Disorders 1
__________ is a disorder defined by intense fear of gaining weight and a low BMI. The patient believes they are overweight despite being severely underweight.
Anorexia nervosa.
The term for a cycle of binge eating followed by inappropriate compensatory behaviors (e.g., purging, laxatives, excessive exercise) is __________________.
Bulimia Nervosa
The patient is on a benzodiazepine. What will happen if the patient stops this medication abruptly?
Seizures.
The withdrawal of this drug can result in delirium tremens, seizures and more. What am I?
Alcohol
The patient starts giving away all their belongings. What are we worried may happen to them?
They may commit suicide.
In obsessive-compulsive disorder (OCD), __________________ are repetitive behaviors performed to reduce anxiety caused by intrusive thoughts.
Compulsions
Name three negative symptoms of schizophrenia.
Depression, anhedonia, avolition, asociality, alogia, emotional flattening, etc...
Name one food that the patient should not eat when they are taking phenelzine?
Any fermented foods, such as cheese, alcohol, wine, beer, bread, pickled foods or chocolate.
The patient has been taking alcohol and the patient gets pregnant. If the patient does not quit drinking, what is the baby at risk for?
Fetal alcohol syndrome.
What kind of drug is heroin?
A downer (depressant) and opiate.
The patient with PTSD would most benefit from a specific type of therapy which involves looking at flashing lights or crossing the arms and touching themselves in opposite directions. What is this type of therapy?
EMDR
Name a physical sign of bulimia nervosa.
Scarring on the knuckles, dental erosion. Periods of time secretively in the bathroom. Hoarding food and hiding eating.
Explain the difference between typical (first-generation) and atypical (second-generation) antipsychotics.
Typical antipsychotics have more side effects but are more effective.
Atypical antipsychotics have less side effects, but are less effective.
The patient has overdosed on an unknown medication and it has resulted in a heart attack. What could they have possibly overdosed on?
Cocaine or amphetamines.
My patient has : Frantic efforts to avoid abandonment; unstable relationships; self-harm. What disorder do they likely have?
Borderline personality disorder.
The patient with anorexia nervosa very frequently has this type of trauma.
Sexual trauma.
A patient believes they are very sick, even though there is no evidence of the above. The patient then is caught making themselves sick. What disorder does this patient have?
Munchausens syndrome.
Name the extrapyramidal side effect which results in the patient having difficulty to stop moving their body.
Akathisia
The patient who is abusing inhalants (huffing) is at high risk for what? (Pick one)
Stroke, heart attack and sudden death.
My patient has Disregard for others' rights; repeated rule-breaking, lack of remorse. What disorder do they likely have?
Antisocial personality disorder.
The patient is rigid and inflexible about their beliefs and they believe that everyone should wash their hands 20 times after going to the bathroom. There is no anxiety. What does the patient have?
Obsessive Compulsive Personality Disorder.
The patient has contamination based OCD. Why are they washing their hands?
To relieve anxiety brought on by their obsessive intrusive thoughts.
The patient has been prescribed lithium. Name two side effects of lithium toxicity.
Tremors, nausea, vomiting, diarrhea, confusion, shaking, seizures.
What is the name of an opioid agonist used for maintenance therapy in opioid use disorder
Methadone
The patient has started electroconvulsant therapy. What is one medication that they may benefit from during this therapy?
Antiemetic (ondansetron, promethiazine, etc...)
Muscle Relaxant: Succicholinate
Something to stop salivation: Atropine or something else