Psychiatry

Question 1

what is a globus sensation

Answer 1

sensation of a lump in the throat

Question 2

how is a globus treated

Answer 2

reassurance, treat cause: stress, smoking, reflux, SALT (speech and language therapy)

Question 3

what is functional dysphagia

Answer 3

the SENSATION of difficulty swallowing

Question 4

how is functional dysphagia managed

Answer 4

reassurance, dietary adjustments, careful chewing

Question 5

what can cause pyschotic symptoms

Answer 5

mood disorders (depression, mania, bipolar), schizophrenia, drug induced, organic causes (dementia, delirium, brain tumours)

Question 6

is there ulceration of the bowel in IBS

Answer 6

no

Question 7

how many patients with IBS have a link to physical or sexual abuse

Answer 7

32-44%

Question 8

how can antidepressants help in IBS

Answer 8

can reduce stomach pain and cramping

Question 9

how many GI symptoms are medically unexplained symptoms (MUS) at GP appointments

Answer 9

20%

Question 10

how many MUS are unexplained at 12 months

Answer 10

75%

Question 11

how many MUS have an underlying psychiatric disorder

Answer 11

30%

Question 12

what is a malingering and factitious disorder

Answer 12

malingering: making up or exaggerating symptoms for external gain
factitious: making up or exaggerating symptoms in order to occupy the sick role- not for secondary gain

Question 13

what are the characteristics of anorexia nervosa

Answer 13

significant weight loss that is self induced, intrusive, overvalued idea that obesity represents failure and chaos and slimness represents success and control, morbid fear of fatness, associated with image distortion, endocrine abnormality

Question 14

what are the different types of anorexia

Answer 14

atypical (1 key feature missing), restricting, binge eating and purging

Question 15

are there endocrine abnormalities in bulimia

Answer 15

no

Question 16

name this sign: calluses on knuckles die to inducing vomiting

Answer 16

Russell’s sign

Question 17

what percentage of AN patients have additional psychiatric symptoms

Answer 17

80%

Question 18

what psychiatric morbidities are associated with AN/BN

Answer 18

depressive symptoms, personality disorders, obsessive compulsive symptoms (30% of female OCD patients have a history of AN)

Question 19

what is the aetiology of AN/BN

Answer 19

socio-cultural pressures, family disorders, personal vulnerability factors, conflicts relating to sexual maturity (abuse), biological vulnerability (twins, affected relative)

Question 20

how are eating disorders treated

Answer 20

weight gain, theraputic alliance, psychological interventions,

Question 21

what drugs could be used to treat eating disorders

Answer 21

antidepressants, antipsychotics,

Question 22

how many eating disorder patients return to normal weight and menstration

Answer 22

50%

Question 23

how many eating disorder patient will die after 20 years

Answer 23

20%

Question 24

how many eating disorder deaths are from suicide

Answer 24

50%