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COMAT - Psych > Psychotic and Eating Disorders > Flashcards

Psychotic and Eating Disorders Flashcards

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1
Q

List 3 (+) symptoms of Schizophrenia

A

Delusions of persecution/grandiosity
Auditory Hallucinations
Disorganization of speech/behavior

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2
Q

List 3 (+) symptoms of Schizophrenia

A

Delusions of persecution/grandiosity
Auditory Hallucinations
Disorganization of speech/behavior

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3
Q

List 3 (-) symptoms of Schizophrenia

A

Flat affect
Anhedonia/Apathy
Cognitive Delay

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4
Q

List 3 (-) symptoms of Schizophrenia

A

Flat affect
Anhedonia/Apathy
Cognitive Delay

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5
Q

How long must symptoms be present in order to diagnose Schizophrenia?

A

> 6 months

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6
Q

If a patient has symptoms that look like Schizophrenia, how long must they have been present in order to diagnose?

A

Greater than 6 months

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7
Q

What is Brief Psychotic Disorder?

A

Symptoms of Schizophrenia that have only been present for < 1 month

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8
Q

If a patient has symptoms that look like Schizophrenia, how long must they have been present in order to diagnose Brief Psychotic Disorder?

A

Less than 1 month

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9
Q

What is Schizophreniform?

A

Symptoms of Schizophrenia that have only been present for > 1 month but < 6 months

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10
Q

If a patient has symptoms that look like Schizophrenia, how long must they have been present in order to diagnose Schizophreniform?

A

> 1 month but < 6 months

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11
Q

What is Schizoaffective Disorder?

A

Symptoms of Schizophrenia + mood symptoms

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12
Q

How long must symptoms be present in order to diagnose Schizoaffective Disorder?

A

> 6 months

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13
Q

What is Delusional Disorder?

A

Patient has 1 non-bizarre delusion and NO functional impairment

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14
Q

What is the treatment for Delusional Disorder?

A

Gentle confrontation

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15
Q

What is the treatment for diseases that present like Schizophrenia?

A

Atypical Antipsychotics

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16
Q

If all other treatments fail for Schizophrenia, what drug should be used?

A

Clozapine

17
Q

How do you treat Catatonia?

A

Benzodiazepine challenge + ECT

18
Q

With Anorexia Nervosa, what is the patient’s body weight?

A

UNDERWEIGHT
= BMI < 18.5

19
Q

What must a patient’s BMI be under in order to diagnose Anorexia Nervosa?

A

< 18.5

20
Q

What must a patient’s BMI be under in order to hospitalize a patient?

A

< 15

21
Q

Anorexia Nervosa is most often associated with what type of behaviors?

A

Restriction of food intake or excessive exercise

22
Q

Why are Anorexic patients harder to treat?

A

They see an unrealistic version of themselves (fat) no matter what you show them so they do not think anything is wrong

23
Q

Besides being severely malnourished, what other signs point towards Anorexia Nervosa?

A

Hypothyroid-ish
= Dry skin, thinning hair, cold intolerance, bradycardia, hypotension

24
Q

What is the first line drug class to treat Anorexia Nervosa?

A

Antipsychotics

25
Q

What is the first line drug class to treat Anorexia Nervosa?

A

Antipsychotics

26
Q

With Bulimia Nervosa, what is the patient’s body weight?

A

Normal or overweight
= BMI > 18.5

27
Q

What must the patient’s BMI be in order to diagnose Bulimia Nervosa?

A

> 18.5

28
Q

What type of behaviors are the most common with Bulimia Nervosa?

A

Binge - Purge

29
Q

What are physical signs of purging?

A

Dental erosions
Parotid gland enlargement
Dorsal hand scars

30
Q

What are physical signs of purging?

A

Dental erosions
Parotid gland enlargement
Dorsal hand scars

31
Q

What metabolic derangements will be present with purging via emesis?

A

Metabolic Alkalosis
Low K+ and Mg++

32
Q

What metabolic derangement will be present with purging via laxatives?

A

Metabolic Acidosis

33
Q

What is the treatment for Bulimia Nervosa?

A

SSRIs and psychotherapy

34
Q

What drug should you NEVER use with eating disorders?

A

Bupropion

35
Q

What drug should you never use with eating disorders and why?

A

Bupropion –> lowers SEIZURE threshold

COMAT - Psych (11 decks)

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