Anxiety Disorders
What is the lifetime prevalence of PTSD?
14% (1 in 7 people)
Diphenhydramine and hydroxazine cause drowsiness because they block what type of receptors?
Histamine 1 (H1) receptors
Is off label use is common in pediatric psychiatry?
Yes.
Which medications are FDA approved to directly treat personality disorders?
None
What is the name used in the 1950's to market the nonbarbiturate anxiolytic medication meprobamate?
Miltown
What is the most common anxiety disorder in older adults?
Generalized Anxiety Disorder (GAD)
What is the half-life of ramelteon (Rozerem)?
~ 3 hours
Which ethical principal relates to a child’s capacity for self-determination in pediatric clinical trials?
Autonomy
Avoidant personality disorder belongs to which cluster of personality disorders?
Cluster C
Most of the literature on personality disorders focuses on which cluster or type of personality disorder?
Cluster B
borderline personality disorder
Leo Sternbach discovered the first benzodiazepine in 1955. What is the brand name that was used to market this drug?
Librium (generic chlordiazepoxide)
Zolpidem (Ambien) binds to which receptor subtype that is associated with sedation?
GABA1a receptor subtype
How many child psychiatry subspecialities are recognized by the American Academy of Child & Adolescent Psychiatry?
6
Academic, Forensic, Infant, Psychoanalysis, Systems of care, Research
Narcissistic personality disorder belongs to which cluster of personality disorders?
Cluster B
What are three of the increased risks for people diagnosed with personality disorders?
Suicide, depression, SUD, homicide, accidental injury
Do benzodiazepines cross the placenta?
Yes! Avoid near delivery and while breastfeeding.
Which medication is preferred for a patient with difficulty staying asleep? Ambien(zolpidem); Sonata (zaleplon) or Lunesta (eszopiclone)?
C) Lunesta (eszopiclone)
In 2002, which law extended market exclusivity for an additional 6 months to pharmaceutical companies for voluntarily conducting pediatric studies?
Best Pharmaceuticals for Children Act of 2002 (BPCA)
Dependent personality disorder belongs to which cluster of personality disorders?
Cluster C
What is the second step of motivational interviewing when working with a patient with borderline personality disorder?
Invite talk about change.
(Ask-Invite-Check-Summarize)
What is the antidote for benzodiazepine overdose?
fumazenil (Brand names: Anexate, Lanexat, Mazicon, Romazicon)
What is the half-life of Sonata (zaleplon)?
< 1 hour
At puberty hepatic metabolism slows. What impact could this have on a patient taking 10 mg Adderall QID?
Increase side effects (need to lower the dose)
Schizotypal personality disorder belongs to which cluster of personality disorders?
Cluster A
(Paranoid, Schizoid, Schizotypal)
Which benzodiazepine would be most helpful for a patient with both anxiety and neuralgic pain?
Clonazepam