Porter Flashcards

1
Q

What does somatic symptom disorder focus on

A

pain/symptoms

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2
Q

What must you have to diagnose somatic symptom disorder

A

1 or more of the following:

  • persistent thought/behavior
  • high anxiety
  • excessive time and energy put into symptoms
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3
Q

What is malingering

A
  • you fake an illness for secondary gain

ex) fake illness to prevent jail

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4
Q

What is illnes anxiety disorder and what can you do for them

A
  • you worry constantly about having or getting an illness

- make scheduled PCP visits

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5
Q

What is a conversion disorder

A

you cannot find medical evidence to support the symptoms

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6
Q

What should you tell a patient with a conversion disorder

A

It will get better with time

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7
Q

What do you see in factitious disorder

A

patient doesn’t have illness, but they fake/stimulate/induce illness to be in the sick role

Want attention

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8
Q

Just not giving yourself insulin when you require it is an example of

A

psychological factors effeting medical conditions

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9
Q

What is the criteria for all personality disorders

A

Manifestation of enduring pattern/inner experience in 2 or more areas:

  • Cognition
  • Affect
  • Interpersonal functioning
  • Impusle control
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10
Q

How do you determine Antisocial PD vs Conduct disorder

A

Under 18: Conduct disorder

Over 18: Antisocial PD

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11
Q

What is the treatment for Borderline Personality disorder

A

DBT

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12
Q

What do you often see in Dependent PD

A

They are prone to depression

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13
Q

What do you see in OCPD

A
  • egosyntonic
  • no obsessions
  • no compulsion
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14
Q

What do you see in OCD

A
  • egodystonic
  • obsession
  • compulsion
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15
Q

What is the maximum recommended drinks for men less than 65

A

4 per day

14 per week

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16
Q

What is the maximum recommended drinks for men greater than 65

A

3 per day

7 per week

17
Q

What is the maximum recommended drinks for women

A

3 per day

7 per week

18
Q

When do you see shakes in alcohol withdrawal

19
Q

When do you see psychosis in alcohol withdrawal

20
Q

When do you see seizures in alcohol withdrawal

21
Q

When do you see delerium tremens in alcohol withdrawal

22
Q

Positive reinforcement

A

reward acts as inital drive for repeated use

23
Q

Negative reinforcement

A

behavior makes something go away

24
Q

What is the set of acute symptoms of thiamine deficiency

A

Wernicke’s encephalopathy

  • Ataxia
  • confusion
  • opthalmoplegia
  • goes away with thiamine in 1-2 weeks
25
What is the set of chronic symptoms of thiamine deficiency
Korsakoff's syndrome - amnesia - thiamine for 3-12 months (poor prog)
26
What order do thiamine and glucose go in
Glucose depletes thiamine 1) Thiamine 2) Glucose
27
What area does wernicke-korsakoff effect
mammillary bodies
28
What is the most preventable cause of mental retardation
fetal alcohol syndrome
29
What should you give for alcohol withdrawal
benzos
30
What can you give to reduce cravings of alcohol
naltrexone
31
what does naltrexone do
decrease cravings opioid antagonist
32
What does disulfiram do
inhibits aldehyde dehydrogenase causes flu like symptoms if you drink
33
What does acamprosate do
increase GABA and complex effect on excitatory NMDA
34
What is the number one treatment for alcohol addiciton
AA meetings