Family Medicine PAEA EOR
Anorexia Nervosa Clinical Manifestations - ANSWERS1. BMI <17%*
2. misuse of weight loss medications (laxatives, enema, diuretics...)
Anorexia Nervosa Diagnosis - ANSWERS1. Vital signs: emaciated, hypotension, bradycardia, skin/hair changes
(lanugo), dry skin, salivary gland hypertrophy, amenorrhea
2. Labs: CBC: leukocytosis, leukopenia, anemia; hypokalemia, ↑BUN (dehydration), hypothyroidism,
arrhythmias
Generalized Anxiety Disorder - ANSWERSExcessive anxiety or worry a majority of days in a 6 month period
associated w/ ≥3: fatigue, restlessness, difficulty concentrating, muscle tension, sleep disturbance, irritability,
shakiness, headaches.
Generalized Anxiety Disorder Management - ANSWERS1. Antidepressants: SSRIs (paroxetine & escitalopram)
2. Buspirone (Buspar): does not cause sedation
3. Benzodiazepines (short term only), beta blockers
4. Psychotherapy
Normal anxiety - ANSWERSDiffuse, unpleasant, vague sense of apprehension, often accompanied by
autonomic symptoms (ex sweating, palpitations, etc)
Pathologic anxiety - ANSWERSSense of danger becomes prominent
Panic attack - ANSWERSEpisode of intense fear or discomfort, with ≥4 of the following sx developing abruptly,
reaching a peak in 10 minutes:
palpitations, trembling, choking feeling, parathesia, sweating, shortness of breath, chest pain, chills of hot
flashes, dizziness, fear of dying/losing control/being detached, nausea/abdominal distress
OCD - ANSWERSObsessions, cumpulsions or both (75%)
Obsessions: recurrent/persistent thoughts; thoughts are NOT excessive worries about real life problems
, Compulsions: repetitive behaviors the person is driven to perform
Panic Disorder Criteria - ANSWERSSymptoms not due to substance, medical condition or other mental
disorder
Recurrent, unexpected panic attacks (at least 2), not related to a trigger. Famial trait.
Panic attacked followed by concern about more attacks, worry about the implication of the attacks, significant
change in behavior realted to the attacks.
Agoraphobia - ANSWERSIncluded with panic disorder
Anxiety about being in a certain place or situation (fear of crowds, wide open spaces, avoidance of these
situations)
Panic Disorder Management - ANSWERS1. SSRIs 1st line long-term tx* (paroxetine, sertraline, fluoxetine)
2. Benzodiazepines: for acute attacks
3. Cognitive behavioral therapy (CBT)
Post-traumatic Stress Disorder (PTSD) - ANSWERS1. exposed to a traumatic event & actual or threatened
death or serious injury/violation to self or others AND
2. the response may involve helplessness, dissociative sx, avoidance of associated stimuli, emotional numbing,
increased autonomic arousal
OCD Management - ANSWERS1. Antidepressants: SSRIs, TCAs
2. Cognitive behavioral therapy
Bipolar 1 Disorder Definition - ANSWERS≥ 1 manic episode and occasional MAJOR DEPRESSIVE episodes
PTSD MC group - ANSWERSYoung adults (combat exp, urban violence, rape, assualt, other traumatic event (ex.
adult survivors of sexual abuse)
PTSD Criteria - ANSWERSTrauma is re-experienced: >1 month as recollections (dreams, acting/feeling if event
were recurring) AND avoidance of related stimuli
Anorexia Nervosa Clinical Manifestations - ANSWERS1. BMI <17%*
2. misuse of weight loss medications (laxatives, enema, diuretics...)
Anorexia Nervosa Diagnosis - ANSWERS1. Vital signs: emaciated, hypotension, bradycardia, skin/hair changes
(lanugo), dry skin, salivary gland hypertrophy, amenorrhea
2. Labs: CBC: leukocytosis, leukopenia, anemia; hypokalemia, ↑BUN (dehydration), hypothyroidism,
arrhythmias
Generalized Anxiety Disorder - ANSWERSExcessive anxiety or worry a majority of days in a 6 month period
associated w/ ≥3: fatigue, restlessness, difficulty concentrating, muscle tension, sleep disturbance, irritability,
shakiness, headaches.
Generalized Anxiety Disorder Management - ANSWERS1. Antidepressants: SSRIs (paroxetine & escitalopram)
2. Buspirone (Buspar): does not cause sedation
3. Benzodiazepines (short term only), beta blockers
4. Psychotherapy
Normal anxiety - ANSWERSDiffuse, unpleasant, vague sense of apprehension, often accompanied by
autonomic symptoms (ex sweating, palpitations, etc)
Pathologic anxiety - ANSWERSSense of danger becomes prominent
Panic attack - ANSWERSEpisode of intense fear or discomfort, with ≥4 of the following sx developing abruptly,
reaching a peak in 10 minutes:
palpitations, trembling, choking feeling, parathesia, sweating, shortness of breath, chest pain, chills of hot
flashes, dizziness, fear of dying/losing control/being detached, nausea/abdominal distress
OCD - ANSWERSObsessions, cumpulsions or both (75%)
Obsessions: recurrent/persistent thoughts; thoughts are NOT excessive worries about real life problems
, Compulsions: repetitive behaviors the person is driven to perform
Panic Disorder Criteria - ANSWERSSymptoms not due to substance, medical condition or other mental
disorder
Recurrent, unexpected panic attacks (at least 2), not related to a trigger. Famial trait.
Panic attacked followed by concern about more attacks, worry about the implication of the attacks, significant
change in behavior realted to the attacks.
Agoraphobia - ANSWERSIncluded with panic disorder
Anxiety about being in a certain place or situation (fear of crowds, wide open spaces, avoidance of these
situations)
Panic Disorder Management - ANSWERS1. SSRIs 1st line long-term tx* (paroxetine, sertraline, fluoxetine)
2. Benzodiazepines: for acute attacks
3. Cognitive behavioral therapy (CBT)
Post-traumatic Stress Disorder (PTSD) - ANSWERS1. exposed to a traumatic event & actual or threatened
death or serious injury/violation to self or others AND
2. the response may involve helplessness, dissociative sx, avoidance of associated stimuli, emotional numbing,
increased autonomic arousal
OCD Management - ANSWERS1. Antidepressants: SSRIs, TCAs
2. Cognitive behavioral therapy
Bipolar 1 Disorder Definition - ANSWERS≥ 1 manic episode and occasional MAJOR DEPRESSIVE episodes
PTSD MC group - ANSWERSYoung adults (combat exp, urban violence, rape, assualt, other traumatic event (ex.
adult survivors of sexual abuse)
PTSD Criteria - ANSWERSTrauma is re-experienced: >1 month as recollections (dreams, acting/feeling if event
were recurring) AND avoidance of related stimuli
