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PANCE Blueprint Psychiatry - All Smarty PANCE Psychiatry lesson sets combined (Smarty PANCE) (Latest /
- What is generalized anxiety disorder (GAD)?
Answer: Excessive anxiety and worry about a number of activities or events that is present more days than not for e 6 months
- DSM-5 criteria for GAD?
Answer:
- Severe anxiety/worry about MANY topics, events, tasks that occur MOST days > 6 months
2. At least 3 symptoms:
Muscle tension Fatigability Concentration difficulty Restlessness Irritability Sleep disturbances
- Mnemonic to remember the symptoms of of GAD?
Answer: Mnemonic: Macbeth Frets Constantly Regarding Illicit Sins Muscle tension Fatigability Concentration difficulty Restlessness Irritability Sleep disturbances
- Norepinephrine is in patients with generalized anxiety disorder?-
Answer: Norepinephrine is increased in patients with generalized anxiety disorder.
- GABA and serotonin levels are in patients with generalized
anxiety disorder.Answer: GABA and serotonin levels are decreased in patients with generalized anxiety disorder.
- What is the psychotherapy of choice for patients with generalized anxiety disorder?
Answer: Cognitive behavioral therapy is the psychotherapy of choice for patients with generalized anxiety disorder.
- First line medication for the treatment of GAD?
Answer: Selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine 1 / 4
reuptake inhibitors (SNRIs) are the first-line drug classes for generalized anxiety disorder.
- Second line medications for the treatment of GAD?
Answer: Buspirone and Tricyclic antidepressants are second-line medications for generalized anxiety disorder
- This class of medications in small to moderate doses may also be effective, although
sustained use may lead to physical dependence Answer: Benzodiazepines (anxiolytics) in small to moderate doses may also be effective, although sustained use may lead to physical dependence.
- Describe panic disorder?
Answer: Panic disorder is occurrence of repeated panic attacks typically accompanied by fears about future attacks or changes in behavior to avoid situations that might predispose to attacks
- DSM V criteria for panic disorder?
Answer:
- > 1 panic attack that reoccurs w/o warning and >4 symptoms
- At least a month or more of worry or avoidant behavior
- In order to be classified as panic disorder patients need to experience the abrupt onset of at
least four of 13 symptoms. What are they?Answer: Patients need to experience the abrupt onset of at least four of the following 13
symptoms:
pounding heart or fast heart rate chest pain or discomfort sweating trembling shortness of breath nausea dizziness chills numbness feelings of choking feelings of being detached from oneself fear of losing control fear of dying
- To diagnose panic disorder, how long must symptoms be present?
Answer: To be considered panic disorder one must experience: recurrent, unexpected panic attacks with at least a month or more of worry or avoidant behavior
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- Patients with a panic disorder can't predict where the panic attack will happen next and
are likely to develop what?Answer: Patients with a panic disorder can't predict where the panic attack will happen next, so it's important to seek treatment before patients develop avoidance, which is when they actively avoid the places where a panic attack previously occurred.
- What is it called when a patient experiences anxiety just thinking about the possibility of
having a panic attack?
Answer: This is called anticipatory anxiety
- The fear of going into crowded spaces?
Answer: Agoraphobia
- What are the first-line agents for the management of panic disorder?
Answer: Selective serotonin reuptake inhibitors and SNRIs (venlafaxine) are the first-line agents for the management of panic disorder
- What can be taken PRN for panic attacks?
Answer: Benzodiazepines and hydroxyzine
- What has been an effective type of psychotherapy for patients with panic disorder?
Answer: Cognitive-behavioral therapy has been an effective type of psychotherapy for patients with panic disorder
- If the panic disorder is very severe what class of medications may some- times be
prescribed?Answer: If panic disorder is very severe, anti-seizure medications may sometimes be prescribed
- What are phobias?
Answer: Phobias are extreme, often unreasonable and irrational fears of something, which could literally be anything
- What are the three main types of phobias?
- Specific phobias
- Agoraphobia
- Social phobia
Answer: There are three main types of phobias:
- Define specific phobic disorders?
Answer: Specific phobic disorders consist of persistent, unreasonable, intense fears (phobias) of specific situations, circumstances, or objects
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- Specific phobia DSM-V criteria?
Answer: Persistent (>6 months) intense fear/anxiety of specific object/situation/place
- A type of specific phobia, is an exaggerated fear of public spaces in which escape may be
difficult. It is associated with panic disorder.
Answer: Agoraphobia
- What places must people w/ agoraphobia fear to make a formal diagnosis (need 2)?
Answer:
Public transportation Open spaces Enclosed spaces Lines or crowds Outside home
- A type of specific phobia characterized by excessive fear of embarrassment in social
situations such as public speaking
Answer: Social Anxiety Disorder (Social Phobia)
- Treatment of specific phobias?
Answer: Treatment of specific phobias is with systematic desensitization to the stimulus
- Treatment for social anxiety disorder?
Answer: In social anxiety disorder, patients can take benzodiazepines or beta-blockers for infrequent anxiety-producing occasions.
- Treatment for agoraphobia?
Answer: Cognitive behavioral therapy and selective serotonin reuptake inhibitors
- What is bipolar disorder?
Answer: Bipolar disorder is a mood disorder that is characterized by episodes of mania, hypomania, and major depression. The subtypes of bipolar disorder include bipolar I and bipolar II
- More manic with some depression?
Answer: Bipolar I
- Hypomania with more (profound) depression?
Answer: Bipolar II (remember that bipolar II is depression > mania because depression is twice as big a word as mania)
- A milder form of bipolar disorder that lasts at least two years and presents with fluctuating
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mild depressive and hypomanic symptoms Answer: Cyclothymic dis- order is a milder form of bipolar disorder that lasts at least two
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