somatic sx & related disorders

Question 1

mental disorder with symptoms suggesting physical injury that cannot be explained by a medical condition NOT due to malingering

Answer 1

somatoform disorder

Question 2

chronic condition in which pt has physical sx involving 1 or more part of the body but NOT PHYSICAL CAUSE FOUND.

Answer 2

somatization disorder

Question 3

preoccupation with the fear or belief one has a serious, undiagnosed disease (despite reassurance)

Answer 3

illness anxiety disorder - usually age 20-30, tend to ‘doctor-shop’ with increase use of OTCs/herbals

3 subtypes: pain disorder, body dysmorphic disorder, undifferentiated

managed with group therapy

Question 4

clinical manifestations of anorexia nervosa

Answer 4

BMI

Question 5

diagnosis of anorexia nervosa

Answer 5

vital signs: emaciated, hypotension, bradycardia, skin/hair changes (lanugo), dry skin, salivary gland hypertrophy, amenorrhea

labs: CBC: leukocytosis, leukopenia, anemia, hypokalemia, increased BUN (dehydration), hypothyroidism, arrhythmias

Question 6

management of anorexia nervosa

Answer 6

1. hospitalization for

Question 7

major difference between patients with bulimia nervosa vs. anorexia nervosa

Answer 7

bulimia nervosa patients are normal weight or even overweight

Question 8

management of bulimia nervosa

Answer 8

1. psychotherapy: CBT

2. pharmacotherapy: fluoxetine has been shown to reduce binge-purge cycle (but may have cardiovascular side effects)

Question 9

childhood disorder: persistent pattern of negative, hostile, and defiant behavior towards adults. BLAMES OTHERS

Answer 9

oppositional defiant disorder

Question 10

3 components of oppositional defiant disorder

Answer 10

1. angry/irritable mood
2. argumentative/defiant behavior
3. vindictiveness

Question 11

management of oppositional defiant disorder

Answer 11

behavioral therapy. no association with psychosis

Question 12

duration of short attention span and easy distractibility for ADHD to be diagnosed

Answer 12

> 6 months

Question 13

childhood disorder: social and academic difficulty: lack of guilt/remorse, defias authority (causes fights, throws tantrum, fails in schools, SETS FIRES, STEALS, CRUEL TO PEOPLE/ANIMALS, sexually uninhibited

Answer 13

conduct disorder –> poor prognosis (40% develop anti social personality disorder. MC in boys)