Alzheimer’s Delirium and Dementia Q 33



Tony with agoraphobia has been symptom-free for 4 months. Classic signs and symptoms of phobia include:
  
    1. Severe anxiety and fear.
     A. Severe anxiety and fear.
     B. Withdrawal and failure to distinguish reality from fantasy.
     C. Depression and weight loss.
     D. Insomnia and inability to concentrate.
    

Correct Answer: A. Severe anxiety and fear

Phobias cause severe anxiety (such as panic attacks) that is out of proportion to the threat of the feared object or situation. Physical signs and symptoms of phobias include profuse sweating, poor motor control, tachycardia, and elevated B.P. Patients with a specific phobia experience high levels of anxiety and panic attacks along with excessive and unreasonable fear due to either exposure or anticipation of exposure to a feared stimulus. As a result, these patients will try to avoid the anxiety-provoking stimulus to any extent possible.

Option B: Schizophrenia is not, as commonly thought, solely about hearing voices or having multiple personalities. Instead, it is defined by a lack of ability to distinguish reality. Schizophrenia can cause paranoia and belief in elaborate conspiracies.
Option C: Depression covers a wide range of conditions, typically defined by a persistent bad mood and lack of interest in pursuing daily life, as well as bouts of lethargy and fatigue. Dysthymia is a milder but longer-lasting form of depression.
Option D: Concentration difficulties can be caused by medical, cognitive, or psychological problems or may be related to sleep disorders or medications, alcohol, or drugs. Psychological conditions that can interfere with concentration include anxiety, depression, bipolar disorder, emotional trauma, and stress.