Anxiety DO

Question 1

___________ comprises excessive anxiety and
worry about various life circumstances and is not
related to a specific activity, time or event such as
trauma, obsessions or phobias.

Answer 1

Generalised anxiety

Question 2

Gen features of GAD

Answer 2

• persistent unrealistic and excessive anxiety
• worry about a number of life circumstances for
6 months or longer

Question 3

Diagnostic criteria for generalised

anxiety disorder

Answer 3

Three or more of:
• restless, ‘keyed up’ or ‘on edge’
• easily fatigued
• difficulty concentrating or ‘mind going blank’
• irritability
• muscle tension
• sleep disturbance

Question 4

Ddx for GAD

Answer 4

• depression
• drug and alcohol dependence/withdrawal
• benzodiazepine dependence/withdrawal
• hyperthyroidism
• angina and cardiac arrhythmias
• iatrogenic drugs
• caffeine intoxication

Question 5

Mx of GAD

maladaptive thinking, feelings, perceptions and related behaviours are identified, assessed, challenged and modified, can be of considerable benefit.

Answer 5

CBT

Question 6

____ and_______- have shown to

benefit some anxiety disorders

Answer 6

SSRIs and other antidepressants

Question 7

assess efficacy of antidepressants after at least
_______(in contrast to 6–8 weeks when treating
major depression) and treat for at least 6 months

Answer 7

12 weeks

Question 8

_________ is of benefit in social anxiety disorder,

particularly with anticipated stressful events

Answer 8

propranolol

Question 9

___________ have a limited role in anxiety
disorders. If used, they should be reserved
for people who have not responded to at least
2 therapies

Answer 9

benzodiazepines

Question 10

A________ is defined as a discrete period of
intense fear or discomfort in which four (or more) of
symptoms develop abruptly and reach a
peak within 10 minutes

Answer 10

panic attack

Question 11

Organic disorders that simulate a panic attack

are ____, ______, ______

Answer 11

hyperthyroidism, phaeochromocytoma and

hypoglycaemia

Question 12

T or F

A single panic attack is synonymous with
panic disorder

Answer 12

F

not same

Question 13

________
is when there are recurrent attacks that are followed
by at least a month of worrying about future attacks
and/or the consequences of them.

Answer 13

Panic disorder

Question 14

Panic disorder can occur with or without associated _________though >90% of people with agoraphobia develop it as a result of recurrent panic attacks.

Answer 14

agoraphobia,

Question 15

Mx of panic Do if non-pharma work (pyschotherapy)

Answer 15

If simple
psychotherapy and stress management fail then
patients should be referred for CBT

Question 16

In panic DO

________can be
useful in reducing panic attacks and agoraphobia

Answer 16

Antidepressants

Question 17

response rate for anti-dep in panic DO

Answer 17

with the response rate being 60–90%.

Question 18

Continual use of__________has previously been
utilised in panic and other anxiety disorders but is
now no longer recommended

Answer 18

benzodiazepines (BDZs, e.g.

alprazolam or clonazepam)

Question 19

BZD use

avoid using _________as they are the
most highly addictive

Answer 19

short-acting drugs

Question 20

A benzodiazepine withdrawal syndrome, which can
include 
1
2
3
4

Answer 20

rebound anxiety, depression, confusion, insomnia and seizures, may occur

Question 21

Avoidance includes staying away from many
situations where there are issues of distance from
home, crowding or confinement

Answer 21

Agoraphobia

Question 22

________ is experienced in anxietyprovoking
social situations in which the person
feels subject to critical public scrutiny (e.g. canteens,
restaurants, staff meetings, speaking engagements).

Answer 22

Social anxiety disorder

Question 23

Types of social anxiety DO

Answer 23

It can either be generalised (fear of numerous
social situations, including both performance and
interactional situations) or non-generalised (fear of
one or just a few situations of performance type).

Question 24

Meds for specific situations

Generalised anxiety disorder

Answer 24

SSRI, duloxetine (30–120 mg), venlafaxine controlled release (75–225 mg)

Question 25

Meds for specific situations Panic disorder

Answer 25

SSRI, venlafaxine controlled release (75–225 mg)

Question 26

Meds for specific situations Obsessive-compulsive disorder

Answer 26

SSRI

Question 27

Meds for specific situations Social anxiety disorder (generalised)

Answer 27

SSRI, venlafaxine controlled | release (75–225 mg)

Question 28

Meds for specific situations Social anxiety disorder (non-generalised)

Answer 28

propranolol 10–40 mg orally, 30–60 minutes before the social event or performance

Question 29

Anxiety is associated with obsessive thoughts and | compulsive rituals.

Answer 29

Obsessive–compulsive disorder (OCD)

Question 30

_______ are recurrent and persistent intrusive ideas, thoughts, impulses or images that are usually resisted by the patient

Answer 30

The obsessions

Question 31

_________ are repetitive, purposeful and intentional behaviours conducted in response to an obsession to prevent a bad outcome for the person (e.g. excessive washing of the genitals).

Answer 31

Compulsions

Question 32

Mx of OCD

Answer 32

Optimal management is a combination of psychotherapeutic— particularly CBT—and pharmacological treatment,

Question 33

The person with this disorder has an exaggerated | preoccupation with an imagined defect in appearance

Answer 33

Body dysmorphic disorder

Question 34

This is defined as a constellation of abnormal anxiety-related symptoms lasting at least 3 days and occurring within 4 weeks of a traumatic event

Answer 34

Acute stress disorder

Question 35

• acute PTSD: duration of symptoms_______ • chronic PTSD: duration of symptoms_______ • delayed onset PTSD: onset of symptoms at least ______

Answer 35

<3 months ≥ 3 months 6 months after the stressor

Question 36

Features of PTSD ``` • __________—recollections, nightmares, flashbacks • ___________ • _____ • hyperarousal phenomena ```

Answer 36

intrusive features avoidance of events that symbolise or resemble the trauma persistent negative alterations in cognitions and mood

Question 37

What phenomenon: exaggerated startle response, irritability, anger, difficulty with sleeping and concentrating, hypervigilance, reckless or self-destructive behaviour

Answer 37

hyperarousal phenomena

Question 38

Duration of Tx for PTSD pts

Answer 38

they should be used for at | least 12 months

Question 39

Sx of HVS

Answer 39

* lightheadedness, faintness or dizziness * breathlessness * palpitations * sweating * dry mouth with aerophagy * agitation * fatigue and malaise

Question 40

This term is reserved for patients who present with anxiety symptoms within 3 months of response to an identifiable psychosocial stressor

Answer 40

Adjustment disorder with anxious mood

Question 41

___________ is defined as the tendency to experience, conceptualise and communicate mental states and distress as physical symptoms or altered bodily function

Answer 41

Somatic symptom disorder (SSD)

Question 42

SSD is persistent with a history of numerous unsubstantiated physical complaints over several years beginning before the age of _____

Answer 42

30.

Question 43

Types of SSD

Answer 43

``` those with predominantly somatic complaints and those with predominantly pain issues (previously known as pain disorder). ```

Question 44

Mx of SSD

Answer 44

Management involves skilful counselling, explanation for symptoms, searching for and treating comorbid conditions (e.g. depression, anxiety) and CBT.