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In order to be classified as Anorexia, what does the weight have to be?
85% of normal
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How many menstrual cycles must be missed in order to be qualified as anorexic
3
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What are the two types of anorexia?
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What is characteristic of Anorexia Nervosa?
- intense fear of weight gain
- 85% of ideal body weight
- 3 consecutive missed menstrual cycles
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In terms of body weight what is the difference between bulimia and anorexia?
- bulimia--maintain mormal body weight
- anorexia--85% body weight
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In terms of control, who is in control anorexic or bulimic pt?
anorexic
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A binge but no purging behavior would be classified as what disorder?
NOS
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During what part of the sleep do night terrors occur?
Stage 3-4
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what are the 2 stages of sleep?
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What predominates in initiating sleep?
Serotonergic influence
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What nt mediates REM?
Ach
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What nt decreases REM?
NE
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What is the treatment for narcolepsy?
amphetamines, modafinil
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What is the treatment for hypersomnia?
amphetamines, non-amphetamines, SSRI
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Narcolepsy starts off with what stage of sleep?
REM
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What sleeping disorder is characterized by sudden onset of cataplexy and REM sleep?
Narcolepsy
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What is Obstructive Sleep Apnea?
- person stops breathing for 10 seconds repeatedly
- airway obstruction WITH respiratory effort
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What is Central Sleep Apnea?
person stops breathing for 10 minutes WITH NO respiratory effort
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What is the treatment for Sleep Apnea?
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Sleep terror and nightmare disorders both occur during what Stage of sleep?
Stage 3-4
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What is the difference between Nightmare and Night Terror?
- Pt recalls Nightmare, occurs in 2nd half of sleep
- Pt does not recall Night Terror , occurs in first third of sleep
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Does a pt recall a sleep walking event?
no
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Weight gain in women occurs untill what age? Men?
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Obesity is associated with what kinds of cancer in men?
colon, rectal, prostate
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What are two pharmacologic agents used to control obestiy?
- Orlistate--inhibits pancreatic lipase
- Sibutramine--inhibits reuptake of serotonin and NE
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What is the difference between Malingering and factitious disorder?
- Malingering is faking a disorder to get a secondary gain--money, sick day from work/school, obtaining drugs. It stops after the gain
- Factitious disorder--faking a disorder to get a primary gain e.g sick role, everyone caring for them. It doesn't stop after the gain
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Munchausen's syndrome
Chronic factitious disorder with multiple hospital admissions and willingness for invasive procedures
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Munchausen's syndrome by proxy
illness in a child is caused by caregiver to assume the sick role by proxy. Form of child abuse
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What is the somatization disorder?
- at least 4 symptoms over the years
- 2 GI
- 1 sexual
- 1 Pseudoneurologic
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What are the personality traits that are sometimes seen with Somatization disorder?
Paranoid, avoidant, obsessive-compulsive
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What is a conversion disorder?
motor or sensory symptoms followed by a stimuli. pt is aware but indifferent towards symptoms "la belle indifference"
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What is "la belle indifference"
being aware of but indifference towards symptoms
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What is hypochondriasis?
preoccupation with and fear of having a serious illness despite medical evaluation and reassurance
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What is Body dysmorphic Disorder?
preoccupation with a minor physical defect causing great emotional stress which leads to pt seeking plastic surgery
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What is pain disorder?
chronic pain with no physical findings
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What is undifferentiated Somatoform Disorder?
- -1 or more physical complaints that cannot be explained by a general medical condition that lasts at least 6 months
- -symptoms is not intentionally produced
- -symptoms cannot be explained by a mental disorder
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What is Somatoform Disorder NOS?
symptoms are vague and cannot be explained by other somatoform disorders
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Which factitious disorder is not yet a DSM disorder?
Munchausen's disorder by proxy
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What is the difference in terms of symptoms between Factitious disorder and Munchausen's disorder?
And hospital visits?
- Factitious disorder--psychological symptoms, little hospital visits
- Munchausen's symptoms--physical symtptoms, frequent hospital visits
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Which axis of the DSM deals with Psychological factors affecting medical condition?
Axis 3
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