Questions and Answers Graded A+
Anorexia Nervosa Clinical Manifestations - Correct answer-1. BMI <17%*
2. misuse of weight loss medications (laxatives, enema, diuretics...)
Anorexia Nervosa Diagnosis - Correct answer-1. Vital signs: emaciated,
hypotension, bradycardia, skin/hair changes (lanugo), dry skin, salivary gland
hypertrophy, amenorrhea
2. Labs: CBC: leukocytosis, leukopenia, anemia; hypokalemia, ↑BUN
(dehydration), hypothyroidism, arrhythmias
Generalized Anxiety Disorder - Correct answer-Excessive anxiety or worry a
majority of days in a 6 month period associated w/ ≥3: fatigue, restlessness,
difficulty concentrating, muscle tension, sleep disturbance, irritability, shakiness,
headaches.
Generalized Anxiety Disorder Management - Correct answer-1. Antidepressants:
SSRIs (paroxetine & escitalopram)
2. Buspirone (Buspar): does not cause sedation
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, 3. Benzodiazepines (short term only), beta blockers
4. Psychotherapy
Normal anxiety - Correct answer-Diffuse, unpleasant, vague sense of
apprehension, often accompanied by autonomic symptoms (ex sweating,
palpitations, etc)
Pathologic anxiety - Correct answer-Sense of danger becomes prominent
Panic attack - Correct answer-Episode of intense fear or discomfort, with ≥4 of the
following sx developing abruptly, reaching a peak in 10 minutes:
palpitations, trembling, choking feeling, parathesia, sweating, shortness of breath,
chest pain, chills of hot flashes, dizziness, fear of dying/losing control/being
detached, nausea/abdominal distress
OCD - Correct answer-Obsessions, cumpulsions or both (75%)
Obsessions: recurrent/persistent thoughts; thoughts are NOT excessive worries
about real life problems
Compulsions: repetitive behaviors the person is driven to perform
Panic Disorder Criteria - Correct answer-Symptoms not due to substance, medical
condition or other mental disorder
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