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Behavioral Health > Sleep and Eating Disorders > Flashcards

Sleep and Eating Disorders Flashcards

1
Q

What is insomnia?

A

difficulty initiating or maintaining sleep or non-restorative sleep despite adequate opportunity and circumstances for sleep

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2
Q

What are the 3 phases of insomnia?

A

Transient (<1)
Acute or short-term or episodic (1-3 mo)
Chronic or persistent (>3mo)

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3
Q

What causes insomnia?

A

no single cause

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4
Q

What is the most common form of insomnia?

A

acute insomnia

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5
Q

What is insomnia associated with?

A

daytime impairment

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6
Q

How is insomnia diagnosed most of the time?

A

patient will tell you

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7
Q

What diagnostic test for insomnia are needed?

A

None

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8
Q

What are 3 diagnostic test that can be used for insomnia?

A

Polysomnography (sleep study)
Thyroid stimulating hormone
Urine toxicology

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9
Q

What is the txt for insomnia?

A

Counsel patient, practice consistent sleep hygiene

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10
Q

What is insomnia best treated without of?

A

medication

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11
Q

What med has no abuse and can be used for insomnia?

A

Ramelteon (Rozerem)- melatonin receptor agonist

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12
Q

What is more effective than meds for insomnia?

A

exercise (avoid 4 hrs prior to sleep)

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13
Q

What is narcolepsy?

A

INCURABLE rapid eye movement (REM) sleep disorder mainly characterized by excessive daytime sleepiness

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14
Q

What are the two types of narcolepsy?

A 
Type 1 ( w/ cataplexy)
Type 2 (w/o cataplexy)
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15
Q

What is the cure for narcolepsy?

A

NONE

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16
Q

Which ways can symptoms be improved for narcolepsy?

A

sleep hygiene, brief 15 min naps during the day, and drug therapy

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17
Q

What is the bimodal distribution for narcolepsy?

A

peak at 15 yrs

and again @ 35yrs

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18
Q

Which is more prevalent type 1 or type 2?

A

Type 1

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19
Q

Where is narcolepsy highest and lowest?

A

Highest in Japan

Lowest in Israel

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20
Q

What is narcolepsy associated with?

A

Obstructive sleep apnea

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21
Q

What is the classic tetrad of EDS?

A

cataplexy, sleep paralysis, and hypnagogic hallucinations

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22
Q

What are cardinal symptoms

A

EDS and sleep attacks

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23
Q

What are the 1st symptoms of EDS?

A

sleep attacks

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24
Q

What is cataplexy?

A

sudden episode of total or partial loss of motor tone, triggered by strong emotions

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25
Q

What is not impaired in cataplexy?

A

consciousness and memory

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26
Q

What two muscles are spared in cataplexy?

A

diaphragm and extraocular

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27
Q

What is sleep paralysis?

A

transient inability to move or speak either while failing asleep or on awakening

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28
Q

Occurs in 50% of people with type 1 narcolepsy?

A

sleep paralysis

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29
Q

What are hypnagogic or hypnopompic hallucinations?

A

vivid dreamlike experience that occur during awakening or at sleep onset

30
Q

Hallucinations of being attacked by animals or feeling that someone else is in the room

A

hypnagogic

31
Q

What test is used for narcolepsy?

A

Multiple sleep latency Test

32
Q

If narcolepsy is suspected what should be done?

A

Referral to a sleep specialist

33
Q

What is the treatment for narcolepsy?

A

proper sleep hygiene and regular sleep schedule

34
Q

What should be avoided in narcolepsy?

A

stimulus- alcohol, heavy meals, caffeine, nicotine

35
Q

Who is a 10 fold increase for driving accidents?

A

narcolepsy

36
Q

Only medication approved effective and FDA approved for EDS and cataplexy?

A

Sodium oxybate (Xyrem)

37
Q

Second line txt for nacroplesy?

A

amphetamines

38
Q

What is parasomnias?

A

abnormal behavioral occurring in associated with sleep, sleep stages, or sleep-wake transitions

39
Q

What is the most common type of parasomnia?

A

Non-Rapid eye movement (NREM)

40
Q

What is not a global whole-brain phenomenon?

A

sleep and wakefulness

41
Q

Sleepwalking occurs more frequently among who?

A

children

42
Q

When does sleep walking occur during sleep?

A

1st third of the night

43
Q

What are the two specialized forms of sleepwalking?

A

sleep related eating behavior and sleep related sexual behavior

44
Q

What is sleep terror disorder?

A

repeated occurence of preciptious awakenings from sleep, usually beginning with a panicky scream or cry

45
Q

What are sleep terrors also called?

A

night terrors or pavor nocturnus

46
Q

Sleep terrors are most prevalent at what age?

A

18 months

47
Q

What is the diagnostic study for parasomnias?

A

polysomnography w/ audiovisual monitoring

48
Q

In order to make the diagnosis for parasomnias what must be met?

A

the person or household must be in distress or impairment due to it

49
Q

What medication is used to treat parasomnias?

A

Clonazepam

50
Q

Malnutrition can lead to?

A

multiorgan damage

51
Q

Reports feeling fat even when emacitated, restriction of calories, history of fractures?

A

Anorexia Nervosa

52
Q

What screening tool is used for eating disorders?

A

SCOFF or Eating Disorder Screen for Primary Care

53
Q

What is considered a positive SCOFF?

A

two or more yes answers

54
Q

What are some abnormal vital signs for anorexia nervosa?

A

hypothermia, bradycardia, orthostatic, hypotension

55
Q

What is considered extreme BMI for anorexia nervosa?

A

<15

56
Q

What is considered mild BMI for anorexia nervosa?

A

> 17

57
Q

What are the 3 essential features of anorexia nervosa?

A
  1. persistent energy intake restriction
  2. Intense fear of gaining weight or becoming fat, or persistent behavior that interferes with weight gain
  3. disturbance in self perceived weight or shape
58
Q

How should most patients with anorexia nervosa be treated?

A

outpatients

59
Q

What is the initial txt goal for anorexia nervosa?

A

weight restoration

60
Q

What is the treatment for anorexia nervosa?

A

CBT

61
Q

What meds should be started low for anorexia nervosa?

A

SSRI

62
Q

What med is associated with a higher incidence of seizures in anorexia nervosa?

A

Bupropion

63
Q

What is bulimia nervosa?

A

binge eating (2hr period) along with lack of control over eating, followed by compensatory behaviors

64
Q

What is time period for bulimia nervosa?

A

once per week for 3 months

65
Q

Vomiting, binge eating, aerobic exercise, laxatives, cheilosis

A

Bulimia nervosa

66
Q

What is the treatment for bulimia nervosa?

A

CBT

67
Q

What medication is effective in treating bulimia nervosa?

A

Fluoxetine (Prozac)

68
Q

What is the difference between bulimia and anorexia?

A

weight

69
Q

What is binge eating?

A

eating a lot of food in a short period of time

70
Q

What criteria must be met for binge eating?

A

occur at least once per week for 3 months

71
Q

What is avoidant/restrictive food intake disorder?

A

avoidant of food due to its consequences

72
Q

What is the difference between avoidant and anorexia?

A

in anorexia your concerned about body weight and shape

Behavioral Health (14 decks)

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