Psych - anx, adj, cog

Question 1

panic disorder

Answer 1

recurrent attacks, >4 s peak in 10 min, followed by 1 mo >1 concern, worry, behaviour change

Question 2

panic disorder tx

Answer 2

ssri, snri, tca, benzos acutely

Question 3

pd + agoraphobia

Answer 3

escape difficult, embarassing if to have a PD, avoid situations

Question 4

GAD

Answer 4

worry and anxiety more days than not x 6 mo, plus 3 symptoms (restless, conc, fatigue, irrit, tension, sleep)

Question 5

GAD tx

Answer 5

psychotherapy, relax, sleep

benzos, buspirone, antidep, bblock

Question 6

phobia

Answer 6

marked, persistent fear cued by something; recognize fear as unreasonable

Question 7

social phobia

Answer 7

fear of school performance, scrutiny

Question 8

phobia tx

Answer 8

BEHAV: exposure tx, desens, insight oriented; acutely- b block, benzo, maybe ssri/maois

Question 9

ocd

Answer 9

obsessions + compulsions, >1 hour, distress/fxn

Question 10

ocd tx

Answer 10

cbt, meds: clomipramine, ssris, antipsychotics

Question 11

ptsd

Answer 11

traumatic event (death/injury, fear/helpless/horror), re-experience (thoughts, perceptions, dreams, recur), avoidance of stimuli, high arousal

Question 12

ptsd tx

Answer 12

cbt, ssris, benzos acutely, antipsych

Question 13

adjustment

Answer 13

emot/behav symptoms in response to event in past 3 mo, acute <6mo

Question 14

adjustment tx

Answer 14

psychotx, benzos, ssris

Question 15

delirium definition

Answer 15

change in consciousness (focus, attn), cognition (mem, lang), hours-days, GMC

Question 16

delirium s&s

Answer 16

wander attn, distract, disorient, misinter, halluc, speech, psychomotor

Question 17

delirium tx

Answer 17

treat cause, stop meds, stabilize, reorient, senses, family present, haloperidol/risper, lorazepam

Question 18

dementia dx

Answer 18

memory impair, cog dist (aphasia, apraxia, agnosia, executive), gradual, decline

Question 19

dementia tx

Answer 19

cholinesterase inhibitors, memantine, neuroleptics low dose