Anxiety

Question 1

Define anxiety

Answer 1

physiologic and psychological “flight or fight” response of an individual that results from an external or internal threat to the individual.

Question 2

Define normal anxiety

Answer 2

response to a “real threat”

Question 3

Define abnormal anxiety

Answer 3

response to perceived, but “non-real” attack

Question 4

What are previous diagnostic names for anxiety

Answer 4

Hysteria 
Globus hystericus (lump in throat)

Question 5

What is relation between anxiety and somatic symptoms

Answer 5

All somatic symptoms create anxiety

Anxiety can mimic all somatic symptoms

Question 6

What is the parent of all anxiety disorders

Answer 6

Panic disorder

Question 7

Panic attack features

1. Onset
2. Mental status
3. Body status

Answer 7

1. Sudden
2. Intense fear (of death)
3. Intense bodily symptoms

Question 8

Sex with panic disorders more

Answer 8

Females

Question 9

Agents that induce panic (4)

Answer 9

1. CO2
2. Adrenergic agonist
3. Stimulants
4. Benzodiazepine antagonists

Question 10

Define agoraphobia

Answer 10

Anxiety of being in a situation where you can’t escape or you won’t be helped

Question 11

Define social phobia

Answer 11

Fear of one or more situation in which person will be exposed to unknown people and possible scrutiny

Question 12

Define specific phobia

Answer 12

Marked and unreasonable fear that is cued by the presence of a specific object or situation

Question 13

Define generalized anxiety disorder

Answer 13

Excessive anxiety and worry occurring more days than not about work or school

Question 14

Define obsessive-compulsive disorder

Answer 14

Recurrent and persistent thoughts with repetitive behaviors aimed at reducing stress

Question 15

Define PTSD

Answer 15

Life-threatening experience with response of fear

Question 16

Origin of panic disorder in brain

Answer 16

Brainstem

Question 17

Origin of phobia in the brain

Answer 17

Pre-frontal cortex

Question 18

Examples of conniptions

Answer 18

1. Substance abuse
2. depression
3. suicide

Question 19

How to treat panic attacks

Answer 19

1. Diet restrictions (no stimulants or alcohol)
2. Less stressful situation
3. Densensitization of phobias
4. Psychotherapy
5. Support groups

Question 20

Drugs used to treat panic disorder

Answer 20

1. MAO-I’s
2. Tricyclic
3. SSRI
4. Benzos
5. Beta-blockers
6. Anti-psychotics
7. Anti-convulsants

Question 21

Define somatization disorder

Answer 21

Four pain symptoms: two GI, 1 sexual, 1 pseudoneurological

Question 22

Define conversion disorder

Answer 22

One or more symptoms affecting voluntary motor or sensory function

Question 23

Define pain disorder

Answer 23

Pain in one or more anatomical sites

Question 24

Define hypochondriasis

Answer 24

Fears of having a serious disease based on mis-interpretation of bodily symptoms

Question 25

Body dysmorphic disorder definition

Answer 25

Preoccupation with an imagined defect in appearance

Question 26

Define malinerging

Answer 26

Intentional production or gross exaggeration of physical or psychological symptoms motivated by external incentive

Question 27

Factitious Disorder

Answer 27

Intentional production of signs and symptoms with history