Brainscape's Knowledge GenomeTM

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


See full index

RRPA Psychosocial Care > Panic Disorders (Quiz 2) > Flashcards

Panic Disorders (Quiz 2) Flashcards

1
Q

T/F? Patients with panic disorder take more disability days than those with diabetes, cardiac disease, or renal disease.

A

True

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

How much more do patients with panic disorder utilize primary care than other patients?

A

3x more

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

What percentage of people have experienced an anxiety disorder in their lifetime? In the last 12 months?

A
  1. 9%

17. 2%

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

What is the most common anxiety disorder?

A

Social phobia

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

What is the least common anxiety disorder?

A

Panic disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q 
Rank the following disorders from most to least prevalent.
Panic disorder
Social phobia
Simple phobia
GAD
A

Social phobia
Simple phobia
GAD
Panic disorder

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

Criteria for a panic attack includes _____ or more of the panic attack symptoms that develop abruptly and peak within _____ minutes.

A

4

10

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

What are the panic attack symptoms?

There are a lot, sorry

A 
Palpitations
Sweating
Trembling
SOB
Feeling of choking
Chest pain
Nausea
Dizzy
Derealization
Fear of losing control/going crazy
Fear of dying
Paresthesias
Chills or hot flashes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Panic disorder criteria

A

Recurrent, unexpected panic attacks
No organic factor
Panic attacks not accounted for by another disorder
At least 1 of the attacks followed by a month of more of: concern for additional attacks, worry about implications or consequences of attacks, significant change in behavior related to the attacks.

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

Top 5 panic disorder symptoms for men

A 
Heart pounding
Sweating
Perceive time slower/quicker
Chest pain
trembling/shaking
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Top 5 panic disorder symptoms in women

A 
Heart pounding
Trembling/shaking
Perceive time slower/quicker
Sweating
Chest pain
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What cardiac condition is associated with panic disorder?

A

PSVT-67% met criteria for panic disorder in a study

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

The treatment for PSVT is ablation. Does this also treat the panic disorder?

A

Yes

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

Differential diagnosis of panic disorder?

A 
Endocrine disorders
Vestibular dysfunction
Seizure disorders
CNS stimulants or depressants
Cardiac conditions
Hypoglycemia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

First line options for treatment of panic disorder?

A

SSRIs and SNRIs

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

T/F? SNRIs, SSRIs, TCAs, and benzos are all comparable in their efficacy for panic disorder?

A

True

17
Q

Why are SSRIs or SNRIs preferred over TCAs and benzos for treatment of panic disorder?

A

Side effect profile of SSRIs and SNRIs are better

18
Q

Nonpharmacologic treatment for panic disorder?

A

CBT

19
Q

What benzodiazepines can be used to treat panic disorder?

A

Alprazolam (Xanax)

Clonazepam (Klonopin)

20
Q

Benefits of benzos in treatment of panic disorder?

A

Short latency of onset
Lack of antidepressant side effects
Can be used as needed
Easy to add to SSRIs SNRIs

21
Q

Drawbacks of using benzos in panic disorder?

A

Sedation
Discontinuation difficulties
Potential for abuse
Not effective for comorbid depression

22
Q

Benefits of SSRIs in treatment of panic disorder?

A

Low cardiovascular effects
Absence of anticholinergic activity or weight gain
Low overdose and seizure potential

23
Q

Drawbacks of SSRIs in panic disorder?

A

Initial anxiety and jitteriness

Nausea, nervousness, insomnia, sexual dysfunction, and headache are common

24
Q

Benefits of combining antidepressants with benzos for treatment of panic disorder?

A

Provides rapid anxiolysis during antidepressant lag

decrease early anxiety associated with initiation of antidepressant

25
Q

How would you discontinue a benzo in a patient with dependence?

A

Start antidepressant and maximize effect over 12 weeks
Reduce benzo gradually by 10-20% at 2-4 week intervals
May substitute a long acting for a shorter acting benzo

26
Q

What can patients with agoraphobia have fear or anxiety about?

A 
Using public transportation
Being in open spaces
Being in enclosed spaces
Standing in line or being in a crowd
Being outside of home alone
27
Q

Criteria to diagnose agoraphobia?

A 
2 or more of the following:
Using public transportation
Being in open spaces
Being in enclosed spaces
Standing in line or being in a crowd
Being outside of home alone

Patient fears of avoids these situations
Diagnosed irrespective of the presence of panic disorder

28
Q

Panic disorder can be comorbid with what conditions?

A

MDD
Irritable bowel syndrome
Bipolar disorder

29
Q

What are the benefits of providing patient education to patients with panic disorder?

A

Education alone may relieve some symptoms of panic disorder

30
Q

2 most common errors made by anxious patients?

A

Blowing things out of proportion

Jumping to conclusions

31
Q

If first line treatment of panic disorder is unsuccessful, what can you do next?

A

Switch to another first line treatment
Add a benzo
Monotherapy or augmentation with gabapentin or a second generation antipsychotic

32
Q

What other medications can be used to treat panic disorder when patients have failed treatment of several standard treatments?

A

Mirtazipine

Anticonvulsants such as gabapentin

33
Q

What is the most common anxiety disorder in bipolar patients?

A

Panic disorder

34
Q

What needs to be done before giving a patient with bipolar and panic disorder an antidepressant?

A

Mood stablization

35
Q

What type of antidepressants are best in patients with Bipolar and panic?
SSRIs or TCAs

A

SSRIs

36
Q

What medication prevents lactate induced panic attacks?

A

Divalproex

37
Q

How long should treatment of panic be continued before considering discontinuation?
Why?

A

At least 1 year to promote further symptom reduction and decrease risk of recurrence

38
Q

What therapy can be added to facilitate withdrawal from benzos?

A

CBT

RRPA Psychosocial Care (6 decks)

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