Family Medicine Rotation: Psychiatry/Behavioral Medicine (Smarty PANCE) Exam Questions and Answers 100% Correct | Graded A

Family Medicine Rotation: Psychiatry/Behavioral Medicine (Smarty PANCE) Exam Questions and Answers 100% Correct | Graded A What condition do you suspect in a patient who has episodes of mass eating followed by self-induced vomiting or intense exercise? Bulimia What is the key difference between binge eating and bulimia nervosa? There is no weight loss effort in the binge eater Which of the eating disorders is often associated with erosion of the tooth enamel? Bulimia due to the frequent self-induced vomiting What condition do you suspect in a patient who refuses to eat due to fear of being overweight? Anorexia nervosa Which of the three eating disorders has the highest suicide rate? Anorexia nervosa Of the three eating disorders, which one is commonly treated with SSRIs? Bulimia Which eating disorder is commonly associated with mitral valve prolapse, pericardial effusion, and myocardial atrophy? Anorexia nervosa Episodes of eating large amounts of food for at least 2 days a week for 6 months in an overweight patient? Binge eating disorder What is generalized anxiety disorder (GAD)? Excessive anxiety and worry about a number of activities or events that is present more days than not for ≥ 6 months DSM-5 criteria for GAD? 1. Severe anxiety/worry about MANY topics, events, tasks that occur MOST days > 6 months 2. At least 3 symptoms: ● Muscle tension ● Fatigability ● Concentration difficulty ● Restlessness ● Irritability ● Sleep disturbances Mnemonic to remember the symptoms of of GAD? Mnemonic: Macbeth Frets Constantly Regarding Illicit Sins ● Muscle tension ● Fatigability ● Concentration difficulty ● Restlessness ● Irritability ● Sleep disturbances Norepinephrine is _________ in patients with generalized anxiety disorder? Norepinephrine is increased in patients with generalized anxiety disorder. GABA and serotonin levels are ___________ in patients with generalized anxiety disorder. GABA and serotonin levels are decreased in patients with generalized anxiety disorder. What is the psychotherapy of choice for patients with generalized anxiety disorder? Cognitive behavioral therapy is the psychotherapy of choice for patients with generalized anxiety disorder. First line medication for the treatment of GAD? Selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) are the first-line drug classes for generalized anxiety disorder. Second line medications for the treatment of GAD? Buspirone and Tricyclic antidepressants are second-line medications for generalized anxiety disorder This class of medications in small to moderate doses may also be effective, although sustained use may lead to physical dependence Benzodiazepines (anxiolytics) in small to moderate doses may also be effective, although sustained use may lead to physical dependence. Describe panic disorder? Panic disorder is occurrence of repeated panic attacks typically accompanied by fears about future attacks or changes in behavior to avoid situations that might predispose to attacks DSM V criteria for panic disorder? 1. > 1 panic attack that reoccurs w/o warning and >4 symptoms 2. At least a month or more of worry or avoidant behavior In order to be classified as panic disorder patients need to experience the abrupt onset of at least four of 13 symptoms. What are they? Patients need to experience the abrupt onset of at least four of the following 13 symptoms: ● pounding heart or fast heart rate ● chest pain or discomfort ● sweating ● trembling ● shortness of breath ● nausea ● dizziness ● chills ● numbness ● feelings of choking ● feelings of being detached from oneself ● fear of losing control ● fear of dying To diagnose panic disorder, how long must symptoms be present?