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SSRI - ANSYour patient has chronic anxiety. You know which class of drugs is considered
first-line treatment for this condition?
oxazepam, temazepam, lorazepam - ANSWhat BDZs are appropriate for a patient with impaired
liver function? HINT: The acronym for them is Outside The Liver.
BZD - ANSA patient complains of hallucinations, daytime drowsiness, and amnesia. Her spouse
states he has also observed some "unusual behaviors." What class of medication do you
suspect she is on?
alcohol - ANSBZD withdrawal symptoms closely reflect those of what other substance?
life threatening - ANSA patient at your clinic wants to stop taking her BZD. You provide
education on tapering off the med, because you know abrupt abstinence can be what?
ANS - ANSHyperactivity of what system presents as diaphoresis, tachycardia, and HTN?
flumazenil - ANSA patient presents to the ER drowsy and confused. She's being assisted by her
spouse because she's having trouble walking. He hands you an empty bottle of alprazolam.
What medication do you expect to order for this patient?
alprazolam - ANSIn addition to the OTL benzodiazepines, what is the fourth intermediate acting
BZD used for insomnia and anxiety?
diazepam, clonazepam, chlordiazepoxide - ANSWhat are the three long acting BZD appropriate
for ETOH withdrawal? HINT: They can be remembered using the mnemonic Drinking Crashes
Cars.
buspirone - ANSA patient with a history of substance abuse presents with moderate anxiety.
She is already taking an SSRI. What adjunct with a slow onset may be appropriate in this
situation?
hydroxyzine - ANSA patient with intermittent anxiety attacks asks you if there is a non-addictive
medication she can use when she feels an attack coming on. Which medication do you
recommend?
diphenhydramine and hydroxyzine - ANSYou have allergies and anxiety. What two medications
are indicated for both?
, benzodiazepines - ANSA patient in your office begins to have a panic attack, probably because
of something you did. What class of medication do you reach for to relieve her symptoms?
alprazolam and clonazepam - ANSYour panic attack patient has calmed down and now has an
official diagnosis of panic disorder. You prescribe an SSRI knowing it will be several weeks
before it takes effect. Which benzodiazepine can you give this patient that is FDA approved for
panic disorder? *conflicting information, know both*
panic disorder - ANSIn general, benzodiazepine use in which disorder should be limited to short
term use and discontinued after other medications reach therapeutic levels?
SNRI - ANSYour influencer patient with GAD has tried and failed on SSRIs and would like to try
another medication. You know you can add buspirone, but she indicates she is not interested in
taking Buspar because she'll have to touch up her lipstick three more times a day. What second
line treatment is your next class of choice?
CBT with exposure - ANSYour patient has an inexplicable, unholy fear of birds. What is the most
appropriate treatment for phobias?
clomipramine - ANSWhich TCA, while not first-line, is indicated for OCD?
DDD - ANSA patient complains of increasing stress at work. He states that at times, he feels like
he is outside his body watching himself interact with coworkers and customers. Although he
remembers everything he does, he is still deeply disturbed by these episodes. What disorder do
you suspect he may be suffering from?
derealization - ANSA feeling of detachment specific to the surroundings rather than the self. The
world seems "odd."
severe stress and trauma - ANSA new patient at your clinic has a diagnosis of DDD. You are
empathetic, because you know the two predisposing factors for this condition are what?
DID - ANSA patient with PTSD and a history of significant childhood trauma complains of
periods of memory loss. She has started cutting to cope and has expressed SI. What disorder
should you suspect?
naltrexone - ANSWhat medication can you prescribe for a patient with DID to reduce
self-injurious behaviors?
body dysmorphic disorder - ANSA celebrity from an attention seeking TV family comes to you
for treatment because she feels like she is "horribly disfigured" by her thin lips. She complains it
affects her job, because it's difficult to sell lipstick without lips. She has resorted to frequent
in-office procedures to quell her insecurity, but it's still all she can think about. You suspect her
real problem is what?
SSRI - ANSYour patient has chronic anxiety. You know which class of drugs is considered
first-line treatment for this condition?
oxazepam, temazepam, lorazepam - ANSWhat BDZs are appropriate for a patient with impaired
liver function? HINT: The acronym for them is Outside The Liver.
BZD - ANSA patient complains of hallucinations, daytime drowsiness, and amnesia. Her spouse
states he has also observed some "unusual behaviors." What class of medication do you
suspect she is on?
alcohol - ANSBZD withdrawal symptoms closely reflect those of what other substance?
life threatening - ANSA patient at your clinic wants to stop taking her BZD. You provide
education on tapering off the med, because you know abrupt abstinence can be what?
ANS - ANSHyperactivity of what system presents as diaphoresis, tachycardia, and HTN?
flumazenil - ANSA patient presents to the ER drowsy and confused. She's being assisted by her
spouse because she's having trouble walking. He hands you an empty bottle of alprazolam.
What medication do you expect to order for this patient?
alprazolam - ANSIn addition to the OTL benzodiazepines, what is the fourth intermediate acting
BZD used for insomnia and anxiety?
diazepam, clonazepam, chlordiazepoxide - ANSWhat are the three long acting BZD appropriate
for ETOH withdrawal? HINT: They can be remembered using the mnemonic Drinking Crashes
Cars.
buspirone - ANSA patient with a history of substance abuse presents with moderate anxiety.
She is already taking an SSRI. What adjunct with a slow onset may be appropriate in this
situation?
hydroxyzine - ANSA patient with intermittent anxiety attacks asks you if there is a non-addictive
medication she can use when she feels an attack coming on. Which medication do you
recommend?
diphenhydramine and hydroxyzine - ANSYou have allergies and anxiety. What two medications
are indicated for both?
, benzodiazepines - ANSA patient in your office begins to have a panic attack, probably because
of something you did. What class of medication do you reach for to relieve her symptoms?
alprazolam and clonazepam - ANSYour panic attack patient has calmed down and now has an
official diagnosis of panic disorder. You prescribe an SSRI knowing it will be several weeks
before it takes effect. Which benzodiazepine can you give this patient that is FDA approved for
panic disorder? *conflicting information, know both*
panic disorder - ANSIn general, benzodiazepine use in which disorder should be limited to short
term use and discontinued after other medications reach therapeutic levels?
SNRI - ANSYour influencer patient with GAD has tried and failed on SSRIs and would like to try
another medication. You know you can add buspirone, but she indicates she is not interested in
taking Buspar because she'll have to touch up her lipstick three more times a day. What second
line treatment is your next class of choice?
CBT with exposure - ANSYour patient has an inexplicable, unholy fear of birds. What is the most
appropriate treatment for phobias?
clomipramine - ANSWhich TCA, while not first-line, is indicated for OCD?
DDD - ANSA patient complains of increasing stress at work. He states that at times, he feels like
he is outside his body watching himself interact with coworkers and customers. Although he
remembers everything he does, he is still deeply disturbed by these episodes. What disorder do
you suspect he may be suffering from?
derealization - ANSA feeling of detachment specific to the surroundings rather than the self. The
world seems "odd."
severe stress and trauma - ANSA new patient at your clinic has a diagnosis of DDD. You are
empathetic, because you know the two predisposing factors for this condition are what?
DID - ANSA patient with PTSD and a history of significant childhood trauma complains of
periods of memory loss. She has started cutting to cope and has expressed SI. What disorder
should you suspect?
naltrexone - ANSWhat medication can you prescribe for a patient with DID to reduce
self-injurious behaviors?
body dysmorphic disorder - ANSA celebrity from an attention seeking TV family comes to you
for treatment because she feels like she is "horribly disfigured" by her thin lips. She complains it
affects her job, because it's difficult to sell lipstick without lips. She has resorted to frequent
in-office procedures to quell her insecurity, but it's still all she can think about. You suspect her
real problem is what?
