NRNP6635 MIDTERM SOLUTIONS ACTUAL
EXAM SCRIPT 2026 COMPLETE QUESTIONS
AND ANSWERS
◉ Obsessive-compulsive disorder (OCD). Answer: characterized by
persistent, uncontrollable thoughts or actions that occur over an
hour or more per day
-one of the top 20 illness-related disabilities worldwide
◉ first line medication treatment: Generalized anxiety disorder.
Answer: -SSRIs
-SNRIs
-Buspirone
-Drug Therapy at least 12 months
◉ first line medication treatment: Panic disorder. Answer: -
Paroxetine
-Sertraline
-Fluoxetine
-Drug therapy 6-9 months
,◉ first line medication treatment: Obsessive compulsive disorder.
Answer: -Fluoxetine
-Fluvoxamine
-Sertraline
-Paroxetine
-Clomipramine (TCA)
-Drug therapy for at least 1 year
◉ first line medication treatment: Social anxiety disorder. Answer: -
Sertraline
-Paroxetine
-Drug therapy takes 4 weeks to see effects
◉ first line medication treatment: Post-traumatic stress disorder.
Answer: -Paroxetine
-Sertraline
◉ Anxiety is often comorbid with _________________ as well as medical
conditions such as ____________, ___________, and ___________. Answer:
major depression, COPD, asthma, diabetes
◉ Generalized anxiety disorder (anxiety). Answer: neurological
condition
,-characterized by persistent, uncontrollable worrying that causes
emotional distress
-show symptoms on most days, for a period of at least six months
-common symptoms of anxiety include restlessness, irritability,
muscle tension, fatigue, and sleep disturbances
-GAD is twice as common in women as in men
◉ Patients with anxiety disorders often show increased activity in
the ______________ and _______________. Answer: amygdala and prefrontal
cortex
◉ Positron emission tomography (PET) scans have shown reduced
___________________ in patients with anxiety. Answer: serotonin binding
◉ Risk factors for developing anxiety:. Answer: -genetic
predisposition (family history of anxiety)
-being female
-recent life stressors
-chronic physical illness
-lack of support during childhood
◉ Anxiety Disorders. Answer: Generalized Anxiety Disorder (GAD)
Social Anxiety Disorder
, Panic
Phobias
Agoraphobia
Adjustment Disorder with Anxiety
◉ GAD often presents with physical symptoms, including:. Answer:
restlessness or edginess
fatigue
difficulty concentrating
irritability
muscle tension
sleep disturbance
◉ Functional neuroimaging studies of GAD show:. Answer:
increased activation of the amygdala and reduced activation in the
prefrontal cortex, indicating heightened activation of the fear
response with diminished capacity for reasoning
◉ Harold is a 32-year-old who presents to the clinic with complaints
of fatigue, difficulty concentrating, and difficulty falling asleep at
night. He states he worries about finances, his performance at work,
and his relationship, and his worries have been "almost constant"
for 8 months. He denies substance use and recently had a normal
EXAM SCRIPT 2026 COMPLETE QUESTIONS
AND ANSWERS
◉ Obsessive-compulsive disorder (OCD). Answer: characterized by
persistent, uncontrollable thoughts or actions that occur over an
hour or more per day
-one of the top 20 illness-related disabilities worldwide
◉ first line medication treatment: Generalized anxiety disorder.
Answer: -SSRIs
-SNRIs
-Buspirone
-Drug Therapy at least 12 months
◉ first line medication treatment: Panic disorder. Answer: -
Paroxetine
-Sertraline
-Fluoxetine
-Drug therapy 6-9 months
,◉ first line medication treatment: Obsessive compulsive disorder.
Answer: -Fluoxetine
-Fluvoxamine
-Sertraline
-Paroxetine
-Clomipramine (TCA)
-Drug therapy for at least 1 year
◉ first line medication treatment: Social anxiety disorder. Answer: -
Sertraline
-Paroxetine
-Drug therapy takes 4 weeks to see effects
◉ first line medication treatment: Post-traumatic stress disorder.
Answer: -Paroxetine
-Sertraline
◉ Anxiety is often comorbid with _________________ as well as medical
conditions such as ____________, ___________, and ___________. Answer:
major depression, COPD, asthma, diabetes
◉ Generalized anxiety disorder (anxiety). Answer: neurological
condition
,-characterized by persistent, uncontrollable worrying that causes
emotional distress
-show symptoms on most days, for a period of at least six months
-common symptoms of anxiety include restlessness, irritability,
muscle tension, fatigue, and sleep disturbances
-GAD is twice as common in women as in men
◉ Patients with anxiety disorders often show increased activity in
the ______________ and _______________. Answer: amygdala and prefrontal
cortex
◉ Positron emission tomography (PET) scans have shown reduced
___________________ in patients with anxiety. Answer: serotonin binding
◉ Risk factors for developing anxiety:. Answer: -genetic
predisposition (family history of anxiety)
-being female
-recent life stressors
-chronic physical illness
-lack of support during childhood
◉ Anxiety Disorders. Answer: Generalized Anxiety Disorder (GAD)
Social Anxiety Disorder
, Panic
Phobias
Agoraphobia
Adjustment Disorder with Anxiety
◉ GAD often presents with physical symptoms, including:. Answer:
restlessness or edginess
fatigue
difficulty concentrating
irritability
muscle tension
sleep disturbance
◉ Functional neuroimaging studies of GAD show:. Answer:
increased activation of the amygdala and reduced activation in the
prefrontal cortex, indicating heightened activation of the fear
response with diminished capacity for reasoning
◉ Harold is a 32-year-old who presents to the clinic with complaints
of fatigue, difficulty concentrating, and difficulty falling asleep at
night. He states he worries about finances, his performance at work,
and his relationship, and his worries have been "almost constant"
for 8 months. He denies substance use and recently had a normal
