Porter Flashcards
What does somatic symptom disorder focus on
pain/symptoms
What must you have to diagnose somatic symptom disorder
1 or more of the following:
- persistent thought/behavior
- high anxiety
- excessive time and energy put into symptoms
What is malingering
- you fake an illness for secondary gain
ex) fake illness to prevent jail
What is illnes anxiety disorder and what can you do for them
- you worry constantly about having or getting an illness
- make scheduled PCP visits
What is a conversion disorder
you cannot find medical evidence to support the symptoms
What should you tell a patient with a conversion disorder
It will get better with time
What do you see in factitious disorder
patient doesn’t have illness, but they fake/stimulate/induce illness to be in the sick role
Want attention
Just not giving yourself insulin when you require it is an example of
psychological factors effeting medical conditions
What is the criteria for all personality disorders
Manifestation of enduring pattern/inner experience in 2 or more areas:
- Cognition
- Affect
- Interpersonal functioning
- Impusle control
How do you determine Antisocial PD vs Conduct disorder
Under 18: Conduct disorder
Over 18: Antisocial PD
What is the treatment for Borderline Personality disorder
DBT
What do you often see in Dependent PD
They are prone to depression
What do you see in OCPD
- egosyntonic
- no obsessions
- no compulsion
What do you see in OCD
- egodystonic
- obsession
- compulsion
What is the maximum recommended drinks for men less than 65
4 per day
14 per week
What is the maximum recommended drinks for men greater than 65
3 per day
7 per week
What is the maximum recommended drinks for women
3 per day
7 per week
When do you see shakes in alcohol withdrawal
6-8hrs
When do you see psychosis in alcohol withdrawal
8-12hrs
When do you see seizures in alcohol withdrawal
12-24hrs
When do you see delerium tremens in alcohol withdrawal
72hrs
Positive reinforcement
reward acts as inital drive for repeated use
Negative reinforcement
behavior makes something go away
What is the set of acute symptoms of thiamine deficiency
Wernicke’s encephalopathy
- Ataxia
- confusion
- opthalmoplegia
- goes away with thiamine in 1-2 weeks
What is the set of chronic symptoms of thiamine deficiency
Korsakoff’s syndrome
- amnesia
- thiamine for 3-12 months (poor prog)
What order do thiamine and glucose go in
Glucose depletes thiamine
1) Thiamine
2) Glucose
What area does wernicke-korsakoff effect
mammillary bodies
What is the most preventable cause of mental retardation
fetal alcohol syndrome
What should you give for alcohol withdrawal
benzos
What can you give to reduce cravings of alcohol
naltrexone
what does naltrexone do
decrease cravings
opioid antagonist
What does disulfiram do
inhibits aldehyde dehydrogenase
causes flu like symptoms if you drink
What does acamprosate do
increase GABA and complex effect on excitatory NMDA
What is the number one treatment for alcohol addiciton
AA meetings
