Somatic Sx DO

Question 1

______ are characterized by the presentation of physical symptoms with no
medical explanation

Answer 1

Somatoform disorders

Question 2

RF of Somatoform disorders

Answer 2

Somatization disorder affects women more than men and is usually
inversely related to SES. Usually begins by the age of 30

Question 3

Personality associated with somatoform DO

Answer 3

male relatives tend to have antisocial personalitydisorder, whereas female relatives tend to have histrionic personality disorder

Question 4

Commonly associated with somatoform DO

Answer 4

Commonly associated with major depressive disorder, personality disorders, substance-
related disorders, generalized anxiety disorders, and phobias

Question 5

Tx of somatoform DO

Answer 5

Should increase the patient’s awareness of
the possibility that the symptoms are psychological in nature.

Individual psychotherapy is needed
to help patients cope with their symptoms and develop other ways of expressing their feelings

Question 6

A disorder in which the individual experiences one or more neurologic symptoms that cannot be explained by any medical or neurologic disorder

Answer 6

CONVERSION DISORDER

Question 7

RF of CONVERSION DISORDER

Answer 7

Seen more frequently in young women. Also more common among the lower SES, rural populations, low IQs, and military personnel

Question 8

Personalities associated with CONVERSION DISORDER

Answer 8

Commonly associated with

passive-aggressive, dependent, antisocial, and histrionic personality disorder

Question 9

Tx of CONVERSION DISORDER

Answer 9

Psychotherapy to establish a caring relationship with treater and focus on stress
and coping skills. Brief monthly visits with partial physical examinations

Question 10

Sx of conversion DO

Answer 10

• Primary gain: Keeps internal conflicts outside patient’s awareness
• Secondary gain: Benefits received from being “sick”
• La belle indifference: Patient seems unconcerned about impairment.
• Identification: Patients usually model their behavior on someone who is important to
them.

Question 11

A disorder characterized by the patient’s belief that he/she has some specific disease.
Despite constant reassurance, the patient’s belief remains the same. Symptoms must
occur for >6 months

Answer 11

ILLNESS ANXIETY DISORDER

Question 12

Tx of ILLNESS ANXIETY DISORDER

Answer 12

Psychotherapy to help relieve stress and help cope with illness. Frequent, regularly
scheduled visits to patient’s medical doctor(s).

Question 13

A disorder characterized by the belief that some body part is abnormal, defective,
or misshapen.

Answer 13

BODY DYSMORPHIC DISORDER

Question 14

Associations of body dysmorphic DO

Answer 14

Other disorders that may be found include depressive disorders, anxiety
disorders, and psychotic disorders

Question 15

SSx of BODY DYSMORPHIC DISORDER

Answer 15

• Most common concerns involve facial flaws
• Constant mirror-checking
• Attempt to hide the alleged deformity
• Housebound
• Avoids social situations
• Causes impairment in their level of functioning

Question 16

Tx of BODY DYSMORPHIC DISORDER

Answer 16

Treatment. Individual psychotherapy to help deal with stress of alleged imperfections as well as reality testing. Pharmacotherapy may include the use of SSRIs, TCAs, or MAOIs

Question 17

A disorder characterized by the conscious production of signs and symptoms
of both medical and mental disorders. The main objective is to assume the sick role and
eventually hospitalization.

Answer 17

FACTITIOUS DISORDER

Question 18

2 types of FACTITIOUS DISORDER

Answer 18

imposed on self and imposed on others.

Question 19

Etiology of factitious DO

Answer 19

Etiology. Seen more commonly in women and in hospital and health care workers. As children, many of the patients suffered abuse that resulted in frequent hospitalizations, thus their need to assume the sick role

Question 20

SSx of factitious DO

Answer 20

• Typically demand treatment when in the hospital
• If tests return negative, they tend to accuse doctors and threaten litigation.
• Become angry when confronted

Question 21

Tx of factitious DO

Answer 21

Usually involves management rather than cure. Must be aware of countertransference
when the physician suspects factitious disorder

Question 22

Characterized by the conscious production of signs and symptoms for an obvious
gain (money, avoidance of work, free bed and board, etc.). It is not a mental disorder

Answer 22

MALINGERING

Question 23

Sx of malingering

Answer 23

• Most express subjective symptoms.

* Tend to complain a lot and exaggerate its effect on their functioning and lives