(Wilkes University) Comprehensive Practice
Questions / Study Guide Newest Actual
Questions & Answers (A+ Guide Solution)
What is agoraphobia and how can it be treated? - answer-intense fear of being
in public pleases where escape or obtaining help may be difficult
Treat with CBT and SSRI
What treatment is used for generalized anxiety disorder - answer-First line -
SSRI
Second line - Buspar (anxiolytic), SNRI
Can consider short term course of benzos or augmentation with buspirone
(Buspar)
SSRI - escitalopram (Lexapro), paroxetine (Paxil),
SNRI - duloxetine (Cymbalta), venlafaxine (Effexor)
What are commonly prescribed benzodiazepines? - answer-Alprazolam (Xanax)
and lorazepam (Ativan)
What effects does GABA lead to? - answer-Potentiate effects of GABA (GABA is
inhibitory and lead to drowsiness, cognitive impairments, dampening of fear
, and anxiety, impaired balance, motor control, muscle tone, and coordination,
and anterograde amnesia
Who is at greater risk of fall risk and hip fracture on benzodiazepines? -
answer-Elderly patients
What is the mechanism of action for benzodiazepines? - answer-enhance
activity of GABA at GABA-A receptors
What is the mechanism of action of buspirone (Buspar) - answer-Non-
benzodiazepine
partial agonist at 5HT-1! = decreases serotonergic activity
Characteristics of Buspirone (Buspar) - answer-slower onset of action than
benzos (takes several weeks)
Augmentation with other agents such as SSRI
Low potential for abuse/addiction
Dosed 2-3 times per day
NO PRN
What endocrine medical conditions mimic or worsen anxiety - answer-
hyperthyroidism, hypothyroidism, Cushing's disease, Addison's disease,
menopause pheochromocytoma
What is used to treat panic attacks? - answer-initially use benzos short term