Kaplan and Sadock's study guide ch 27
psychosomatic medicine and
consultation-liaison psychiatry
27.1 all of the following are cardiovascular effects of tricyclic antidepressants in pts w/ heart disease
except
a. tachycardia
b. bradycardia
c. arrhythmia's
d. hypotension
e. heart block - Answer: b. bradycardia
27.2 true statements about research in psychocardiology include
a. the most consistent psychological correlates of hypertension are inhibited anger expression and
excessive anger expression
b. stress leads to excess secretion of epinephrine, which increases cardiac contractility and conduction
velocity
c. cardiac surgery pts at greatest risk for complications are depressed and in denial about their anxiety
d. mental stress leads to diminished cardiac perfusion
e. all of the above - Answer: e. all of the above
27.3 antidepressants should be used cautiously in cardiac patients b/c of increased risk of which of the
following?
a. conduction side effects
b. hypertension
c. noncompliance
d. suicide
e. all of the above - Answer: a. conduction side effects
, 27.4 phantom limb occurs after leg amputation in what percentage of pts?
a. 10
b. 50
c. 80
d. 90
e. 98 - Answer: e. 98%
27.5 which of the following is not a physiological response of the GI system to acute stress?
a. increased resting tone of the upper esophageal sphincter
b. decreased contraction amplitude in the distal esophagus
c. decreased antral motor activity in the stomach
d. reduced migrating motor function in the small intestine
e. increased myoelectrical motility in the large intestine - Answer: b. decreased contraction amplitude in
the distal esophagus
27.6 the most frequent functional gi disorder is
a globus
b IBS
c. functional abdominal bloating
d functional heartburn
e. functional chest pain - Answer: d functional heartburn
27.7 which of the following is not a sign of overt hypothyroidism?
a. normal thyroid hormone concentration
b. pts are symptomatic
c. tsh is elevated
d. low thyroid hormone concentations
e. none of the above - Answer: a. normal thyroid hormone concentration
psychosomatic medicine and
consultation-liaison psychiatry
27.1 all of the following are cardiovascular effects of tricyclic antidepressants in pts w/ heart disease
except
a. tachycardia
b. bradycardia
c. arrhythmia's
d. hypotension
e. heart block - Answer: b. bradycardia
27.2 true statements about research in psychocardiology include
a. the most consistent psychological correlates of hypertension are inhibited anger expression and
excessive anger expression
b. stress leads to excess secretion of epinephrine, which increases cardiac contractility and conduction
velocity
c. cardiac surgery pts at greatest risk for complications are depressed and in denial about their anxiety
d. mental stress leads to diminished cardiac perfusion
e. all of the above - Answer: e. all of the above
27.3 antidepressants should be used cautiously in cardiac patients b/c of increased risk of which of the
following?
a. conduction side effects
b. hypertension
c. noncompliance
d. suicide
e. all of the above - Answer: a. conduction side effects
, 27.4 phantom limb occurs after leg amputation in what percentage of pts?
a. 10
b. 50
c. 80
d. 90
e. 98 - Answer: e. 98%
27.5 which of the following is not a physiological response of the GI system to acute stress?
a. increased resting tone of the upper esophageal sphincter
b. decreased contraction amplitude in the distal esophagus
c. decreased antral motor activity in the stomach
d. reduced migrating motor function in the small intestine
e. increased myoelectrical motility in the large intestine - Answer: b. decreased contraction amplitude in
the distal esophagus
27.6 the most frequent functional gi disorder is
a globus
b IBS
c. functional abdominal bloating
d functional heartburn
e. functional chest pain - Answer: d functional heartburn
27.7 which of the following is not a sign of overt hypothyroidism?
a. normal thyroid hormone concentration
b. pts are symptomatic
c. tsh is elevated
d. low thyroid hormone concentations
e. none of the above - Answer: a. normal thyroid hormone concentration
