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Flashcards

Anxiety Disorders

Deleted user User has deleted their subject information English 34 cards

Cards in this deck (34)

  1. 177. A patient presents to your office with a complaint of intense fear of going to social functions at her child’s school. On further examination you note that she has fears that she will act in a way that will be humiliating or embarrassing. She is also made anxious by having to meet new people that she does not know. Your differential diagnosis of this patient should include which one of the following Axis II disorders? A. Borderline personality disorder B. Obsessive–compulsive personality disorder C. Narcissistic personality disorder D. Avoidant personality disorder E. Dependent personality disorderD. Avoidant personality disorder
  2. 2119. Which one of the following conditions has the highest prevalence? A. Depressive disorders B. Anxiety disorders C. Schizophrenia D. Dementia E. Substance abuseB. Anxiety disorders
  3. 3A young woman presents to the emergency room with complaints of palpitations, sweating, shortness of breath, chest pain, and nausea. She thinks that she is having a heart attack. Electrocardiogram (ECG) reveals normal sinus rhythm with no ischemic changes. Cardiac enzymes are not elevated. Given her symptoms, an alternative diagnosis would be: A. Manic episode B. Myxedema madness C. Mad Hatter syndrome D. Psychotic disorder not otherwise specified (NOS) E. Panic attackE. Panic attack
  4. 4A patient describes feeling anxious about being in places or situations from which escape may be difficult or in which help may not be available should the patient begin to panic. The patient avoids various situations because of these fears. The term that best describes this patient’s symptoms is: A. Agonothete B. Agoniada C. Agoraphobia D. Agora E. AgouaraC. Agoraphobia
  5. 5A construction worker is brought to the emergency room immediately after an accident on a job site. He was standing very near a three-story scaffold that fell and missed crushing him by inches. He reports feeling anxiety, a sense of numbing, detachment, and difficulty remembering the accident and states that he feels like he is in a daze. The most likely diagnosis is: A. Generalized anxiety disorder B. Major depression C. Delirium D. Dissociative amnesia E. Acute stress disorderE. Acute stress disorder
  6. 6What is the difference between posttraumatic stress disorder and acute stress disorder? A. The nature of the trauma B. The symptoms that follow the trauma C. The impairment resulting from the symptoms D. The duration of the symptoms E. The age of the patientD. The duration of the symptoms
  7. 7A physician examines a female patient in the emergency room who has recently been diagnosed with a social phobia. Which one of the following answer choices would most likely be the greatest fear for this patient? A. Having to take responsibility for planning a dinner with her husband B. Being in a relationship with a new boyfriend C. Going to a state fair and being around thousands of people D. Being scrutinized by others E. Competing for a new position that just opened up in her companyD. Being scrutinized by others
  8. 8Which one of the following medical conditions should not be considered when evaluating patients with anxiety disorders? A. Carcinoid syndrome B. Hyperventilation syndrome C. Hypoglycemia D. Hyperthyroidism E. Central serous chorioretinopathyE. Central serous chorioretinopathy
  9. 9What is the most important step in treating separation-anxiety disorder in an 11-year-old? A. Give methylphenidate B. Give risperidone C. Rapidly send the child back to school D. Thorough psychoanalysis of the mother E. High-dose benzodiazepine treatmentC. Rapidly send the child back to school
  10. 10A patient comes to you 3weeks after witnessing a child hit by a car. Since then she has been having feelings of detachment and feels “in a daze.” She has recurrent thoughts and dreams about the event. She describes depersonalization. She has avoided discussing the event with friends and family and her sleep has been poor. What is the most appropriate diagnosis? A. Posttraumatic stress disorder B. Major depressive disorder C. Acute stress disorder D. Panic disorder E. Primary insomniaC. Acute stress disorder
  11. 11Which of the following anxiety disorders has equal rates in both males and females? A. Panic disorder B. Generalized anxiety disorder C. Social phobia D. Obsessive–compulsive disorder E. Specific phobiaD. Obsessive–compulsive disorder
  12. 12Which of the following is the most significant risk factor for posttraumatic stress disorder and the best predictor of symptom development following exposure to trauma? A. A family history of anxiety or depression B. The availability of psychiatric care immediately following the trauma C. Low socioeconomic status D. Being single, divorced, or widowed E. The nature, severity, and duration of exposure to the traumaE. The nature, severity, and duration of exposure to the trauma
  13. 13Which of the following anxiety disorders is most common? A. Panic disorder B. Obsessive–compulsive disorder C. Posttraumatic stress disorder D. Specific phobia E. Generalized anxiety disorderD. Specific phobia
  14. 14Which one of the following is an appropriate Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM 5), specifier used for substance-induced anxiety disorder? A. With generalized anxiety B. With panic attacks C. With obsessive–compulsive symptoms D. With onset during withdrawal E. With delayed onsetD. With onset during withdrawal
  15. 15A 25-year-old female comes to the psychiatrist complaining of irritability, poor concentration, and poor sleep. Which one of the following should not be included in the differential diagnosis? A. Generalized anxiety disorder B. Major depressive disorder C. Premenstrual dysphoric disorder D. Posttraumatic stress disorder E. Social anxiety disorderD. Posttraumatic stress disorder
  16. 16A patient with severe panic disorder comes to you for help. Which of the following is the most effective treatment you can offer her? A. Psychodynamic psychotherapy B. An SSRI C. Cognitive behavioral therapy D. A TCA E. Cognitive behavioral therapy plus an SSRIE. Cognitive behavioral therapy plus an SSRI
  17. 17Which of the following is not a common comorbidity associated with social phobia? A. Drug abuse B. Conversion disorder C. Alcohol abuse D. Other anxiety disorders E. Major depressive disorderB. Conversion disorder
  18. 18You start a patient in your practice on an SSRI for treatment of panic disorder. Which of the following medications can you add that will be effective, is FDA-approved for panic disorder, and will lead to a more rapid response? A. Buspirone B. Gabapentin C. Propranolol D. Topiramate E. ClonazepamE. Clonazepam
  19. 19A patient has a panic attack and then worries significantly about having more attacks. How long must the patient worry to meet DSM criteria for panic disorder? A. 1 week B. 2 weeks C. 1 month D. 3 months E. 6 monthsC. 1 month
  20. 20How long must a 42-year-old man have excessive anxiety to meet DSM 5 criteria for generalized anxiety disorder? A. 6 weeks B. 2 weeks C. 6 months D. 2 months E. 5 daysC. 6 months
  21. 21Giving a patient cognitive behavioral therapy (CBT) plus an SSRI for social anxiety disorder will most likely result in which of the following? A. Better results than an SSRI alone B. Better results than CBT alone C. Poor results for refractory cases D. No initial benefit over monotherapy with either an SSRI or CBT in most cases E. Poorer response than psychodynamic psychotherapy aloneD. No initial benefit over monotherapy with either an SSRI or CBT in most cases
  22. 22Which of the following could be expected for a patient with social phobia compared to the general population? A. Increased number of friendships B. Higher level of education C. Lower rates of suicide D. Poorer marital function E. Increased success in career advancementD. Poorer marital function
  23. 23Vignette Ten Lisa is a 22-year-old barista at a local coffee shop who comes to your office seeking help after feeling that she did not get any better with her primary care physician. She gives a long history of anxiety around other people dating back to childhood. At one point, while in high school, her mother pressured her to become a camp counselor to “overcome shyness.” Lisa was able to force herself to do it for a few weeks but then became overwhelmed by the anxiety and quit. She also went through a period of time during her school years when she wouldn’t use public restrooms or would use them only if they were completely empty. She got into trouble for leaving class to go to the restroom all of the time. When the restroom was empty during classes she felt the most comfortable using it. Now she reports being very anxious at work and at parties. She snuck out of the holiday party for her job because she was so uncomfortable. She worries that other people are judging her and won’t like her. She says that she feels stupid interacting with others, especially at work. She had quit a pVignette Ten questions /Answers - next 10 questions
  24. 241. Which of the following should be included in Lisa’s differential diagnosis? (Choose three of four) A. Panic disorder B. Schizoaffective disorder C. Social phobia D. Generalized anxiety disorderA. Panic disorder
    C. Social phobia
    D. Generalized anxiety disorder
  25. 252. Given Lisa’s medication history, which other medications may be worth trying? (Choose three of four) A. Paroxetine B. Clonazepam C. Citalopram D. BupropionA. Paroxetine
    B. Clonazepam
    C. Citalopram
  26. 263. Which of the following has the best evidence to support its use for Lisa’s condition? A. Cognitive behavioral therapy B. Supportive psychotherapy C. Motivational interviewing D. Psychodynamic psychotherapyA. Cognitive behavioral therapy
  27. 274. Lisa is most likely to be misdiagnosed with which of the following? (Choose two of four) A. Schizoid personality disorder B. Avoidant personality disorder C. Schizotypal personality disorder D. Dependent personality disorderA. Schizoid personality disorder
    B. Avoidant personality disorder
  28. 285. Which diagnosis best explains Lisa’s avoidance of public restrooms during her school years? A. Specific phobia B. Panic disorder C. Social phobia D. AgoraphobiaC. Social phobia
  29. 296. The performance-only subtype of social phobia is most successfully treated by which one of the following? A. Benztropine B. Olanzapine C. Propranolol D. LorazepamC. Propranolol
  30. 307. The major concern of patients with social phobia is which one of the following? A. Avoidance of relationships B. The need for someone to be with them in stressful situations C. Fear of rejection D. Fear of embarrassmentD. Fear of embarrassment
  31. 318. How long does Lisa need to have symptoms to meet DSM criteria for social phobia? A. 2 weeks B. 2 months C. 6 weeks D. 6 monthsD. 6 months
  32. 329. Which of the following are common side effects of Lisa’s condition? (Choose three of four) A. Blushing B. Dry mouth C. Sweating D. Fear of dyingA. Blushing
    B. Dry mouth
    C. Sweating
  33. 3310. As many as one-third of patients with Lisa’s condition also meet criteria for which one of the following disorders? A. Major depressive disorder B. Agoraphobia C. Cocaine abuse D. Body dysmorphic disorderA. Major depressive disorder
  34. 34Video Vignette 6 - couldn't find in the textbook.End of Anxiety Disorders
    Flashcards

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Description
Test I: 77, 119 Test II: 57, 69 Test III: 15, 31 Test IV: 15, 31, 111 Test V: 95, 110, 137 Test VI: 17, 39, 95, 107, 108, 109, 132, 133, 135, 145 Vignette 10 Video Vignette 6
Created by
Deleted user · Dec 2019
Updated
Dec 9, 2019
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77
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  • Created by Eleanor garvey · Nov 25, 2019
  • Copied by Eleanor garvey · Dec 9, 2019
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