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Part II ISQ Club - Neurosis

54 posts in this topic

Part II ISQs on two topics will be posted twice a week. You are encouraged to post a reply in the thread, stating whether you think an ISQ is true or false and why (eg. a short explanation, with reference to the textbook you used). Please only deal with one ISQ in each post and include the question as the first line of your post. All ISQs are taken from previous posts by Forum members.

In a few days this ISQ Club thread will be moved to the Question Bank board. If you submit an answer, your status will be changed to 'Question Bank member' and you will be able to see the Question Bank board. Please allow up to 48 hours for this change to happen.

1. Chronic hyperventilation syndrome is associated with sleep disturbance

2. Fear of open spaces in the central feature of agoraphobia

3. In simple phobias, rituals are common

4. If generalized anxiety disorder is treated with benzodiazepines, dependence is likely to develop in under 2 months

5. Generalized anxiety disorder presenting in old age is likely to have started in adulthood

6. PTSD is associated with an exaggerated fall in cortisol following dexamethasone

7. It is very rare for factitious disorder to present with anaemia

8. Divorce is a recognized cause of PTSD

9. Atypical facial pain is characteristically superficial

10. Atypical facial pain characteristically presents as a deep facial pain

11. Pre-operative anxiety is associated with more surgical complications in coronary artery bypass

12. Social phobia is characterised by fear of open space

13. Yohimbine injection in PTSD patients can precipitate panic attacks

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1. SOCIAL PHOBIAS ARE MORE COMMON IN WOMEN.

Eveybody says its FALSE as equal sex incidence but the Bird/Buckley/Harris quotes it to be 60% in women...... ??? ???

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12. Social Phobia is characterised by fear of open spaces..... I think its false............ isn,t that characteristic of Agorophobia and also the answer to No. 2 ( College seminar series)

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Sorry pals, was just reading a MCQ book while trying to answer questions on the cafe............. so didn't read question one and just had derailment........ see what exams do to us.....

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2. Fear of open spaces in the central feature of agoraphobia

TRUE

(Pg 67, Exam Notes in Psych, Buckley, Bird & Harrison)

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5. Generalized anxiety disorder presenting in old age is likely to have started in adulthood

TRUE

(Pg 422, Rev Notes in Psych, Puri & Hall)

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8. Divorce is a recognized cause of PTSD

FALSE

(Pg 617, Synopsis of Psy, 8th Ed, Kaplan & Sadock)

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7. It is very rare for factitious disorder to present with anaemia

I would say False

as it says 'very rare'

In factitious disorder the patient feigns physical signs or mental signs and symptoms

eg warming a coffee with a thermometer

they do so not for material gain but because of a wish to occupy the sick role.

the disorder begins eary in life. it is probably more commmon in males than females. Often it starts with a hospitalization for a genuine physical problem.

ref DSMIV Made Easy (James Morrison)

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3. In simple phobias, rituals are common

I would think FALSE. Have looked up loads of web-sites and none mention rituals.

According to the DSM, 'The essential feature of Specific Phobia is marked and persistent fear of clearly discernible, circumscribed objects or situations' (p. 443). The following specific diagnostic criteria are reproduced verbatim (except for codings and page references) from the DSM-IV TR (where 'IV TR' indicates fourth edition, text revision), pages 449-450.

Diagnostic Criteria for Specific Phobia

A. Marked and persistent fear that is excessive or unreasonable, cued by the presence or anticipation of a specific object or situation (e.g., flying, heights, animals, receiving an injection, seeing blood).

B. Exposure to the phobic stimulus almost invariably provokes an immediate anxiety response, which may take the form of a situationally bound or situationally predisposed Panic Attack. Note: In children, the anxiety may be expressed by crying, tantrums, freezing, or clinging.

C. The person recognizes that the fear is excessive or unreasonable. Note: In children, this feature may be absent.

D. The phobic situation(s) is avoided or else is endured with intense anxiety or distress.

E. The avoidance, anxious anticipation, or distress in the feared situation(s) interferes significantly with the person's normal routine, occupational (or academic) functioning, or social activities or relationships, or there is marked distress about having the phobia.

F. In individuals under age 18 years, the duration is at least 6 months.

G. The anxiety, Panic Attacks, or phobic avoidance associated with the specific object or situation are not better accounted for by another mental disorder, such as Obsessive-Compulsive Disorder (e.g., fear of dirt in someone with an obsession about contamination), Posttraumatic Stress Disorder (e.g., avoidance of stimuli associated with a severe stressor), Separation Anxiety Disorder (e.g., avoidance of school), Social Phobia (e.g., avoidance of social situations because of fear of embarrassment), Panic Disorder With Agoraphobia, or Agoraphobia Without History of Panic Disorder.

simple phobia Word: WordStarts withEnds withDefinition

Noun 1. simple phobia - any phobia (other than agoraphobia) associated with relatively simple well-defined stimuli

phobia, phobic disorder, phobic neurosis - an anxiety disorder characterized by extreme and irrational fear of simple things or social situations; 'phobic disorder is a general term for all phobias'

acrophobia - a morbid fear of great heights

algophobia - a morbid fear of pain

aquaphobia - a morbid fear of drowning

astraphobia - a morbid fear of thunder and lightning

automysophobia - a morbid fear of being dirty

claustrophobia - a morbid fear of being closed in a confined space

cryophobia - a morbid fear of freezing

cyberphobia - irrational fear of computers or technology

hydrophobia - a morbid fear of water

hypnophobia - a morbid fear of falling asleep

mysophobia - a morbid fear of dirt or contamination

neophobia - a morbid fear of novelty

nyctophobia - a morbid fear of night or darkness

phobophobia - a morbid fear of developing a phobia

acousticophobia, phonophobia - a morbid fear of sounds including your own voice

photophobia - a morbid fear of light

pyrophobia - a morbid fear of fire

taphephobia - a morbid fear of being buried alive

thanatophobia - a morbid fear of death

triskaidekaphobia - a morbid fear of the number 13

zoophobia - a morbid fear of animals

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fACTIOUS disorder:

Agree the anaemia question likely to be false.

Emedicine present it quite nicely.

http://www.emedicine.com/med/topic3125.htm

Furthermore: the often asked ISQ about whether factious disorder is the same as malingering - see below!

DISORDER PRODUCTION MOTIVATION

Malingering Conscious Conscious

Factitious disorder Conscious Unconscious

Conversion Unconscious Unconscious

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8)3. In simple phobias, rituals are common

I would expect most phobic people to have plenty of avoidance rituals depending on the feared object, but it is hard to find any reference ::) ::) oxford says

specific phobias are not sufficiently impairing for them to seek treatment. Often individuals with specific phobias adapt their lifestyle to avoid contact with the feared stimulus, such that only persons with the most severe specific phobias seek treatment. Events that commonly precipitate treatment-seeking include a change in lifestyle such that the feared stimulus becomes intolerable (for instance, accepting a job that requires frequent air travel), a girl i treated for pigeon phobia had a ritualistic way of getting to town,i would put true.....

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8)3. In simple phobias, rituals are common

I would expect most phobic people to have plenty of avoidance rituals depending on the feared object, but it is hard to find any reference ::) ::) oxford says

specific phobias are not sufficiently impairing for them to seek treatment. Often individuals with specific phobias adapt their lifestyle to avoid contact with the feared stimulus, such that only persons with the most severe specific phobias seek treatment. Events that commonly precipitate treatment-seeking include a change in lifestyle such that the feared stimulus becomes intolerable (for instance, accepting a job that requires frequent air travel), a girl i treated for pigeon phobia had a ritualistic way of getting to town,i would put true.....

I am slightly doubtfull as DSM4TR,pg 612 synopsis of psy,9th ed. in table 16.3-3,G,can we consider phobic avoidance as a form of ritual ? If we that than does it fit into the criterion for sp. phobia ?

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I am struggling to find the right answer for the following so suggestions would help!

Benzodiazepines cause dependence after 2 months of treatment.

If generalized anxiety disorder is treated with benzodiazepines, dependence is likely to develop in under 2 months

Thanks!

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9. Atypical facial pain is characteristically superficial

false. it is deep.

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10. Atypical facial pain characteristically presents as a deep facial pain

true.

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11. Pre-operative anxiety is associated with more surgical complications in coronary artery bypass

true.

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12. Social phobia is characterised by fear of open space

false.

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2. Fear of open spaces is the central feature of agoraphobia

I think, this is misleading and false!

Any idea??

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QUESTION 2

Fear of open spaces is the central feature of agoraphobia T

According to the companion of psychiatric studies pg 471_ Agoraphobia means literally fear of the market places.

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question 3

in simple phobias, rituals are common

I will think that the focus of this question is on the everyday practice rather than the diagnostic criteria. :-/

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