Final Exam: NR 577 / NR577 (Latest
Update ) Primary Care
Management of Adolescents and
Adults | Questions & Verified
Answers | 100% Correct | Grade A -
Chamberlain
Question:
What is the clinical presentation of generalized anxiety disorder?
Answer:
Worry - disproportionate to daily concerns
Anxiety - on edge emotionally
Tension - physical manifestation of anxiety
Concentration - difficulty - mind going blank
Hyperarousal - irritability
Energy loss
Restlessness - feeling keyed up
Sleep disturbance - difficulty falling asleep
,Question:
What is the management of generalized anxiety disorder
Answer:
Refer for CBT.
-Incorporate supportive psychotherapy and insight-oriented therapy
-Consider a short course of BZD therapy for periods of exacerbation (e.g.,
alprazolam, 0.5 mg three times a day for up to 5 days).
-Prescribe an SSRI if there is a history of associated panic attacks or
depression, e.g., begin with venlafaxine extended release (Effexor-XR), 37.5
mg twice daily, and advance the dose as tolerated to 150 mg twice daily;
alternatively, paroxetine at a target dose of 40 mg daily can be used.
Consider a trial of buspirone if chronic anxiolytic therapy is desired. Begin
with 5 mg three times a day and gradually advance to a maximum of 60 mg/d
avoid benzos
Question:
how do you manage social anxiety disorder?
Answer:
Non-Pharmacological: Exposure-based CBT; social skills training.
Pharmacological: SSRIs (paroxetine, sertraline 25mg in am); beta-blockers
(propranolol) for performance anxiety. Propranolol 10 - 20mg
Clinical Insight: Focus on fear of scrutiny; combine therapies for best
outcomes.
,Question:
what is the diagnostic criteria for panic disorder
Answer:
Criteria: Recurrent unexpected panic attacks (≥4 symptoms: palpitations,
sweating, trembling, shortness of breath, chest pain, nausea, dizziness,
derealization, fear of dying/losing control); ≥1 month of worry about attacks
or behavior change.
Exclusion: Not due to substances or medical conditions.
Clinical Insight: Often presents with ER visits for "heart attacks."
Question:
what are the clinical manifestations of ADHD?
Answer:
Inattention: Difficulty sustaining attention, organizing tasks, forgetfulness;
impacts academics/social interactions.
Hyperactivity/Impulsivity: Fidgeting, interrupting, risk-taking; more
prominent in children, declines in teens.
Age-Specific: Preschool (3-6): Observable across settings; Adolescents:
Persistent inattention, self-minimization of symptoms.
Clinical Insight: Symptoms in ≥2 settings; comorbidities (e.g., anxiety)
common.
, Question:
what are the differential diagnosis for ADHD?
Answer:
Anxiety/depression (emotional symptoms); learning disabilities; autism;
sleep apnea; trauma/PTSD; substance use in teens.
Question:
what is the diagnostic criteria for adhd?
Answer:
-primarily of the inattentive presentation
-primarily of the hyperactive-impulsive presentation
Attention-deficit/hyperactivity disorder combined presentation
ADHD other specified and unspecified ADHD
Includes:
six or more symptoms of inattention, such as failing to give close attention to
details in schoolwork or other activities
difficulty with completing tasks or playing
difficulty listening, or easily distractible by other events
Update ) Primary Care
Management of Adolescents and
Adults | Questions & Verified
Answers | 100% Correct | Grade A -
Chamberlain
Question:
What is the clinical presentation of generalized anxiety disorder?
Answer:
Worry - disproportionate to daily concerns
Anxiety - on edge emotionally
Tension - physical manifestation of anxiety
Concentration - difficulty - mind going blank
Hyperarousal - irritability
Energy loss
Restlessness - feeling keyed up
Sleep disturbance - difficulty falling asleep
,Question:
What is the management of generalized anxiety disorder
Answer:
Refer for CBT.
-Incorporate supportive psychotherapy and insight-oriented therapy
-Consider a short course of BZD therapy for periods of exacerbation (e.g.,
alprazolam, 0.5 mg three times a day for up to 5 days).
-Prescribe an SSRI if there is a history of associated panic attacks or
depression, e.g., begin with venlafaxine extended release (Effexor-XR), 37.5
mg twice daily, and advance the dose as tolerated to 150 mg twice daily;
alternatively, paroxetine at a target dose of 40 mg daily can be used.
Consider a trial of buspirone if chronic anxiolytic therapy is desired. Begin
with 5 mg three times a day and gradually advance to a maximum of 60 mg/d
avoid benzos
Question:
how do you manage social anxiety disorder?
Answer:
Non-Pharmacological: Exposure-based CBT; social skills training.
Pharmacological: SSRIs (paroxetine, sertraline 25mg in am); beta-blockers
(propranolol) for performance anxiety. Propranolol 10 - 20mg
Clinical Insight: Focus on fear of scrutiny; combine therapies for best
outcomes.
,Question:
what is the diagnostic criteria for panic disorder
Answer:
Criteria: Recurrent unexpected panic attacks (≥4 symptoms: palpitations,
sweating, trembling, shortness of breath, chest pain, nausea, dizziness,
derealization, fear of dying/losing control); ≥1 month of worry about attacks
or behavior change.
Exclusion: Not due to substances or medical conditions.
Clinical Insight: Often presents with ER visits for "heart attacks."
Question:
what are the clinical manifestations of ADHD?
Answer:
Inattention: Difficulty sustaining attention, organizing tasks, forgetfulness;
impacts academics/social interactions.
Hyperactivity/Impulsivity: Fidgeting, interrupting, risk-taking; more
prominent in children, declines in teens.
Age-Specific: Preschool (3-6): Observable across settings; Adolescents:
Persistent inattention, self-minimization of symptoms.
Clinical Insight: Symptoms in ≥2 settings; comorbidities (e.g., anxiety)
common.
, Question:
what are the differential diagnosis for ADHD?
Answer:
Anxiety/depression (emotional symptoms); learning disabilities; autism;
sleep apnea; trauma/PTSD; substance use in teens.
Question:
what is the diagnostic criteria for adhd?
Answer:
-primarily of the inattentive presentation
-primarily of the hyperactive-impulsive presentation
Attention-deficit/hyperactivity disorder combined presentation
ADHD other specified and unspecified ADHD
Includes:
six or more symptoms of inattention, such as failing to give close attention to
details in schoolwork or other activities
difficulty with completing tasks or playing
difficulty listening, or easily distractible by other events
