MTB 3

Question 1

TX for Somatization disorder

Answer 1

Individual Psychotherapy

Question 2

What is factitious disorder?

AKA?

Answer 2

Individual fakes illness to get attention and emotional support in patient role

• May inflict life-threatening injuries to get attn
• Formerly Munchausen syndrome

Question 3

Management for Factitious by proxy?

Answer 3

Contact child protective services

Question 4

What is malingering

Answer 4

conscious production of signs and symptoms for obvious gain
- Avoiding work, financial gain
Not a mental illness

Question 5

Who do we see malingering in

Answer 5

Prisoners

Military Personnel

Question 6

Timeline for Adjustment Disorder

Answer 6

Sx’s within 3 months of stressor and remit w/in 6 months or removal of stressor

Question 7

TX for Adjustment Disorder

Answer 7

Psychotherapy

Question 8

What is the TX for personality disorders

Answer 8

Psychotherapy

Question 9

Which personality disorders may have psychotic sx’s

Answer 9

Borderline

Schizotypal

Question 10

Pts with current or PMH of anorexia are at increased risk at giving birth to infants that are?

Answer 10

Premature

SGA secondary to IUGR

Question 11

Complications seen with anorexic mothers

Answer 11

Miscarriage
Hyperemesis gravidum
C section
Postpartum Depression

Question 12

MCC of death in anorexics

Answer 12

Arrhythmia

Prolonged QT

Question 13

Anorexic pts increased risk for

Answer 13

Osteoporosis
Increased cholesterol
Increased B-carotene
Euthyroid Sick syndrome
HPA dysfunction
Hyponatremia (excess water consumption)

Question 14

Manifestations of HPA dysfunction in anorexia

Answer 14

Ammenorrhea
Anovulation
Estrogen Deficiency

Question 15

Management of Anorexia

Answer 15

Hospitalization to prevent

• dehydration
• starvation
• electrolyte imbalances - hypokalemia, hypophosphatemia

Question 16

TX for Anorexia

Answer 16

Psychotherapy

SSRIs to promote weight gain, Olanzapine

Question 17

What psych disorder is ass’d with kleptomania

Answer 17

Bulimia Nervosa

Question 18

Eating disorder Not otherwise Specified

Answer 18

Anorexia with menstruation
Anorexia with normal body weight
Compensatory behavior after eating normal amounts of food

Question 19

Management of Narcolepsy

Answer 19

Forced naps
Modafinil
Others (not 1st line):
Amphetamines

Question 20

What drug is used to decrease cataplexy

Answer 20

Sodium oxybate (Xyrem)

Question 21

Which age is gender identity established

Answer 21

By age 3

Question 22

Hospice requirements

Answer 22

Prognosis of < 6 months

Focus on quality of life