cmn 552 anxiety do LATEST
EXAM
What are the pregnancy considerations for the use of benzodiazepines? -
ANSWERS-Crosses the placenta/ breastmilk- congenital first trimester,
dependency if used throughout, last week of preggo- cns depression,
poor feeding, hypothermia, flaccid and rep depression.-- infant met
slowly -- use shorten acting with nursing mothe
How does buspirone (Buspar) differ from benzodiazepines? -
ANSWERS-no anti-compulsive or muscle relaxing properties...no
tolerance..no resp effect.. min effect on cognition, has effect on
symptoms of anxiety: irritability and aggression but little on behavioral.
What are the indications for the use of buspirone (Buspar)? -
ANSWERS-Approved for GAD, or as alt to benz when need to drive
etc.
Off Label; OCD, Social phobia, premenstrual, depression, agitation
aggression/antisocial; bruxism caused by SSRI/ SrNi
What is the normative age of separation anxiety (peak and diminish)? -
ANSWERS-Peaks between 9 months and 18 months - diminish 2.5
years old
END OF
PAGE
1
, cmn 552 anxiety do LATEST
EXAM
What is the DSM 5 diagnostic criteria for separation anxiety? -
ANSWERS-fear of separation beyond developmental expectations..
fears harm will come to parent upon separation / nightmares 3 symptoms
related to excessive worry for at least 4 weeks... refusal to go to school;
fear an distress on separation,,, c\o HA stomach ache when separation is
anticipated
What is the DSM 5 diagnostic criteria for GAD in children? -
ANSWERS-significant distress in activities of daily life: school and
social
At least one of the following : restlessness, easily fatigued, "mind going
blank", irritability, muscle tension, or sleep disturbance.
What are the clinical features of GAD in children? - ANSWERS-Tend to
fear fearful in multiple settings, and expect more negative outcomes can
be tacky sob, dizziness, more likely than non DO kids to have nausea
and diarrhea when anxious, they worry about natural disaster as well as
their own performance in sports, school etc.
What is the DSM 5 diagnostic criteria for social anxiety disorder in
children? - ANSWERS-Intense discomfort and distress social situations.
Fear of scrutiny or humiliation can express itself as crying, avoidance,
END OF
PAGE
2
, cmn 552 anxiety do LATEST
EXAM
freezing, or "mute". DMS: almost constant anxiety and distress in almost
all social settings.. must experance w peers not only adults to get DX.
What is the DSM 5 diagnostic criteria for selective mutism? -
ANSWERS-Persistent lack of speaking in one or more social settings
especially school. Often before 5 but not noticed till in school -- some
only whisper or say inaudible single syllable words-- may use eye
contact or gestures-- will speak fluently at home
What are the relevant epidemiological characteristics for anxiety
disorders in older adults? - ANSWERS-Can appear after 60 usually
middle age
1 year prevalence > 65 - 5.5% most common phobias 4-8% panic do 1
percent
What are the clinical features/symptom presentation of anxiety in older
adults? - ANSWERS-S/s less severe but = or more debilitating effect
Oncoming death, Ericson "sense of integrity", fragile autonomic system
How do benzodiazepines help patients with anxiety disorders? -
ANSWERS-Helps with behavioral and somatic but not with cognitive
symptoms; Increases the frequency of opening of gaba receptors.
END OF
PAGE
3
EXAM
What are the pregnancy considerations for the use of benzodiazepines? -
ANSWERS-Crosses the placenta/ breastmilk- congenital first trimester,
dependency if used throughout, last week of preggo- cns depression,
poor feeding, hypothermia, flaccid and rep depression.-- infant met
slowly -- use shorten acting with nursing mothe
How does buspirone (Buspar) differ from benzodiazepines? -
ANSWERS-no anti-compulsive or muscle relaxing properties...no
tolerance..no resp effect.. min effect on cognition, has effect on
symptoms of anxiety: irritability and aggression but little on behavioral.
What are the indications for the use of buspirone (Buspar)? -
ANSWERS-Approved for GAD, or as alt to benz when need to drive
etc.
Off Label; OCD, Social phobia, premenstrual, depression, agitation
aggression/antisocial; bruxism caused by SSRI/ SrNi
What is the normative age of separation anxiety (peak and diminish)? -
ANSWERS-Peaks between 9 months and 18 months - diminish 2.5
years old
END OF
PAGE
1
, cmn 552 anxiety do LATEST
EXAM
What is the DSM 5 diagnostic criteria for separation anxiety? -
ANSWERS-fear of separation beyond developmental expectations..
fears harm will come to parent upon separation / nightmares 3 symptoms
related to excessive worry for at least 4 weeks... refusal to go to school;
fear an distress on separation,,, c\o HA stomach ache when separation is
anticipated
What is the DSM 5 diagnostic criteria for GAD in children? -
ANSWERS-significant distress in activities of daily life: school and
social
At least one of the following : restlessness, easily fatigued, "mind going
blank", irritability, muscle tension, or sleep disturbance.
What are the clinical features of GAD in children? - ANSWERS-Tend to
fear fearful in multiple settings, and expect more negative outcomes can
be tacky sob, dizziness, more likely than non DO kids to have nausea
and diarrhea when anxious, they worry about natural disaster as well as
their own performance in sports, school etc.
What is the DSM 5 diagnostic criteria for social anxiety disorder in
children? - ANSWERS-Intense discomfort and distress social situations.
Fear of scrutiny or humiliation can express itself as crying, avoidance,
END OF
PAGE
2
, cmn 552 anxiety do LATEST
EXAM
freezing, or "mute". DMS: almost constant anxiety and distress in almost
all social settings.. must experance w peers not only adults to get DX.
What is the DSM 5 diagnostic criteria for selective mutism? -
ANSWERS-Persistent lack of speaking in one or more social settings
especially school. Often before 5 but not noticed till in school -- some
only whisper or say inaudible single syllable words-- may use eye
contact or gestures-- will speak fluently at home
What are the relevant epidemiological characteristics for anxiety
disorders in older adults? - ANSWERS-Can appear after 60 usually
middle age
1 year prevalence > 65 - 5.5% most common phobias 4-8% panic do 1
percent
What are the clinical features/symptom presentation of anxiety in older
adults? - ANSWERS-S/s less severe but = or more debilitating effect
Oncoming death, Ericson "sense of integrity", fragile autonomic system
How do benzodiazepines help patients with anxiety disorders? -
ANSWERS-Helps with behavioral and somatic but not with cognitive
symptoms; Increases the frequency of opening of gaba receptors.
END OF
PAGE
3
