Clinical Psychosomatic Medicine Dr. Hill

Question 1

avoid what drugs in elderly

Answer 1

benzodiazepines and benadryl

Question 2

how to treat delirium in elderly

Answer 2

halodolol, not adavan

Question 3

depression is a risk factor of what diseases and higher risk of getting in what disease

Answer 3

1. coronary heart disease
2. stroke
3. diabetic sx

Question 4

Anxiety can increase in what disorders

Answer 4

Coronary artery disease
asthma
phobias

Question 5

stress is caused by

Answer 5

stimulation of ANS sympathetic nervous system

Question 6

neurotransmitters responsible for stress

Answer 6

1. catecholamines
2. increase 5HT
3. glucocorticoids
4. DA increase

Question 7

Hormones released during stress

Answer 7

CRF increasing ACTH

Question 8

SLE psychiatric sx

Answer 8

depression, psychosis, delusions, hallucinations

Question 9

MS psychiatric sx

Answer 9

anxiety, euphoria, mania

Question 10

seizure disorder psychiatric sx

Answer 10

confusion, DeJa Vu, catatonic state,

MEAN/VIOLENT then no memory of it

Question 11

hyperthyroidism sx

Answer 11

1. heat intolerant
2. WL
3. tachy, tremor
4. short attention span, impaired recent memory
5. bulging eyes

Question 12

hyperthyroidism psychiatric sx

Answer 12

nervous, excitability, irritability, pressured speach, insomnia, psychosis, visual hallucinations

Question 13

Hypothyroidism sx

Answer 13

1. cold intolerance
2. dry skin
3. C + Weight gain

Question 14

Hypothyroidism psychiatric sx

Answer 14

1. lethargy
2. depression
3. personality change
4. paranoia
5. sleeping all the time

Question 15

DM psychiatric sx

Answer 15

1. frustration
2. loneliness
3. withdrawn
4. depression

Question 16

Hyponatremia psychiatric sx

Answer 16

confusion (delirium), lethargy, personality change,

Question 17

Thiamine deficiency psychiatric sx

Answer 17

poor concentration, confusion, confabulation

Question 18

Vit B12 psychiatric sx

Answer 18

irritablity, inattentiveness, psychosis, dementia

Question 19

this mood problem can lead to what disease in GI :

1. stress
2. MDD
3. Panic disorder

Answer 19

1. PUD
2. Ulcerative Colitis
3. Crohn’s Disease

Question 20

most common cause of hallucinations

Answer 20

delirium tremens

Question 21

most common cause of confusion and disorientation in hospital

Answer 21

delirium

Question 22

corticosteroids can cause what psychiatric sxs

Answer 22

mania, psychosis, hallucinations

Question 23

Benzodiazepines can cause what psychiatric sxs

Answer 23

sedation, paradoxical agitation (AVOID in elderly with delirium)

Question 24

Antiparkinson’s meds can cause what psychiatric sxs

Answer 24

mania, anxiety, psychosis

Question 25

Antidepressants can cause what psychiatric sxs

Answer 25

mania IN bipolar pt, anxiety, insomnia

Question 26

PCP sx

Answer 26

htn, tachy, nystagmus, muscular rigidity, V

Question 27

PCP can cause what psychiatric sxs

Answer 27

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

Question 28

head trauma can cause what psychiatric sxs

Answer 28

confusion, personality changes, memory impairment, agitation, impulsivity

Question 29

Frontal Lobe Tumor can cause what psychiatric sxs

Answer 29

mood changes, irritability, facetiousness (laugh when no one is), impaired judgement, impaired memory, delirium, loss of speech, loss of smell = usually no psych history,

Question 30

Pancreatic Carcinoma can cause what psychiatric sxs

Answer 30

WL, abdominal pain, depression*, lethargy, low energy, no emotion

Question 31

Acute Intermittent Porphyria can cause what psychiatric sxs

Answer 31

acute depression, agitation, paranoia, visual hallucinations

Question 32

Acute Intermittent porphyria sx

Answer 32

ABD pain, fever, V, C, Peripheral neuropathy, paralysis

Question 33

Hepatic Encephalopathy can cause what psychiatric sxs

Answer 33

euphoria, disinhibition, psychosis, depression or manic

Question 34

Hepatic encephalopathy sx

Answer 34

asterixis, hyperreflex, spider angioma, palmar erythema, ecchymosis, hepatomegally