CMN 574 Unit 3 Exam Questions And Correct Answers
ADD/ADHD
3 types:
1: Primarily inattentive
2. Primarily hyperactive/impulsive
3. Combined
Executive Function Deficit with ADD/ADHD
(1) switching between different mindsets or strategies (ie, flexibility)
(2) organization (eg, anticipating both needs and problems)
(3) planning (eg, goal setting)
(4) working memory (ie, receiving, storing, then retrieving information within short-term
memory)
(5) disengaging feeling from thinking (ie, separating one's emotions from one's
reasoning)
(6) suppressing and modulating verbal and motoric activity (eg, tendency to jump to
conclusions preemptively, difficulty waiting in line appropriately).
Medications interacting with ADHD meds
Anticonvulsants
Antihypertensives
Caffeine containing drugs
Pseudoephedrine
Ephedra
MAOIs
,meds metabolized by cytochrome P450 CYP 2D6
Work up for ADD/ADHD
LFT
CBC
periodic drug screen if abuse is suspected
Anorexia Nervosa - adult dx
BW <15% below expected
Disturbance of body image & intense fear of becoming fat
In females- absence of 3 consecutive menstrual cycles
2 types:
1) Restricting calories
2) binge eating/purging
*can have combination
Labs:
thyroid
electrolytes
LFTs
cholesteral
UA
EKG
bone density
Osteoporesis common s/e in females with amenorrhea
, Anorexia Nervosa Signs & Symptoms
Hypothyroid - brittle nails, thinnig hair, dry skin
Low body temp
Bradycardia (supine)
Orthostasis
Hypotension 2nd to impaired cardiac function
prolonged QTc syndrome
at risk for cardiac arrhytmias
impaired peripheral circulation
Lanugo (sign of starvation)
Unable to take in normal amount of food in GI tract-early satiety, bloating, delayed
gastric emptying, constipation
Bulimia Nervosa
Eating disorder characterized by bingeing and purging
Labs:
LFT
Amylase (chronic parotid stimulation)
BMP - electrolytes
Patients may utilize other methods:
utilizing medications
diuretics
diet pills
cathartics
ADD/ADHD
3 types:
1: Primarily inattentive
2. Primarily hyperactive/impulsive
3. Combined
Executive Function Deficit with ADD/ADHD
(1) switching between different mindsets or strategies (ie, flexibility)
(2) organization (eg, anticipating both needs and problems)
(3) planning (eg, goal setting)
(4) working memory (ie, receiving, storing, then retrieving information within short-term
memory)
(5) disengaging feeling from thinking (ie, separating one's emotions from one's
reasoning)
(6) suppressing and modulating verbal and motoric activity (eg, tendency to jump to
conclusions preemptively, difficulty waiting in line appropriately).
Medications interacting with ADHD meds
Anticonvulsants
Antihypertensives
Caffeine containing drugs
Pseudoephedrine
Ephedra
MAOIs
,meds metabolized by cytochrome P450 CYP 2D6
Work up for ADD/ADHD
LFT
CBC
periodic drug screen if abuse is suspected
Anorexia Nervosa - adult dx
BW <15% below expected
Disturbance of body image & intense fear of becoming fat
In females- absence of 3 consecutive menstrual cycles
2 types:
1) Restricting calories
2) binge eating/purging
*can have combination
Labs:
thyroid
electrolytes
LFTs
cholesteral
UA
EKG
bone density
Osteoporesis common s/e in females with amenorrhea
, Anorexia Nervosa Signs & Symptoms
Hypothyroid - brittle nails, thinnig hair, dry skin
Low body temp
Bradycardia (supine)
Orthostasis
Hypotension 2nd to impaired cardiac function
prolonged QTc syndrome
at risk for cardiac arrhytmias
impaired peripheral circulation
Lanugo (sign of starvation)
Unable to take in normal amount of food in GI tract-early satiety, bloating, delayed
gastric emptying, constipation
Bulimia Nervosa
Eating disorder characterized by bingeing and purging
Labs:
LFT
Amylase (chronic parotid stimulation)
BMP - electrolytes
Patients may utilize other methods:
utilizing medications
diuretics
diet pills
cathartics
