psychosomatic

Question 1

Medical Symptoms: Asterixis, hyperreflexia, spider angioma, palmar erythema, ecchymosis, liver enlargement/atrophy.

Answer 1

Hepatic Encephalopathy

Psychiatric Symptoms: Euphoria, disinhibition, psychosis, depression.

Question 2

Medical Symptoms: Excessive thirst, polydipsia, stupor, coma, seizures

Answer 2

Hyponatremia/ SSRIs

Psychiatric Symptoms: Confusion, lethargy, personality changes

Question 3

Depression, anxiety, type A behavior, hostility, anger, and acute mental stress have been evaluated as risk factors for the deve and expression of …

Answer 3

coronary disease

• Two-fold increased risk of incident MI and CAD-related mortality.

Question 4

Corticosteroids

Answer 4

Mania, psychosis (hallucinations)

Question 5

asthma

Answer 5

panic disorder and anxiety

Question 6

Medical Symptoms: Abdominal pain*, fever, nausea, vomiting, constipation, peripheral neuropathy, paralysis.

Answer 6

Acute Intermittent Porphyria

Psychiatric Symptoms: Acute depression, agitation, paranoia, visual hallucinations

Question 7

Benzodiazepines

Answer 7

Sedation, paradoxical agitation

o Avoid use in elderly with delirium

Question 8

TCA somatic effects

Answer 8

TCA side effects due to anticholinergic effects

o Constipation, dry mouth

Question 9

Medical Symptoms: Cold intolerance, dry skin, constipation, weight gain.

Answer 9

hypothyroidism

Psychiatric Symptoms: Lethargy, depressed**, personality change, paranoia

Question 10

Frontal Lobe Tumors

Answer 10

Mood changes, irritability, facetiousness, impaired judgment, impaired memory, delirium, loss of speech, loss of smell.

Question 11

SSRI somatic effects

Answer 11

SSRI medications have highest rate of GI disturbances due to serotonin in the GI tract
o Nausea and diarrhea
o Usually early on and dose related

Question 12

Medical Symptoms: Increased urination/thirst, high glucose levels.

Answer 12

Diabetes Mellitus

Psychiatric Symptoms: Frustration, loneliness, dejection, depression

Question 13

Antidepressants

Answer 13

Mania (bipolar patient), anxiety, insomnia

Question 14

Medical Symptoms: Pallor, dizziness, peripheral neuropathy, dorsal column signs, ataxia

Answer 14

Cobalamin (Vitamin B12) Deficiency

Psychiatric Symptoms: Irritability, inattentiveness, psychosis dementia*

Question 15

Medical Symptoms: Heat intolerance, excessive sweating, diarrhea, weight loss, tachycardia, palpitations, vomiting, fine tremor, hyperactivity, short attention span, impaired recent memory, exaggerated startle response, bulging eyes.

Answer 15

hyperthyroidism

Psychiatric Symptoms: Nervousness, excitability, irritability, pressured speech, insomnia, psychosis, visual hallucinations.

Question 16

Medical Symptoms: Fever, photosensitivity, butterfly rash, joint pains, headache.

Answer 16

Systemic Lupus Erythematosus (SLE)

Psychiatric Symptoms: Depression, mood disturbances, psychosis, delusions, hallucinations.
o Supportive psychotherapy can help patients acquire knowledge and maturity to cope and promote positive interactions

Question 17

Crohn’s Disease pts have highest prevalence in

Answer 17

pts w preexisting panic disorder.

Question 18

Medical Symptoms: Neuropathy, cardiomyopathy, Wernicke-Korsakoff syndrome, malaise, common in alcoholics.

Answer 18

Thiamine Deficiency

Psychiatric Symptoms: Poor concentration, confusion, confabulation.
–Cannot form new mems and not rly upset aout it

Question 19

Medical Symptoms: Elevated BP, tachycardia, nystagmus, muscular rigidity, vomiting.

Answer 19

Phencyclidine (PCP)

Psychiatric Symptoms: Agitation with blank stare, anxiety, stupor, aggression, panic, bizarre behavior.

Question 20

Ulcerative Colitis increased prevalence in

Answer 20

dependent personalities

Question 21

Peptic Ulcer Disease d/t

Answer 21

Increased gastric acid excretion associated with psychological stress.

Question 22

Pancreatic Carcinoma –> med and psych symp

Answer 22

Weight loss, abdominal pain, depression, lethargy, anhedonia, apathy, decreased energy