Somatic Disorders

Question 1

Factitious Disorder

Answer 1

Intentional faking of s/s to appear ill

Question 2

Munchausen syndrome by proxy

Answer 2

Intentional induction of symptoms on a victim other than the patient

Question 3

Treatment of factitious disorder

Answer 3

Single provider to coordinate care
Psychotherapy

Question 4

Illness anxiety disorder

Answer 4

Preoccupied with a serious illness with having very little to no physical symptoms
Must last for 6 months

Question 5

Treatment of illness anxiety disorder

Answer 5

Psychotherapy
Good relationship with PCP

Question 6

Somatization disorder

Answer 6

Many unexplained physical symptoms affecting many organ systems
By age 30
4 different sites

Question 7

Treatment of somatization disorder

Answer 7

Psychotherapy
Coordinate care with 1 PCP

Question 8

Conversion disorder

Answer 8

Neurologic symptoms that do not correlate with the presence of neurologic conditions

Question 9

Treatment of conversion disorder

Answer 9

Spontaneous resolution

Question 10

Anorexia nervosa

Answer 10

Intense fear of weight gain and distorted perception of weight

Question 11

Physical changes caused by anorexia

Answer 11

Lanugo
Russell’s sign
Hair loss
Brittle nails
Amenorrhea

Question 12

Treatment of anorexia nervosa

Answer 12

Nutritional rehab
Psychotherapy
Med management

Question 13

Bulimia nervosa

Answer 13

Recurrent binging and purging at least once a week for at least 3 months

Question 14

Physical changes due to bulimia nervosa

Answer 14

Russell’s sign
Salivary gland hypertrophy

Question 15

Treatment of bulimia nervosa

Answer 15

CBT
Fluoxetine

Question 16

What drug is CI in bulimia and anorexia

Answer 16

Wellbutrin - it can cause seizures