QUESTIONS AND 100% CORRECT ANSWERS
GRADED A+
⩥ 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
, 3. Correlations of symptom development and psychosocial stresses.
4. Combination of biogenetic and developmental patterns.
⩥ Name 4 SOMATIC SYMPTOM DISORDERS. Answer: 1.
Conversion disorder
2. Somatization disorder
3. Hypochondriasis
4. Pain disorder secondary to psychological factors
⩥ In any patient presenting with a condition judged to be somatic
symptom disorder, ________________ must be considered in the
diagnosis.. Answer: depression
⩥ Physical symptoms of Conversion Disorder. Answer: 1. Paralysis
2. Pseudoepilepsy
3. Amnesia
⩥ Name 2 ways to identify pseudoepilepsy. Answer: 1. Serum prolactin
levels
2. Pinching nose and mouth together or lifting the hand so that it will hit
the forehead when released