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NMSP - Exam 3 > Pyschosomatic Medicine > Flashcards

Pyschosomatic Medicine Flashcards

1
Q

What are the 2 assumptions of Psychosomatic Medicine?

A
  1. Unity of mind and body

2. Psychological factors must be considered in all disease states

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2
Q

A medical condition separate from the mental disorder is present? What adversely affects the medical condition?

A

Psychosomatic Medicine

– psychological factors adversely affect the medical condition

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3
Q

The Stress Theory involves activation of the?

A

Sympathetic Nervous system

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4
Q

When stress activates the sympathetic nervous system, what things occur?

A
  • Suppression of immune functioning
  • Release of catecholamines
  • Increased 5-HT and DA
  • CRF triggers release of ACTH
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5
Q

PCP (phencyclidine) can induce mental disorders. What symptoms will be present?

A

Agitation with blank stare and Aggression

- Bizarre behavior and stupor

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6
Q

Corticosteroids can also induce Mental Disorders. What are the symptoms?

A

Mania

Psychosis with Hallucinations

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7
Q

Antidepressants can also induce Mental Disorders. What may present in a bipolar patient?

A

Mania

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8
Q

Agitation with a blank stare, aggression, bizarre behavior is likely what substance induced mental disorder?

A

PCP (phencyclidine)

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9
Q

Mania and Hallucinations is likely what substance induced mental disorder?

A

Corticosteroids

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10
Q

Practice and teaching of relation between medical and psychiatric disorders

A

Consultation-Liason Psychiatry

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11
Q

What kind of knowledge is essential to Consultation-Liason Psychiatry?

A

Knowledge of medical AND diagnosis

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12
Q

Most common reason for Hallucinations?

A

Delirium Tremems

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13
Q

What is Delirium?

A

Reversible confusion, altered sleep patterns and perceptions that fluctuates

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14
Q

In who is Delirium common?

A

Elderly

Surgical and ICU patients

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15
Q

What should you avoid in elderly hospitalized patients and why?

A

Avoid BENZODIAZEPINES

– Can cause Delirium

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16
Q

What medication can cause Delirium in elderly hospitalized patients?

A

Benzodiazepines

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17
Q

What are some ways to treat Delirium?

A

Orientation
Cognitive stimulation with family and friends
Inducing normal sleep patterns

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18
Q

Adjustment Disorders

A

Development of emotional behavior in response to stressor

- occurs within 3 months of stressor and usually lasts < 6 months

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19
Q

Emotional behavior in response to an identifiable stressor

A

Adjustment Disorder

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20
Q

Onset and Duration for Adjustment Disorders?

A

Onset: Within 3 months of stressor
Duration: Less than 6 months

21
Q

What is a Factitious Disorder and example?

A

Voluntary control of symptoms

– Munchausen’s +/- by proxy

22
Q

What MSK abnormality can present with psych symptoms?

A

SLE

– fever, butterfly rash, photosensitivity, joint pains

23
Q

What psych symptoms can present with SLE?

A

Mood disturbances, delusions, hallucinations

24
Q

What psych disorders can increase risk of CAD and MI?

A

Depression!!!

– Anxiety, type A behavior, anger and mental stress also

25
Q

Depression can increase risks of what things to occur in the Cardiovascular system?

A

CAD
Stroke
MI

26
Q

What Respiratory abnormality can present with psych symptoms?

A

Asthma

27
Q

What psych symptoms may present with Asthma?

A

Panic disorder/Anxiety

– Fear of dyspnea makes it worse

28
Q

What is the cycle that can occur with Asthma and Anxiety/Panic Disorder?

A 
Anxiety about dyspnea
--> Short of breath
or
Short of breath
--> Anxiety about dyspnea
29
Q

What 3 Endocrine abnormalities may present with psych symptoms?

A

Hyperthyroidism
Hypothyroidism
Diabetes

30
Q

What psych symptoms may present with Hyperthyroidism?

A

Nervousness
Excitability
Pressured speech
Insomnia

31
Q

What are the signs of Hyperthyroidism?

A

Sweating
Weight loss
Palpitations and increased HR
Bulging eyes

32
Q

What psych symptoms may present with Hypothyroidism?

A

Lethargy
Depressed
Paranoia and personality changes

33
Q

What are the signs of Hypothyroidism?

A

Cold intolerance
Dry skin
Weight gain
Constipation

34
Q

What are the signs of Diabetes?

A

Polydipsia
Polyuria
Increased levels of Glucose

35
Q

What psych symptom can present with Diabetes?

A

DEPRESSION!

– also frustration/loneliness

36
Q

What Metabolic abnormality may present with psych symptoms?

A

Hyponatremia

37
Q

What are the signs of hyponatremia?

A

Thirst, polydipsia, coma, seizures

38
Q

What psych symptoms may present with Hyponatremia?

A

Confusion
Lethargy
Personality changes

39
Q

What vitamin deficiency can present with irritability, psychosis or dementia?

A

B12

40
Q

What are the psych symptoms of decreased B12?

A

Dementia
Irritability
Psychosis

41
Q

If B12 is less than ____ you should treat it

A

< 400

42
Q

What 2 vitamin deficiencies can present with psych symptoms?

A

Thiamine (B1)

Cobalamin (B12)

43
Q

What 3 Hepatic/Pancreatic abnormalities can present with psych symptoms?

A
  1. Pancreatic Carcinoma
  2. Acute Intermittent Porphyria
  3. Hepatic Encephalopathy
44
Q

What psych symptoms may present with a Pancreatic Carcinoma?

A

Depression
Anhedonia
Apathy and Lethargy

45
Q

What psych symptoms may present with Acute Intermittent Porphyria?

A

Depression
Agitation, paranoia
Hallucinations

46
Q

What psych symptoms may present with Hepatic Encephalopathy?

A

Euphoria
Disinhibition
Psychosis

47
Q

What type of tumor could present with psych symptoms?

A

Frontal Lobe Tumor

48
Q

What are the signs of a Frontal Lobe Tumor?

A

Mood changes
Impaired judgement and memory
Loss of speech/smell

NMSP - Exam 3 (22 decks)

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