Question 1

For a patient with GAD and a history of substance abuse,one of the primary reasons for choosing buspirone (Buspar)is because it&#10;A)Inhibits reuptake of serotonin&#10;B)Is effective for somatic complaints-sweaty palms,shortness of breath,etc.&#10;C)Does not cause dependency&#10;D)Has a strong antidepressant effect

Accepted Answer

Buspirone (Buspar) is a non-habit forming anxiolytic medication, making it a favorable choice for patients with a history of substance abuse. It does not cause tolerance, dependence, or withdrawal symptoms. While buspirone does affect serotonin receptors, it is not an SSRI and does not inhibit the reuptake of serotonin. It is also not considered a strong antidepressant and may not be effective for somatic complaints alone.

Question 2

It can be said that in the fear system,the amygdala&#10;A)Serves as a response center for danger and fear&#10;B)Imprints the time and place of an event&#10;C)Evaluates the event in relation to memories of previous experiences&#10;D)Releases hormones that start a cascade of neurohormones and neurotransmitters that prepare the body to respond to a threat

Accepted Answer

The amygdala is responsible for processing emotions, particularly fear and danger, and serves as a response center for these emotions. It triggers the release of hormones and neurotransmitters that prepare the body to respond to a threat. It does not imprint the time and place of an event or evaluate it in relation to previous experiences.

Question 3

Chris,a successful music major,is preparing for his recital next week.He has experienced severe stage fright in the past.Which of the following classes of medication would most likely be recommended?&#10;A)Monoamine oxidase inhibitor&#10;B)Tricyclic antidepressant&#10;C)Norepinephrine reuptake inhibitor&#10;D)Beta blocker

Accepted Answer

Beta blockers are commonly used to treat stage fright and performance anxiety. They work by blocking the effects of adrenaline, which can cause physical symptoms such as sweating and a racing heart. This can help to reduce anxiety and make it easier for the person to perform in front of an audience. Monoamine oxidase inhibitors, tricyclic antidepressants, and norepinephrine reuptake inhibitors are not typically used for stage fright.

Question 4

In considering maintenance treatment for a patient with GAD who is anxious,agitated,and irritable and has sleep problems,which medication(s)might you select?&#10;A)Bupropion (Wellbutrin)&#10;B)A dopamine agonist&#10;C)Paroxetine (Paxil)or sertraline (Zoloft)&#10;D)Alprazolam (Xanax)

Accepted Answer

Paroxetine and sertraline are both selective serotonin reuptake inhibitors (SSRIs) that are effective in treating GAD and also address the symptoms of anxiety, agitation, and irritability. They also have sedative properties that may help with sleep problems. Bupropion is not effective for GAD and may exacerbate anxiety. Dopamine agonists are not used as first-line treatments for GAD and may have significant side effects. Alprazolam is a benzodiazepine that is effective for GAD symptoms but is not recommended for long-term use due to the risk of dependence and withdrawal symptoms.

Question 5

Susan,a 35-year-old single female who has a history of panic attacks that interfere with her working,has become afraid to go out alone and prefers to have a family member stay with her at home at all times.The most appropriate diagnosis based on this limited information is

A)Schizophrenia with delusions
B)Panic disorder with agoraphobia
C)Avoidant personality disorder
D)Social anxiety disorder

Accepted Answer

Based on the given information, Susan is experiencing panic attacks and has developed a fear of going out alone, which suggests agoraphobia. This is a common feature of panic disorder with agoraphobia, which is characterized by recurrent panic attacks and avoidance of situations or places that may trigger them. The other options, including schizophrenia with delusions, avoidant personality disorder, and social anxiety disorder, are less likely based on the limited information provided.

Question 6

Regarding generalized anxiety disorder (GAD),which of the following is true?&#10;A)GAD is rare in older adults.&#10;B)Comorbidity for major depression and other anxiety disorders is not common.&#10;C)GAD is considered to be a chronic condition.&#10;D)GAD is characterized by seasonal cycles.

Accepted Answer

GAD is considered a chronic condition, meaning it lasts for an extended period of time and is not easily cured. Options A, B, and D are incorrect. GAD is not rare in older adults; in fact, it is one of the most common mental health disorders among older adults. Comorbidity with major depression and other anxiety disorders is common in individuals with GAD. GAD is not characterized by seasonal cycles.

Question 7

Leonard avoids going out to eat with his family at restaurants.He is concerned that others may watch him and criticize his table manners.Which is the most likely diagnosis?&#10;A)Agoraphobia&#10;B)Specific situational phobia&#10;C)Social anxiety disorder&#10;D)Generalized anxiety disorder

Accepted Answer

Leonard's fear of being judged while eating in public places suggests social anxiety disorder, which is characterized by excessive fear of being scrutinized or evaluated in social situations. This fear leads to avoidance of social situations or extreme discomfort when they cannot be avoided.

Question 8

Types of specific phobias include all of the following except&#10;A)Blood,injury,or injection&#10;B)Public speaking&#10;C)Situational phobias-elevators,bridges&#10;D)Environmental phobias-storms,water

Accepted Answer

Public speaking is not a type of specific phobia. It is a common fear or anxiety for many people, but it does not meet the criteria for a phobia as outlined by the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders).

Question 9

In GAD,which of the following is true?&#10;A)GAD is rare in older adults.&#10;B)Worrying may be associated with the belief that it keeps the family safe.&#10;C)Worrying is usually limited to one type of worry,such as locking doors.&#10;D)Worrying is usually accompanied by ritualistic behaviors.Chapter 10: Phobias,Generalized Anxiety Disorder,Social Anxiety Disorder and Panic Disorder

Accepted Answer

Worrying in GAD can be associated with the belief that it keeps oneself or the family safe, making it difficult to control the worry. A is incorrect because GAD can occur in older adults. C is incorrect because GAD involves excessive worry across multiple domains, rather than just one type of worry. D is incorrect because GAD does not typically involve ritualistic behaviors.

Question 10

Medical disorders that should be considered as differential diagnoses of panic disorder include all of the following except&#10;A)Hyperthyroidism&#10;B)Hypothyroidism&#10;C)Mitral valve prolapse&#10;D)Hyperparathyroidism

Accepted Answer

Hyperthyroidism, hypothyroidism, and mitral valve prolapse are all recognized medical disorders that can present with symptoms similar to those of panic disorder, such as palpitations, chest discomfort, and shortness of breath. On the other hand, hyperparathyroidism is a disorder of the parathyroid gland that generally does not cause symptoms that mimic those of panic disorder.

Deck 10: Phobias,generalized Anxiety Disorder,social Anxiety Disorder and Panic Disorder