Miscellaneous

Question 1

(RoshReview)

neurologic symptoms occur that are not consistent with known neurologic or general medical conditions

Answer 1

conversion disorder

Question 2

(RoshReview)

Tx of conversion disorder

Answer 2

educate pt about the dx, including that the symptoms are real and can improve

maybe add PT
pt might benefit from CBT

Question 3

(RoshReview)

“What are the known triggers of conversion disorder?”

Answer 3

Traumatic injury, neurologic illness, interpersonal conflict, and life stressors.

Question 4

(RoshReview)

DSM V three diagnostic criteria for somatic symptom disorder

Answer 4

must include the following:

1) one or more somatic symptoms that cause the patient distress or psychosocial impairment;
2) excessive thoughts, feelings, or behaviors associated with the somatic symptoms; and
3) although the symptom may change, the disorder must be present for 6 or more months

Tx = regularly scheduled visits with a health care clinician

Question 5

(RoshReview)

tx for somatic symptom disorder

Answer 5

REGULARLY SCHEDULED VISITS WITH A HEALTH CARE CLINICIAN

Question 6

(RoshReview)

What is the appropriate treatment for illness anxiety disorder?

Answer 6

Regularly scheduled appointments with a medical clinician.

Question 7

(RoshReview)
BUZZWORDS:
anxiety and agitation, 
photosensitivity, 
hyperacusis, 
paresthesias, 
muscle cramps, 
myoclonic jerks, 
sleep disturbance, 
dizziness

Answer 7

benzo withdrawal

Question 8

(RoshReview)

how do you treat benzo withdrawal?

Answer 8

diazepam or lorazepam

Question 9

(RoshReview)

“What medication is used to treat benzodiazepine overdose?”

Answer 9

flumazenil

Question 10

(RoshReview)

MC s/s of anorexia nervosa:

Answer 10

restrictive eating patterns
low BMI
feeling cold
dry skin
lanugo
amenorrhea
BRADYCARDIA
hypotension
emaciation

Question 11

(RoshReview)

Tx for anorexia nervosa

Answer 11

CBT
family therapy
normal body wt w/ supervised wt gain
nutrition & behavior changes

Question 12

(RoshReview)

“What rare but potentially fatal syndrome may occur during treatment for anorexia nervosa?”

Answer 12

refeeding syndrome

Question 13

(RoshReview)

difference b/w bulimia and anorexia

Answer 13

THE BMI!!!

“Bulimia nervosa is an eating disorder marked by episodes of binge eating with compensatory behaviors, such as self-induced vomiting, prolonged fasting, intense exercise, and misuse of laxatives or diuretics. It can be distinguished from anorexia nervosa by the individual’s body mass index. Individuals with bulimia nervosa typically have a normal or high body mass index.”

Question 14

(RoshReview)

“What is the classic electrolyte abnormality associated with refeeding syndrome?”

Answer 14

Hypophosphatemia

Question 15

(RoshReview)

what is HYPERCAROTENMIA

Answer 15

yellow skin on palms

associated with anorexia nervosa

Question 16

(RoshReview)

what is the initial treatment of somatic symptom disorder?

Answer 16

regularly scheduled visits with a health care clinician

Question 17

Conversion disorder is now called:

Answer 17

functional neurological symptom disorder

Question 18

(RoshReview)

what is somatic symptom disorder?

Answer 18

at least one somatic symptoms which
causes significant distress or disruption of daily life
typically associated w/ excessive time, energy, behavior changes related to somatic symptom

Question 19

(RoshReview)

describe characteristics of functional neurological symptom disorder:

Answer 19

characterized by abnormalities or deficits of motor/sensory fxn that are sz, paresis, paralysis, tremors, aphonia, anesthesia…s/s are usually sudden following a psychosocial stressor and non-painful

doesn’t usually have the distress regarding the symptom that somatic symptom disorder does

Question 20

(RoshReview)

in what population is functional neurological symptom disorder most common?

Answer 20

young women w/
low SES and a
low level education

Question 21

(RoshReview)

what is the distinguishing finding for somatic syndrome disorder?

Answer 21

excessive anxiety, thoughts, time devotion WITH THE PRESENCE OF SOMATIC SYMPTOMS such as pain, fatigue, nausea
more severe somatic symptoms than illness anxiety disorder, “the somatic symptoms are the core finding”

“for example, if a pt w/ HAs meets the diagnostic criteria for both somatic symptoms disorder and migraine HAs, then both conditions would be diagnosed. It is the excessive cognitive, emotional and behavioral response to a general medical condition that leads to individuals with general medical conditions also being diagnosed with somatic symptoms disorder.”