Anxiety therapeutics

Question 0

Most common co-morbid disorder associated with SAD

Answer 0

psychiatric disorder

Question 1

Minimum length of time of persistent worry or changes in behavior necessary to qualify as panic disorder

Answer 1

1 month

Question 4

Number of symptoms associated with panic attack needed to qualify as panic disorder

Answer 4

4

Question 5

Major co-morbidity associated with panic disorder

Answer 5

agoraphobia

Question 7

Min. length of fear of social situation needed to qualify as SAD

Answer 7

6 months

Question 8

Minimum length of anxiety/worry to qualify as generalized anxiety disorder

Answer 8

6 months

Question 9

Min. length of symptoms needed to qualify as PTSD

Answer 9

1 month

Question 11

4 AEs of SSRIs/SNRIs

Answer 11

1. nausea
2. sleep disterbances
3. sexual dysfunction
4. headache

Question 12

Score on GAD-7 that indicates moderate GAD

Answer 12

10-14

Question 13

SSRI that is not as effective as others for treatment of panic disorder

Answer 13

citalopram

Question 14

TCA that has been shown to be effective in treating OCD (1st line)

Answer 14

clomipramine

Question 17

3 adverse effects of buspirone

Answer 17

1. Nausea
2. Dizziness
3. Headache

Question 18

Time to response in treatment of PTSD

Answer 18

8-12 weeks

Question 19

The 2 best studied TCAs in treatment of anxiety

Answer 19

1. Imipramine

2. Clomipramine

Question 20

Score on GAD-7 that indicated severe anxiety

Answer 20

> 15

Question 21

Symptoms of GAD (need at least 3 to qualify for diagnosis)

Answer 21

1. restlessness
2. fatigue
3. sleep disturbances
4. irritability
5. muscle tension
6. difficulty concentrating

Question 22

3 preferred BZDs in active liver disease

Answer 22

1. Lorazepam
2. Oxazepam
3. Temazepam

Question 23

4 treatments that are NOT effective in treating panic disorder

Answer 23

1. propanolol
2. buspirone
3. antihistamines
4. antipsychotics

Question 24

Type of psychotherapy specific for SAD

Answer 24

exposure therapy

Question 25

Length of therapy for SAD

Answer 25

usually long-term

Question 26

3 treatments NOT effective in treating SAD

Answer 26

1. TCAs
2. buspirone monotherapy
3. atenolol

Question 27

Adjunctive therapy that has evidence in OCD patients that don’t respond to SSRI (2nd line)

Answer 27

Mirtazapine

Question 28

Timing of max effect of buspirone

Answer 28

4-6 weeks

Question 29

Min length of therapy for GAD

Answer 29

12 months

Question 30

Min length of therapy for PTSD

Answer 30

at least 12 months after response

Question 31

Class of medications that can decrease perception of anxiety in performance-only SAD

Answer 31

Beta-blockers (propanolol or atenolol)

Question 32

Alpha-1 antagonist that may decrease nightmares and insomnia in PTSD

Answer 32

Prazosin

Question 33

The gold standard screening tool for GAD

Answer 33

Hamilton Anxiety Scale

Question 34

3 treatments that are not effective in treating PTSD

Answer 34

1. buspirone 2. bupropion 3. desipramine

Question 35

Time to see response for GAD

Answer 35

2-4 weeks to effect and 4-6 weeks to full effect

Question 37

Length of therapy for OCD

Answer 37

Min. 1-2 years, usually lifelong

Question 38

3 best options for treating anxiety in pregnancy

Answer 38

1. citalopram 2. fluoxetine 3. sertaline

Question 39

Time to response in treating OCD

Answer 39

10-12 weeks

Question 40

Length of therapy for panic disorder

Answer 40

12-24 months

Question 41

Length of medication trial that should be used for SAD

Answer 41

8-12 weeks

Question 44

Time to response in panic disorder

Answer 44

6-12 weeks and at least 2 weeks at current dose

Question 45

alpha-2 agonist that may be used to treat PTSD

Answer 45

Clonidine

Question 47

Score on GAD-7 that indicated mild GAD

Answer 47

5-9

Question 50

Min length of time after event for full diagnostic criteria to be met to qualify as PTSD with delayed expression

Answer 50

6 months after event