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NR606 WEEK 3 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NR606 WEEK 3 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NR606 WEEK 3 QUESTIONS ANDANSWERS WITH SOLUTIONS 2024
Pediatric Anxiety & Obsessive-Compulsive Disorder (OCD) - ANSWER -Separation anxiety
-Social anxiety
-OCD
-Body dysmorphic disorder
Anxiety - ANSWER -Increased brain activity in the amygdala & prefrontal cortex
-PET scans have also shown reduced serotonin binding in patients with anxiety
-GAD
• persistent, uncontrollable worrying that causes emotional distress, symptoms on most days, for a
period of at least 6 months
-Symptoms:
• worrying, restlessness, irritability, muscle tension, fatigue, sleep disturbances
Risk factors for developing anxiety - ANSWER -genetic predisposition (family history of anxiety)
-being female
-recent life stressors
-chronic physical illness
-lack of support during childhood
Medications for anxiety: GAD - ANSWER -SSRIs
-SNRIs
-buspirone
-Drug Therapy at least 12 months
Medications for anxiety: Panic Disorder - ANSWER -paroxetine
-sertraline
-fluoxetine
,-Drug therapy 6-9 months
Medications for anxiety: OCD - ANSWER -fluoxetine
-fluvoxamine
-sertraline
-paroxetine
-clomipramine (TCA)
-Drug therapy for at least 1 year
Medications for anxiety: Social Anxiety Disorder - ANSWER -sertraline
-paroxetine
-Drug therapy takes 4 weeks to see effects
Medications for anxiety: PTSD - ANSWER -paroxetine
-sertraline
Depression - ANSWER -Decreased brain activity in the prefrontal cortex
-symptoms that last >2 weeks
-Symptoms:
• depressed or irritable mood, diminished interest in activities, significant weight or appetite changes,
fatigue, feelings of worthlessness, sleep disturbances, diminished ability to concentrate
-can be influenced by genetic & environmental factors, stressful life events
• giving birth or experiencing emotional trauma
-linked to neurotransmitter imbalances
MDD - ANSWER -primary feature of MDD is the occurrence of at least 1 episode of major depression
lasting at least 2 weeks
-must experience 5 or more of the following symptoms in 2 weeks to be diagnosed with a major
depressive episode:
• feeling low most of the day for most days
, • decreased interest in activities
• substantial weight loss, significant change in appetite
• fidgeting, random movement (i.e. pacing)
• decreased energy
• sense of guilt or worthlessness
• lack of focus or ability to make decisions
• repeated thoughts of death and suicide
Medications for depression - ANSWER -SSRIs
-SNRIs
-NDRIs
-TCAs
-MAOIs
Selective Serotonin Reuptake Inhibitors (SSRIs) - ANSWER -Action:
• inhibits 5-HT (serotonin) reuptake
-Ex:
• citalopram
• escitalopram
• fluoxetine
• paroxetine
• sertraline
-Common Side Effects:
• nausea, agitation, headache, and sexual dysfunction
Serotonin Norepinephrine Reuptake Inhibitors (SNRIs) - ANSWER -Action:
• inhibits 5-HT (serotonin) reuptake
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