QUESTIONS AND VERIFIED SOLUTIONS
GRADED A+
⩥ Maladaptive behavior in response to stress is called. Answer:
adjustment disorder, with the major symptom specified (eg, "adjustment
disorder with depressed mood"
⩥ PTSD is classified as what type of disorder in the DSM-5. Answer:
Trauma and stressor - not anxiety
⩥ The key to establishing the diagnosis of PTSD lies. Answer: in the
history of exposure to a life-threatening event followed by intrusive (eg,
flashbacks, nightmares) or avoidance (eg, withdrawal) symptoms. DSM-
5 includes the requirement that the symptoms persist for at least 1
month.
⩥ Patients with PTSD experience. Answer: physiologic hyperarousal,
including startle reactions, intrusive thoughts, illusions, overgeneralized
associations, sleep problems, nightmares, dreams about the precipitating
event, impulsivity, difficulties in concentration, and hyperalertness.
⩥ Differential Dx of PTSD. Answer: comorbid depression, panic
disorder, acute stress disorder, borderline personality disorder
,⩥ Acute stress disorder occurs during or shortly after a traumatic event
and has many of the same symptoms as PTSD. Answer: but lasts
between 2 and 28 days.
⩥ What is considered the pharmacotherapy of choice for PTSD?.
Answer: Sertraline and paroxetine are approved by the US Food and
Drug Administration (FDA) for this purpose, and the SSRIs are the only
class of medications approved
⩥ What are the symptoms of generalized anxiety disorder (GAD)?.
Answer: Apprehension, worry, irritability, difficulty in concentrating,
insomnia, and somatic complaints are PRESENT MORE DAYS THAN
NOT FOR AT LEAST 6 MONTHS.
Manifestations can include cardiac, gastrointestinal, and neurologic
⩥ _________________________is characterized by recurrent,
unpredictable episodes of intense anxiety accompanied by marked
physiologic manifestations. Answer: PANIC DISORDER
⩥ What is the drug of choice for managing ACUTE generalized anxiety
disorder?. Answer: benzodiazepines are the anxiolytics of choice in the
acute management of generalized anxiety
,⩥ What are the FDA approved treatments for GAD. Answer:
Venlafaxine and duloxetine are FDA-approved for the treatment of GAD
in usual antidepressant doses. Initial daily dosing should start low (37.5-
75 mg for venlafaxine and 30 mg for duloxetine) and be titrated upward
as needed. SSRIs, such as paroxetine, are also used.
⩥ ______________has no clear usefulness in the treatment of anxiety
disorders.. Answer: Bupropion (pg.
⩥ SSRIs, that are approved for the treatment of panic disorder.. Answer:
fluoxetine, paroxetine, and sertraline
⩥ The SNRI that is FDA approved for treatment of panic disorder..
Answer: venlafaxine
⩥ OD of benzo's are. Answer: Overdosage results in respiratory
depression, hypotension, shock syndrome, coma, and death
⩥ What are the side effects of high dose benzodiazepines?. Answer:
sedation & disinhibition, ataxia, dysarthria, nystagmus, and delirium.
⩥ Reversal of benzo OD (benzodiazepine antagonist). Answer:
Flumazenil
, ⩥ Classification of low-mod benzo use. Answer: somatic , psychological
& perceptual
⩥ Panic disorder drug of choice. Answer: SSRIs sertraline, paroxetine,
and fluoxetine. In addition, the SNRI venlafaxine is approved by the
FDA
⩥ Phobic disorder tx. Answer: SSRIs & SNRIs
⩥ Both GAD, panic disorder & phobias appear to respond as well to
________________ therapy as they do to medications.. Answer:
cognitive behavioral
⩥ What are some behavioral techniques for GAD and panic disorder?.
Answer: Relaxation, desensitization, emotive imagery
⩥ What is a TCA that is used in combination with SSRIs for Tx of OCD.
Answer: clomipramine
..and in low dose adjunct to SSRIs
⩥ What is the hallmark of SOMATIC SYMPTOM DISORDERS?.
Answer: 1. Physical symptoms may involve one or more organ systems
and are not intentional.
2. Subjective complaints exceed objective findings