Anxiety Disorders

Test 1 Question 77. A patient presents to your office with a complaint of intense fear of going to social functions at her child’s school. On further examination you note that she has fears that she will act in a way that will be humiliating or embarrassing. She is also made anxious by having to meet new people that she does not know. Your differential diagnosis of this patient should include which one of the following Axis II disorders?

Test 1 Question 119. Which one of the following conditions has the highest prevalence?

Test 2 Question 57. A young woman presents to the emergency room with complaints of palpitations, sweating, shortness of breath, chest pain, and nausea. She thinks that she is having a heart attack. Electrocardiogram (ECG) reveals normal sinus rhythm with no ischemic changes. Cardiac enzymes are not elevated. Given her symptoms, an alternative diagnosis would be:

Test 2 Question 69. A patient describes feeling anxious about being in places or situations from which escape may be difficult or in which help may not be available should the patient begin to panic. The patient avoids various situations because of these fears. The term that best describes this patient’s symptoms is:

Test 3 Question 15 A construction worker is brought to the emergency room immediately after an accident on a job site. He was standing very near a three-story scaffold that fell and missed crushing him by inches. He reports feeling anxiety, a sense of numbing, detachment, and difficulty remembering the accident and states that he feels like he is in a daze. The most likely diagnosis is:

Test 3 Question 31 What is the difference between posttraumatic stress disorder and acute stress disorder?

Test 4 Question 15 A physician examines a female patient in the emergency room who has recently been diagnosed with a social phobia. Which one of the following answer choices would most likely be the greatest fear for this patient?

Test 4 Question 31 Which one of the following medical conditions should not be considered when evaluating patients with anxiety disorders?

Test 5 Question 95: A patient comes to you 3 weeks after witnessing a child hit by a car. Since then she has been having feelings of detachment and feels “in a daze.” She has recurrent thoughts and dreams about the event. She describes depersonalization. She has avoided discussing the event with friends and family and her sleep has been poor. What is the most appropriate diagnosis?

Test 5 Question 110. Which of the following anxiety disorders has equal rates in both males and females?

Test 5 Question 137. Which of the following is the most significant risk factor for posttraumatic stress disorder and the best predictor of symptom development following exposure to trauma?

Test 6 Question 17 Which of the following anxiety disorders is most common?

Test 6 Question 39: Which one of the following is an appropriate Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM 5), specifier used for substance-induced anxiety disorder?

Test 6 Question 95: A 25-year-old female comes to the psychiatrist complaining of irritability, poor concentration, and poor sleep. Which one of the following should not be included in the differential diagnosis?

Test 6 Question 107: A patient with severe panic disorder comes to you for help. Which of the following is the most effective treatment you can offer her?

Test 6 Question 108: Which of the following is not a common comorbidity associated with social phobia?

Test 6 Question 109. You start a patient in your practice on an SSRI for treatment of panic disorder. Which of the following medications can you add that will be effective, is FDA-approved for panic disorder, and will lead to a more rapid response?

Test 6 Question 132 : A patient has a panic attack and then worries significantly about having more attacks. How long must the patient worry to meet DSM criteria for panic disorder?

Test 6 Question 133: How long must a 42-year-old man have excessive anxiety to meet DSM 5 criteria for generalized anxiety disorder?

Test 6 Question 135. Giving a patient cognitive behavioral therapy (CBT) plus an SSRI for social anxiety disorder will most likely result in which of the following?

test 6 Question 145. Which of the following could be expected for a patient with social phobia compared to the general population?

Vignette 10 Question 1: Which of the following should be included in Lisa’s differential diagnosis? (Choose three of four)

Vignette 10 Question 2: Given Lisa’s medication history, which other medications may be worth trying? (Choose three of four)

Vignette 10 Question 3: Which of the following has the best evidence to support its use for Lisa’s condition?

Vignette 10 Question 4: Lisa is most likely to be misdiagnosed with which of the following? (Choose two of four)

Vignette 10 Question 5. Which diagnosis best explains Lisa’s avoidance of public restrooms during her school years?

Vignette 10 Question 6: 6. The performance-only subtype of social phobia is most successfully treated by which one of the following?

Vignette 10 Question 7. The major concern of patients with social phobia is which one of the following?

Vignette 10 Question 8. How long does Lisa need to have symptoms to meet DSM criteria for social phobia?

Vignette 10 Question 9. Which of the following are common side effects of Lisa’s condition? (Choose three of four)

Vignette 10 Question 10. As many as one-third of patients with Lisa’s condition also meet criteria for which one of the following disorders?