Anxiety Disorder: Roles of Stress
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Questions and Answers

What is the primary function of the parasympathetic system in the context of stress response?

  • To stimulate the hypothalamus and initiate the fight or flight response
  • To mediate the pituitary adrenal axis
  • To enhance blood clotting
  • To terminate the stress response through negative feedback (correct)
  • What is the primary role of the Locus coeruleus (LC) in the stress response?

  • To regulate the sympathetic nervous system
  • To mediate the physiological response to stressors (correct)
  • To mediate the pituitary adrenal axis
  • To terminate the stress response through negative feedback
  • Which of the following is NOT a psychological response to stress?

  • Cognitive impairment
  • Apathy and depression
  • Euphoria (correct)
  • Anxiety
  • What is the primary function of noradrenaline and adrenaline in the context of stress response?

    <p>To mediate the sympathetic nervous system</p> Signup and view all the answers

    What is the primary purpose of the Holmes Life Events Scale?

    <p>To measure the amount of stress experienced by an individual</p> Signup and view all the answers

    What is the definition of anxiety in this context?

    <p>A vague unpleasant emotion that is experienced in anticipation of some future misfortune</p> Signup and view all the answers

    What is the primary intention of using 5-HT1A agonists in the treatment of depression?

    <p>To improve depression and avoid agitation</p> Signup and view all the answers

    Which of the following medications is NOT used in the treatment of Panic Disorder?

    <p>Pregabalin</p> Signup and view all the answers

    What is the primary mechanism of action of Benzodiazepines on GABA-A receptors?

    <p>Increasing the influx of Cl- ions into the nerve</p> Signup and view all the answers

    What is the effect of administering Benzodiazepines with other CNS depressants?

    <p>Synergistic interaction, increasing the risk of fatal overdoses</p> Signup and view all the answers

    What is the primary side effect of Benzodiazepines in the elderly?

    <p>Psychomotor retardation</p> Signup and view all the answers

    What is the underlying mechanism of tolerance and withdrawal of Benzodiazepines?

    <p>Down-regulation of GABA-A receptors</p> Signup and view all the answers

    What is the primary reason for continued Benzodiazepine therapy despite tolerance?

    <p>To suppress withdrawal symptoms</p> Signup and view all the answers

    What is the primary difference between Benzodiazepine agonists and inverse agonists?

    <p>Agonists reduce anxiety, inverse agonists increase anxiety</p> Signup and view all the answers

    What is the effect of SSRIs on diazepam blood levels?

    <p>Increase diazepam blood levels</p> Signup and view all the answers

    What is the primary concern with using Benzodiazepines in pregnancy?

    <p>All of the above</p> Signup and view all the answers

    What is the primary mechanism of action of buspirone?

    <p>5-HT1A partial agonist</p> Signup and view all the answers

    What is the characteristic feature of panic disorder?

    <p>Abrupt onset of intense fear or discomfort</p> Signup and view all the answers

    Which of the following is a cognitive symptom of agoraphobia?

    <p>Thoughts of dying</p> Signup and view all the answers

    What is the primary difference between social phobia and panic disorder?

    <p>Social phobia involves fear of scrutiny by others</p> Signup and view all the answers

    What is the minimum duration required for the diagnosis of obsessive-compulsive disorder?

    <p>2 weeks</p> Signup and view all the answers

    Which of the following is a common comorbid problem with panic disorder?

    <p>Depression</p> Signup and view all the answers

    What is the primary advantage of buspirone over benzodiazepines?

    <p>No dependence problems</p> Signup and view all the answers

    What is the characteristic feature of cognitive-behavioral therapy for panic disorder?

    <p>Focus on education and recognition of negative thoughts</p> Signup and view all the answers

    What is the primary goal of behavioral therapy for agoraphobia?

    <p>Expose the individual to feared situations</p> Signup and view all the answers

    What is the primary difference between obsessive-compulsive disorder and body dysmorphic disorder?

    <p>OCD involves repetitive behaviors, while BDD involves fear of appearance</p> Signup and view all the answers

    What is the primary function of the locus ceruleus in relation to anxiety?

    <p>Regulation of emotional response</p> Signup and view all the answers

    According to the Yerkes-Dodson Law, what happens to performance as anxiety increases beyond a certain threshold?

    <p>It decreases</p> Signup and view all the answers

    What is the lifetime prevalence of anxiety disorders?

    <p>15-20%</p> Signup and view all the answers

    What is the primary neurotransmitter involved in the serotonin theory of anxiety?

    <p>Serotonin</p> Signup and view all the answers

    What is the primary characteristic of generalized anxiety disorder?

    <p>Generalized and persistent anxiety</p> Signup and view all the answers

    What is the purpose of the Hamilton Anxiety Rating Scale?

    <p>To measure the severity of anxiety symptoms</p> Signup and view all the answers

    What is the role of the hippocampus in anxiety disorders?

    <p>Formation of fear memories</p> Signup and view all the answers

    What is the primary goal of cognitive-behavioral therapy for anxiety disorders?

    <p>To break down problems into smaller parts</p> Signup and view all the answers

    What is the relationship between anxiety and depression?

    <p>They are co-morbid</p> Signup and view all the answers

    What is the primary function of the amygdala in anxiety disorders?

    <p>Regulation of emotional response</p> Signup and view all the answers

    What is the primary characteristic of obsessive thoughts and compulsions?

    <p>They are acknowledged as originating in the mind of the patient</p> Signup and view all the answers

    Which of the following is NOT a treatment option for obsessions and compulsions?

    <p>Pharmacotherapy with beta blockers</p> Signup and view all the answers

    What is the primary mechanism of action for SSRI's and TCA's in treating obsessions and compulsions?

    <p>Augmentation of serotonin and norepinephrine</p> Signup and view all the answers

    What is the primary characteristic of PTSD?

    <p>Delayed or protracted response to trauma</p> Signup and view all the answers

    What is the primary biological cause of PTSD?

    <p>All of the above</p> Signup and view all the answers

    What is the primary diagnostic criterion for PTSD?

    <p>Patient must have been exposed to a stressful event of exceptionally threatening or catastrophic nature</p> Signup and view all the answers

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