NU665 Geri psych and somatic
conversion d/o symptom types – Answers
1. weakness/paralysis
2. abnormal movement-tremor, gait
3. swallowing
4. speech I.e. slur
5. attack/seizures
6. sensory loss I.e. vision, hearing
Define la belle indifference - Answers a French term descriptive of the lack of concern for their
(imagined) medical problem sometimes shown by people with conversion disorders
secondary gain - Answers reward value of having a psychological or physical symptom, such as release
from ordinary responsibilities
I.e. malingering in factitious d/o
examples of psychological behaviors affecting other medical conditions - Answers 1. distress
2. coping styles
3. maladaptive health behaviors I.e denial or poor adherence
ex: anxiety exacerbating asthma, denial of need of treatment for acute chest pain, manipulating insulin
by person w DM who wants to lose weight
treatment for fibromyalgia - Answers Effexor SNRI
TCA second line
Two types of anorexia nervosa - Answers restricting type and binge-eating/purging type
, assessment finding of anorexia nervosa - Answers 1. bradycardia, hypotension, amenorrhea, ECG
changes, hypothermia, dry skin
labs in anorexia nervosa - Answers 1. leukopenia/anemia
2. low mag/high BUN 2/2 dehydration, hypokalemia (if purging)
3. prolonged qtc
period of eating to meet criteria for bulimia nervosa - Answers 2 hrs eating more than normal food w/
lack of self control
bulimia nervosa binge eating/compensatory behavior occurs how often per DMS5 criteria? - Answers at
least once a week for 3 months
severity is measured by frequency of behaviors per week
BMI for anorexia nervosa
BMI for bulimia nervosa - Answers <18.5
>18.5
bulimia nervosa lab abnormalities - Answers 1. hypokalemia, hyponatremia, hypochloremia
2. metabolic alkalosis
3. elevated serum amylase 2/2 increased salivary enzyme --> pancreatitis common
3. metabolic akalosis
FDA approved med for binge eating d/o - Answers Vyvanse but try SSRIs first
___ are enlarged on exam in bulimia nervosa patients - Answers parotid glands
ED with highest treatment success rates - Answers binge eating disorder
conversion d/o symptom types – Answers
1. weakness/paralysis
2. abnormal movement-tremor, gait
3. swallowing
4. speech I.e. slur
5. attack/seizures
6. sensory loss I.e. vision, hearing
Define la belle indifference - Answers a French term descriptive of the lack of concern for their
(imagined) medical problem sometimes shown by people with conversion disorders
secondary gain - Answers reward value of having a psychological or physical symptom, such as release
from ordinary responsibilities
I.e. malingering in factitious d/o
examples of psychological behaviors affecting other medical conditions - Answers 1. distress
2. coping styles
3. maladaptive health behaviors I.e denial or poor adherence
ex: anxiety exacerbating asthma, denial of need of treatment for acute chest pain, manipulating insulin
by person w DM who wants to lose weight
treatment for fibromyalgia - Answers Effexor SNRI
TCA second line
Two types of anorexia nervosa - Answers restricting type and binge-eating/purging type
, assessment finding of anorexia nervosa - Answers 1. bradycardia, hypotension, amenorrhea, ECG
changes, hypothermia, dry skin
labs in anorexia nervosa - Answers 1. leukopenia/anemia
2. low mag/high BUN 2/2 dehydration, hypokalemia (if purging)
3. prolonged qtc
period of eating to meet criteria for bulimia nervosa - Answers 2 hrs eating more than normal food w/
lack of self control
bulimia nervosa binge eating/compensatory behavior occurs how often per DMS5 criteria? - Answers at
least once a week for 3 months
severity is measured by frequency of behaviors per week
BMI for anorexia nervosa
BMI for bulimia nervosa - Answers <18.5
>18.5
bulimia nervosa lab abnormalities - Answers 1. hypokalemia, hyponatremia, hypochloremia
2. metabolic alkalosis
3. elevated serum amylase 2/2 increased salivary enzyme --> pancreatitis common
3. metabolic akalosis
FDA approved med for binge eating d/o - Answers Vyvanse but try SSRIs first
___ are enlarged on exam in bulimia nervosa patients - Answers parotid glands
ED with highest treatment success rates - Answers binge eating disorder
