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55 Cards in this Set
- Front
- Back
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Pt with anorexia Nervosa refuses m/t body weight at or above minimal weight for age and ht. wt loss leading to maintence of body wt < what % of expected?
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85%
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What might pt with anorexia Nervosa c/o and might experience?
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Intense fear of gaining weight or becoming fat, even though underweight
Disturbance in way one's body wt or shape is experienced. |
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Pt comes to clinic with autonomic hyperactivity (sweating, Pulse rate >100) Increased hand tremors, insomina and anxiety, Transient visual, tactile or auditory halucinations psychomotor agitation. what condtion would this pt have?
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Alcohol withdraw
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How is alcohol withdrawal defined?
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Cessation or reduction in intake of alcohol,
The sue of alcohol prior to change was heavy and long term |
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How is Anabolic steriods present?
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Produce sense of enhanced well-being which is replaced after repeated use by lack of energy , irritablity and other forms of dysphoria
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Pt present with full feeling in head , mild euphoria, change in perception of time, relaxation of smooth muscles, and possible increase in sexual feelings?
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Nitrite inhalants
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How does Nitrous Oxide effect the body?
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Rapid onset of intoxication lightheadness and a floating sensation that clears minutes after administration is stopped
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What are the clinical significant maladaptive behavioral or pshycological changes developing during or shortly after use of Amphetamine?
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Hypervigilance, Wt loss, N/V
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Pt with dysphoric mood and two or more of what symtpoms will lead you to Amphetamine withdrawal/
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Vivid unpleasant dreams
Insomina or hypersomina Inc. appetite Fatigue Psychomotor agitation or retradation |
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How would Caffeine intoxication be described?
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REcent comsumption--usually in excess of 250mg (more than 2-3cups of coffee)
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What clinical significant maladaptive behavioral changes develop during or shortly after use of PCP (Phencyclidine)?
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Belligerence
Assaultiveness Impulsivenss Unpredictablity Imparied judement |
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A disturbance of consciouness with reduced ability to focus , sustained or shift attention with change in cognition such as memory deficit, disorientation , language disturbance or the development of perceptual disturbance that is not better accounted by pre-existing established dementia?
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Delirium
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Impariemnt of memory that may be caused by a medical condition, substance or both?
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amnestic syndrome
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What is the Criteria for Dementia?
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Mulptile cognitive deficits that must include memory impariement and 1+ of the following
Aphasia Apraxia Agnosia Disturbance in Executive functioning |
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what is the main treatment for cognitive disorders?
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Two reasons to sue medicines or acutely:
Behavioral control( Subjective distress |
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One or more symptoms/deficits affecting voluntary motor or sensory function suggest neurological or other GMC, associated with psychological factors b/c timing in relation to conflicts or other stressorss?
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conversion disorder ( not intentionally produced or feigned)
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What is Sexual aversion disorder?
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Persistent or recurrent extreme aversion to and avidance of all genital sexual contact with a sexual partner, cause marked distress or inerpersonal difficulty
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what persistent sympotms of increased arousal (not present prior to trauma) indicated by 2 or more that leads you to PTSD?
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Diffuclty falling or staying sleep
Irritablity or outbursts of anger Difficulty concentrating Hypervigilence Exaggerated startle response |
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What is time criteria for PTSD?
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symptoms last more than 1month
effects OIL Acute <3months Chronic> 3mongs Delayed onset (>/= 6months post stressor) |
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What are some indications of PTSD?
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person experienced witnessed or was confronted with events involving actual or threatened death or serious injury or a thread to the physical integrity of self or other
person response involved intense fear helplessness or horror |
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Pt having anxiety about being in places or situations from which they cannot escape, also help may ot be availabe in event of having an unexpected or situationally predisposed Panic attack?
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Agoraphobia
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Marked or persisten fear of one or more social or performance situation, person exposed to unfamiliar people or to possible scrunity of other, exposure to the feared social situation almost always provokes anxiety. Person recognizeds the fear as excessive?
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Social phobia
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Pt eating in discrete period of time amt larger than most people, sense of lack of control over eating and recurretn compensatory behavior in order to prevent wt loss? What is the Dx and some ways pts does this?
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Bulimia nervosa
Induced vomiting, misue of lax, diuretics, enemas meds binge > 2wk/ for 3 months |
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What is Generalized Anxiety disorder?
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Excessive worry about number of evetsn or activities which occur more often not for aleast 6 months
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GAD are associated with 3 or more symptoms (must be present more often than ont for last 6months, what are they?
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Restlessness or feeling keyed up or on edge
being easily faituged, irritablity Muscle tension, and sleep problems |
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One or more of the following must be present for BPD?
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delusions
hallucinations disorganized speech Grossly disorganized or catatonic behavior at least 1 day but less than 1 month Can be due to an event that would be markedly stressful to almost anyone in similar circumstances |
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Pt with preoccupation with one or more delusions or frequent auditory hallucinations?
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Paranoid schizophrenia
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What are some criteria for Schoizophrenia affetive disorder?
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2 or more Sx, each, present ofr significant portion of time during 1 month period
Delusions Hallucninations Disorganized speech Negative symptoms (affective flattenign alogia with major depressive episode , manic episode or a mixed episode |
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What are the common signs of patient with Hallucinations?
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visual, auditory, olfacotry , tactile or gustatory
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What is a factitious disorder?
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Charac. physical or psychological symptoms that are intentionally producd or feigned in order to assume the sick role.
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What is common feature of Somatoform disorders?
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presence of physical symptoms that suggest a GMC and are not fully explained by GMC, Direct effects of a substance
another mental disorder Must effect OIL |
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Out of the the five Axis this has prominent maladaptive personality features?
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Axis II
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What axis is the overall level of functioning?
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5
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Which of the following disorders is development of emotional, behavioral symptoms and responds to an identifiable stressed that occurs within 3 months of the stresses that last for more than 6 months?
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chronic adjustment disorder
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Which disorder has pervasive distrust and suspicious of others such as motives are interrupted as bad beginning by early adulthood and present in a variety of content?
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Paranoid schizophrenia
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Which of the following PD has evasive pattern of disregard, violates of other and shows lack of remorse and relucent for safety and to plan ahead?
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antisoical disorder (wilds)
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The clinician must take into account, which of the following factors in a patient with a c/o premature ejectulation?
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Age
Experience Sexual stimulation |
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22y/o body builder report to sick call with mild facial acne and IDC notice the patient only concern was his looks, that he wants to be sick in quarters until symptoms subside. What condition would you suspect?
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body dysmorphic disorder
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What is the time frame for Major depressive episode what does it intel?
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Essential feature is period of at least 2 weeks during which there is either depressed mood or loss of interest or pleasure in nearly all activities
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PT to have cocaine intoxicaiton what two or more symptoms that develop during or shortly after use?
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Tachycardia or brady cardia
Pupillary dilation N/V Eveidence of wt loss Psychomotor agitation or retardation Muscular weakness , resp depression |
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What symptoms present for pt with cannabis (marijuana) intoxication?
Pt comes in with the following substance clincial signs and symptoms of BLAH< BLAH increase appetite? |
Conjunctival injection
INCREAESED appetite Dry mouth Tachycardia |
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What is the following disorder has immobility, purposely movement and mutism/negativism, echoalia or echopraxia?
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Catonic disorder due to GMC
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What is some characteristics of Manic epidsode?
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distinct period during which there is an abnormally and persistently elevated, expansive, or irritable mood.
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What is the time frame for manic eipsode?
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period of abnormal mood must last at least 1 wk
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What are some symptoms of alcohol intoxication after use?
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slurred speech
Incoordination Unsteady gait Nystagmus Impariment in attention or memory Stupor or coma |
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Cessation or reduction in intake of alcohol and use of alcohol prior to change was heavey and long term?
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Alcohol withdrawal
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Predominant complaint is difficutly intitating or maintining sleep, or nonrestorative sleep, for at least a month?
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Primary insomina
Doesn't occu exclusive during another sleep disorder or mental disorder Not due to substance use or a GMC |
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What is Trichotillomania?
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Recurrent pulling out of one' hair resulting in noticeable hair loss
Increasing sense of tension immediately before pulling out the hair Pleasure, gratification or relief when pulling out the hair |
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What is the treatment (ie use of medicines) norm for Cognitive disorder?
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Two reason
Behavioral control( pt is pulling out lines) Subjective distress (pronounced fear due to hallucinations (haldol) |
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What is the main treatment for Delirium?
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first goal is to identify and correct the cause of the problem
Full PEx= v/s, Hrt/lung/abd, full neuro Check list of meds taking Stop any that may be contributing to the problem--(benso, cimetidine, digitalis) |
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A false belief or wrong judgement held with conviction despite inconvertible evidence to the contrary--pt beliefs cannot be influneced?
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Delusion
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what axis would be if patient has a clinical disorder?
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I
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Pt has global assessment of functioning?
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V (5)
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What axis is GMC?
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III
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What is critieria for substance abuse?
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Maladaptive patter of substance use leading to clinically significant or distress 1+ Sx over 12 months
Effects OIL Recurrent substance related legal problems |
