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A patient states, "Every time the cop parks his police car there, it is because he is spying on me." This is an example of what type of disordered thinking? - Idea of reference. According to the cognitive behavioral theory, what is the underlying pathology in panic disorder? - An acquired, maladaptive fear of bodily sensations, particularly those having to do with autonomic arousal According to the Diagnostic Statistical Manual V, which personality disorder cluster does paranoid personality disorder fall under? - Cluster A Apart from oral cancer, for what other cancer are patients with oral leukoplakia at an increased risk? - Esophageal squamous cell carcinoma. Are men or women more likely to develop GAD? - Women Are the manifestations of obsessive-compulsive personality disorder considered ego-syntonic or egodystonic? - Ego-syntonic At what point in the course of treatment is a patient with a major depressive episode at highest risk for committing suicide? - After initiation of treatment Besides obsessive-compulsive, what are the other cluster C personality disorders? - Avoidant and dependent. Besides schizoid personality disorder, what are the other cluster A personality disorders? - Paranoid and schizotypal. Can benzodiazepines be used in the treatment of post-traumatic stress disorder? - Yes, with caution. Benzodiazepines are useful for panic attacks, hyperarousal and in acute anxiety related to posttraumatic stress disorder, but there is a high prevalence of drug abuse in patients with the disorder, and benzodiazepines should be avoided in these cases. Do all patients with panic disorder demonstrate agoraphobia? - No, but the two often present concomitantly. Agoraphobia is diagnosed independently of panic disorder. Do specific phobias have a genetic component? - Yes, they appear to aggregate in families. Does conversion disorder occur more frequently in men or women? - Women, at least twice as often as men For what comorbid condition should a patient with anorexia nervosa be evaluated? - Body dysmorphic disorder. For which other population are tetracyclines contraindicated? - Pregnant women. How can generalized anxiety disorder be distinguished from MDD or dysthymia? - Patients with generalized anxiety disorder tend to worry about future events, while those with major depressive or dysthymic disorder tend to brood self-critically over past events How long after a traumatic event will post-traumatic stress disorder manifest? - Usually within a few months How long do symptoms need to persist in order for the diagnosis of ADHD to be made? - Six months. How long do symptoms of phobia need to occur for a diagnosis?*** - Greater than 6 mos*** How many distinct identities or personality states must be present for a patient to meet criteria for dissociative identity disorder? - 2In addition to pharmacotherapy, what other treatment should be offered to patients with depression? - Psychotherapy. In what demographic is it likely that somatic symptom disorder would be underdiagnosed? - Older adults, due to the incorrect view that certain somatic symptoms and anxiety may be dismissed as part of the aging process In which patients suffering generalized anxiety disorder would exposure to anxiety-provoking situations be contraindicated? - Patients who also suffer dementia, psychosis, or other thought disorders. Is diarrhea or constipation more common in anorexia nervosa? - Constipation
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