Pyschosomatic Medicine

Question 1

What are two basic assumptions for psychosomatic medicine?

Answer 1

Unity of body and mind

Psychological factors

Question 2

What do we mean we we say stress theory?

Answer 2

Constant stimulation of the autonomic nervous system, specifically the sympathetic system, which is disturbing normal physiological function

Question 3

3 psychiatric symptoms of Lupus?

Answer 3

Depression, mood disturbances, and psychosis

Question 4

3 psychiatric symptoms of MS?

Answer 4

Anxiety, depression and mania

Question 5

3 psychiatric symptoms of Seizures?

Answer 5

Confusion, psychosis, and dissociative states

Question 6

What 5 psychiatric conditions/symptoms are associated with CV disease?

Answer 6

Depression, anxiety, hostility, anger, and acute mental stress

Question 7

2 psychiatric symptoms of Asthma and COPD?

Answer 7

Panic disorder and anxiety

Question 8

What is the overall psychiatric clinical picture for hyperthyroidism or hypothyroidism?

Answer 8

Hyper is more manic

Hypo is more depression

Question 9

1 big time psychiatric symptom of diabetes?

Answer 9

Depression

Question 10

3 medical symptoms of thiamine deficiency?

3 psychiatric symptoms of thiamine deficiency?

Answer 10

Neuropathy, cardiomyopathy, and wernickes

Poor concentration, confusion, and confabulation

Question 11

1 psychiatric symptoms of copper toxicity?

1 psychiatric symptom of lead toxicity?

Answer 11

Psychosis

Cognitive dysfunction

Question 12

1 psychiatric symptom of Crohns?

Answer 12

Panic disorder

Question 13

What family of meds have the highest rate of GI disturbances and why?

Answer 13

SSRIs because of the serotonin in the GI tract

Question 14

TCA side effects are due to what and give 2 examples?

Answer 14

Anticholinergic effects, so dry mouth and constipation

Question 15

patient presents with abdominal pain and visual hallucinations, what medical condition can they have?

Answer 15

Acute intermittent porphyria

Question 16

2 psychiatric symptoms of atopic dermatitis?

Answer 16

Anxiety and depression

Question 17

5 psychiatric symptoms of frontal lobe tumor?

1 identifying symptom of occipital lobe tumor?

Answer 17

Mood changes, impaired judgement, impaired memory, loss of speech, loss of smell

Visual hallucinations

Question 18

Elderly patient has delirium, what do we avoid?

Answer 18

Benzos

Question 19

2 psychiatric symptoms of PCP toxicity?

Answer 19

Nystagmus and agitation

Question 20

Corticosteroids can cause which psych symptoms?
Benzos?
Anti parkinson meds?
Antidepressants?

Answer 20

Mania and psychosis
Avoid in elderly with delirium
Psychotic symptoms
Mania in bipolar patient

Question 21

What med to use to treat depression in diabetes?
Olanzapine treats what?
Haloperidol is good for what?

Answer 21

Sertraline

Schizophrenia and bipolar

Delirium