Psychology Flashcards
A patient with an amnestic syndrome is approached by a team of physicians, residents, and students. The resident, who has never met the patient, says, “Hello Mr. Smith, do you remember me?” The patient responds with a story about the 2 of them meeting in the hospital cafeteria the day before.
What is this syndrome called?
Confabulation
(or filling in) of perceived memory gaps by amnesia patients is common and is an attempt to disguise the memory loss.
A 35-year-old man with a history of schizophrenia presents with a 3-day history of stiffness, slowed walk, and depression. He was recently started on a new medication for his schizophrenia. He denies the use of alcohol, tobacco, and illicit drugs, such as MPTP (designer meperidine analog). He is married and works as a musician. His family history is remarkable for a grandfather with Parkinson’s disease. He remarks that his symptoms of slowed walk and stiffness remind him of his grandfather’s symptoms. He has no allergies. He takes medication for schizophrenia, but he cannot remember the name. The physical exam is remarkable for marked rigidity in all extremities; his affect is blunted, and his mood is depressed. What medication most likely caused these symptoms?
Haloperadol or antiametic drugs that block dopamine
A 19-year-old woman presents to your office for her yearly physical exam. She states she has not had a menstrual cycle in the past 4 months, and she is concerned about gaining 2 pounds over the past 3 months. Urine pregnancy test result is negative. Vital signs reveal an HR of 52 bpm, RR of 17 breaths/minute, BP of 96/72 mm Hg, SpO2 of 99% on room air, T of 98.7°F, and BMI of 16.3 kg/m2. Physical exam reveals pale skin, thin hair, and calluses on her knuckles. What is the most likely diagnosis?
What lab results would be the most consistent with the diagnosis?
Anorexia Nervosa
Leukopenia
During the weight-gaining phase of treatment, why must feeding be slowly initiated in patients who have had anorexia nervosa for over 5 years?
To avoid refeeding syndrome, or deadly changes in electrolyte levels, from feeding too quickly
A 43-year-old man presents to establish care after moving to the area. His medical history is significant for nerve damage from a major burn wound after a workplace accident 4 years ago. He reports trouble sleeping due to nightmares and unwanted memories about his accident. Vital signs reveal an HR of 72 bpm, RR of 19 breaths/minute, BP of 126/85 mm Hg, SpO2 of 98% on room air, T of 98.7°F, and BMI of 21.6 kg/m2. Physical exam and laboratory results are within normal limits. What is the most likely diagnosis?
PTSD
