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HBM > HBM 06a: Psychosomatic Medicine > Flashcards

HBM 06a: Psychosomatic Medicine Flashcards

1
Q

List some psych factors that can affect medical treatment.

A
  1. Mental/psych disorder (like psychosis or depression)
  2. Poor health behavior
  3. Stress (physiological response)
  4. Personality traits
  5. Coping styles
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2
Q

Retirement is (low/moderate/high/very high) on stress level scale.

A

High

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3
Q

Changing residence is (low/moderate/high/very high) on stress level scale.

A

Low

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4
Q

Divorce is (low/moderate/high/very high) on stress level scale.

A

Very high

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5
Q

Job loss is (low/moderate/high/very high) on stress level scale.

A

High

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6
Q

Child leaving home is (low/moderate/high/very high) on stress level scale.

A

Moderate

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7
Q

Taking out mortgage is (low/moderate/high/very high) on stress level scale.

A

Moderate

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8
Q

AIDS can present with which psych symptom(s)?

A

Depression, Mania

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9
Q

Multiple Sclerosis can present with which psych symptom(s)?

A

Depression, Mania

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10
Q

Anemia can present with which psych symptom(s)?

A

Anxiety

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11
Q

Huntington’s Disease can present with which psych symptom(s)?

A

Depression, Personality change, Mania

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12
Q

Chronic pain is pain that’s lasted at least (X) (days/weeks/months/years).

A

X = 3 months

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13
Q

Ability to tolerate pain is decreased by (X) in adulthood and (Y) in childhood.

A 
X = depression, anxiety, life stress
Y = physical and sexual abuse
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14
Q

T/F: Ability to tolerate pain is independent of cultural or religious factors.

A

False

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15
Q

T/F: Infants and children feel pain and remember pain as much as adults do.

A

True

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16
Q

Which NT implicated in the experience of pain?

A

Serotonin and Glu

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17
Q

List the way(s) that (X) psych medication can relieve pain in patients with chronic pain.

A

X = antidepressants

  1. Directly stimulate efferent inhibitory pain pathways
  2. Indirectly relieve pain by relieving depression symptoms
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18
Q

Presentation of first episode of psych disorder in persons (younger/older) than (X) should occasion an aggressive medical workup before assuming that the disorder is primarily psychiatric.

A

Older;

X = 50

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19
Q

(X)% of adults with mental disorders have medical conditions.

A

X = 68

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20
Q

(X)% of adults with medical conditions have mental disorders.

A

X = 29

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21
Q

(X)% of adult population has mental disorders.

A

X = 25

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22
Q

(X)% of adult population has medical conditions.

A

X = 58

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23
Q

How do psych, behavioral, social processes impact health/function?

A
  1. Affect basic biological processes (leading to illness/disease)
  2. Maladaptive health behaviors put people at risk for certain physical disorders
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24
Q

A stressful situation/event is one in which person feels (X).

A

X = overwhelmed (can’t cope)

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25
Q

Peak performance is achieved at (low/moderate/high) stress levels.

A

Moderate

26
Q

Depression is seen in (low/moderate/high) stress situations.

A

Low (boredom)

27
Q

Sources of stress tend to be (internal/external).

A

Both!

28
Q

Rules/regulations can be source of (internal/external) stress.

A

External

29
Q

Rigid thinking can be source of (internal/external) stress.

A

Internal

30
Q

Starting med school can be source of (internal/external) stress.

A

External

31
Q

Losing a job can be source of (internal/external) stress.

A

External

32
Q

Poor diet/sleep can be source of (internal/external) stress.

A

Internal

33
Q

T/F: All people with high scores on stress scale become ill.

A

False

34
Q

General adaptation syndrome, introduced by (X), describes:

A

X = Hans Selye

Stages that body undergoes, to maintain homeostasis, in response to stress

35
Q

List stages in body’s response to stress.

A
  1. Alarm stage (fight/flight)
  2. Resistance stage
  3. Exhaustion stage
36
Q

In Alarm Stage, the body releases (X) substances to provide (Y).

A 
X = NE, cortisol, noradrenaline
Y = instant E
37
Q

Effect of excess adrenaline:

A

High BP (damage blood vessels in heart/brain); risk for MI and stroke

38
Q

Effect of excess production of cortisol:

A

Damage to cells/muscle tissues

39
Q

T/F: In Resistance Stage, hormone levels return to normal, but your body remains in state of arousal.

A

True

40
Q

In Exhaustion Stage, (X) has continued and (Y) has gone.

A 
X = source of stress
Y = ability to resist
41
Q

Decreasing stress is possible by changing:

A
  1. Lifestyle habits
  2. Approach to stressful situations
  3. Our thoughts
42
Q

T/F: Avoidance is one healthy coping style to deal with stressful situations.

A

False

43
Q

Three most common behaviors that place us at risk in long term for physical disorders.

A
  1. Smoking
  2. Lack of X
  3. Over-eating
44
Q

What are the stages in the Stages of Change Model?

A
  1. Pre-contemplation
  2. Contemplation
  3. Preparation
  4. Action
  5. Maintenance
45
Q

In motivational interviewing (MI), the clinician should aim to strengthen:

A

Patient’s own motivation for/commitment to change

46
Q

T/F: Delirium is always secondary.

A

True

47
Q

Delirium is defined as:

A

Sudden, severe confusion with rapid brain function changes

48
Q

Delirium is common in which setting(s)?

A

Surgical and intensive care

49
Q

Delirium in ICU patients is a risk factor for:

A

6 month mortality

50
Q

List interventions for ICU delirium.

A
  1. Avoid over-sedation
  2. Wake up and breathe
  3. Early mobility
  4. Cognitive rehab
51
Q

Vit B12 or D deficiencies can appear like which psych issue?

A

Depression

52
Q

Overactive thyroid can appear like which psych issue?

A

Anxiety

53
Q

Opium is derived from which plant?

A

Poppy flower

54
Q

About (X)% of veteran patients have pain as their most common complaint to primary care providers.

A

X = 50

55
Q

Henry Knowles Beecher observed that:

A

WWII soldiers with serious wounds complained less of pain than MGH post-op patients

56
Q

The pain cycle involves:

A

Pain going to Distress going to Disability and back to Pain

57
Q

(Children/adults) have a pain that’s more “plastic” (more influenced by psychosocial factors)

A

Children

58
Q

T/F: Distraction techniques are beneficial for helping children deal with pain.

A

True

59
Q

T/F: Relaxation techniques are helpful for adults, but not children, in dealing with pain.

A

False - children as well

60
Q

T/F: Older adults tend to deal/cope better with pain than teens/young adults.

A

True

61
Q

One of the easiest methods to learn how to relax/reduce pain is:

A

Relaxation training (learning how to breathe)

62
Q

Cognitive restructuring is important in that it teaches patient to :

A
  1. Recognize maladaptive thoughts
  2. Challenge those thoughts
  3. Substitute them for adaptive thoughts

HBM (15 decks)

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