MH Dx 2

Question 1

dementia s/sx

Answer 1

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

Question 2

dementia dd
3

Answer 2

UTI
MDD
personality disorder

Question 3

dementia education
3

Answer 3

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

Question 4

dementia meds

Answer 4

cholinesterase inhibitors (can temporarily improve symptoms)

Question 5

dementia tests
5

Answer 5

dsm 5
MSE
CT or MRI
CBC
urinalysis

Question 6

dementia red flags
3

Answer 6

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

Question 7

dementia f/u

Answer 7

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

Question 8

Pica

Answer 8

eating nonnutritive, nonfood substances over at least 1 month

Question 9

eating nonnutritive, nonfood substances over at least 1 month

Answer 9

pica

Question 10

rumination disorder

Answer 10

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

Question 11

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

Answer 11

rumination disorder

Question 12

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

Answer 12

rumination disorder

Question 13

avoidant/restrictive food intake

Answer 13

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

Question 14

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

Answer 14

avoidant/restrictive food intake

Question 15

avoidant/restrictive food intake s/sx
4

Answer 15

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

Question 16

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

Answer 16

avoidant/restrictive food intake

Question 17

anorexia nervosa

Answer 17

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

Question 18

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

Answer 18

anorexia nervosa

Question 19

bulimia nervosa

Answer 19

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

Question 20

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

Answer 20

bulimia

Question 21

lack of self control; eating fast; eating large amount

Answer 21

binge eating disorder

Question 21

binge eating disorder
6

Answer 21

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

Question 22

eating disorder DD
5

Answer 22

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

Question 23

eating disorder education
4

Answer 23

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

Question 24

eating disorder meds 6

Answer 24

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

Question 25

eating disorder test PICA

Answer 25

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

Question 26

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

Answer 26

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

Question 27

eating disorder f/u

Answer 27

2 weeks, send to therapy and nutritionist

Question 28

eating disorder red flags 4

Answer 28

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

Question 29

GAD is classified as

Answer 29

excessive anxiety and worry for at least six months

Question 30

excessive anxiety and worry for at least six months

Answer 30

GAD

Question 31

GAD s/sx 8

Answer 31

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

Question 32

GAD DD 6

Answer 32

social anxiety disorder OCD PTSD adjustment disorder depression bipolar

Question 33

GAD education 4

Answer 33

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

Question 34

GAD meds

Answer 34

none - first try CBT

Question 35

GAD test

Answer 35

dsm 5

Question 36

GAD f/u

Answer 36

4 weeks, refer to therapist

Question 37

GAD AG 1

Answer 37

depression screening

Question 38

GAD red flags 3

Answer 38

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

Question 39

MDD s/sx 8

Answer 39

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

Question 40

depressed mood or loss of interest

Answer 40

MDD

Question 41

MDD DD 4

Answer 41

ADHD bipolar adjustment disorder sadness

Question 42

MDD education 5

Answer 42

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

Question 43

MDD meds

Answer 43

antidepressants

Question 44

MDD test

Answer 44

dsm 5

Question 45

MDD f/u

Answer 45

2 weeks, refer to psychotherapy

Question 46

MDD red flags 3

Answer 46

worsening s/sx no improvement SI HI