Psychosomatic medicine (Hill)

Question 1

NT response activated in response to stress (the one he starred)?

Answer 1

Activate Serotonergic systems –> increased serotonin turnover

Question 2

Psych symptoms seen in lupus?

Answer 2

depression
mood disturbances
psychosis
delusions
hallucinations

Question 3

psych symptoms seen in MS?

Answer 3

anxiety
euphoria
mania

Question 4

depression, anxiety, type A behavior, hostility, anger, and acute mental stress have been evaluated as risk factors for what on the cardiovascular system?

Answer 4

coronary disease
2x increase risk of incident MI
cardiac arrhytmias and sudden cardiac death
HTN

Question 5

30% of asthmatics meet critter for __ disorder

Answer 5

panic disorder or agoraphobia

Question 6

nervousness, excitability, irritability, pressured speech, insomnia, psychosis and visual hallucinations seen in what endocrine disorder?

Answer 6

HYPER-thyroid

Question 7

lethargy, depressed, personality change, paranoia seen in this endocrine disorder

Answer 7

HYPO-thyroid

Question 8

frustration, loneliness, dejection, and DEPRESSION seen in this endocrine disorder?

Answer 8

Diabetes mellitus

Question 9

psych symptoms you can see in a hyponatremic pt?

Answer 9

confusion
lethargy
personality changes

Question 10

psych symptoms you can see in pt with thiamine deficiency (alcoholics)?

Answer 10

poor concentration
confusion
confabulation

Question 11

psych symptoms you can see in pt with B12 deficiency?

Answer 11

irritability
inattentiveness
psychosis
dementia

Question 12

SSRIs effects on the GI tract?

Answer 12

SSRIs have highest rate of GI disturbances d/t serotonin in GI tract –> N/V, usually early on and dose-related

Question 13

TCA effects on GI?

Answer 13

d/t Anticholinergic effects –> Constipation, dry mouth

Question 14

Euphoria, disinhibition, psychosis, and depression seen with what hepatic condition?

Answer 14

Hepatic encephalopathy

Question 15

Mood changes, irritability, facetiousness, impaired judgement, impaired memory, delirium, loss of speech, and loss of smell seen with what type of tumor?

Answer 15

Frontal lobe tumor

Question 16

Stress management tx’s?

Answer 16

self-observation
cognitive restructuring
relaxation exercises
hypnosis

Question 17

Most common cause of hallucinations?

__ most common cause of confusion or disorientation among hospitalized pts in general hospitals

Answer 17

Delirium tremens most common cause hallucinations

delirium is most common cause of confusion or disorientation among hospitalized pts

Question 18

__=Reversible, acute onset of impaired cognition, attention, consciousness, perception, sleep patterns, or emotional states that fluctuate over course of the day

Answer 18

Delirium

Question 19

Avoid giving this drug in elderly hospitalized pts to avoid delirium?

Answer 19

Benzo’s

Question 20

This drug can cause the following psych symptoms:

• agitation with blank stare
• anxiety
• stupor
• aggression
• panic
• bizarre behavior

Answer 20

PCP

Question 21

Corticosteroids can cause what psych symptoms (think of a COPD pt on corticosteroids)?

Answer 21

Mania, psychosis (hallucinations)