Psych In Gen Med Setting

Question 0

Gender ratio in somatisation

Answer 0

f>m

Question 1

Features of somatostatin disorder

Answer 1

>2 years
Set of recurrent symptoms
Multiple presentations to dr
Doesn't accept reassurance
0.1-0.2%
Costs NHS £3000000000

Question 2

Gender ratio in hyperchondriacism

Answer 2

M=f

Question 3

Hypochondriacism linked to depression?

Answer 3

Yes

Question 4

What is conversion disorder?

Answer 4

Physical manifestation of underlying mental disorder

I.e sudden blindness

Question 5

Munchausens?

Answer 5

Factitious disorder
Patients fakes symptoms for no reason
Aim to adopt sick role
1-2%

Question 6

Malingering?

Answer 6

Conscious creating symptoms for secondary gain

Question 7

Associations with organic disorders?

Answer 7

In 30%
Serious mental disease increases risk of physical
Iatrogenic from medication
Organic causing psychiatric (delirium/stroke)

Question 8

Most common mental presenting as physical? And features

Answer 8

Schizophrenia
Higher pain thresholds
Increased cv risk
More likely to smoke
Less likely to adhere to treatment

Question 9

Serotonin syndrome

Answer 9

1% on ssris
Acute onset
Resolves in 24-36 hrs
Possible recurrent symptoms for 1 week

Question 10

Symptoms of Serotonin syndrome?

Answer 10

Agitation
Sweating
Diarrhoea
Fever
Shivering
Hyperreflexia
Ataxia
Change in mental state
Myoclonus
Tremor

Question 11

Organic manifestations of gen anxiety

Answer 11

Hyperthyroid

Hypercalcaemia

Question 12

5 independant risk factors for delirium

Answer 12

Dementia
Visual impairment
Functional impairment
High comorbidity
Use of physical restraints

Question 13

What medical problems can cause anxiety

Answer 13

Hyperthyroidism
Phaeochromocytoma
Hypoglycaemia
Mitral valve prolapse

Question 14

Medical conditions causing depression

Answer 14

Cancer
SlE
Cushings
Addisons
Post stroke
Hypothyroid

Question 15

Medical conditions causing psychosis

Answer 15

Epilepsy
Electrolyte imbalance
Brain tumour
Cushings
Toxins
Thiamine deficiency