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Psych ER EOR Questions and Correct Answer
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ELSCORES: Tuesday, 20 August 2024Psych ER EOR Questions and Correct
Answer
excessive anxiety and worry occurring a majority of days for at least 6 months. About a
number of and various events or activities. must have 3 of the following sxs - restlessness,
fatigue, muscle tension, insomia, impaired concentration, or irritability. dx?
✓ :- GAD
Tx for generalized anxiety disorder
✓ :- combo of psychotherapy and pharmacotherapy is most effective when used
together.
SSRIs/SNRIs are first line
Buspirone can be an adjunct
can use benzos for short term use
CBT most effective type of therapy
intense fear or anxiety about being in places or situations from which escape or obtaining
help maybe difficult (open spaces, enclosed spaces, public transportation, being outside of
home alone). sxs last 6 months. STRONG genetic factor. dx?
✓ :- agoraphobia
Tx for agoraphobia
✓ :- CBT + SSRIs
DO NOT COPY AND PASTE!!
,ELSCORES: Tuesday, 20 August 2024
persistent (at least 6 months) of intense fear of social or performance situations in which the
person is exposed to the scrutiny of others for fear of embarrassment (public speaking,
meeting new people, using public restrooms). Individual fears they will act in a way or show
anxiety sxs that will be negatively evaluated. dx?
✓ :- social anxiety disorder
tx for social anxiety disorder?
✓ :- individual CBT is the mainstay
SSRI/SNRIs are first line pharmacotherapy
performance only/public speaking anxiety - BB (propranolol)
persistent at least 6 months intense fear or anxiety of a specific situation (flying, objects, or
places), exposure to the stimulus triggers an immediate fear response. Can be endured or
tolerated with intense fear. impairs everyday activities or avoidance. dx?
✓ :- specific phobias
Tx for specific phobia
✓ :- CBT (exposure and desensitization therapy) first line
short term benzos/BB in some patients
DO NOT COPY AND PASTE!!
, ELSCORES: Tuesday, 20 August 2024
failure to speak in specific social situations. Starts in childhood. lasts >1MO. ex: school. not
attributed to language difficulty or communication disorder. dx?
✓ :- selective mutism
tx for acute panic attack?
✓ :- BZD - alprazolam, lorazepam
risk factors for panic disorder?
✓ :- females
1st degree relative is affected
comorbid depression
childhood abuse
recurrent unexpected panic attacks (at least 2) often followed by persistent worry about future
ones, avoidance behaviors. dx?
✓ :- panic disorder
tx for panic disorder?
✓ :- pharmacotherapy and CBT most effective
SSRIs first line
Benzos for acute attacks
DO NOT COPY AND PASTE!!
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