Psychiatric/Behavioral & Substance Abuse

Question 1

Diagnosis:

Woman presents with nearly all signs and symptoms of pregnancy, BUT:

1. ultrasound shows a normal endometrial stripe
2. pregnancy test is negative

Answer 1

Pseudocyesis (rare psychiatric condition)

Question 2

What risk factors are associated with lithium usage during the first trimester of pregnancy?

Answer 2

Cardiac malformations, especially:

A. septal defects
B. Ebstein’s anomaly

Question 3

What risk factors are associated with lithium usage during the second and third trimesters of pregnancy?

Answer 3

1. Goiter

2. Transient neonatal neuromuscular dysfunction

Question 4

Clinical manifestation:

premenstrual syndrome (PMS)

Answer 4

1. mood swings
2. irritability
3. fatigue
4. bloating
5. breast tenderness

Question 5

How might you confirm the diagnosis of PMS?

Answer 5

menstrual diary

Question 6

When is the onset and resolution of symptoms in premenstrual syndrome (PMS)?

Answer 6

onset= 1-2 weeks prior to menses
resolution= with onset of menstrual flow

Question 7

How can PMS be differentiated from normal menstruation?

Answer 7

You can differentiate between PMS and normal menstrual flow by observing the degree of distress and impaired functioning.