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30 Cards in this Set
- Front
- Back
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What is a somatoform disorder? |
1. Present with medical ssx that are not consciously created 2. Occur due to unresolved unconscious conflict |
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What are factitious disorders? |
1. Conscious feign symptoms to be in the sick role of unconscious reasons |
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What is malingering? |
1. Conscious creation of symptoms for a conscious goal |
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What are some examples of somatoform disorders? |
1. Body dysmorphic disorder 2. Conversion disorder 3. Hyopchondriasis 4. Pain disorder
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What are the psychological factitious disorders? |
1. Pseudologica fantastica 2. Impostorship |
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What are the physical factitious disorders? |
1. Munchausen 2. Munchausen by proxy |
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What does a patient believe about their symptoms in a somatoform disorder? |
1. They believe that they are real |
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What is the Id? |
1. Only cares about existing/surviving |
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What is the ego? |
1. Ego understands self and others 2. Concept of self 3. Understands timeframe 4. Interacts in world on a day to day basis |
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What is the super ego? |
1. Conscience 2. Internal policeman |
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What occurs with repression? |
1. A dramatic amount of energy is used to keep a lid on the unconscious 2. Exhausting process 3. Disruption of sleep, memory and appetite 4. Loss of libido |
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What are the MC abused substances? |
1. Alcohol 2. Cigarettes 3. Prescription medicatons/illict meth 4. Marijuana |
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When does the patient move from abuse to dependence? |
1. Tolerance and/or withdrawal symptoms |
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What is abuse? |
1. Use of substance impairs person's ability to perform daily activities 2. Use of substance occurs in places and situations that are inadvisable 3. Use of substance results in legal consequences 4. Use of substance persists in face of impairment |
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What are the 7 defense mechanisms? |
1. Denial 2. Displacement 3. Identification 4. Projection 5. Reaction formation 6. Repression 7. Sublimation |
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How do you dx alcohol abuse? |
C-- have you ever tried to Cut down on your use of alcohol A--have you ever been Annoyed by people commenting about your alcohol use? G-- Have you ever felt Guilty or worried about your use of alcohol? E-- have you ever had an Eye opener drink in the morning? |
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What are the key lab indicators of alcoholism? |
1. GGT-- elevated 2. MCV-- elevated |
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What is Wernicke encephalopathy? |
1. Caused by thiamine deficiency 2. Due to alcohol abuse and poor nutrition 3. Reversible 4. Dx=ataxia, confusion, horizontal nystagmus |
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What is Wernicke-Korsakoff syndrome? |
1. Lack of adequate nutrition due to alcohol abuse 2. Confabulation |
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What is the reversibility of Wernicke-Korsakoff syndrome? |
1. Reversible in 1/3 of patients |
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What is uncomplicated withdrawal from alcohol? |
1. Similar to caffeine 2. Tremors 12-18h after last ingestion, peak at 1-2 d 3. Returns to balance in 5-7 days |
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What is complicated withdrawal from alcohol? |
1. Seizures 2. "Rum fits" 3. 7-36 h after last ingestion 4. Hallucinations |
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What is somatization disorder 4-2-1-1? |
1. 4 different areas or systems of the body 2. 2 GI symptoms 3. 1 sexual disturbance 4. 1 eurologic disturbance |
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What is extreme alcohol withdrawal? |
1. Derlirium tremens 2. Beings 2-3 days after last drink, peaks in 4-5 days, can last for weeks 3. Can be fatal |
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What is antabuse? |
1. Inhibitor of AAD 2. Inhibits metabolism of alcohol |
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What is campral? |
1. Enhances balance in brain between glutamate and GABA 2. Can be taken even if patient relapses into alcohol use 3. Lessens severity of relapse |
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What is ReVia? |
1. Naltrexone 2. MOR antagonist 3. Reduces pleasurable effects of alcohol |
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How do you tx alcohol withdrawal? |
1. Librium 4x/d for 1 day, tapering for 4-5 d
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What is the tx of alcohol withdrawal in a patient with severe liver injury? |
1. Ativan (lorazepam) 2. Serax (oxazepam) |
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What psychiatric disorder is associated with nicotine abuse? |
1. Schizophrenia |
