Chapter 49: Neurobiology of Nonpsychotic Illnesses

Chapter 49: Neurobiology of Nonpsychotic Illnesses

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE
1. Tachycardia is a common finding in individuals with
a. panic attacks.
b. generalized anxiety disorder.
c. obsessive-compulsive disorder.
d. bipolar disorder.
ANS: A
Physical symptoms of panic disorder include heart palpitations and tachycardia in addition to chest pains. Palpitations may occur in
generalized anxiety disorder. The hallmarks of OCD are obsessions and compulsions. Bipolar disorder is not typically associated
with cardiac symptoms.
REF: Pg. 991
2. Individuals with obsessive-compulsive disorder
a. are not aware that obsessive thoughts are from their own brains.
b. may become highly anxious if prevented from performing rituals.
c. have disordered thinking and poor reality orientation.
d. have a severe, unmanageable psychotic illness.
ANS: B
Anxiety is frequently associated with the symptoms of OCD, and yielding to compulsions decreases anxiety temporarily. People
with OCD typically strive to avoid disclosing their symptoms to relatives, friends, and health professionals. Disordered thinking and
poor reality orientation are not associated with OCD patients. Individuals with OCD do not have severe psychotic illness.
REF: Pg. 993
3. The fearful expectation of panic anxiety is known as
a. a nervous breakdown.
b. anticipatory anxiety.
c. a phobia.
d. avoidance anxiety
ANS: B
Anticipatory anxiety refers to fearful expectation of panic anxiety onset. Patients may seek medical attention for what they perceive
as a nervous breakdown. Panic attacks can be situational. Avoidance anxiety refers to personal strategies used to increase feelings of
control and thereby decrease the risk of panic anxiety.
REF: Pgs. 991-992
4. It is true that panic disorders
a. are diagnosed more often in women.
b. are diagnosed more often in men.
c. generally occur after age 45.
d. are common in the elderly.
ANS: A
Depending on the subtype, panic disorder is diagnosed two to three times more often in women than in men. Panic disorders are
diagnosed more often in women. Initial onset usually occurs in late adolescence or young adulthood, with a mean age of onset of
26.6 years. Initial symptom onset in older age adults is less typical.