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20 Cards in this Set
- Front
- Back
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181. Treatment of both anorexia and bulimia?
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a. Hospitalize for IV hydration if electrolyte disturbances are present.
b. Olanzapine in anorexia helps with weight gain c. SSRIs (especially fluoxetine) prevent relapses d. prescribed behavioral psychotherapy. |
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182. Presentation of bulimia? Case will describe...
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a. A young female in normal weight range, with frequent episodes of binge eating followed by guilt, anxiety, and self-induced vomiting, laxatives, diuretics, or enema use.
b. Food restriction is not a feature of bulimia. |
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183. Physical exam findings with bulimia?
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a. Painless parotid gland enlargement
b. dental enamel erosion's |
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184. lab findings of bulimia?
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a. Metabolic alkalosis
b. hypokalemia c. hypochloremia d. may also see metabolic acidosis caused by laxative abuse. |
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185. What is the potential serious risk seen in bulimia with excessive syrup of ipecac use?
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a. Cardiomyopathy
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186. presentation of body dysmorphic disorder? The case describes...
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a. a young woman who is preoccupied with an imagined or slight defect in appearance, causing distress and impaired ability to function in a social or occupational setting.
b. The distress is most commonly related to facial features, although any part of the body. Maybe the focus of anxiety. c. The patients are often isolated and housebound. |
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187. Treatment of body dysmorphic disorder?
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a. High doses of SSRIs are the first-line therapy
b. if the only concern is body shape and weight, anorexia nervosa is a more accurate diagnosis. c. If the only concern is sex characteristics, gender identity disorder is a more accurate diagnosis. |
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188. Impulse control disorders?
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a. These occur in people who are unable to resist impulses. The question will describe anxiety prior to the impulse that is relieved after the patient acts on the impulse.
1. Intermittent explosive disorder 2. kleptomania 3. pyromania 4. pathologic gambling |
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189. Intermittent explosive disorder?
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a. Aggression out of proportion to the stressor.
b. There may be a history of head trauma. c. If there is a history of drug intake, intermittent explosive disorder is not the diagnosis! |
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190. Treatment of choice for intermittent explosive disorder?
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a. SSRIs and mood stabilizers.
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191. Kleptomania?
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a. Person repeatedly steals items to relieve anxiety.
b. The person does not steal because she needs the object, and the individual often secretly replaces the object after stealing it. |
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192. Pyromania?
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a. Person repeatedly lights fires.
b. Pyromania is not the diagnosis if the motive is personal gain (i.e. insurance money) or to show anger, which differentiates this from conduct disorder. |
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193. Pathologic gambling?
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a. Obsession with gambling, despite consequences.
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194. Treatment of pathologic gambling?
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a. Psychotherapy (e.g. gambling anonymous).
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195. Note: individuals with impulse control disorders do not believe their actions are excessive or out of proportion (i.e., they lack insight), unlike OCD.
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195. Note: individuals with impulse control disorders do not believe their actions are excessive or out of proportion (i.e., they lack insight), unlike OCD.
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196. Definition of child abuse?
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a. Physical is the most common (look for bruises, burns, lacerations, broken bones, shaken baby syndrome- do eye examine)
b. neglect c. sexual exploitation (STDs) d. mental cruelty |
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197. adult maltreatment/elder abuse?
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a. Neglect is the most common (50% of all reported cases)
b. physical c. psychological d. financial |
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198. definition of spousal abuse?
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a. Physical is the most common- is the number one cause of injury to American women.
b. Psychological c. financial |
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199. physicians role in child abuse?
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a. Mandatory reporting up to age 18.
b. You must report all suspected cases c. Protect the child (separate from parents) consider hospital admission. |
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200. Physician's role in Adult maltreatment/elder abuse?
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a. You must report all suspected cases
b. protect patient from abuser and consider admission to hospital. |
