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3 Psychiatry > Anxiety > Flashcards

Anxiety Flashcards

1
Q

thalamic symptoms of anxiety?

A

sweating
hot flushes
cold chills
shaking

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2
Q

cardiac symptoms of anxiety?

A

palpitations
pounding heart
tachycardia
chest pain

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3
Q

GI symptoms of anxiety

A

nausea

abdo distress eg churning stomach

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4
Q

ENT symptoms of anxiety?

A

dry mouth
choking sensation
dysphagia/”lump in throat”

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5
Q

how could an anxiety patient describe their loss of consciousness?

A

dizzy
unsteady
faint
lightheaded

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6
Q

what is meta-worry?

A

worrying so much that you begin to worry about worrying

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7
Q

what is derealisation?

A

feeling that objects are unreal

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8
Q

cognitive symptoms of anxiety

A 
derealisation and depersonalisation
fear of losing control
feeling on edge/tense
problems concentrating
hypervigilance
racing thoughts
meta-worry
need for order and routine
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9
Q

behavioural symptoms of anxiety

A 
avoidance of situations
exaggerated response to surprises
insomnia from worrying
excessive use of alcohol/drugs
restlessness/cant relax
irritablity
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10
Q

the emotional filter of the brain is…

A

the amygdala

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11
Q

how does the amygdala monitor stress?

A

assesses whether sensory material via the thalamus requires a stress or fear response

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12
Q

why does acute stress increase cortisol levels?

A

cortisol acts to mediate the stress response so the more stress the more cortisol is needed

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13
Q

generalised anxiety disorder is persistent T or F

A

T

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14
Q

what symptoms are dominant in generalised anxiety disorder?7

A 
persistent nervousness
trembling
muscular tensions
fatigue/sleep problems
sweating
lightheadedness
palpitations
dizziness
epigastric discomfort
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15
Q

what kind of fear tends to be expressed by GAD patients?

A

patient or relative will shortly become ill or have an accident

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16
Q

criteria for GAD?

A

> 6 month onset
not controllable
causes impairment in function

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17
Q

who gets GAD?

A

mainly females in their 20-40s

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18
Q

__% of GAD is comorbid with other psychiatric disorders

A

90

19
Q

Tx of GAD?

A

CBT
SSRIs/SNRIs
pregabalin

20
Q

depersonalisation and derealisation are symptoms of what anxiety disorder?

A

panic disorder

21
Q

how does panic disorder present?

A

recurrent attacks of severe anxiety (panic) which are unpredictable

22
Q

describe the symptoms of a panic attack

A 
palpitations
chest pain
choking sensations
dizziness
derealisation/depersonalisation
23
Q

patients experiencing a panic attack tend to have a fear of what during the attack?

A

theyre going to die, lose control or go mad

24
Q

what is agoraphobia? what anxiety disorder can it present with?

A

fear of being in situations where escape might be difficult or that help wouldn’t be available if things go wrong;
panic disorder

25
Q

how common is agoraphobia with panic disorder?

A

about 2/3 get it

26
Q

age of onset of panic disorder?

A

late adolescence to mid 30s

27
Q

treatment of panic disorder?

A

CBT

SSRI/SNRI/tricyclics

28
Q

how should benzos be used in anxiety disorders?

A

short term only

29
Q

phobias tend to present late/early

A

early

30
Q

name the 3 types of phobia

A

agoraphobia
social phobia
specific phobia

31
Q

patient presents with fear of shopping, compulsive drinking to eliminate social anxiety, hates public transport…

A

agoraphobia

32
Q

define specific phobia

A

a marked and persistent fear that is excessive or unreasonable, cued by the presence or anticipation of something eg heights

33
Q

Tx of specific phobias?

A

exposure to the stimulus
CBT
SSRIs/SNRIs if required

34
Q

define social anxiety disorder/social phobia

A

a persistent fear of one or more social situation in which the person is exposed to unfamiliar people and is worried theyll be embarassing or humiliating

35
Q

symptoms of SAD?

A

panic attacks
blushing/shaking
fear of vomiting
urgency or fear of micturition or defaecation

36
Q

consequences of SAD for the patient?

A

poor school performance
school refusal
poor employment Hx

37
Q

Tx of social phobia

A

CBT

SSRIs/SNRIs

38
Q

most common obsessive disorder in OCD?

A

contamination

39
Q

most common compulsions in OCF?

A

checking

cleaning/washing

40
Q

how to diagnose OCD?

A

present most days for at least 2 weeks AND be an interference with activities

41
Q

mean age of onset of OCD?

A

20

42
Q

OCD is linked to depression T or F

A

T

43
Q

Tx of OCD

A

CBT
SSRIs
clomipramine

44
Q

benzodiazepines ___ the effect of GABA

A

enhance

3 Psychiatry (28 decks)

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