Exam 3 -- Psych III -- Eating Disorders & Substance-Related Disorders Flashcards Preview

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Flashcards in Exam 3 -- Psych III -- Eating Disorders & Substance-Related Disorders Deck (37):
1

Pica is the eating of non-nutritive, non-food substances over a period of at least 1 month. At what age does it most commonly onset, and what comorbidities accompany it?

Onset during childhood; comorbid with autism spectrum disorder or intellectual disability.

2

Fill in the blank: _____________ is the repeated involuntary regurgitation of food over a period of at least 1 month that is not attributed to a GI or other medical issue.

Rumination disorder

3

Avoidant/restrictive food intake disorder is manifested by persistent failure to meet appropriate nutritional and/or energy needs, associated with at least one of the following: significant weight loss, significant nutritional deficiency, dependence on enteral feeding or oral nutritional supplements, marked interference with psychosocial functioning. It is comorbid with anxiety disorders, OCD, autism spectrum disorders, and ADHD.

Free card.

4

Avoidant/restrictive food intake disorder contrasts with anorexia nervosa and bulimia nervosa in that _____________ is not a factor in avoidant/restrictive food intake disorder.

Self-image

5

In terms of classifying weight severity in anorexia, what BMI is considered mild?

>17 kg/m2

6

In terms of classifying weight severity in anorexia, what BMI is considered moderate?

16-16.99 kg/m2

7

In terms of classifying weight severity in anorexia, what BMI is considered severe?

15-15.99 kg/m2

8

In terms of classifying weight severity in anorexia, what BMI is considered extreme?

Below 15 kg/m2

9

What are some of the long term effects of anorexia?

Leukopenia, low bone mineral density, dehydration, dry/yellowish skin, severe constipation, brittle hair/nails, brain damage, internal body temperature drop, infertility.

10

How long must the binge eating of bulimia have been going on to meet the diagnostic criteria?

3 months (of binge eating at least once a week)

11

In terms of classifying the severity of bulimia, how many episodes per week is considered mild?

One to three

12

In terms of classifying the severity of bulimia, how many episodes per week is considered moderate?

Four to seven

13

In terms of classifying the severity of bulimia, how many episodes per week is considered severe?

Eight to thirteen

14

In terms of classifying the severity of bulimia, how many episodes per week is considered extreme?

Fourteen or more

15

What are some of the long term effects of bulimia?

Tooth decay, osteoporosis, electrolyte imbalance, swollen salivary glands, hypotension, low body temperature.

16

True or false: bulimia tends to be more chronic and resistant to treatment compared to anorexia.

False; anorexia is more chronic and resistant to treatment compared to bulimia.

17

Binge-eating differs from bulimia in that binge-eating involves no ____________.

Compensatory actions (to reduce weight gain)

18

What are the 4 Cs of addiction?

Loss of Control (over drug use)
Craving and Compulsive use of drug
Use of drug despite adverse Consequences

19

The DEA has established drug schedules to classify drugs according to the acceptable medical uses and the drug's abuse or dependency potential. The schedule runs from I to V. Which schedule has the highest potential for abuse, and which has the lowest?

Schedule I = highest potential for abuse. Schedule V = lowest potential for abuse.

20

Stimulants increase alertness, attention, and energy. Which stimulants were asterisked in the presentation?

Methylphenidate, cocaine, and amphetamine derivatives.

21

Hallucinogens create distortions in a person's perception of their surroundings. Which hallucinogens were asterisked in the presentation?

Cannabis and LSD.

22

Narcotics bind to pain receptors and reduce pain and induce euphoria. Which narcotics were asterisked in the presentation?

Morphine, heroin, codeine, and methadone.

23

Tranquilizers cause euphoria and sluggishness. Which tranquilizers were asterisked in the presentation?

Benzodiazepines.

24

What are the three most commonly abused drugs in the US?

Alcohol, tobacco, and marijuana.

25

What system is activated by all addictive drugs?

Mesolimbic dopamine system.

26

For men under the age of 65, what is the number of standard drinks that would indicate an increase in health risks?

14/week, or 4/day

27

For women under 65 and adults over 65, what is the number of standard drinks that would indicate an increase in health risks?

7/week, or 3/day

28

What is the name of the syndrome that can occur from vitamin B1 deficiency, often found in people with alcoholism?

Wernicke-Korsakoff Syndrome

29

Name the features of Wernicke encephalopathy.

Permanent damage to memory areas of brain, loss of muscle coordination, confusion and loss of mental activity, alcohol withdrawal, nystagmus, ptosis.

30

Name the features of Korsakoff syndrome.

Damage to thalamus and hypothalamus, inability to form new memories, memory loss, confabulation, hallucinations.

31

Toxic optic neuropathy can occur if there is severe nutrient depletion (especially of B12 and folate), such as can occur with alcohol abuse. What findings are associated with toxic optic neuropathy?

Pale nerve, color vision reduction, central or cecocentral scotoma, and reduced VA.

32

During alcohol withdrawal, many symptoms can occur (anxiety, irritability, insomnia, tremor, tachycardia, hypertension, hyperthermia, N&V, seizures, hallucinations, etc). What type of medication can reduce the tachycardia and hypertension?

Beta blocker.

33

During alcohol withdrawal, many symptoms can occur (anxiety, irritability, insomnia, tremor, tachycardia, hypertension, hyperthermia, N&V, seizures, hallucinations, etc). What type of medication can reduce the tremors, seizures, hallucinations, anxiety?

Benzodiazepines.

34

What supplements can be given for the malnutrition of alcoholism?

IV thiamine, folate, and multivitamin (banana bag)

35

What substance causes the psychoactive properties of cannabis?

delta-9-tetrahydrocannabinol (THC)

36

True or false: the most common symptoms of dependence in the use of cannabis are withdrawal, tolerance, continued use despite health problems, and lots of time spent obtaining or recovering from the effects of cannabis.

True.

37

What are the ocular manifestations of cannabis use?

Conjunctival hyperemia, decreased IOP, decreased tear production, slightly dilated pupil.