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Psychiatry > Anxiety > Flashcards

Anxiety Flashcards

1
Q

Best pharmacological treatment for BDD

A

Fluoxetine

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2
Q

The most common comorbidity in OCD

A

MDD

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3
Q

What kind of learning underlies agoraphobia?

A

Negative reinforcement

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4
Q

Beta blockers in GAD

A

Not recommended (CANMAT)

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5
Q

Lifetime prevalence of GAD

A

6%

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6
Q

GAD first line treatment strategy

A

CBT

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7
Q

GAD- CBT with pharmacotherapy yes or no?

A

No according to CANMAT. CBT first, then pharmacotherapy if no response

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8
Q

Co-morbidity rate in GAD

A

50-90%

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9
Q

Anxiogenic substances

A
  1. CCK
  2. Sodium lactate
  3. L-Dopa
  4. Carbon dioxide
  5. Modafinil
  6. THC
  7. LSD
  8. Amphetamines
  9. GABA antagonists
  10. Caffeine
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10
Q

Panic disorder is by definition panic which is unexpected T/F

A

T

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11
Q

Age of onset in panic disorder

A

Young adulthood (not adolescence)

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12
Q

Lifetime prevalence of panic disorder

A

Approx 5%

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13
Q

What percentage of ppl w panic disorder experience nocturnal panic?

A

40-70%

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14
Q

How many symptoms do you need for the DSM V diagnosis of a panic attack?

A

Four

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15
Q

CBT has been favoured over pharmacotherapy in a meta-analysis for treatment of panic disorder T/F

A

T (CANMAT)

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16
Q

Gabapentin is first line in panic disorder T/F

A

F it’s third line

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17
Q

First line pharmacotherapies in panic disorder CANMAT 2014

A
  1. Paroxetine
  2. Paroxetine CR
  3. Fluoxetine
  4. Fluvoxamine
  5. Venlafaxine XR
  6. Sertraline
  7. Escitalopram
  8. Citalopram
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18
Q

The therapy with the greatest evidence base in trichotillomania

A

Habit reversal

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19
Q

First line therapies for social anxiety disorder

A

CBT + exposure therapy alone

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20
Q

Which is the only specific scale for social anxiety disorder?

A

Liebowitz

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21
Q

Is there an association between panic disorder and mitral valve prolapse?

A

No- CANMAT 14

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22
Q

Anxiety disorders have a lower age of onset than mood disorders T/F

A

T (K&S)

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23
Q

A drug with efficacy for trauma related nightmares & poor sleep in PTSD

A

Prazosin

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24
Q

Antipsychotics may have a role in treatment of flashbacks in PTSD T/F

A

T

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25
Q

Combat PTSD is harder to treat than civilian PTSD T/F

A

T

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26
Q

There is an evidence base for EMDR in panic disorder T/F

A

F

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27
Q

In functional imaging studies in PTSD what happens to a) the amygdala and b) Broca’s area after provocation of symptoms by a stimulus?

A

A) increased activation of the amygdala B) hypo perfusion of Broca’s

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28
Q

What does yohimbine do to ppl with PTSD and panic disorder but not controls?

A

Causes anxiety

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29
Q

Smaller hippocampi in PTSD T/F

A

T

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30
Q

MRI studies in panic disorder have implicated the temporal lobes T/F

A

T, partic the hippocampus

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31
Q

In PTSD psychological therapy is effective for comorbidity with depression T/F

A

F, it’s not as effective

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32
Q

Anterior capsulotomy is an option for treatment refractory OCD T/F

A

T

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33
Q

OCD in kids is associated with what?

A

Group A strep

34
Q

Y-BOCS for diagnosis of OCD T/F

A

F progress of disease

35
Q

Neuroimaging studies in OCD show hyperactivity in the anterior cingulate T/F

A

T

36
Q

Hoarding & symmetry are associated with what kind of response to SSRIs

A

A poorer one than aggression/religion/sexual subtypes of OCD

37
Q

Lifetime prevalence of MDD in OCD

A

67%

38
Q

Family attitudes predict response to both psychological & pharmacological treatments for OCD T/F

A

T

39
Q

Lifetime prevalence of OCD

A

2-3%

40
Q

Anxiety disorders have a lower age of onset than mood disorders T/F

A

T K&S

41
Q

Anxiety disorders have been consistently shown to be most prevalent in people with poor socioeconomic status and lower levels of education T/F

A

T (K&S)

42
Q

Situational panic attacks are more associated with things like social phobia T/F

A

T because in panic disorder the panic attacks are unexpected

43
Q

First line adjuncts in OCD (2)

A

Aripiprazole & risperidone

44
Q

Lifetime prevalence OCD

A

1-2.3%

45
Q

Acute stress reaction, what are the time parameters?

A

3 days to one month

46
Q

Caffeine and nicotine can exacerbate symptoms in panic disorder T/F

A

T

47
Q

Panic disorder is associated with suicide T/F

A

T

48
Q

MRI studies in panic disorder have implicated the temporal lobes T/F

A

T

49
Q

Panic and anxiety are associated with cerebral vasodilatation T/F

A

F constriction

50
Q

Buspirone is effective in GAD T/F

A

T

51
Q

Sjorgren’s syndrome is associated with panic disorder T/F

A

F, it is associated with GAD though

52
Q

Abrupt onset of OCD in kids suggests what?

A

PANDAS paediatric autoimmune neuropsychiatric disorder associated with streptococcus

53
Q

What role do beta blockers play in the treatment of phobias?

A

They might be useful in performers eg stage fright

54
Q

Social phobia can be associated with panic attacks T/F

A

T

55
Q

Buspirone is less sedating than benzos T/F

A

T

56
Q

Buspirone is useful in panic disorder T/F

A

F, GAD

57
Q

What is imaginal exposure?

A

Pt closes their eyes and imagines a feared stimulus as vividly as possible

58
Q

What is cynophobia?

A

Fear of dogs

59
Q

There needs to be significant weight loss for a diagnosis of avoidant/restrictive food intake disorder T/F

A

T

60
Q

PTSD is associated with lower cortisol levels T/F

A

T

61
Q

First line Rx pharmacology for PTSD

A

SSRIs: fluoxetine, paroxetine & sertraline also venlafaxine

62
Q

Which SSRIs are first line w RCT evidence in PTSD

A

Sertraline, paroxetine & fluoxetine

63
Q

Prevalence of obsessions & compulsions in the gen pop

A

Obsessions 80% Compulsions 55%

64
Q

Rate of comorbidities in OCD

A

“Comprbidities are the rule” about 90%

65
Q

10% of OCD follows a progressive deteriorating course T/F

A

T

66
Q

Compulsions for >1 hour/day are in the DSM V criteria for OCD T/F

A

T

67
Q

OCD requires higher SSRI doses than ADTs T/F

A

T

68
Q

First line meds for OCD

A
  1. Paroxetine
  2. Fluoxetine
  3. Fluvoxamine
  4. Sertraline
  5. Escitalopram
69
Q

Clomipramine has equal effectiveness to SSRIs but worse tolerability which is why it’s not first line for OCD T/F

A

T

Chandarana

70
Q

Clomipramine and fluvoxamine are a possible combo in treatment resistant OCD T/F

A

T

71
Q

Group CBT = individual CBT for OCD T/F

A

T

Chandarana

72
Q

ECT is useful for treatment resistant OCD T/F

A

F

Chandarana

73
Q

Clozapine can make OCD worse T/F

A

T

74
Q

How long do panic attacks last?

A

They peak within minutes according to DSM V

75
Q

Illness anxiety disorder is not an anxiety disorder T/F

A

T it’s in somatoform disorders

76
Q

How many situations do you need to be fearful of for a diagnosis of agoraphobia

A

Two

77
Q

Scale for panic disorder

A

PDSS <7

78
Q

Specific psychological therapy with demonstrated efficacy for blood injection injury type phobia according to CANMAT 2014

A

Applied muscle tension (exposure combined with muscle tension exercises)

79
Q

Specific psychological therapy with demonstrated efficacy for spiders, flying and small animal type phobias according to CANMAT 2014

A

Computer based self help programs

80
Q

Specific psychological therapy with demonstrated efficacy for spiders, flying and heights and claustrophobia type phobias according to CANMAT 2014

A

Virtual reality exposure

81
Q

Pregabalin is first line for which two anxiety disorders only according to CANMAT 2014?

A

GAD & SAD

82
Q

First line GAD CANMAT 2014 (8)

A
  1. Venlafaxine XR
  2. Sertraline
  3. Escitalopram
  4. Agomelatine
  5. Duloxetine
  6. Pregabalin
  7. Paroxetine
  8. Paroxetine XR

(Very Stressed, Edgy And Depressed PPP)

Psychiatry (27 decks)

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