Patients with Somatic Complaints and Pain

Question 1

What kind of psychological distress can pain cause?

Answer 1

• depression
• anxiety

Question 2

If the pt is falsifying symptoms for secondary gain, it is called _____.

Answer 2

malingering

Question 3

What is somatic symptom disorder?

Answer 3

persistent somatic symptoms assoc with disproportionate thoughts, feelings, and behaviors related to these symptoms

Question 4

What is conversion disorder?

Answer 4

psedo-neurological symptoms that are a largely unconscious expression of the pt’s psychological distress

Question 5

What can physiologic distress do to pain?

Answer 5

make it worse

Question 6

Name 3 psychological causes of physical pain symptoms.

Answer 6

1. somatic symptom disorder
2. conversion disorder
3. factitious disorder

Question 7

Dx?

psedo-neurological symptoms that are a largely unconscious expression of the pt’s psychological distress

Answer 7

conversion disorder

Question 8

What is fictitious disorder?

Answer 8

• falsified symptoms no obvious secondary gain, just attention
• aka Munchausen syndrome

Question 9

Dx?

persistent somatic symptoms assoc with disproportionate thoughts, feelings, and behaviors related to these symptoms

Answer 9

somatic symptom disorder

Question 10

Dx?

• falsified symptoms no obvious secondary gain, just attention
• aka Munchausen syndrome

Answer 10

fictitious disorder