Transcript jeopardy ii - Stritch School of Medicine

MHD & Therapeutics
And Now Here
Is The Host . . .
is proud
to present
Dr. Schilling
The categories for today’s
Jeopardy on Anxiety
Disorders will be:
Trauma & Stress
GAD & Panic
Phobias
Diagnosis
Miscellaneous
Trauma &
Stress
GAD & Panic
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Phobias
Diagnosis
Miscellaneous
What is depersonalization?
Seen in ASD and PTSD, an experience
of feeling as if one were an outside
observer of one’s mental processes
or body is this
Row 1, Col 1
What is a flashback?
Seen in ASD and PTSD, a reaction where
the individual feels or acts as if the
traumatic event were recurring
1,2
What is PTSD?
About 50% of patients with Acute
Stress Disorder go on to develop
this disorder
1,3
What is rape?
Highest rates of PTSD is seen in
survivors of military combat,
captivity, and this
1,4
What is prazocin (minipress)?
Alpha blocker
An anti-hypertensive medication
shown to be useful in the treatment
of nightmares in PTSD is this
1,5
What is arousal symptoms?
In PTSD, sleep disturbance,
irritability/anger, hypervigilance,
concentration, and exaggerated
startle response are all seen in the
criteria category
1,6
What are benzodiazepines?
While various antidepressant classes (SSRI’s, SNRI’s, even TCA’s,
MAO-I’s)- are commonly used in
treating PTSD, this class of nonantidepressant medication is
NOT recommended
1,7
What is substance use disorders?
Common co-morbid disorders with
PTSD include mood disorders,
anxiety disorders, and, especially
in males, this
1,8
What is Avoidance Symptoms?
The 4 PTSD symptom categories includes:
Intrusion symptoms,
Negative alterations in cognition & mood,
Arousal symptoms,
and this
1,9
What is agoraphobia?
Patients diagnosed with Panic disorder
are often also diagnosed with comorbid GAD but are most likely to
be diagnosed with co-morbid this
2,1
What is substance use disorders?
In♀ with GAD, co-morbidity is
mostly other anxiety disorders &
unipolar depression;
In ♂with GAD, co-morbidity
is mostly this
2,2
What is GAD?
Of all the anxiety disorders,
the one with the latest median age
of onset is this
2,3
What is waxing & waning?
Without treatment, the course of
Panic Disorder, more so than
GAD, is usually this
2,4
What is unexpected?
For a panic attack to be part of
panic disorder the attacks must
be recurrent, result in persistent
concern of more attacks, and this
2,5
What is SSRI’s & SNRI’s?
Theses two medication classes are
generally most effective in long
term monotherapy treatment
of GAD
2,6
What is age 45y/o?
Due to age related dampening of the
autonomic nervous system, Panic
disorder appears to recede later in
life, and usually will not
start after this age
2,7
What is female?
For both GAD and Panic disorder, as
well as Anxiety disorders overall,
the prevalence is greater in this sex
2,8
What is Bupropion (Wellbutrin)?
While most antidepressants are
used in treatment, for Panic
Disorder and probably also
GAD, it is not recommended to
use this antidepressant
2,9
What is 3?
75% of patients with Specific Phobia
have >1 phobia and the average
Specific Phobia patient has
this many
3,1
What are women?
Animal, natural environment, &
situational phobic stimulus are
predominantly experienced
by this sex
3,2
What is Situational?
Situational
Natural environment
Animal
Blood-injection-injury
==============================
This phobia tends to have a later age of
onset than the others
3,3
What is late childhood/early teen years?
Age 8-15
Social phobias age of onset,
75% of the time, occurs
during this time of life
3,4
What is blood-injection-injury?
This specific phobia which is highly
familial and elicits a strong vasovagal
response is experienced nearly
equally by both males
and females
3,5
What is blushing?
The hallmark physical response of an
individual with Social Anxiety
Disorder is this
3,6
What is 6 months?
For both Specific Phobia and Social
Phobia, the arbitrary time criteria
is this
3,7
What is propranolol?
A -blocker that may be used in the
treatment of the performance anxiety
subtype of Social Phobia is this
3,8
What is childhood?
Mean age 10
Specific phobias usually develop
during this time of life
3,9
What is panic disorder?
Recurrent, untriggered, abrupt surge of
intense fear followed by anticipatory
anxiety that it will happen again
is this
4,1
What is is Selective Mutism?
An anxiety disorder that is relatively rare,
equally common in males & females,
and more likely to present in young
children (<5 y/o) than adults
is this
4,2
What is specific phobia?
Anxiety or fear of animals/insects or
the natural environment is this
4,3
What is Separation Anxiety?
Excessive fear that leads to clinging
or shadowing behavior towards
the attachment figure
(usually a parent)
is this
4,4
What is Generalized Anxiety Disorder?
Persistent and excessive anxiety and worry
about various domains, including work
or school performance, that the
individual finds difficult to control
4,5
What is panic attack?
Abrupt intense fear with symptoms
that may include trembling, nausea,
palpitations, and sweating is this
4,6
What is social phobia?
Excessive anxiety from feeling
scrutinized such as when meeting
new people or in a situation of being
observed eating or drinking in a
public place is this
4,7
What is agoraphobia?
Fear that help may not be available or
escape may be difficult in situations
such as using public transportation,
being in an open or enclosed space,
standing in line, or being in a
crowd is this
4,8
What is Generalized Anxiety Disorder?
In addition to anxiety, the individual
has physical symptoms including
restlessness, being keyed up or on edge,
easily fatigued, trouble concentrating
or mind going blank, irritability,
muscle tension, and sleep
disturbance in this
4,9
What is fear, anxiety?
An emotional response to a real
or perceived threat is this,
whereas anticipation of a
future threat is that
5,1
What is Adjustment Disorder?
Symptoms begin within 3 months
of the stressor and end within
6 months of the resolution
of the stressor in this
5,2
What is Anxiety?
Fear or Anxiety
=======================
Muscle tension, vigilance in
preparation for future danger,
cautious or avoidant
behaviors are associated with
this
5,3
What is a compulsion?
In order to neutralize the anxiety
caused by an obsession, the person
feels driven to do something which is
called this
5,4
What is fear?
Fear or Anxiety
============================
Surges of autonomic arousal, thoughts
of immediate danger necessary for
fight or flight, and escape behaviors
are associated with this
5,5
What is an anxiety disorder?
OCD is highly co-morbid with 30%
having a lifetime tic disorder, 60%
having a lifetime mood disorder,
and 75 % having this
5,6
What is SSRI’s?
In general, while many antidepressants
are used in treating most anxiety
disorders, the class that is the 1st
choice is this
5,7
What is medical conditions?
Before diagnosing an anxiety
disorder, it is important to rule out
substance induced causes and to
rule out this
5,8
What is dirt/contamination?
While doubts are very common
obsessions, the most common
obsessions in OCD is this
5,9