Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

BSP Exam II > Psychosomatic Medicine > Flashcards

Psychosomatic Medicine Flashcards

1
Q

SLE is associated with fever, photosensitivity, butterfly rash, joint pains, and headache. What are some psychiatric symptoms associated with SLE?

A 
Depression
Mood disturbances
Psychosis
Delusions
Hallucinations

[supportive psychotherapy can help pts acquire knowledge and maturity to cope and promote positive interactions]

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Multiple sclerosis is associated with transient motor/sensory disturbances, impaired vision, diffuse neurological signs with remissions and exacerbations, slurred speech, and incontinence. What are some associated psychiatric symptoms?

A

Anxiety
Euphoria
Mania

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Medical and psychiatric associations with complex partial seizure disorders

A

Medical — sensory distortions, violence, belligerence

Psychiatric — confusion, psychosis, dissociative states, catatonic like state, bizarre behavior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are some psychological characteristics that contribute to an increased risk for the development of and expression of coronary disease?

A 
Depression
Anxiety
Type A behavior
Hostility
Anger
Acute mental stress
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Autonomic cardiac modulation is profoundly sensitive to acute emotional stress, increasing risk of cardiac ____ and sudden cardiac death

A

Arrhythmias

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Stages of adaption while going through ____ transplantation process elicit anxiety, depression, elation, and coping with grief

A

Heart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

30% of asthmatics meet criteria for _______ or agoraphobia

A

Panic disorder

[fear of dyspnea can trigger asthma attacks and high levels of anxiety]

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

In what other respiratory condition is prevalence of both anxiety disorder and panic disorder very high?

A

COPD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Medical symptoms of hyperthyroidism include heat intolerance, excess sweating, weight loss, tachycardia, palpitations, vomiting, fine tremor, hyperactivity, short attention span, impaired recent memory, exaggerated startle response, bulging eyes.

What are some associated psychiatric symptoms?

A 
Nervousness
Excitability
Irritability
Pressured speech
Insomnia
Psychosis
Visual hallucinations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Hypothyroidism may present with cold intolerance, dry skin, contipation, and weight gain. What are some associated psychiatric symptoms?

A

Lethargy
Depression
Personality change
Paranoia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Diabetes may present with increased urination/thirst and high glucose levels. What are some associated psychiatric symptoms?

A

Frustration
Loneliness
Dejection
Depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Medical symptoms of pheochromocytoma include paroxysmal HTN, headache, diaphoresis, and tremor. What are some associated psychiatric symptoms?

A

Anxiety
Apprehension
Feeling of impending doom
Panic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Hyponatremia may present with excess thirst, polydipsia, stupor, coma, and seizures. What are some associated psychiatric symptoms?

A

Confusion
Lethargy
Personality changes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Thiamine deficiency may present with neuropathy, cardiomyopathy, Wernicke-Korsakoff syndrome, and malaise in the setting of alcohol abuse. What are some associated psychiatric symptoms?

A

Poor concentration
Confusion
Confabulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Cobalamin (Vit B12) deficiency may present with pallor, dizziness, peripheral neuropathy, dorsal column signs, and ataxia. What are some associated psychiatric symptoms?

A

Irritability
Inattentiveness
Psychosis
Dementia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Vitamin A, D, and iron toxicity may present with what psychiatric sign?

A

Confusion

17
Q

Copper toxicity —> what psychologic sign?

A

Psychosis

18
Q

B6 and B12 toxicity affect peripheral nerve function, while lead leads to _____ dysfunction

A

Cognitive

19
Q

How is peptic ulcer disease related to psychiatry?

A

Increased gastric acid secretion associated with psychological stress

20
Q

There is some evidence to show increased prevalence of _______ personality disorder among ulcerative colitis pts

A

Dependent

21
Q

Crohn’s disease pts show high rates of preexisting _____ disorder

A

Panic

22
Q

What psychiatric medication class has highest rate of GI disturbance?

A

SSRIs — due to serotonin in GI tract

23
Q

GI side effects of TCAs

A

Constipation

Dry mouth

24
Q

Pancreatic carcinoma may present with weight loss, abdominal pain, and fatigue. What are some associated psychiatric symptoms?

A

Depression
Lethargy
Anhedonia

25
Q

Acute intermittent porphyria may present with abdominal pain, fever, nausea, vomiting, constipation, peripheral neuropathy, and paralysis. What are some associated psychiatric symptoms?

A

Acute depression
Agitation
Paranoia
Visual hallucinations

26
Q

Hepatic encephalopathy may present with asterixis, hyperreflexia, spider angioma, palmar erythema, ecchymosis, and liver enlargement/atrophy. What are some associated psychiatric symptoms?

A

Euphoria
Disinhibition
Psychosis
Depression

27
Q

What psychiatric conditions are associated with atopic dermatitis?

A

Anxiety

Depression

28
Q

_______ is a skin condition related to anxiety, depression, and personality disorders, and episodes are often related to stressful events

A

Psoriasis

[note: urticaria is also related to anxiety, depression, and stress]

29
Q

_____ ______ tumor may present with mood changes, irritability, facetiousness, impaired judgment, impaired memory, delirium, loss of speech, and/or loss of smell

A

Frontal lobe

30
Q

Psychiatric symptoms associated with head trauma

A

Confusion
Personality change
Memory impairment

31
Q

4 major strategies for stress management in conditions with psychiatric comorbidities

A

Self-observation — daily diary

Cognitive restructuring (includes CBT)

Relaxation exercises

Mindfulness

32
Q

The study, practice, and teaching of the relation between medical and psychiatric disorders; i.e., the profession in which psychiatrists serve as consultants to medical colleagues or to other mental health professionals

A

Consultation-Liaison Psychiatry

33
Q

Phencyclidine (PCP) use may present with elevated BP, tachycardia, nystagmus, muscle rigidity, and/or vomiting. What are some associated psychiatric symptoms?

A

Agitation with blank stare

Anxiety

Stupor

Aggression

Panic

Bizarre behavior

34
Q

What psychiatric symptoms may be triggered by corticosteroids?

A

Mania

Psychosis (hallucinations)

35
Q

What psychiatric symptoms may be elicited by antidepressants used in bipolar pts?

A

Mania

36
Q

76 y/o man is admitted for COPD exacerbation with SOB. He is alert and oriented on admission, but appears anxious. He begins treatment and on day 2 begins to experience extreme paranoia and visual hallucinations. The most likely cause of his symptoms are:

A. Alprazolam
B. Albuterol tx
C. IV steroids
D. Acetaminophen
E. Oxygen
A

C. IV steroids

37
Q

46 y/o female is admitted for poorly controlled DM. She has noticed that along with increased thirst, nausea, and vomiting, she is having additional significant symptoms of depression. Along with managing her hyperglycemia, you also initiate therapy with:

A. Valproic acid
B. Olanzapine
C. Lorazepam
D. Sertraline
E. Lithium
A

D. Sertraline

38
Q

Common consultation-liaison psychiatry problems

A

Suicide attempt or threat

Depression

Agitation (e.g., dementia)

Hallucinations (delirium tremens is MCC)

Sleep disorder

Confusion (delirium is MCC)

BSP Exam II (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions