Questions and Detailed Answers
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1. An executive visit his PCP frequently with complaints of chest pain. After
examination the NP advises the executive that he is experiencing anxiety.
According to the clinical guidelines which medication should be ordered for
this patient first for long term treatment?
a. Benzodiazepines
b. SSRIs
,c. Tricyclic antidepressants
d. Opiates - 🧠 ANSWER ✔✔b. SSRIs
2. Which medication is not FDA approved for treatment of OCD?
a. Paroxetine (Paxil)
b. Citalopram (Celexa)
c. Fluoxetine (Prozac)
d. Sertraline (Zoloft) - 🧠 ANSWER ✔✔b. Citalopram (Celexa)
3. A 25-year-old man has thoughts about hating his younger brother and
wishing he would die. He becomes very anxious about these thoughts
because he has developed the idea that if anything really happened to his
brother, it would be his fault. For no explainable reason, Tony starts
mentally counting by odd numbers each time he walks past his brother's
room and discovers that this activity makes him less anxious. Tony's
behavior can be described as
a. A phobia of going into his brother's room because he is afraid his hatred
will actually hurt him
b.A compulsive ritual designed to make him like his brother
,c. c. A mental compulsion developed to neutralize his bad thoughts -
correct one
d. An attempt to be better in math than his brother to gain parental
acceptance - 🧠 ANSWER ✔✔b.A compulsive ritual designed to make him
like his brother
4. A teenage girl had recently been having panic attacks while shopping at
the mall. She was sitting in her room feeling very depressed. To cheer her
up, a friend suggested that they both go to an exercise class. Shortly after
the warm-up started, however, she had another panic attack. What is the
best explanation for this occurrence?
a. The exercise class was an unconditioned stimulus that resulted in a
panic attack
b. She was angry with the friend for insisting that she go out
c. The medication that had been prescribed for her was only treating the
depression, not the anxiety
d. The physical sensations experienced during exercise had become an
internal cue for panic to occur - 🧠 ANSWER ✔✔d. The physical sensations
experienced during exercise had become an internal cue for panic to occur
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, 5. According to the DSM 5 which of the following terms is associated with
generalized anxiety disorder
a. Fear
b. Worry
c. Panic
d. Emotion - 🧠 ANSWER ✔✔b. Worry
6. A 25-year-old patient with a five-year history of generalized anxiety
disorder arrives at the ED. She complains of severe shortness of breath,
chest pain, sweating profusely and is crying uncontrollably. She just got
fired from her job and she has what would you do first.
a. Treat her for acute psychosis
b. Assess her for medical condition
c. Prescribe IV benzodiazepines stat
d. Treat her for generalized anxiety - 🧠 ANSWER ✔✔b. Assess her for
medical condition
7. Which herbal preparation is not associated with inducing symptoms of
anxiety