anxiety DOs

Question 1

subtypes of phobias

Answer 1

animal, natural environment, blood-injection injury, situation, and other

Question 2

comorbidity of GAD and MDD

Answer 2

59%

Question 3

time requirement for specific phobia

Answer 3

6 mo

Question 4

meds that can cause anxiety

Answer 4

amphetamines
appetite suppressants
albuterol
caffeine
cocaine
decongestants
other stimulants

Question 5

medical conditions that cause anxiety

Answer 5

adrenal tumors
chronic ETOH use DO
hypoglycemia
hyperthyroidism
cushing disease
arrhythmias
parathyroid disorders
seizures

Question 6

time required for buspar efficacy comparable to benzos

Answer 6

4 weeks

Question 7

short acting benzos

Answer 7

alprazolam, midazolam, oxazepam, triazolam

Question 8

medium to longer acting benzos

Answer 8

chlordiazepoxide, diazepam, flurazepam, lorazepam

Question 9

agoraphobia

Answer 9

at least 2: public transporation, open spaces, enclosed spaces, a crowd or line, outside the home alone

Question 10

FDA approved for social phobia

Answer 10

paroxetine, sertraline, venlafaxine LA

Question 11

1 mg alprazolam = _ mg lorazepam

Answer 11

2mg

1 mg alprazolam=1mg clonazepam
=10mg diazepam
=50mg chlordiazepoxide
=30mg phenobarbital

Question 12

social phobia risk factors

Answer 12

not exposed to social situations
having parents who are controlling/overprotective
being exposed to traumatic social situations
seeing others experience a traumatic social situation

***6 MONTHS

Question 13

1st line treatment of anxiety DOs

Answer 13

SSRIs

Question 14

GAD diagnosis

Answer 14

constant worry for 6 mo
plus 3/6 somatic sx:
restlessness
fatigue
poor concentration 
irriatbility 
muscle tension 
sleep disturbance 

5% lifetime prevalence

Question 15

brain effect of GAD

Answer 15

larger amygdala volume.

part of limbic system, plays role in anxiety, fear, anger, violence

lesion- kluver bucy syndrome: behavioral and emotional symptoms like hypersexuality, hyperorality, hyperphagia

Question 16

OCD tx

Answer 16

clomipramine or SSRIs

Question 17

prevalence of panic DO and age of onset

Answer 17

2-3%

early adulthood

Question 18

ocd is associated w/ this infection

Answer 18

Group a Strep

associated with PANDAS: pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections

can get ocs, tic, neuropsych symtoms following Group A beta hemolytic strep infections

Question 19

is there an age requirement for separation anxiety do?

Answer 19

no

Question 20

good for both social anxiety do and social phobia

Answer 20

phenelzine, MAOI

but SSRIs are still first line

Question 21

time requriement for PTSD

Answer 21

> 1 mo

delayed onset: 6 mo

Question 22

hypothesized physiology behind panic do

Answer 22

elevated catecholamines in CNS

Question 23

lifetime prevalence of anxiety DOs

Answer 23

28.8%

Question 24

hyperventilation

Answer 24

decreased CO2
respiratory alkalosis
hypocapnia

Question 25

herbal supp with data showing efficacy in anxiety

Answer 25

Kava Kava

Question 26

common herbal supp and treating DO

Answer 26

St johns wart- somatoform DOs kava kava- anxiety

Question 27

population that responds well to SSRIs for panic DO

Answer 27

later age of symptom onset

Question 28

FDA approved for GAD

Answer 28

effexor paxil lexapro cymbalta

Question 29

Taijin Kyofusho

Answer 29

japan. fear that their apperance or behavior will be offensive to others.

Question 30

good for anxiety and improves exercise tolerance and feelings of dyspnea

Answer 30

buspar

Question 31

also called flooding

Answer 31

in vivo exposure in vivo= enter enter situation causing anxiety, sy

Question 32

primary inhibitory neurotransmitter in CNC involved with anxiety

Answer 32

GABA

Question 33

serotonin syndrome

Answer 33

``` confusion hyperthermia myoclonus tachycardia hyperreflexia ```

Question 34

response prevention

Answer 34

refraining from compulsions, avoidance or escape behaviors

Question 35

1mg alprazolam is equivalent to how many ativan?

Answer 35

1mg xanex=2mg ativan

Question 36

washout time required

Answer 36

SSRIs: none switching to MAOI from TCAs: 1 week from MAOI to SSRI, TCA or atypical- 2 weeks

Question 37

deep brain stimulation for OCD targets this part of the brain

Answer 37

Ventral striatum

Question 38

FDA approved fro Tourettts

Answer 38

abilify haldol pimozide

Question 39

off label for kleptomania

Answer 39

naltrexone - antagonist at mu and kappa opiod receptors also for self harm SSRIS for kepto as well