[CLMD] Psychosomatic Disorders [Hill]

Question 1

If your patient is diagnosed with Depression what are the 3 main somatic risk factors they are at risk for?

Answer 1

Coronary Heart Dz

Stroke

Diabetic Symptoms

Question 2

If you have a patient who is diagnosed with an Axniety disorder, what some things they are at risk for?

Answer 2

Coronary Artery Dz

Asthma

Specific Phobias

Question 3

What are some maladaptive health behaviors?

Answer 3

Overeating

No Excersise

Unsafe sex

Question 4

Stress, which is a SNS response, causes what major thing?

Answer 4

Inhibition of Immune Function

Question 5

You have a patient come in that is Feverish, has photosensitivty, a butterfly rash, some joint pains, and a headache. They are also complaining of depression, and some mild mood distrubances. They have also been talking about strange voices theyve been hearing recently – most likely underlying etiology?

Answer 5

Systemic Lupus Erythematosus (SLE)

Question 6

You have a patient that is having some transient motor/sensory disturbances, is having trouble with their vision, and slurred speech. They are also mildly anxious, have had an episode of mania, and euphoria – what is the underlying etiology?

Answer 6

Multiple Sclerosis (MS)

Question 7

What is the general association you want to make with Mood Disorders and the system it most prominently effects?

Answer 7

Cardiovascular System

Question 8

A person who is Depressed is at a higher risk for what?

Answer 8

CV Dz / CAD

MI

Arrhythmias

Sudden Cardiac Death

HTN

Question 9

You have a patient who is a long time asthmatic come into your clinic – she states that she has been having trouble with her asthma again and that it is severely affecting her life. What other physicatric association should we ask about?

Answer 9

Panic Disorder

Agoraphobia

(Same associations for people with COPD –> Anxiety and Panic)

Question 10

You have a female patient that comes in with Heat Intolerance, excessive sweating, diarrhea, weight loss, tachycardia, nervousness, irritability, insome, and some mild psychosis. She also has started developing some visual hallucinations – what is the underlying etiology?

Answer 10

Hyperthyroidism

Question 11

You have a patient that comes in complaining of always being cold, and having dry/cracking skin. He also states that he has been gaining weight, and that he is always tired, and has felt depressed. His wife states that she has noticed a change in him, and that he has seemed to be more paranoid as of late – what is the underlying etiology?

Answer 11

Hypothyroidism

Question 12

A 28 morbidly obese man comes into your clinic stating that he has been extremely thristy lately, and has been feeling lonely, dejected, and majorly depressed. He states he is just very frustrated with his situation and feels very hopeless. What might his underlying etiology be?

Answer 12

Diabetes Mellitus

Question 13

If a person has a Pheochromocytoma what associated psychiatric symptoms would you expect?

Answer 13

Anxiety

Apprehension

Feeling of Doom/Panic

(Associated with the high levels of Epi)

Question 14

You have a patient that has recently started taking a new medicine, that has been causing them to have excessive urination, and is making them very thirsty, they also have been in mild stupor, and fell into a coma. Before they were comatose though you noticed confusion, lethargy, and some personality changes. – What is the underlying Medical problem?

Answer 14

Hyponatremia

Question 15

If you have an Alcoholic, who is at risk for Wernicke-Korsakoff syndrome, and has poor concentration, confusion and confabulation – what do you need to supplement?

Answer 15

Thiamine

Question 16

You have a patient who comes in with pallor, dizziness, peripheral neuropathy, ataxia. You talk with the Neurologist who confirms some Dorsal Column Signs, and you notice they seem to be highly irritable, and inattentive. They are mildly psychotic and demented. What is the underlying Medical Condition?

Answer 16

Cobalamin (B12) Def

Question 17

People with UC or Chrons are at a higher risk of what associated physciatric condition?

Answer 17

Depression

Question 18

You have a 59 year old male patient that comes in worried about his significant weight loss. He has some abdominal pain associated with it, but is also complaining of being hugely depressed, and hasnt been eating as much lately. He has no ambition to do the things he normally loves, and has decreased energy and is overall apathetic. – What underlying medical association are you worried about, and need to rule out?

Answer 18

Pasncreatic Cancer

Question 19

You have a patient that comes in with fever, N/V, constipation, abdominal pain, and peripheral neuropathy – and is recently complaining of hemi-paraylysis. They are acutely depressed, and have some agitation, and paranoia. Now they are developing some visual hallucinations as well. – What is the underlying medical association?

Answer 19

Acute Intermittent Porphyria

Question 20

You have a known alcoholic in the ER, who has asterixis, hyperreflexia, spider-angiomas and palmer erythema. He is also euphoric, psychotic, and slightly disinhibited. What is the underlying Medical Association?

Answer 20

Hepatic Encephalopathy

Question 21

People with Atopic Dermatitis, Psoriasis, or Urticaria are more likely to have what?

Answer 21

Anxiety

Depression

(Which can be triggered more of the problem)

Question 22

A Frontal Lobe tumor is gonna cause what sort of problems?

Answer 22

Mood Changes

Irritability

Facetiousness

Impaired Judgement

Impaired Memory

Delirium

Loss of Speech/Smell

Question 23

Someone who has an Occipital Lobe Tumor is more prone to what?

Answer 23

Aura, Visual Hallucinations

Question 24

If someone comes in with a Head Trauma, what sort of physchiatric problems are they gonna show?

Answer 24

Confusion

Personality Changes

Memory problems

Question 25

What are some treatments for Stress Management?

Answer 25

Self-Observation

CBT

Relaxation Excersises

Mindfulness

Question 26

What should you always avoid in Elderly Patients?!

Answer 26

Benzos (No Lorazepam, Diazepam)

Question 27

You have a patient who has ingested an unknown substance, and has elevated BP, tachycardia, horizontal nystagmus, muscle rigidity, and vomiting. They are also constantly looking at the wall in a blank stare, and are stuporess, and can be agressive and bizarre — what susbtance is the cause?

Answer 27

PCP

Question 28

If the Stem of the question is referencing a COPD pt who is on meds in the hospital, and has MANIA, and Psychosis (Hallucinations) what is the likely source?

Answer 28

IV Corticosteroids

Question 29

Antidepressants can cause what in Bipolar pts?

Answer 29

Mania

Anxiety, Insomnia