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What's the common genetic heritability that is shared with this condition? -
ANSWER-Generalized anxiety disorder [GAD]
1st line: SSRIs [s...
PSYCH IATRY EOR 2024 LATEST ACTUAL EXAM 1 TEST BANK WITH 250 REAL EXAM QUESTIONS WITH 100% CORRECT VERI FIED ANSWERS GRADED A+/ PSYCH EOR PAEA LATEST EXAM NEW!! What's the common genetic heritability that is shared with this condition? - ANSWER -Generalized anxiety disorder [GAD] 1st line: SSRIs [sertraline, paroxetine] 2nd line: Benzos [Lorazepam] Usually starts: early adulthood in women Genetic heritability with: Major Depressive Disorder Pt presents with: - frequent episodes of palpitations - diaphoresis, feeling of going to "pass out" - fear of having another episode What's the # of occurrence and the time frame to diagnose? What's an unusual risk factor for it? besides the obvious ones - ANSWER -Panic Disorder 3 panic attacks in 3 weeks Risk factor: Neuroticism personality trait ~ This disorder does not have specific genes identified that are associated wi th it. ~ decrease GABA and ACh has been found - ANSWER -Schizophrenia * Remember its presentation: presence of hallucinations, delusions, disorganization, and negative symptoms. * Pathogenesis has multifactorial pathways= genetic + environmental + physio logical. *Sx must be present for >6 months Generalized anxiety disorder [GAD] may present with psychological sx, physical sx that at times can mimic a _____. Therefore what should we rule out [3] - ANSWER -GAD physical sx can mimic myocardial infarction. Also rule out: substance abuse, thyroid fxn, and ETOH withdrawal Always check: ECG, Troponin --> rule out an MI. What's the tx for someone who has sudden unexpected periods of intense fear or discomfort? [3] - ANSWER -Panic Disorder * SSRIs: Paroxetine, Sertraline, Fluoxetine * Benzos: for acute attacks * Relaxation, desensitization, examining behavior consequences) 1st line tx for social anxiety disorder what are the other options...[ 2] - ANSWER -* 1st line: Cognitive Behavioral Therapy ** IF it's affecting day to day living: SSRI/SNRI + CBT if pt is experiencing physical sx: tremors, sweating, palpitation THEN you rx PROPRANOLOL #1 A/E: erectile dysfunction! - ANSWER -Selective Serot onin Reuptake Inhibitors (SSRI) What's unique about Clozapine? - ANSWER -FIVE BLACK BOX WARNING! Cardiomyopathy/Myocarditis Orthostatic hypote nsion Mortality [increase] in elderly w/dementia - psychosis Agranulocytosis - monitor CBC It shows @ beginning of tx) Seizures "COMAS" *fyi- ALL pts who are Rx. Clozapine MUST be enrolled in: "Risk Evaluation and Mitigation Strategy program". Clozapine i s titrated at a slower rate to mitigate the risk of s/e, including neutropenia. Pt presents with these sx for more than 6 months: - poor school performance - sleep disturbances - difficulty concentrating, and irritability What's the 1st line and 2nd line? When does this condition typically begins? first line for long term treatment of panic disorder? [4] - ANSWER -SSRI: paroxetine, fluoxetine, sertraline, and venlafaxine neurotransmitter for depression [4] - ANSWER -* Decreased Serotonin, NE, & dopamine * INCREASE cor tisol neurotransmitter for Anxiety [3] - ANSWER -1. Decreased GABA, NE & serotonin neurotransmitter for Bipolar [2] - ANSWER -(+) symptoms = Low dopamine Manic = NE neurotransmitter for Panic disorder [3] - ANSWER -Decreased GABA & serotonin INCREASE NE neurotransmitter for PTSD [1] what are the two dissociative sx of PTSD? - ANSWER -NT: Decreased serotonin Dissociative sx: ~ Depersonalization: Feeling detached from one's mental processes or body, so that one feels like an outside observer of one's own ex perience.
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