Chapter·PsychiatryAnxiety

Social anxiety disorderDownloads

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Sample Questions

1

A 26-year-old woman thinks poorly of herself and is extremely sensitive to criticism. She is socially inhibited and has never had a romantic relationship, although she desires one. Which of the following is the most likely diagnosis?

ASchizoid personality disorder

BParanoid personality disorder

CDepression

DDysthymia

EAvoidant personality disorder

2

A 29-year-old woman presents to her primary care physician because she has been experiencing episodes of intense fear. Specifically, she says that roughly once per week she will feel an intense fear of dying accompanied by chest pain, lightheadedness, sweating, and palpitations. In addition, she will feel as if she is choking which leads her to hyperventilate. She cannot recall any trigger for these episodes and is afraid that they will occur while she is driving or working. In order to avoid this possibility, she has been getting rides from a friend and has been avoiding interactions with her coworkers. These changes have not stopped the episodes so she came in for evaluation. This patient's disorder is most likely genetically associated with a personality disorder with which of the following features?

ACriminality and disregard for rights of others

BEccentric appearance and magical thinking

CSubmissive, clingy, and low self-confidence

DGrandiosity, entitlement, and need for admiration

ESocial withdrawal and limited emotional expression

3

A 36-year-old man comes to the clinic for follow-up of his general anxiety disorder. He was diagnosed a year ago for excessive worry and irritability and was subsequently started on paroxetine. He demonstrated great response to therapy but is now complaining of decreased libido, which is affecting his marriage and quality of life. He wishes to switch to a different medication at this time. Following a scheduled tapering of paroxetine, the patient is started on a different medication that is a partial agonist of the 5-HT1A receptor. Which of the following is the most likely drug that was prescribed?

ADiazepam

BDuloxetine

CPhenelzine

DAmitriptyline

EBuspirone

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