Stahl's Self-Assessment Examination in Psychiatry (Cambridge Medicine) by Stephen M. Stahl

Author:Stephen M. Stahl
Language: eng
Format: mobi
Publisher: Cambridge University Press
Published: 2012-06-28T21:00:00+00:00

Answer to Question Five

The correct answer is A.

* * *

Choice Peer Answers

A. Paroxetine

74%

B. Paroxetine or diazepam

13%

C. Paroxetine, diazepam, or d-cycloserine

3%

D. Paroxetine, diazepam, d-cycloserine, or quetiapine

11%

* * *

A Correct. Paroxetine, a selective serotonin reuptake inhibitor, is approved for use in PTSD.

B Incorrect. Diazepam is a benzodiazepine. Benzodiazepines do not have evidence of efficacy in PTSD and are not generally recommended for first-line use in PTSD.

C Incorrect. d-cycloserine, an NMDA agonist, has been theorized to be useful in facilitating fear extinction, and may be useful in conjunction with exposure therapy. However, it is not a first-line choice.

D Incorrect. Quetiapine, an atypical antipsychotic, is not approved as first-line treatment for PTSD, but may be useful in selected cases as a third-line treatment, specifically for sleep and possible reduction of nightmares.

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