Anxiety

Question 1

A diagnostic feature of a panic attack is:

Answer 1

derealization

Question 2

Respiratory illness is most clearly a risk factor for developing which anxiety disorder?

Answer 2

panic disorder

Question 3

Differential diagnosis of a patient who presents to the ED with panic disorder:

Answer 3

pulmonary embolism

Question 4

28 yo patient presents with one year history of agoraphobia. Patient is able to drive to the local drug store, but only with considerable pre-travel apprehension. Patient will venture alone no further than within approximately 5 miles from home. Personal hx of panic attacks or depression is denied, although family hx is positive for depression and alcoholism. Patient has had no previous treatment. The best initial treatment and one that offers the best long term prognosis is?

Answer 4

CBT including exposure and SSRI and benzodiazepine

Question 5

Patient with leukemia underwent marrow transplant. Psych consulted. Patient more anxious and fearful about leaving hospital. Having trouble sleeping. MSE unremarkable. Diagnosis?

Answer 5

adjustment disorder with anxiety