Ch 49: Neurobiology of Nonpsyschotic Illnesses Flashcards

1
Q

Which statement is true regarding panic disorders?

A. It is diagnosed more often in women.

B. There appears to be no genetic link.

C. Initial illness begins in middle age.

D. There is no component of anxiety.

A

A. It is diagnosed more often in women

Panic disorder occurs more commonly in women than in men. There is believed to be a genetic link for all anxiety disorders. Its onset is usually in adolescence. It is characterized by two types of anxiety: anticipatory and avoidance.

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2
Q

Anxiety is considered a major component in which disorder? (Select all that apply.)

A. Obsessive-compulsive

B. Post-traumatic stress

C. Borderline

D. Antisocial

E. Panic

A

A. Obsessive-compulsive

B. Post-traumatic stress

E. Panic

Obsessive-compulsive disorder, post-traumatic stress disorder, and panic disorder are all anxiety disorders. Borderline disorder and antisocial disorder are not related theoretically to anxiety.

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3
Q

Which symptoms would support a diagnosis of generalized anxiety (GAD)? (Select all that apply.)

A. Dizziness

B. Insomnia

C. Palpitations

D. Diaphoreses

E. Constipation

A

B. Insomnia

C. Palpitations

D. Diaphoreses

Generalized anxiety disorder can have any number of symptoms that commonly include dizziness, insomnia, palpitations, and diaphoreses.<b> </b>Generalized anxiety disorder can have any number of symptoms, but they do <u>not</u> commonly include constipation.

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4
Q

What is appropriate treatment for obsessive-compulsive disorder? (Select all that apply.)

A. Calcium channel blockers

B. Any anticonvulsant

C. Benzodiazepines

D. Antidepressants

E. Antipsychotics

A

D. Antidepressants

E. Antipsychotic

Antidepressants and antipsychotics have generally shown to be effective in reducing obsessive-compulsive symptoms. Calcium Channel blockers, not calcium channel blockers, may be considered. The antiseizure medication gabapentin may be considered but not all anticonvulsants are recommended. Benzodiazepines are used to treat anxiety disorders.

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5
Q

Which are neurodevelopmental disorders? (Select all that apply.)

A. Autism spectrum disorder (ASD)

B. Generalized anxiety disorder (GAD)

C. Post-traumatic stress disorder (PTSD)

D. Obsessive-compulsive disorder (OCD)

E. Attention-deficit/hyperactivity disorder (ADHD).

A

A. Autism spectrum disorder (ASD)

E. Attention-deficit/hyperactivity disorder (ADHD)

Neurodevelopmental disorders include ASD and ADHD. Neurodevelopmental disorders do not include GAD, PTSD, or OCD.

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6
Q

Which statement concerning children diagnosed with attention deficient hyperactive disorder (ADHD) is true? (Select all that apply.)

A. It is a most common childhood psychiatric disorder.

B. The disorder generally goes into remission by adulthood.

C. Learning disabilities are common co-disorders seen in these children.

D. Paying attention is more of a problem than staying focused for these children.

E. These children function best when the expectation is to learn in a typical classroom.

A

A. It is a most common childhood psychiatric disorder.

C. Learning disabilities are common co-disorders seen in these children.

ADHD is the most common childhood psychiatric disorder. Children with ADHD typically have poorer academic performance and higher rates of learning disabilities. It typically begins in childhood and continues throughout adolescence and adulthood. ADHD is characterized by difficulty staying focused and paying attention. It is also common for these children to need special classroom placement, tutoring, or even to repeat a grade.

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7
Q

What assessment data supports a diagnosis of autism spectrum disorder (ASD)? (Select all that apply.)

A. Difficulty identifying nonverbal communication effectively

B. Poor tolerance for change in most aspects of daily living

C. Past diagnosis of Asperger’s Disorder

D. Ritualized patterns of verbal behavior

E. Social interaction is generally normal

A

A. Difficulty identifying nonverbal communication effectively

B. Poor tolerance for change in most aspects of daily living

C. Past diagnosis of Asperger’s Disorder

D. Ritualized patterns of verbal behavior

ASD is defined by persistent deficits in identifying or implementing nonverbal communicative behaviors, excessive resistance to change, and excessive ritualized patterns of verbal or nonverbal behavior. In the past, “milder” autism was often identified as Asperger’s disorder; under the new rubric, it would be assigned as a level 1 ASD. ASD is defined by excessive resistance to developing and maintaining relationships, appropriate to developmental level (beyond those with caregivers).

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