Psychiatry

Question 1

What is globus sensation

Answer 1

Sensation of a lump in the throat, incidence peaks middle age

Question 2

Management of globus

Answer 2

Referral to speech and language therapy (SALT)

Treat stress if any

Question 3

What is functional dysphagia

Answer 3

Sensation of solid or liquid food sticking on the way down

Question 4

How many percentage of patients with IBS have an underlying psychiatric disorder

Answer 4

30 % (10-80%) have an underlying sychiatric disorder

Question 5

What is Russel’s sign

Answer 5

A signdefined as calluses on the knuckles or back of the hand due to repeated self-induced vomiting over long periods of time. Arises from knucles making contact with incisors during the gag reflex.

Question 6

Levels of what are elevated in anorexia nervosa

Answer 6

Elevated cortisol, cholesterol and growth hormone

Question 7

What is bulimia nervosa

Answer 7

Eating disorder characterized by binge eating followed by purging. 30% have past history of anorexia nervosa

Question 8

Classic feature of bulimia nervosa

Answer 8

Eroded teeth due to constant contact with vomit

Question 9

Female OCD patients and anorexia nervosum

Answer 9

Female OCD patients have a 30% history of AN

Question 10

Cause of anorexia and bulimia nervosa

Answer 10

Socio-cultural pressures
Family dysfunction
Personal vulnerability factors
Conflicts relating to sexual maturity
Biological vulnerability

Question 11

Antipsychotics in anorexia/bulima nervosum

Answer 11

No impact, use anti-depressants instead to prevent relapse after weight gain