NSG 552 Exam 2 UPDATED ACTUAL Questions and CORRECT
Answers
1. What is agoraphobia and how intense fear of being in public pleases where escape or
can it be treated? obtaining help may be diflcult
Treat with CBT and SSRI
2. What treatment is used for gen- First line - SSRI
eralized anxiety disorder Second line - Buspar (anxiolytic), SNRI
Can consider short term course of benzos or augmentation
with buspirone (Buspar)
SSRI - escitalopram (Lexapro), paroxetine (Paxil),
SNRI - duloxetine (Cymbalta), venlafaxine (Effexor)
3. What is used to treat panic at- initially use benzos short term
tacks?
4. What is used to treat panic disor- First line- SSRI, SRNA
der? Second line- TCAs, though limited use
Adjunct - benzo with caution, short-term until SSRIs reach
therapeutic eflcacy
Alprazolam (Xanax) is FDA approved
SSRI - Fluoxetine (Prozac), Paxil (paroxetine), Zoloft (sertra-
line),
SNRI - Effexor (venlafaxine)
TCA - clomipramine (Anafranil), imipramine (Tofranil)
5. What is social phobia and how is fear of scrutiny by others or fear of acting in humiliating or
it treated? embarrassing way
CBT
First line - SSRI or SNRI
Benzos can be used as scheduled or PRN
Beta blockers such as atenolol (50-100 mg) and propra-
nolol (20-40 mg) 1 hour before performance or public
speaking
, 6. What is used to great specific CBT with exposure
phobias? SSRI - fluvoxamine (Luvox), Paxil (paroxetine), Zoloft (ser-
traline),
SNRI - Effexor (venlafaxine)
7. What is obsessive compulsive obsessions and/or compulsions that are time consuming,
disorder (OCD) and how is it distressing, and impairing
treated? MEDS + CBT
Fist line- SSRI (often high doses of Zoloft (sertraline). Prozac
(Fluoxetine), Luvox - FDA approved (fluvoxamine) 50-300
mg
2nd line - SNRI Effexor (venlafaxine)
TCA Anafranil (clomipramine) FDA approved
Can augment with atypical antipsychotic in severe cases
ECT in debilitating resistant cases
8. What is a common side effect of nausea and vomiting
SSRI Luvox (fluvoxamine)?
9. What are commonly prescribed Alprazolam (Xanax) and lorazepam (Ativan)
benzodiazepines?
10. What effects does GABA lead to? Potentiate effects of GABA (GABA is inhibitory and lead to
drowsiness, cognitive impairments, dampening of fear and
anxiety, impaired balance, motor control, muscle tone, and
coordination, and anterograde amnesia
11. Who is at greater risk of fall Elderly patients
risk and hip fracture on benzodi-
azepines?
12. What is the mechanism of action enhance activity of GABA at GABA-A receptors
for benzodiazepines?
2/8
Answers
1. What is agoraphobia and how intense fear of being in public pleases where escape or
can it be treated? obtaining help may be diflcult
Treat with CBT and SSRI
2. What treatment is used for gen- First line - SSRI
eralized anxiety disorder Second line - Buspar (anxiolytic), SNRI
Can consider short term course of benzos or augmentation
with buspirone (Buspar)
SSRI - escitalopram (Lexapro), paroxetine (Paxil),
SNRI - duloxetine (Cymbalta), venlafaxine (Effexor)
3. What is used to treat panic at- initially use benzos short term
tacks?
4. What is used to treat panic disor- First line- SSRI, SRNA
der? Second line- TCAs, though limited use
Adjunct - benzo with caution, short-term until SSRIs reach
therapeutic eflcacy
Alprazolam (Xanax) is FDA approved
SSRI - Fluoxetine (Prozac), Paxil (paroxetine), Zoloft (sertra-
line),
SNRI - Effexor (venlafaxine)
TCA - clomipramine (Anafranil), imipramine (Tofranil)
5. What is social phobia and how is fear of scrutiny by others or fear of acting in humiliating or
it treated? embarrassing way
CBT
First line - SSRI or SNRI
Benzos can be used as scheduled or PRN
Beta blockers such as atenolol (50-100 mg) and propra-
nolol (20-40 mg) 1 hour before performance or public
speaking
, 6. What is used to great specific CBT with exposure
phobias? SSRI - fluvoxamine (Luvox), Paxil (paroxetine), Zoloft (ser-
traline),
SNRI - Effexor (venlafaxine)
7. What is obsessive compulsive obsessions and/or compulsions that are time consuming,
disorder (OCD) and how is it distressing, and impairing
treated? MEDS + CBT
Fist line- SSRI (often high doses of Zoloft (sertraline). Prozac
(Fluoxetine), Luvox - FDA approved (fluvoxamine) 50-300
mg
2nd line - SNRI Effexor (venlafaxine)
TCA Anafranil (clomipramine) FDA approved
Can augment with atypical antipsychotic in severe cases
ECT in debilitating resistant cases
8. What is a common side effect of nausea and vomiting
SSRI Luvox (fluvoxamine)?
9. What are commonly prescribed Alprazolam (Xanax) and lorazepam (Ativan)
benzodiazepines?
10. What effects does GABA lead to? Potentiate effects of GABA (GABA is inhibitory and lead to
drowsiness, cognitive impairments, dampening of fear and
anxiety, impaired balance, motor control, muscle tone, and
coordination, and anterograde amnesia
11. Who is at greater risk of fall Elderly patients
risk and hip fracture on benzodi-
azepines?
12. What is the mechanism of action enhance activity of GABA at GABA-A receptors
for benzodiazepines?
2/8
