Porter Flashcards

1
Q

What does somatic symptom disorder focus on

A

pain/symptoms

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2
Q

What must you have to diagnose somatic symptom disorder

A

1 or more of the following:

  • persistent thought/behavior
  • high anxiety
  • excessive time and energy put into symptoms
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3
Q

What is malingering

A
  • you fake an illness for secondary gain

ex) fake illness to prevent jail

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4
Q

What is illnes anxiety disorder and what can you do for them

A
  • you worry constantly about having or getting an illness

- make scheduled PCP visits

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5
Q

What is a conversion disorder

A

you cannot find medical evidence to support the symptoms

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6
Q

What should you tell a patient with a conversion disorder

A

It will get better with time

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7
Q

What do you see in factitious disorder

A

patient doesn’t have illness, but they fake/stimulate/induce illness to be in the sick role

Want attention

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8
Q

Just not giving yourself insulin when you require it is an example of

A

psychological factors effeting medical conditions

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9
Q

What is the criteria for all personality disorders

A

Manifestation of enduring pattern/inner experience in 2 or more areas:

  • Cognition
  • Affect
  • Interpersonal functioning
  • Impusle control
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10
Q

How do you determine Antisocial PD vs Conduct disorder

A

Under 18: Conduct disorder

Over 18: Antisocial PD

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11
Q

What is the treatment for Borderline Personality disorder

A

DBT

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12
Q

What do you often see in Dependent PD

A

They are prone to depression

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13
Q

What do you see in OCPD

A
  • egosyntonic
  • no obsessions
  • no compulsion
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14
Q

What do you see in OCD

A
  • egodystonic
  • obsession
  • compulsion
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15
Q

What is the maximum recommended drinks for men less than 65

A

4 per day

14 per week

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16
Q

What is the maximum recommended drinks for men greater than 65

A

3 per day

7 per week

17
Q

What is the maximum recommended drinks for women

A

3 per day

7 per week

18
Q

When do you see shakes in alcohol withdrawal

A

6-8hrs

19
Q

When do you see psychosis in alcohol withdrawal

A

8-12hrs

20
Q

When do you see seizures in alcohol withdrawal

A

12-24hrs

21
Q

When do you see delerium tremens in alcohol withdrawal

A

72hrs

22
Q

Positive reinforcement

A

reward acts as inital drive for repeated use

23
Q

Negative reinforcement

A

behavior makes something go away

24
Q

What is the set of acute symptoms of thiamine deficiency

A

Wernicke’s encephalopathy

  • Ataxia
  • confusion
  • opthalmoplegia
  • goes away with thiamine in 1-2 weeks
25
Q

What is the set of chronic symptoms of thiamine deficiency

A

Korsakoff’s syndrome

  • amnesia
  • thiamine for 3-12 months (poor prog)
26
Q

What order do thiamine and glucose go in

A

Glucose depletes thiamine

1) Thiamine
2) Glucose

27
Q

What area does wernicke-korsakoff effect

A

mammillary bodies

28
Q

What is the most preventable cause of mental retardation

A

fetal alcohol syndrome

29
Q

What should you give for alcohol withdrawal

A

benzos

30
Q

What can you give to reduce cravings of alcohol

A

naltrexone

31
Q

what does naltrexone do

A

decrease cravings

opioid antagonist

32
Q

What does disulfiram do

A

inhibits aldehyde dehydrogenase

causes flu like symptoms if you drink

33
Q

What does acamprosate do

A

increase GABA and complex effect on excitatory NMDA

34
Q

What is the number one treatment for alcohol addiciton

A

AA meetings