Anxiety, OCD, Somatic, Antianxiety medications_student Flashcards by Shaquan Moore

What is the mechanism of action of benzodiazepines in the treatment of anxiety?
* A) Increase serotonin
* B) Enhance inhibitory effects of GABA
* C) Block norepinephrine
* D) Stimulate dopamine release

B) Enhance inhibitory effects of GABA

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Which of the following is a risk associated with long-term benzodiazepine use?
* A) Increased serotonin levels
* B) Physical dependence and withdrawal
* C) Reduced dopamine sensitivity
* D) Increased cognitive functioning

B) Physical dependence and withdrawal

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Which class of medications is typically used as the first-line treatment for Generalized Anxiety Disorder (GAD) and Obsessive-Compulsive Disorder (OCD)?
* A) Antipsychotics
* B) Beta-blockers
* C) SSRIs and SNRIs
* D) Benzodiazepines

C) SSRIs and SNRIs

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Which of the following medications is a non-benzodiazepine used for treating anxiety with less risk of dependency?
* A) Lorazepam
* B) Alprazolam
* C) Buspirone
* D) Clonazepam

C) Buspirone

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Which type of medication is used off-label for anxiety, particularly for performance-related anxiety?
* A) Antipsychotics
* B) Beta-blockers
* C) SSRIs
* D) Antihistamines

B) Beta-blockers

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What is hydroxyzine commonly used for in patients with anxiety?
* A) Increasing serotonin levels
* B) Treating depression
* C) Reducing sleep disturbances and anxiety
* D) Improving cognitive function

C) Reducing sleep disturbances and anxiety

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What are the characteristic symptoms of a panic attack?
* A) Persistent worry and delusions
* B) Sudden intense fear with physical symptoms such as chest pain and dizziness
* C) Mild anxiety and sleep disturbances
* D) Chronic fatigue and restlessness

B) Sudden intense fear with physical symptoms such as chest pain and dizziness

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Which of the following is a core symptom of Generalized Anxiety Disorder (GAD)?
* A) Euphoria
* B) Delusions
* C) Excessive worry or anxiety difficult to control
* D) Flashbacks to traumatic events

C) Excessive worry or anxiety difficult to control

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What characterizes Obsessive-Compulsive Disorder (OCD)?
* A) Obsessive thoughts and repetitive compulsive behaviors aimed at reducing anxiety
* B) Flashbacks to past traumatic events
* C) Mood swings and psychotic features
* D) Delusions and hallucinations

A) Obsessive thoughts and repetitive compulsive behaviors aimed at reducing anxiety

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Which of the following best describes Somatic Symptom Disorder (SSD)?
* A) Intentional fabrication of symptoms for external gain
* B) Distressing physical symptoms without a clear medical cause, along with excessive thoughts or behaviors related to the symptoms
* C) Fear of specific places or situations
* D) Loss of motor or sensory function without a medical

B) Distressing physical symptoms without a clear medical cause, along with excessive thoughts or behaviors related to the symptoms

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What is Conversion Disorder characterized by?
* A) Persistent fear of illness
* B) Altered motor or sensory function without a clear medical cause
* C) Excessive worry about multiple aspects of life
* D) Recurrent and intrusive thoughts

B) Altered motor or sensory function without a clear medical cause

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What is the primary goal in treating patients with Somatic Symptom Disorder (SSD)?
* A) Eliminate physical symptoms entirely
* B) Focus on coping with symptoms and improving daily functioning
* C) Refer the patient for surgical intervention
* D) Administer medications to induce sleep

B) Focus on coping with symptoms and improving daily functioning

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Which medication class is often used to treat both anxiety and comorbid depression in patients with Somatic Symptom Disorder (SSD)?
* A) SSRIs
* B) Antipsychotics
* C) SNRIs
* D) Antihistamines

C) SNRIs

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Which disorder is characterized by the intentional fabrication or exaggeration of symptoms for internal reasons such as assuming a sick role?
* A) Panic Disorder
* B) Illness Anxiety Disorder
* C) Factitious Disorder
* D) Generalized Anxiety Disorder

C) Factitious Disorder

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What is the first-line treatment for Panic Disorder?
- A) SSRIs
- B) Benzodiazepines
- C) Antipsychotics
- D) Tricyclic Antidepressants (TCAs)

A) SSRIs

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Which of the following is NOT a common symptom of Generalized Anxiety Disorder (GAD)?
- A) Muscle tension
- B) Difficulty concentrating
- C) Restlessness
- D) Seizures

D) Seizures

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Which of the following is considered a “Specific Phobia”?
- A) Agoraphobia
- B) Generalized Anxiety Disorder
- C) Social Anxiety Disorder
- D) Arachnophobia

D) Arachnophobia

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Which class of medications is considered first-line for the treatment of Obsessive-Compulsive Disorder (OCD)?
- A) SNRIs
- B) SSRIs
- C) Benzodiazepines
- D) Beta-Blockers

B) SSRIs

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Somatization refers to:
- A) The intentional production of physical symptoms for personal gain.
- B) The manifestation of psychological distress as physical symptoms.
- C) The fear of illness or disease without significant symptoms.
- D) The avoidance of social situations due to anxiety.

B) The manifestation of psychological distress as physical symptoms.

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Which of the following is a common comorbidity of Somatic Symptom Disorder (SSD)?
- A) Seizures
- B) Depression
- C) Sleep apnea
- D) Psoriasis

B) Depression

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In Panic Disorder, a panic attack must be followed by at least 1 month of which of the following? (Select all that apply)
- A) Fear/worry of additional panic attacks
- B) Significant changes in behavior because of fear of the attacks
- C) Persistent mood swings
- D) Concern about cardiovascular disease

A) Fear/worry of additional panic attacks
- B) Significant changes in behavior because of fear of the attacks

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Which of the following is NOT a feature of Factitious Disorder?
- A) The desire to be a patient
- B) Intentionally inducing symptoms
- C) The motivation for secondary gain (e.g., money)
- D) Misrepresentation of symptoms

C) The motivation for secondary gain (e.g., money)

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Which anxiety disorder involves a fear and avoidance of places where escape might be difficult or help unavailable during a panic attack?
- A) Social Anxiety Disorder
- B) Agoraphobia
- C) Specific Phobia
- D) Illness Anxiety Disorder

B) Agoraphobia

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What are the primary symptoms that characterize anxiety disorders as a whole?
- A) Euphoria and excitement
- B) Irritability and anger
- C) Fear and anxiety
- D) Apathy and lack of energy

C) Fear and anxiety

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What is the mechanism of action for benzodiazepines in the treatment of anxiety? - A) Increase serotonin levels - B) Enhance inhibitory effects of GABA - C) Block dopamine receptors - D) Increase norepinephrine release

B) Enhance inhibitory effects of GABA

Which benzodiazepine carries a black box warning for increased risk of CNS depressant effects when combined with opioid medications? - A) Alprazolam - B) Diazepam - C) Lorazepam - D) All of the above

D) All of the above

What is the primary difference between normal anxiety and an anxiety disorder? - A) Anxiety disorders do not involve physical symptoms. - B) Anxiety disorders involve impairment to functioning. - C) Normal anxiety always requires pharmacologic treatment. - D) Anxiety disorders are characterized by obsessive-compulsive behavior.

B) Anxiety disorders involve impairment to functioning.

What therapy is considered first-line for the treatment of Generalized Anxiety Disorder (GAD)? - A) Cognitive Behavioral Therapy (CBT) - B) Psychoanalysis - C) Dialectical Behavioral Therapy (DBT) - D) Electroconvulsive Therapy (ECT)

A) Cognitive Behavioral Therapy (CBT)

Which of the following is a common screening tool used to assess Generalized Anxiety Disorder? - A) SCARED - B) GAD-7 - C) Beck Depression Inventory - D) Y-BOCS

B) GAD-7

What are the nursing implications during a panic attack? (Select all that apply) - A) Stay with the patient - B) Ensure safety - C) Provide psychoeducation - D) Offer PRN medication

A) Stay with the patient - B) Ensure safety - D) Offer PRN medication

What is the average age of onset for Generalized Anxiety Disorder (GAD)? - A) 15 - B) 25 - C) 30 - D) 40

C) 30

What is the typical pharmacologic treatment for Obsessive-Compulsive Disorder (OCD)? - A) SSRIs - B) SNRIs - C) Benzodiazepines - D) Antipsychotics

A) SSRIs

Which disorder is characterized by altered or loss of motor or sensory function with no clear medical basis? - A) Factitious Disorder - B) Somatic Symptom Disorder - C) Conversion Disorder - D) Hypochondriasis

C) Conversion Disorder

Which of the following is a characteristic of Somatic Symptom Disorder (SSD)? - A) Deliberate deception of symptoms - B) Functional impairment despite no clear medical cause - C) Anxiety related to specific places or situations - D) Persistent worry about acquiring a serious illness

B) Functional impairment despite no clear medical cause

What is the best treatment approach for patients with Somatic Symptom Disorder? - A) Focus on staying healthy and identifying triggers - B) Focus on medical tests to identify the illness - C) Use of hypnotic drugs - D) Psychotherapy only

A) Focus on staying healthy and identifying triggers

Which anxiety disorder involves fear of social situations where embarrassment may occur? - A) Agoraphobia - B) Social Anxiety Disorder - C) Generalized Anxiety Disorder - D) Illness Anxiety Disorder

B) Social Anxiety Disorder

Which type of phobia refers to the fear of germs? - A) Xenophobia - B) Microphobia - C) Zoophobia - D) Brontophobia

B) Microphobia

What is the difference between obsessions and compulsions in OCD? - A) Obsessions are repetitive behaviors, while compulsions are intrusive thoughts. - B) Obsessions are thoughts or urges, while compulsions are repetitive behaviors performed to reduce anxiety. - C) Obsessions are actions that reduce anxiety, while compulsions are thoughts. - D) Obsessions are triggered by environmental factors, while compulsions are mental states.

B) Obsessions are thoughts or urges, while compulsions are repetitive behaviors performed to reduce anxiety.

What percentage of people with Obsessive-Compulsive Disorder (OCD) experience symptoms before the age of 14? - A) 10% - B) 25% - C) 50% - D) 75%

B) 25%

Which of the following treatments is most appropriate for reducing the amount of time spent on OCD rituals? - A) Exposure and Response Prevention (ERP) - B) Hypnotherapy - C) Electroconvulsive Therapy (ECT) - D) Medication alone

A) Exposure and Response Prevention (ERP)

Factitious Disorder is different from malingering because: - A) It is motivated by financial gain. - B) Symptoms are exaggerated or fabricated for internal reasons, like developing a dependent relationship. - C) It is motivated by external rewards, such as time off work. - D) It involves deliberate symptom production for personal benefit.

B) Symptoms are exaggerated or fabricated for internal reasons, like developing a dependent relationship.

Which medication is commonly used to treat both anxiety and comorbid depression in patients with Generalized Anxiety Disorder (GAD)? - A) Buspirone - B) Gabapentin - C) Duloxetine - D) Hydroxyzine

C) Duloxetine

What is the characteristic symptom of Illness Anxiety Disorder (formerly hypochondriasis)? - A) Chronic pain - B) Persistent worry about having or acquiring a serious illness - C) Altered sensory or motor function - D) Panic attacks

B) Persistent worry about having or acquiring a serious illness

Which disorder is characterized by intentional injury or illness imposed on oneself or others to assume a sick role? - A) Somatic Symptom Disorder - B) Conversion Disorder - C) Factitious Disorder - D) Illness Anxiety Disorder

C) Factitious Disorder

Which screening tool is used to assess the severity of Obsessive-Compulsive Disorder (OCD)? - A) GAD-7 - B) Y-BOCS - C) PHQ-9 - D) Beck Anxiety Inventory

B) Y-BOCS

What is the main goal of treatment for Somatic Symptom Disorder (SSD)? - A) Eliminate the symptoms entirely - B) Focus on coping with the symptoms and maintaining daily function - C) Diagnose the underlying physical illness - D) Treat the disorder with surgery

B) Focus on coping with the symptoms and maintaining daily function

Which therapy is considered effective for treating Illness Anxiety Disorder (Hypochondriasis)? - A) Cognitive Behavioral Therapy (CBT) - B) Psychoanalysis - C) Biofeedback - D) ECT

A) Cognitive Behavioral Therapy (CBT)

What is a common risk factor for developing Generalized Anxiety Disorder (GAD)? - A) High levels of dopamine - B) Genetic predisposition - C) Hypersensitivity to acetylcholine - D) History of hypoglycemia

B) Genetic predisposition

Which of the following drugs is NOT typically used to treat anxiety disorders? - A) SSRIs - B) SNRIs - C) Beta-blockers - D) Antipsychotics

D) Antipsychotics

What is the first-line non-pharmacological treatment for Panic Disorder? - A) Deep brain stimulation - B) Cognitive Behavioral Therapy (CBT) - C) Eye movement desensitization and reprocessing (EMDR) - D) Electroconvulsive Therapy (ECT)

B) Cognitive Behavioral Therapy (CBT)

How is Selective Mutism defined? - A) The refusal to communicate with close family members - B) Failure to speak in social situations despite speaking in other settings - C) An inability to form coherent speech due to severe anxiety - D) Selective inability to hear and process speech

B) Failure to speak in social situations despite speaking in other settings

Which of the following is an example of a physical symptom that may occur during a panic attack? - A) Depressed mood - B) Muscle tension - C) Chest pain - D) Chronic fatigue

C) Chest pain

What is a key characteristic of Obsessive-Compulsive Disorder (OCD)? - A) Lack of insight into the obsessive thoughts - B) The obsession leads to excessive compulsive rituals aimed at reducing anxiety - C) The obsession and compulsion are unrelated - D) The compulsions reduce energy expenditure

B) The obsession leads to excessive compulsive rituals aimed at reducing anxiety

Which of the following pharmacologic interventions is used for the treatment of Generalized Anxiety Disorder (GAD) and also works on serotonin? - A) Buspirone - B) Hydroxyzine - C) SSRIs - D) Benzodiazepines

C) SSRIs

What is a common comorbidity of Panic Disorder? - A) Schizophrenia - B) Agoraphobia - C) Somatic Symptom Disorder - D) Delirium

B) Agoraphobia

Which intervention should be prioritized during a panic attack? - A) Deep brain stimulation - B) Psychoeducation - C) Staying with the patient and ensuring safety - D) Administering a mood stabilizer

C) Staying with the patient and ensuring safety

What are the most common treatments for anxiety disorders? - A) Psychotherapy and antipsychotics - B) Medication and Cognitive Behavioral Therapy (CBT) - C) ECT and deep brain stimulation - D) Benzodiazepines only

B) Medication and Cognitive Behavioral Therapy (CBT)

Which disorder is characterized by excessive fear of places or situations where escape may be difficult? - A) Social Anxiety Disorder - B) Agoraphobia - C) Panic Disorder - D) Generalized Anxiety Disorder

B) Agoraphobia

Which of the following medications may be used to treat anxiety and also helps with sleep disturbances? - A) Hydroxyzine - B) Clonazepam - C) Propranolol - D) Gabapentin

A) Hydroxyzine

Which disorder involves symptoms such as motor or sensory dysfunction, with no clear medical basis? - A) Conversion Disorder - B) Social Anxiety Disorder - C) Panic Disorder - D) Illness Anxiety Disorder

A) Conversion Disorder

Which of the following is a risk of long-term benzodiazepine use? - A) Seizures - B) Increased anxiety - C) Physical dependence and withdrawal - D) Delusions

C) Physical dependence and withdrawal

Somatic Symptom Disorder (SSD) is associated with which of the following? - A) Excessive worry about having a serious disease - B) Intentional symptom exaggeration for external gain - C) Real distress over physical symptoms without a clear medical cause - D) Unexplained motor symptoms such as paralysis

C) Real distress over physical symptoms without a clear medical cause

Which treatment is used to target the cognitive distortions present in Generalized Anxiety Disorder (GAD)? - A) ECT - B) CBT - C) Psychoeducation - D) Benzodiazepines

B) CBT

What is the role of defense mechanisms in anxiety disorders? - A) They are only harmful and should always be suppressed. - B) They help reduce everyday anxiety but can be problematic if overused. - C) They are beneficial in all cases of anxiety disorders. - D) They only increase anxiety and lead to panic attacks.

B) They help reduce everyday anxiety but can be problematic if overused.

Which neurotransmitter's dysfunction is commonly associated with Generalized Anxiety Disorder (GAD)? - A) Dopamine - B) Serotonin - C) Acetylcholine - D) GABA

B) Serotonin

What is the lifetime risk of developing Generalized Anxiety Disorder (GAD)? - A) ~5% - B) ~9% - C) ~15% - D) ~20%

B) ~9%

Which class of medications is primarily used for comorbid depression and anxiety in patients with Somatic Symptom Disorder (SSD)? - A) Benzodiazepines - B) SNRIs - C) Antipsychotics - D) Antihistamines

B) SNRIs

Which anxiety disorder is characterized by fear and avoidance of social or performance situations where embarrassment might occur? - A) Agoraphobia - B) Panic Disorder - C) Social Anxiety Disorder - D) Generalized Anxiety Disorder

C) Social Anxiety Disorder

What nursing intervention is important after a patient experiences a panic attack? - A) Leave the patient alone to calm down - B) Offer coping strategies and relaxation techniques - C) Perform a full psychiatric evaluation immediately - D) Administer a mood stabilizer

B) Offer coping strategies and relaxation techniques

Which of the following is a characteristic symptom of Panic Disorder? - A) Persistent concern about additional panic attacks - B) Disorganized speech - C) Paranoia - D) Hallucinations

A) Persistent concern about additional panic attacks

How does Obsessive-Compulsive Disorder (OCD) affect the time and functioning of an individual? - A) OCD rarely affects time or function. - B) OCD is time-consuming and causes functional impairment. - C) OCD primarily affects physical health, not mental health. - D) OCD only affects children

B) OCD is time-consuming and causes functional impairment.

What is the role of serotonin in the treatment of anxiety disorders? - A) It is reduced in most anxiety disorders. - B) It is often increased to help reduce anxiety symptoms. - C) It is irrelevant to anxiety disorder treatment. - D) It is used to increase dopamine levels.

B) It is often increased to help reduce anxiety symptoms.

Which therapy helps in treating Obsessive-Compulsive Disorder by exposing individuals to their fears and preventing their usual compulsive responses? - A) Psychoanalysis - B) Cognitive Behavioral Therapy (CBT) - C) Exposure and Response Prevention (ERP) - D) Hypnosis

C) Exposure and Response Prevention (ERP)

What is the estimated prevalence of Obsessive-Compulsive Disorder (OCD) in the general population? - A) 0.5% - B) 1.2% - C) 5% - D) 10%

B) 1.2%

What does the screening tool "SCARED" stand for, and who uses it? - A) Screen for Childhood Anxiety Related Emotional Disorders, used by parents and children - B) Screen for Conversion and Reactive Emotional Disorders, used by therapists - C) Screen for Cognitive Anxiety Related Emotional Dysfunctions, used by psychiatrists - D) Screen for Compulsions and Related Emotional Dysregulation, used by patients

A) Screen for Childhood Anxiety Related Emotional Disorders, used by parents and children

What is the clinical feature of Conversion Disorder? - A) Loss or alteration in motor or sensory function - B) Excessive worrying about one's health - C) Repetitive compulsions - D) Persistent depression

A) Loss or alteration in motor or sensory function

In somatic symptom and related disorders, how do patients typically perceive their symptoms? - A) As intentionally fabricated symptoms - B) As real and distressing, despite the lack of a clear medical cause - C) As mild discomfort not affecting daily function - D) As manageable and unimportant

B) As real and distressing, despite the lack of a clear medical cause

Which of the following is a risk factor for developing Obsessive-Compulsive Disorder (OCD)? - A) Recent trauma - B) Familial accommodations - C) Use of benzodiazepines - D) Hypersensitivity to GABA

B) Familial accommodations

What is the main goal in treating patients with Somatic Symptom Disorder (SSD)? - A) Eliminate the physical symptoms - B) Help the patient manage their symptoms and improve daily function - C) Diagnose the underlying medical condition - D) Increase medication to suppress symptoms

B) Help the patient manage their symptoms and improve daily function

Which medication is indicated for the treatment of Panic Disorder but carries a risk of dependency and withdrawal? - A) Propranolol - B) Clonazepam - C) Buspirone - D) Sertraline

: B) Clonazepam

In which disorder might a patient display excessive preoccupation with physical symptoms, such as pain or fatigue, that cannot be fully explained by a medical condition? - A) Generalized Anxiety Disorder - B) Panic Disorder - C) Somatic Symptom Disorder - D) Conversion Disorder

C) Somatic Symptom Disorder

Which type of disorder is Factitious Disorder often confused with, and what is a key distinguishing feature? - A) Panic Disorder; Factitious Disorder involves malingering for external rewards. - B) Illness Anxiety Disorder; Factitious Disorder involves intentional fabrication of symptoms. - C) Social Anxiety Disorder; Factitious Disorder involves fear of social situations. - D) Somatic Symptom Disorder; Factitious Disorder involves real symptoms with no medical cause.

B) Illness Anxiety Disorder; Factitious Disorder involves intentional fabrication of symptoms.

Which disorder involves the intentional production or exaggeration of symptoms without external rewards, typically to assume the sick role? * A) Factitious Disorder * B) Malingering * C) Illness Anxiety Disorder * D) Somatic Symptom Disorder

Answer: A) Factitious Disorder

Which disorder involves a preoccupation with having or acquiring a serious illness, despite little or no somatic symptoms and without intentional fabrication of symptoms? * A) Factitious Disorder * B) Malingering * C) Illness Anxiety Disorder * D) Conversion Disorder

Answer: C) Illness Anxiety Disorder

Which disorder involves malingering for external rewards? * A) Factitious Disorder * B) Somatic Symptom Disorder * C) Illness Anxiety Disorder * D) Malingering

Answer: D) Malingering

What is a common intervention for managing Somatic Symptom Disorder (SSD) in nursing practice? - A) Focus on the physical illness - B) Psychoeducation and strengthening coping mechanisms - C) Refer the patient for surgery - D) Ignore the patient's symptoms

B) Psychoeducation and strengthening coping mechanisms

Which disorder is characterized by recurrent and intrusive thoughts or urges that cause distress or anxiety, and repetitive behaviors performed to reduce this distress? - A) Panic Disorder - B) Obsessive-Compulsive Disorder - C) Generalized Anxiety Disorder - D) Conversion Disorder

B) Obsessive-Compulsive Disorder

What is the term for the fear of spiders? - A) Acrophobia - B) Arachnophobia - C) Cynophobia - D) Nyctophobia

B) Arachnophobia

Which phobia refers to the fear of enclosed or confined spaces? - A) Agoraphobia - B) Claustrophobia - C) Brontophobia - D) Acrophobia

B) Claustrophobia

What is the definition of acrophobia? - A) Fear of loud noises - B) Fear of snakes - C) Fear of heights - D) Fear of pain

C) Fear of heights

Which phobia is associated with the fear of cats? - A) Cynophobia - B) Entomophobia - C) Ailurophobia - D) Zoophobia

C) Ailurophobia

What does xenophobia refer to? - A) Fear of dogs - B) Fear of thunder - C) Fear of strangers - D) Fear of insects

C) Fear of strangers

What is the phobia associated with the fear of blood? - A) Hematophobia - B) Algophobia - C) Pyrophobia - D) Brontophobia

A) Hematophobia

Which phobia refers to the fear of loud noises? - A) Brontophobia - B) Phonophobia - C) Photophobia - D) Topophobia

B) Phonophobia

Which of the following describes the fear of dogs? - A) Acrophobia - B) Ailurophobia - C) Cynophobia - D) Ophidiophobia

C) Cynophobia

What is entomophobia the fear of? - A) Germs - B) Insects - C) Snakes - D) Night or dark places

B) Insects

What is the term for the fear of fire? - A) Pyrophobia - B) Nyctophobia - C) Zoophobia - D) Ophidiophobia

A) Pyrophobia

Which phobia refers to the fear of germs? - A) Brontophobia - B) Microphobia - C) Entomophobia - D) Cynophobia

B) Microphobia

What does ophidiophobia refer to? - A) Fear of blood - B) Fear of light - C) Fear of snakes - D) Fear of thunder

C) Fear of snakes

Which phobia is the fear of thunder? - A) Nyctophobia - B) Brontophobia - C) Zoophobia - D) Photophobia

B) Brontophobia

What is the phobia related to the fear of animals or a specific animal? - A) Zoophobia - B) Arachnophobia - C) Acrophobia - D) Ailurophobia

A) Zoophobia

What does photophobia refer to? - A) Fear of light - B) Fear of pain - C) Fear of loud noises - D) Fear of spiders

A) Fear of light

Which phobia is characterized by the fear of dark or night? - A) Brontophobia - B) Photophobia - C) Nyctophobia - D) Topophobia

C) Nyctophobia

Topophobia refers to the fear of what? - A) Fear of heights - B) Fear of fire - C) Fear of places, such as a stage - D) Fear of thunder

C) Fear of places, such as a stage