Anxiety

Question 0

Autonomic arousal of anxiety?

Answer 0

Dry mouth
Diarrhoea
Difficulty breathing
Palpitations
Chest discomfort
Frequent urgent micturation

Question 1

Symptoms of anxiety

Answer 1

Sensitivity to noise
Worrying thoughts
Irritability
Restlessness
Fearful anticipation
Poor concentration

Question 2

How long does a panic attack last?

Answer 2

<10 mins

Question 3

Male to female ratio of OCD?

Answer 3

Equal

Question 4

Features of PTSD

Answer 4

Hyperarousal
Hyper vigilant
Flashbacks
Nightmares
Reliving

Question 5

Common medical conditions ass with anxiety

Answer 5

Endocrine (dysfunction)
Caffeine, cocaine
Drug withdrawal (alcohol)
Arrythmia
hypoxia (CCF, ANGINA, ANAEMIA, COPD)
Metabolic (acidosis, hyperthermia)

Question 6

Nice guidlines for anxiety disorders?

Answer 6

1- education and active monitoring
2- guided self help and low intensity psychological interventions
3- CBT / Drug treatment
4- complex drug/psych treatment, MDT

Question 7

Drug treatment of anxiety

Answer 7

Antidepressants (brief increase first)
Beta blockers
BDZ
ANTIPSYCHOTICS

Question 8

Indications for BDZ

Answer 8

Anxiety
Insomnia
Muscle spasm
Convulsions
Alcohol withdrawal
Mania
Surgery

Question 9

Withdrawal symptoms of BDZ

Answer 9

Twitches
Restlessness
Panic attacks
Delirium
Tremor

Question 10

Short acting BDZ

Answer 10

Midazolam

Question 11

Intermediate acting BDZ

Answer 11

Lorazepam

Question 12

Long acting BDZ

Answer 12

Diazepam

Question 13

How should BDZ use be changed in the elderly?

Answer 13

Half dose and use short acting

Question 14

CNS depressant side effects of BDZ

Answer 14

Unsteadiness
Reduced alertness
Impaired memory
Unable to drive

Question 15

Side effects of BDZ

Answer 15

CNS depression
Resp depression
Hypotension
Impaired cardiac function
Impaired memory
Paradoxical distribution effects