ER Psychiatry

Question 1

what is anorexia nervosa

Answer 1

Self induced starvation from distorted body image that leads to malnutrition

Question 2

what mineral are anorexic people usually deficient in

Answer 2

potassium

Question 3

what can low potassium cause?

Answer 3

arrythmias

Question 4

what 4 physiological stress factors does anorexia have on a person

Answer 4

decreased levels of:
-GnRH (stimulates hormone reslease)
-FSH and LH (stimulate ovaries and testes)
-Estrogen
no anovulation, amenorrhea

Question 5

what is amenorrhea?

Answer 5

the absence of menstruation

Question 6

what are the effects of low levels of estrogen?

Answer 6

-decreased osteoblastic activity
-increased osteoclastic activity
which can lead to osteoporosis and hypothyroidism

Question 7

what must a mental illness do for it be considered a disorder

Answer 7

• inhibit social or occupational functioning

- symptoms are not a result of other medical conditions

Question 8

Name three mimics of mental illness

Answer 8

• pulmonary embolism (anxiety)
• hyperthyroidism/hypo
• cushing’s disease
• parkinson’s (depression)
• Multiple sclerosis (depression)
• Meds (steroids, beta blockers)
• Alcohol abuse/amphetamine use
• high C02 levels in blood

Question 9

Major depressive disorder requirements

Answer 9

(SIGECAP)
-at least 2 weeks
S- too little/much sleep
I- interest (lack)
G- guilt/helplessness
E- energy (low)
C- concentration (lack)
A- appetite (too little/ too much) 
P-psychomotor (lethargic/restless)
S- suicidal