Generalized anxiety disorder, panic disorder, PTSD, and OCD diagnostic criteria tested on USMLE Step 1.
35 cards · basic cards · AI-written, checked twice. Edit anything.
- What is the hallmark feature of generalized anxiety disorder (GAD)?
- Excessive, difficult-to-control worry about multiple everyday events.
- In GAD, excessive worry must occur more days than not for at least ____.
- 6 months
- How many of the six associated somatic/cognitive symptoms must an adult have for a GAD diagnosis?
- At least 3 (of restlessness, fatigue, poor concentration, irritability, muscle tension, sleep disturbance).
- First-line pharmacologic treatment class for GAD?
- SSRIs or SNRIs.
- First-line psychotherapy for GAD?
- Cognitive behavioral therapy (CBT).
- What defines panic disorder?
- Recurrent, unexpected panic attacks.
- During a panic attack, symptoms typically peak within ____.
- 10 minutes
- How many panic attack symptoms from the DSM-5 list are required to diagnose a panic attack?
- At least 4.
- Panic disorder requires at least ____ of persistent concern about additional attacks or related behavioral change after a panic attack.
- 1 month
- Is agoraphobia diagnosed only in the presence of panic disorder in DSM-5?
- No, agoraphobia is a separate diagnosis that can occur with or without panic disorder.
- How many situational categories must be feared or avoided to diagnose agoraphobia?
- At least 2 (e.g., public transportation, open spaces, enclosed spaces, crowds, being outside the home alone).
- First-line pharmacotherapy for panic disorder?
- SSRIs.
- Why are benzodiazepines not used as first-line long-term therapy for panic disorder?
- Risk of dependence and tolerance; reserved for short-term or acute symptom relief.
- PTSD symptoms must persist for more than ____ after the traumatic event to meet diagnostic criteria.
- 1 month
- What distinguishes acute stress disorder from PTSD?
- Acute stress disorder lasts from 3 days to 1 month; PTSD requires symptoms lasting beyond 1 month.