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Flashcards in Psych 2 Deck (15)
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1

What are the diagnostic features of bulimia nervosa

binges
compensatory weight loss behaviours - restriciting, laxatives, vomiting, exercise
overvalued idea = dread of fatness, wanting to be certain weight
BMI maintained above 17.5

2

What is the cause of amenorrhoea in anorexia nervosa

imblance between intake and output causes imbalanc in hypothalmic regulation
decreases GnRH, LH and FSH

3

What medication can be used in bulimia

high dose fluoxetine

4

What is the management of bulimia

self help CBT first line
individual CBT-ED if no improvement
family therapy if under 18

5

What are the features of anorexia nervosa

deliberate and induced weight loss (BMI <17.5)
extreme fear of becoming fat
deliberate dietary restriction +- weight loss behaviours eg laxatives, exercise, vomiting
body image distortion

6

What are the physiological effects of starvation and how does this perpetuate anorexia

delayed gastric emptying - not wanting to eat because feel full
reduced leptin, increased restlessness - urge to be active
preoccupation with thoughts of eating and food - increased control of food
increased rigidity and obsessional thoughts - rigid rules and ritualised eating

7

What are the physiological features of anorexia?

hypokalaemia
low FSH, LH, oestrogens and testosterone
raised cortisol and growth hormone
impaired glucose tolerance
hypercholesterolaemia
hypercarotinaemia
low T3
osteopenia
bradycardia
hypotension
enlarged salivary glands

8

What is the treatment of anorexia nervosa

- individual eating-disorder-focused cognitive behavioural therapy (CBT-ED)
- Maudsley Anorexia Nervosa Treatment for Adults (MANTRA)
- specialist supportive clinical management (SSCM).

In children and young people,'anorexia focused family therapy' as the first-line treatment. The second-line treatment is cognitive behavioural therapy.

9

What is diagnostic overshadowing

once a diagnosis is made of a major condition there is a tendency to attribute all other problems to that diagnosis, thereby leaving other co-existing conditions undiagnosed

10

What is a behavioural phenotype

set of behaviours that are characteristic of a diagnosis

11

What are the features of Down's syndrome

face: protruding tongue, small ears, round/flat face
flat occiput
single palmar crease, pronounced 'sandal gap' between big and first toe
hypotonia
congenital heart defects (40-50%, see below)
duodenal atresia
Hirschsprung's disease - congenital disorder of the colon. ganglion cells are absent, causing chronic constipation.

12

What is Fragile X syndrome

genetic abnormality resulting in problem with synapse development

severe in boys, mild in females (presence of one normal X)

13

What are the features of Fragile X syndrome

learning difficulties
large low set ears, long thin face, high arched palate
macroorchidism
hypotonia
autism is more common
mitral valve prolapse

14

What are the diagnostic features of autism

pervasive developmentalq disorder

1. abnormal or impaired development
2. manifests before age 3
3. abnormal social interaction, communication and restricted, repetitive behaviour

15

What are the side effects of ECT

headache
confusion
disorientation
nausea