthy diet, sleep
  2. avoid harmful activities
  3. find support around you
  4. minimize stressors in your life
24
Q

eating disorder meds
6

A
  1. pica - none
  2. rumination disorder - PPI
  3. avoidant/restrictive - none, nutritional rehab
  4. anorexia - none, nutritional rehab and psychotherapy
  5. bulimia - none, nutritional rehab and psychotherapy
  6. binge eating - none, none, nutritional rehab and psychotherapy
25
Q

eating disorder test PICA

A

pica - CBC, electrolytes, BUN, creatinine, glucose, calcium, phos, mag, albumin, prealbumin, LFP, INR, TSH, vitamin D, pregnancy test

26
Q

eating disorder test - rumination disorder, avoidant/restrictive, anorexia, bulimia, binge 12

A

EGD
CBC
electrolytes
BUN
creatinine
Glucose
albumin
pre-albumin
LFT
INR
TSH
pregnancy test

27
Q

eating disorder f/u

A

2 weeks, send to therapy and nutritionist

28
Q

eating disorder red flags
4

A
  1. worsening of s/sx
  2. condition does not improve
  3. SI HI
  4. participating in harmful activities
29
Q

GAD is classified as

A

excessive anxiety and worry for at least six months

30
Q

excessive anxiety and worry for at least six months

A

GAD

31
Q

GAD s/sx
8

A
  1. excessive worry/anxiety
  2. difficult to control worry
  3. restlessness or feeling keyed up or on edge
  4. easily fatigued
  5. difficulty concentrating
  6. irritable
  7. muscle tension
  8. sleep disturbances
32
Q

GAD DD
6

A

social anxiety disorder
OCD
PTSD
adjustment disorder
depression
bipolar

33
Q

GAD education
4

A
  1. help yourself by moving your body
  2. limit or avoid caffeine
  3. find healthy ways to manage stress
  4. eating a healthy diet
34
Q

GAD meds

A

none - first try CBT

35
Q

GAD test

A

dsm 5

36
Q

GAD f/u

A

4 weeks, refer to therapist

37
Q

GAD AG
1

A

depression screening

38
Q

GAD red flags
3

A
  1. symptoms worsening
  2. no improvement with treatment
  3. SI HI
39
Q

MDD s/sx
8

A
  1. depressed mood or loss of interest/pleasure
  2. depressed most of the day, almost daily
  3. diminished interest
  4. weight loss or weight gain
  5. insomnia or hypersomnia
  6. fatigue or loss of energy
  7. diminished concentration
  8. recurrent thoughts of death
40
Q

depressed mood or loss of interest

A

MDD

41
Q

MDD DD
4

A

ADHD
bipolar
adjustment disorder
sadness

42
Q

MDD education
5

A
  1. try some relaxation techniques such as progressive muscle relaxation, relaxation imagery
  2. exercise
  3. eat a healthy diet
  4. get sleep
  5. avoid harmful activities
43
Q

MDD meds

A

antidepressants

44
Q

MDD test

A

dsm 5

45
Q

MDD f/u

A

2 weeks, refer to psychotherapy

46
Q

MDD red flags
3

A

worsening s/sx
no improvement
SI HI

OSCI (20 decks)

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