Brainscape's Knowledge GenomeTM

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


See full index

Psychiatry Clerkship > First Aid CH5 Anxiety/OCD/Trauma & Stressors > Flashcards

First Aid CH5 Anxiety/OCD/Trauma & Stressors Flashcards

1
Q

define anxiety

A

emotional and physical fear response to a perceived threat, causes significant distress or impairment in social/occupational situations

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

major neurotransmitter systems implicated in anxiety

A

NE, 5HT, GABA

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

tx guidelines

A

begin with psychotherapy for mild cases, combo pharm + therapy for moderate-severe cases

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

late onset anxiety? what’s your suspicion

A

if there’s no personal or fam psychiatric history, consider medical condition or substance use

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

what part of caffeine intake involves anxiety?

A

intoxication

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

what three substances can cause anxiety throughout their use cycle?

A

ETOH, stimulants, tobacco

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

first-line tx for anxiety

A

SSRIs or SNRIs, Benzos (avoid in pts w/ h/o substance abuse), Buspirone (often low efficacy, Propranolol (performance anxiety)

TCAs = second-line d/t risk profile

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

define CBT

A

explores relationship between anxiety-provoking thoughts, emotions, and behaviors

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

define psychodynamic psychotherapy

A

facilitates understanding and insight into dev of anxiety, helps to increase anxiety tolerance

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

define panic attack

A

fear response involving abrupt surge in intense anxiety that peaks within minutes and usually resolve within 30 min
- can occur outside panic disorder

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

benzo use for anxiety

A

prn or as bridge medication

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

symptoms of panic attacks

A 
Da PANICS
dizziness, derealization, depersonalization
palpitations, paresthesias
abd distress
numbness, nausea
intense fear of dying, losing control
chills, chest pain
sweating, shaking, SOB
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

is smoking a risk for panic attacks?

A

yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what group is clozapine in?

A

SGAP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

define panic disorder

A

recurrent panic attacks that occur spontaneously (out of the blue), can also have clear trigger, can lead to agoraphobia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

are relapses of panic disorder common with med cessation?

A

yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

MC co-morbidity with panic disorder

A

depression

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

first-line tx for panic disorder

A

SSRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

how long must agoraphobia sxs be present for for diagnosis?

A

at least 6 months

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

tx for agoraphobia

A

therapy, SSRIs

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

define phobia

A

irrational fear that leads to endurance of the anxiety and/or avoidance of the feared object or situation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

define social anxiety

A

fear of social situations d/t fear of judgment by others.. fear of possibly acting in a humiliating/embarrassing way, this fear then impairs academic or occupational efficacy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

how long must phobia-like sxs last before official diagnosis?

A

at least 6 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

treatment for performance anxiety

A

propranolol (beta-blocker)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

selective mutism can’t be due to what?

A

language difficulty or communication disorder

26
Q

how long must selective mutism sxs last prior to diagnosis?

A

greater than one month

27
Q

tx for selective mutism

A

CTB, SSRIs

28
Q

stranger anxiety vs separation anxiety

A 
stranger = 6-9 months old
separation = 1 year - 18 months old
29
Q

separation anxiety may manifest as what in kids?

A

somatic sxs to avoid school/work

30
Q

separation anxiety sxs must occur for how long for diagnosis?

A

at least 4 weeks in kids

at least 6 months in adults

31
Q

separation anxiety tx

A

SSRIs + CBT

32
Q

GAD Mnemonic

A 
Worry WARTS
worried
wound up, worn-out
absent-minded
restless
tense
sleepless
33
Q

for patients with anxiety, consider suggesting eliminating what? consider suggesting adding what?

A

caffeine!

exercise (low-impact, inc HR can exacerbate anxiety)

34
Q

define general anxiety disorder

A

persistent and excessive anxiety (fear/worry out of proportion) about many aspects of daily lives, can manifest as physical sxs

35
Q

how long must someone be consistently anxious to have GAD?

A

at least 6 months

36
Q

long-term prognosis of GAD?

A

few pts fully remit, waxes and wanes, can be well-controlled

37
Q

GAD tx

A

CTB + SSRI

38
Q

What is OCD?

A

obsessions and/or compulsions that are time consuming, distressing, and impairing

obsessions: intrusive, undesired thoughts that inc anxiety
compulsions: the attempt to relieve anxiety, repetitive behaviors or mental rituals

39
Q

DSM5 of OCD

A

o/c’s that are time consuming (>1hr per day) or cause sig distress/dysfunction

40
Q

OCD co-morbidities

A

SI (50%) and attempts (25%), other anxiety disorders (75%), mood disorders (60%), OCPD (30%), tics (30%)

41
Q

OCD tx

A

pharm (SSRI) + CBT

- second-line pharm = Clomipramine (TCA)

42
Q

define body dysmorphic disorder

A

pt preoccupied w/ body parts they perceive as flawed or defective, believe they’re unattractive, imperfections are minimal but perceived as severe/grotesque
- pt tries to correct w/ makeup, derm procedures, plastic surg

43
Q

what body perception disorders are in each eithers ddx?

A

body dysmorphic disorder, eating disorder, concerns w/ body fat/wt

44
Q

what population does body dysmorphic disorder persist in?

A

F, those w/ childhood abuse and neglect

45
Q

high risk of what in those w/ body dysmorphic disorder?

A

suicidal ideation and attempts

46
Q

tx for body dysmorphic disorder?

A

SSRIs + CBT

47
Q

define hoarding disorder

A

difficulty discarding possessions regardless of value leading to congestion of living spaces

48
Q

is hoarding genetic?

A

often yes

49
Q

hoarding tx

A

specialized CBT (difficult to tx overall)

50
Q

What areas are involved w/ trichotillomania? what’s typically the initiating event?

A

scalp, eyebrows and lashes, facial hair, axillary hair, pubic hair

stress/trauma

51
Q

tx for trichotillomania?

A

SSRIs, SGAPs, lithium, CBT

52
Q

define excoriation disorder

A

recurrent skin picking resulting in lesions

53
Q

define PTSD

A

exposure to traumatic event causes nightmares, flashbacks, avoidance of triggering stimuli, depressed mood, negative thoughts, increased arousal (fight or flight), sxs occur for at least one month

54
Q

acute stress disorder vs ptsd

A 
ASD = less than 1 month of sxs, trauma occurred less than 1 month ago
PTSD = sxs for at least 1 month, trauma occurrred at any time in past
55
Q

PTSD tx

A

prazosin to stop dreams

56
Q

how long can it take to recover from PTSD?

A

complete recovery within 3 months

57
Q

PTSD tx

A

SSRI or SNRI, prazosin (a-1 antagonist), CBT

58
Q

what’s a high-prevalence risk in PTSD? what’s a tx that should be avoided

A

substance abuse, benzos (etc)

59
Q

adjustment disorder

A

when behavioral or emotional sxs develop after a stressful life event (within 3 months) that cause distress in excess of what’s expected and/or sig impairment

60
Q

how long until sxs resolve?

A

6 months

Psychiatry Clerkship (17 decks)

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