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The patient is a 25-year-old male who presents for an initial evaluation visit for anxiety disorder with panic attacks, currently taking Sertraline 50mg.

 

SOLUTION

 

e-Choice Quiz: Anxiety Disorder & Panic Attack Management (16 Questions)

 

 

 

Chapter 1: Anxiety Disorders (8 Questions)

1. Which of the following is a common symptom of panic attacks?
   A. Gradual onset of sadness
   B. Sudden episodes of intense fear
   C. Long-term memory loss
   D. Chronic fatigue unrelated to stress
   Answer: B (Sudden episodes of intense fear) – DSM-5, p. 189

2. What is the first-line pharmacologic treatment for generalized anxiety disorder?
   A. Lithium
   B. Sertraline
   C. Haloperidol
   D. Diazepam PRN only
   Answer: B (Sertraline) – Kaplan & Sadock’s Synopsis of Psychiatry, p. 362

3. Which of the following is a cognitive symptom of anxiety?
   A. Chest pain
   B. Racing thoughts
   C. Palpitations
   D. Sweating
   Answer: B (Racing thoughts) – DSM-5, p. 190

4. Panic attacks typically reach peak intensity in:
   A. 10 minutes or less
   B. 1 hour
   C. 24 hours
   D. Several days
   Answer: A (10 minutes or less) – Kaplan & Sadock, p. 365

5. Which therapy is considered most effective for panic disorder?
   A. Psychoanalysis only
   B. Cognitive-behavioral therapy (CBT)
   C. Electroconvulsive therapy
   D. Hypnosis
   Answer: B (CBT) – DSM-5, p. 192

6. Which physiological symptom is commonly associated with panic attacks?
   A. Bradycardia
   B. Tachycardia
   C. Hypoglycemia
   D. Jaundice
   Answer: B (Tachycardia) – Kaplan & Sadock, p. 366

7. Avoidance behavior in anxiety disorders can lead to:
   A. Improved coping
   B. Social isolation
   C. Increased energy
   D. Weight gain only
   Answer: B (Social isolation) – DSM-5, p. 194

8. The onset of panic disorder usually occurs in which age group?
   A. Childhood (0–12)
   B. Adolescence to early adulthood (15–30)
   C. Middle adulthood (35–50)
   D. Older adults (>60)
   Answer: B (Adolescence to early adulthood) – Kaplan & Sadock, p. 364

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Chapter 2: Pharmacologic Management & Sertraline (8 Questions)

9. Sertraline belongs to which class of medications?
   A. Tricyclic antidepressant
   B. Selective serotonin reuptake inhibitor (SSRI)
   C. Monoamine oxidase inhibitor (MAOI)
   D. Benzodiazepine
   Answer: B (SSRI) – Goodman & Gilman’s Pharmacology, p. 498

10. What is the usual starting dose of Sertraline for anxiety disorders?
    A. 10 mg daily
    B. 25 mg daily
    C. 50 mg daily
    D. 100 mg daily
    Answer: C (50 mg daily) – Goodman & Gilman, p. 500

11. Which side effect is most commonly associated with Sertraline?
    A. Nausea
    B. Hypertension
    C. Hypoglycemia
    D. Hair loss
    Answer: A (Nausea) – Goodman & Gilman, p. 502

12. How long does it typically take for Sertraline to show therapeutic effects for anxiety?
    A. 1–2 days
    B. 1–2 weeks
    C. 4–6 weeks
    D. 6 months
    Answer: C (4–6 weeks) – Kaplan & Sadock, p. 370

13. Sertraline works primarily by:
    A. Blocking dopamine receptors
    B. Inhibiting serotonin reuptake
    C. Increasing norepinephrine degradation
    D. Enhancing GABA activity
    Answer: B (Inhibiting serotonin reuptake) – Goodman & Gilman, p. 498

14. A patient on Sertraline should be monitored for which serious side effect?
    A. Serotonin syndrome
    B. Hypotension
    C. Hyperglycemia
    D. Neutropenia
    Answer: A (Serotonin syndrome) – Kaplan & Sadock, p. 372

15. Abrupt discontinuation of Sertraline can cause:
    A. Withdrawal symptoms such as dizziness and irritability
    B. Immediate relief from anxiety
    C. Increased appetite only
    D. No side effects
    Answer: A (Withdrawal symptoms such as dizziness and irritability) – Goodman & Gilman, p. 504

16. The safest strategy when initiating Sertraline for anxiety with panic attacks is:
    A. Start at a high dose immediately
    B. Start at the recommended dose and titrate slowly if needed
    C. Take only as needed for panic attacks
    D. Combine with MAOIs
    Answer: B (Start at the recommended dose and titrate slowly if needed) – Kaplan & Sadock, p. 368

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✅ Summary:

• 16 multiple-choice questions (8 per “chapter”)

• 4 options per question (A–D)

• Correct answers included

• Page numbers cited from Kaplan & Sadock and Goodman & Gilman

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