NRl 547/l NR547l Midterml Exam:l
Differentiall Diagnosisl inl Psychiatric-
Mentall Healthl Acrossl thel Lifespanl
Practicuml Guidel (Latestl 2026/l 2027l
Update)l |l Qsl &l As|l Gradel A|l 100%l
Correctl (Verifiedl Answers)-l Chamberlain
QUESTION
Excoriationl Disorder
Answer:
Repetitivel skinl pickingl leadingl tol lesions.
QUESTION
Examplel ofl Excoriationl Disorder
Answer:
Al patientl picksl atl acnel untill itl bleeds,l causingl scarring.
QUESTION
Hoardingl Disorder
Answer:
Persistentl difficultyl discardingl itemsl duel tol distress.
QUESTION
Examplel ofl Hoardingl Disorder
,Answer:
Anl elderlyl patientl refusesl tol throwl awayl newspapers,l clutteringl theirl home.
QUESTION
Bodyl Dysmorphicl Disorderl (BDD)
Answer:
Preoccupationl withl perceivedl physicall flaws.
QUESTION
Examplel ofl Bodyl Dysmorphicl Disorder
Answer:
Al patientl believesl theirl nosel isl deformedl despitel reassurance.
QUESTION
Trichotillomania
Answer:
Hair-pullingl disorder,l causingl hairl loss.
QUESTION
Examplel ofl Trichotillomania
Answer:
Al teenl compulsivelyl pullsl outl scalpl hairl whenl stressed.
QUESTION
Tourette'sl Disorder
Answer:
Involvesl motorl andl vocall ticsl forl ≥1l year.
,QUESTION
Examplel ofl Tourette'sl Disorder
Answer:
Al 12-year-oldl hasl repeatedl eyel blinkingl andl throatl clearing,l worseningl withl stress.
QUESTION
Anxietyl Acrossl thel Lifespan
Answer:
Children:l Morel somaticl symptomsl (e.g.,l stomachaches).l Separationl anxietyl isl common.l
Olderl adults:l Oftenl underdiagnosed;l mayl presentl asl irritabilityl orl physicall complaints.
QUESTION
Rolel ofl Sociall Determinantsl inl Anxiety
Answer:
Economicl instabilityl →l Financiall stressl worsensl anxiety.l Lackl ofl accessl tol carel →l
Delayedl diagnosis/treatment.l Earlyl childhoodl traumal →l Increasedl riskl forl PTSD,l
anxietyl disorders.
QUESTION
Non-Pharmacologicall Treatmentsl forl Anxiety
Answer:
Cognitivel Behaviorall Therapyl (CBT):l Goldl standardl forl anxiety.l Exposurel Therapy:l
Usedl forl phobias,l OCD.l Mindfulnessl &l Relaxationl Techniques:l Reducel physiologicall
arousal.
QUESTION
Examplel ofl Non-Pharmacologicall Treatment
Answer:
, Al patientl withl panicl disorderl benefitsl froml diaphragmaticl breathingl exercises.
QUESTION
Pharmacologicall Managementl ofl Anxiety
Answer:
First-Line:l SSRIs:l Fluoxetine,l sertraline,l escitalopram.l SNRIs:l Venlafaxine,l duloxetine.
QUESTION
Second-Linel Pharmacologicall Treatments
Answer:
Buspirone:l Effectivel forl GADl (notl forl panicl attacks).l Beta-Blockersl (e.g.,l Propranolol):l
Usedl forl performancel anxiety.l Benzodiazepines:l Short-terml usel onlyl (riskl ofl
dependence).
QUESTION
Examplel ofl Pharmacologicall Management
Answer:
Al patientl withl severel GADl mayl startl escitalopram,l withl buspironel asl anl adjunct.
QUESTION
Medicationsl tol Avoidl inl Acutel Anxiety
Answer:
Benzodiazepinesl (exceptl forl acutel severel distress).l Bupropionl (mayl increasel anxiety).l
Stimulantsl (canl worsenl symptoms).
QUESTION
Examplel ofl Medicationsl tol Avoid
Answer:
Differentiall Diagnosisl inl Psychiatric-
Mentall Healthl Acrossl thel Lifespanl
Practicuml Guidel (Latestl 2026/l 2027l
Update)l |l Qsl &l As|l Gradel A|l 100%l
Correctl (Verifiedl Answers)-l Chamberlain
QUESTION
Excoriationl Disorder
Answer:
Repetitivel skinl pickingl leadingl tol lesions.
QUESTION
Examplel ofl Excoriationl Disorder
Answer:
Al patientl picksl atl acnel untill itl bleeds,l causingl scarring.
QUESTION
Hoardingl Disorder
Answer:
Persistentl difficultyl discardingl itemsl duel tol distress.
QUESTION
Examplel ofl Hoardingl Disorder
,Answer:
Anl elderlyl patientl refusesl tol throwl awayl newspapers,l clutteringl theirl home.
QUESTION
Bodyl Dysmorphicl Disorderl (BDD)
Answer:
Preoccupationl withl perceivedl physicall flaws.
QUESTION
Examplel ofl Bodyl Dysmorphicl Disorder
Answer:
Al patientl believesl theirl nosel isl deformedl despitel reassurance.
QUESTION
Trichotillomania
Answer:
Hair-pullingl disorder,l causingl hairl loss.
QUESTION
Examplel ofl Trichotillomania
Answer:
Al teenl compulsivelyl pullsl outl scalpl hairl whenl stressed.
QUESTION
Tourette'sl Disorder
Answer:
Involvesl motorl andl vocall ticsl forl ≥1l year.
,QUESTION
Examplel ofl Tourette'sl Disorder
Answer:
Al 12-year-oldl hasl repeatedl eyel blinkingl andl throatl clearing,l worseningl withl stress.
QUESTION
Anxietyl Acrossl thel Lifespan
Answer:
Children:l Morel somaticl symptomsl (e.g.,l stomachaches).l Separationl anxietyl isl common.l
Olderl adults:l Oftenl underdiagnosed;l mayl presentl asl irritabilityl orl physicall complaints.
QUESTION
Rolel ofl Sociall Determinantsl inl Anxiety
Answer:
Economicl instabilityl →l Financiall stressl worsensl anxiety.l Lackl ofl accessl tol carel →l
Delayedl diagnosis/treatment.l Earlyl childhoodl traumal →l Increasedl riskl forl PTSD,l
anxietyl disorders.
QUESTION
Non-Pharmacologicall Treatmentsl forl Anxiety
Answer:
Cognitivel Behaviorall Therapyl (CBT):l Goldl standardl forl anxiety.l Exposurel Therapy:l
Usedl forl phobias,l OCD.l Mindfulnessl &l Relaxationl Techniques:l Reducel physiologicall
arousal.
QUESTION
Examplel ofl Non-Pharmacologicall Treatment
Answer:
, Al patientl withl panicl disorderl benefitsl froml diaphragmaticl breathingl exercises.
QUESTION
Pharmacologicall Managementl ofl Anxiety
Answer:
First-Line:l SSRIs:l Fluoxetine,l sertraline,l escitalopram.l SNRIs:l Venlafaxine,l duloxetine.
QUESTION
Second-Linel Pharmacologicall Treatments
Answer:
Buspirone:l Effectivel forl GADl (notl forl panicl attacks).l Beta-Blockersl (e.g.,l Propranolol):l
Usedl forl performancel anxiety.l Benzodiazepines:l Short-terml usel onlyl (riskl ofl
dependence).
QUESTION
Examplel ofl Pharmacologicall Management
Answer:
Al patientl withl severel GADl mayl startl escitalopram,l withl buspironel asl anl adjunct.
QUESTION
Medicationsl tol Avoidl inl Acutel Anxiety
Answer:
Benzodiazepinesl (exceptl forl acutel severel distress).l Bupropionl (mayl increasel anxiety).l
Stimulantsl (canl worsenl symptoms).
QUESTION
Examplel ofl Medicationsl tol Avoid
Answer:
