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NU665 Geri psych and somatic questions and certified answers 2023/2024
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NU665 Geri psych and somatic questions and certified answers 2023/2024 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 -...

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  • December 4, 2023
  • 6
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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  • nu665 geri psych and somatic

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  • NU 665
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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

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