Mental Health Exam Ii

Front 1

Heightened arousal such as tensions, tachycardia, tachypnea, tremor, and apprehension are symptoms of this disorder

Back 1

Anxiety

Front 2

T or F: symptoms of anxiety occur either w/o obvious external threat or when the response to the threat is excessive

Back 2

True

Front 3

There is a theory that panic attacks are a result of a misperception of suffocation, referred to as ___ ___ ___

Back 3

false suffocation response

Front 4

Pts with this disorder display strong sensitivity to, and misinterpretation of, physical sensations; mild physical symptoms are misinterpreted as dangerous

Back 4

Panic disorder

Front 5

This disorder is characterized by recurring, spontaneous, unexpected anxiety attacks with rapid onset and short duration. Pts are likely to fear that they are experiencing a heart attack or a stroke.

Back 5

Panic disorder

Front 6

Panic attack symptoms cling to maximum severity within how many minutes, but can peak within a few seconds

Back 6

10

Front 7

What are typical symptoms of panic attacks

Back 7

-SOB
-tachypnea
-tachycardia
-tremor
-chest discomfort

Front 8

A minimum of how many symptoms is required to meet the diagnosis of a panic attack

Back 8

Four

Front 9

Symptoms of a panic attack most commonly diminish within how many minutes

Back 9

30

Front 10

T or F: People who experience a panic attack will usually NOT seek help

Back 10

False: WILL seek help

Front 11

Will panic disorder progress or diminish if diagnosis is not made and treatment not started

Back 11

Progress

Front 12

Extensive phobic avoidance is referred to as ____

Back 12

Agoraphobia

Front 13

T or F: panic disorder can occur without any significant agoraphobia

Back 13

True

Front 14

T or F: Most people with panic disorder find that particular situations stimulate panic and therefore they avoid these situations

Back 14

True

Front 15

In panic disorders, a short course of a low dosage of this class of drugs may facilitate behavioral treatment

Back 15

Benzodiazepines

Front 16

What therapy is the treatment of choice for panic disorder

Back 16

Behavioral or cognitive-behavioral therapy

Front 17

What TCA is used for treating panic disorders and is the standard against against which other drugs are compaired

Back 17

Imipramine

Front 18

Which MAOI reduces the frequency and intensity of panic attacks and has an antianxiety and antiphobic effect

Back 18

Phenelzine

Front 19

This drug's use is limited by its side effects and safety problems. Hypertensive rxns can occur when the pt's diet has a high tyramine content

Back 19

Phenelzine

Front 20

What 2 SSRIs have been effective in treating panic disorder

Back 20

-paroxetine
-fluoxetine

Front 21

These SSRIs have supplanted other antidepressants and benzodiazepines in the treatment of panic disorder

Back 21

-paroxetine
-fluoxetine

Front 22

This class of drug tx should be reserved for pts who require pharmacopherapy and who have failed on antidepressant treatment

Back 22

Benzodiazepines

Front 23

T or F: emotional trauma accompanying experiences such as riding in a car or speaking in public may produce a phobia

Back 23

True

Front 24

Typical specific phobias include:

Back 24

-insects
-injection
-heights
-elevators

Front 25

How do most people deal with phobias

Back 25

They avoid the feared stimulus

Front 26

People with this phobia fear that they will act in an embarrassing or humiliating manner

Back 26

Social

Front 27

List 3 common social phobic situations

Back 27

-speaking in public
-eating in public
-performing publicly

Front 28

What type of treatment is typically used for phobic disorders

Back 28

Psychotherapy

Front 29

What drugs are commonly used to reduce anxiety in pts with phobic disorder

Back 29

Benzos

Front 30

What drugs have been used to reduce the autonomic hyperarousal and tremor in pts with phobic disorder

Back 30

beta blockers - propranolol

Front 31

Pts with GAD (generalized anxiety disorder) have a high rate of comorbidity with what other mood disorder

Back 31

Major depression

Front 32

This syndrome has a persisting anxiety and worry that is associated with inhibited or dependent personality characteristics

Back 32

General neurotic syndrome

Front 33

T or F: General neurotic syndrome can occur in the absence of major life events

Back 33

True

Front 34

This disorder is a syndrome of persistent worry coupled with symptoms of hyperarousal

Back 34

GAD

Front 35

Are pts with GAD more likely to present in a general medical setting or a psychiatrist's office

Back 35

General medical setting

Front 36

GAD often responds well to treatment with these drugs

Back 36

TCAs

Front 37

OCD, panic disorder, somatoform disorder, psychotic disorders, especially paranoid subtypes, eating disorders and many personality disorders are associated with persistent fear or apprehension that can be confused with this disorder

Back 37

GAD

Front 38

Why do most pts with GAD do not get appropriate treatment

Back 38

because insurance coverage tends to discriminate against the treatment

Front 39

Do benzodiazepines cure GAD

Back 39

No

Front 40

These drugs should not be used alone to treat GAD, but can be helpful adjuncts

Back 40

Benzos

Front 41

These drugs can be used to reduce sx of GAD and to return the pt to normal functioning. After a few weeks, these drugs should be
reduced and eventually discontinued

Back 41

Benzos

Front 42

Is true abuse of benzodiazepines common or uncommon

Back 42

Uncommon

Front 43

Can pts on benzos develop psychological and/or physiologic dependence

Back 43

Yes

Front 44

Physiologic dependence of benzos becomes a problem when the drugs are used continuously for how long

Back 44

3 months

Front 45

Adverse effects such as daytime sedation, ataxia, accident proneness, and memory problems may be due to the use of what drugs

Back 45

Benzos

Front 46

What anxiolytic is an alternative to benzos

Back 46

Buspirone

Front 47

What are the advantages of buspirone to benzos

Back 47

-no motor, memory, or concentration impairment
-no abuse potential
-does not cause dependency or withdrawal

Front 48

Buspirone requires what period of time to mitigate anxiety

Back 48

at least 3 weeks

Front 49

This heterocyclic antidepressant has demonstrated significant benefit in the treatment of GAD, but with delayed therapeutic effects

Back 49

venlafaxine

Front 50

This TCA has shown sig benefit in the tx of GAD, with delayed therapeutic effects

Back 50

Imipramine