Clin - Psychosomatic Disorders

Question 1

patients with depression are at at risk for what somatic disorders

Answer 1

• coronary heart disease
• stroke
• diabetic symptoms

Question 2

patients with anxiety are at at risk for what somatic disorders

Answer 2

• coronary artery disease
• asthma
• specific phobias

Question 3

how does stress affect the immune system

Answer 3

inhibition of immune functioning

Question 4

what psychiatric symptoms are associated with lupus

Answer 4

depression, mood disturbances, psychosis, delusions, hallucinations

Question 5

what psychiatric symptoms are associated with MS

Answer 5

anxiety, euphoria, mania

Question 6

what psychiatric symptoms are associated with seizure disorder

Answer 6

confusion, psychosis, dissociative states, catatonic-like state, bizarre behavior

Question 7

what psychiatric symptoms are associated with heart transplant patients

Answer 7

elicit anxiety, depression, elation, and coping with grief

Question 8

what psychiatric symptoms are associated with COPD patients

Answer 8

anxiety disorder and panic disorder

Question 9

what psychiatric symptoms are associated with hyperthyroidism

Answer 9

nervousness, excitability, irritability, pressured speech, insomnia, psychosis, and visual hallucinations

Question 10

what psychiatric symptoms are associated with hypothyroidism

Answer 10

lethargy, depression, personality change, paranoia

Question 11

what psychiatric symptoms are associated with diabetes

Answer 11

frustration, loneliness, dejecting, depression

Question 12

what psychiatric symptoms are associated with pheochromocytoma

Answer 12

anxiety, apprehension, feeling of impending doom, panic

Question 13

what psychiatric symptoms are associated with hyponatremia

Answer 13

confusion, lethargy, personality changes

Question 14

what psychiatric symptoms are associated with thiamine deficiency

Answer 14

poor concentration, confusion, confabulation

Question 15

what psychiatric symptoms are associated with cobalamin (B12) deficiency

Answer 15

irritability, inattentiveness, psychosis, dementia

Question 16

how do vitamin toxicities cause psychiatric symptoms

• vitamin A & D, iron
• copper
• B6 and B12
• lead

Answer 16

• vitamin A & D, iron: confusion
• copper: psychosis
• B6 and B12: peripheral nerve function
• lead: cognitive dysfunction

Question 17

what psychiatric symptoms are associated with PUD

Answer 17

increased gastric acid excretion associated w/ psychological stress

Question 18

what psychiatric symptoms are associated with UC

Answer 18

some evidence to show increased prevalence of dependent personalities

Question 19

what psychiatric symptoms are associated with Crohn’s dz

Answer 19

high rates of preexisting panic disorders

Question 20

most common psychiatric drug side effects affecting somatic system

Answer 20

• SSRI: highest rate of GI disturbances (nausea, diarrhea)

- anticholinergic effects (constipation, dry mouth)

Question 21

what psychiatric symptoms are associated with pancreatic CA

Answer 21

weight loss, depression, lethargy, anhedonia, apathy, decreased energy

Question 22

what psychiatric symptoms are associated with acute intermittent porphyria

Answer 22

acute depression, agitation, paranoia, visual hallucinations

Question 23

what psychiatric symptoms are associated with hepatic encephalopathy

Answer 23

euphoria, disinhibition, psychosis, depression

Question 24

what psychiatric symptoms are associated with atopic dermatitis

Answer 24

increased prevalence of anxiety and depression

Question 25

what psychiatric symptoms are associated with psoriasis

Answer 25

anxiety, depression, personality disorders

Question 26

what psychiatric symptoms are associated with urticaria

Answer 26

anxiety, depression, stress

Question 27

what psychiatric symptoms are associated with frontal lobe tumors

Answer 27

mood changes, irritability, facetiousness, impaired judgement, impaired memory, delirium, loss of speech, loss of smell

Question 28

what psychiatric symptoms are associated with occipital lobe tumor

Answer 28

aura, visual hallucinations

Question 29

what psychiatric symptoms are associated with head trauma

Answer 29

confusion, personality changes, memory impairment

Question 30

define consultation-liaison psychiatry

Answer 30

the study, practice, and teaching of the relation b/w medical and psych disorders

Question 31

what are some common consultation-liaison problems

Answer 31

1) suicide attempt/threat 2) depression 3) agitation/dementia 4) hallucinations (delirium tremens) 5) sleep disorder 6) confusion

Question 32

what psychiatric symptoms are associated with PCP use

Answer 32

agitation w/ blank stare, anxiety, stupor, aggression, panic, bizarre behavior

Question 33

what psychiatric symptoms are associated with corticosteroid use

Answer 33

mania, psychosis (hallucinations)

Question 34

what psychiatric symptoms are associated with antidepressants

Answer 34

mania (bipolar patient), anxiety, insomnia