Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Ronnie's lectures > Anxiety and insomnia > Flashcards

Anxiety and insomnia Flashcards

1
Q

what is anxiety?

A
  • It is a feeling of fear , worry and uneasiness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the three interrelating anxiety response system?

A
  • Physical - fight/flight response
  • Cognitive - when activated causes nervouness
  • Behavioural - leads to aggression
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what are the symptoms of behavioral, physical and cognitive anxiety?

A
  • Behavioural - crying and screaming
  • Cognitive - thoughts of monsters, lack of concentration
  • Physical - increased heart rate, palpitations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Anxiety can occur even in the absence of danger. TRUE OR FLASE?

A
  • TRUE
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Fear occurs in the phae of danger and marked by strong escape tendecies. TREU OR FLASE?

A

TRUE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Panic is a group of physical symptoms of fight of flight. TRUE OR FLASE?

A

TRUE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the common causes of anxiety?

A
  • Life circumstances
  • Fight or fligh response (overactive)
  • Brain biochemistry
  • Personality
  • Genetics
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

some drugd can cause symptoms of anxiety either from withdrawal or side effects. TRUE OR FLASE?

A

TRUE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

A tunour of the adrenal gland can lead to anxiety. TRUE OR FLASE?

A

-TRUE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

The primary neurotransimitter involved in anxiety disorder is GABA-ergic. TRUE OR FALSE?

A

TRUE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Serotonine and dopamine are related to anxiety. true or flase?

A

TRUE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

The entire anxiety response system is contolled by interrelated to produce anxiety. true or false?

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the different systems involved in anixety disorider?

A
  • Hippocampus axis
  • Lymbic system
  • Brain stem
  • Cortical and subcoritcal structures
  • Velateral and frontal cortex
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is generalised anxiety

  • Obessive compulsive disorder
  • Panic disorder
  • Phobias
  • Acute stress reactions
  • Post traumatic stress disorder
  • Mixed anxiety and depressive disorder
A
  • generalised anxiety - excessive anxiety
  • Obessive compulsive disorder - ritual e.g fear of contamination
  • Panic disorder - attack of fear
  • Phobias - strong anxiety aganst e.g snakes
  • Acute stress reactions - physical and physchologial stress
  • Post traumatic stress disorder - anxiety caused by recall of past experience
  • Mixed anxiety and depressive disorder - anxiety and depression
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the different treatments for anxiety disorder?

A
  • Psychological e.g relaxation
  • Pharmacological e.g anxiolytics (Benzodiazepines), e.g antidepressants (SSRI’s) and antipsychotics e.g propranolol (B antagonist)
  • Psychosurgery (extreme cases for example OCD)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is cognitive behavoiral therapy?

A
  • Teaches patients copying mechanism on how to deal with stressful situations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is included in psychological therapy?

A
  • Cognitive behavioral therapy

- Exercise

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

How does benzodiazapines work?

A
  • They are anxiolytics
  • They are selective agonist for the GABAa receptors
  • They enhance the response of GABA by opening the GABA-activated chloride channels
  • They block exitability
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are benzodiapines indicated for?

A
  • Anxiety and depression

- Insomnia (seadtive abiltiites)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Benzodiazepije sare not analgesic or antychotic. TRUE OR FALSE?

A

TRUE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What are the ADRs of benzodiazipines?

A
  • Causes respiratory stress
  • Life threatning with other CNS depressants
  • Drowsiness
  • Tolerance and depedency
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What are the cautions witn benzodiazapine?

A
  • Avoid with alcohol
  • Avoid liver disease
  • avoid in pregneacy
23
Q

What are benzodiazipnes drug interactions?

A
  • CNS depressants
24
Q

Give an example of a benzodiazepine?

A
  • Lorazepam
25
Q

What are the withdrawal symptoms of benzodiazepines?

A
  • Insomnia, anxiety, vivid dreams

- Can be mistaken for reccurence of the disease

26
Q

How should withdarwal occur with benzodiazepines?

A
  • Gradual withdrawal
  • First switch to longer acting benzo’s
  • Takes years
27
Q

What is the antidote for benzo’s?

A
  • Romazicon - has a shorter half life than benzo’s
28
Q

Buspirone is an anxiolytic. TRUE ORFLASE?

A

TRUE

29
Q

How does Buspirone work?

A
  • It is a partial 5HTa1 agonist
  • It inhibits 5HT release
  • which has delayed anxiolytic effects
30
Q

Buspirone undergoes first pass metabolism. true or flase?

A
  • true
31
Q

what are the ADRs of Buspirone?

A
  • Nausea, dizziness, restlessness
32
Q

Why does Buspirone have better ADRs benzodiazepines?

A
  • Does not cause drwosiness
  • No sedation
  • No withdrawal effects
33
Q

What is insomnia?

A
  • Insomnia is the perception of having indequate amount of sleep that leads to distress or impaired function
34
Q

Anxiety and insomnia come together. TRUE OR FLASE?

A

TRUE

35
Q

You are considered to be insomniac if it takes you ore thn 30 to 45 minutes to sleep. TRUE OR FLASE?

A

TRUE

36
Q

What are the different types of insomnias?

A
  • transient - caused due to excitement
  • Short term - caused due to stress at home or work
  • Chronic - ongoing sleeplessness causeddue to anxiety or medications
37
Q

What are the causes of insomnia?

A
  • Napping during the day
  • caffeine and CNS depressants
  • Medical conditions
  • changes in sleeping pattern
38
Q

what are the treatments for insomniac?

A
  • Cogntive behavoiral therapy
  • Drug therapy
  • ALternative treatments
39
Q

What is the aim of cognitive behavoiral therapy?

A
  • The aim is to enhace the stimuli between sleep and bed, bedtime and bedroom surroundings
40
Q

CBT is not effective when insomnia is correlated with other psychological disorders. TRUE OR FALSE?

A

TRUE

41
Q

What is the mechnism of action of Z drug (drug therapy for insomnia?

A
  • Binds to GABAz causing an incresae CL- influx
42
Q

Z drugs are chemically unrelated to benzo’s true or flase?

A

TRUE

43
Q

Benzo’s can be used for the treatment of insomnia. true or flase/

A

true

44
Q

Provide an example of a Z drug?

A

zoldipem

45
Q

Z drugs have a rapid onset of action. TRUE OR FLASE?

A

TRUE

46
Q

What are the ADRs of Z drugs?

A
  • they cause drowsiness, headaches, dizziness
47
Q

Where is melatonin produced and what does it promote?

A
  • In the peneal gland in the brain

- it promotes sleep

48
Q

Antihistamines (H1 antagonists) are normally used to treat allergies but they have common sedation side effects. true or false?

A

true

49
Q

Give an example of a antihistamine drug?

A
  • Diphenhydrramine
50
Q

Some antidepressants have sedative effects. TRUE OR FLASE?

A

TRUE

51
Q

Antidepressants improve the quality of sleep unlike benzo’s that decrease it. TRUE OR FALSE?

A

TRUE

52
Q

What is an exmple of antidepressant for the treatmentof insomnia?

A
  • Serotonine antagonists and reuptake inhibitors
53
Q

Give an example of a tricyclic antidepressant?

A
  • Doxepin
54
Q

What is hypnotherapy aimed to do?

A
  • Uses the mind to breakdown bad habbits or coping with stress

Ronnie's lectures (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions