Anxiety Disorders (including OCD)
Psychiatry · Topic 7
Source: NMC CBME Curriculum 2024 · Volume II · Psychiatry · Topic 7 · combined PDF page 353
Practice questions
- In the systematic review of adult clinical populations, what is the most accurate definition of interoception?
- A study separately measures how accurately a participant detects bodily signals, how much attention they direct toward those signals, and what they believe the signals mean. Which set of interoceptive dimensions is being distinguished?
- Which interoceptive pattern was most consistently associated with panic disorder and generalized anxiety disorder in the systematic review?
- Which description best matches the interoceptive findings reported for OCD in the adult-population review?
- A researcher proposes that the reviewed evidence establishes a specific interoceptive profile for both PTSD and social anxiety disorder. Which response best reflects the systematic review?
- Which interpretation is best supported by the interoception systematic review?
- A caregiver changes their behavior by allowing a young person to avoid an anxiety-provoking situation and by trying to manage the young person's distress. In the reviewed literature, this behavior is best termed:
- Which caregiver behavior is explicitly included among examples of family accommodation in the systematic review of autistic youth?
- What did the 2025 systematic review conclude about family accommodation in autistic youth with anxiety-related concerns, compared with anxious non-autistic counterparts?
- A clinician is planning treatment for an autistic adolescent with anxiety and is reviewing factors relevant to care. Which conclusion about family accommodation is best supported by the systematic review?
- Across the included articles, which change in family accommodation was reported after treatment?
- Approximately what proportion of children and adolescents with anxiety disorders or OCD were described as deriving insufficient benefit from first-step evidence-based treatments?
- Which set of interventions was represented among second-step treatments for youth with anxiety disorders or OCD in the systematic review?
- The second-step treatment review included 40 studies. How many were reported as uncontrolled?
- In the meta-analysis of second-step treatments, what were the pooled remission rates for anxiety studies at post-treatment and follow-up, respectively?
- Which pooled remission estimates were reported for OCD studies at post-treatment and follow-up, respectively?
- The review found no statistically significant differences between CBT, pharmacotherapy, and combined-treatment subgroups for outcomes examined. Which interpretation is most appropriate?
- What pooled dropout rates during second-step treatment were reported for anxiety studies and OCD studies, respectively?
- Why did the review conclude that reliable statements about the efficacy of second-step treatments remain difficult despite improvements in pooled pre–post outcomes?
- A clinician observes symptom improvement after a second-step intervention in an uncontrolled study. What conclusion can most safely be drawn from the review's evidence framework?
- In the meta-analysis of first-ever stroke, what hazard ratio was reported for clinically diagnosed anxiety disorders?
- Which disorder had the stronger reported association with first-ever stroke in the meta-analysis: clinically diagnosed anxiety disorders or PTSD?
- Which stroke subtype showed a statistically significant pooled association with anxiety-related disorders in the meta-analysis as reported?
- The haemorrhagic-stroke estimate was HR 1.24 with a 95% confidence interval of 0.95–1.62. Which interpretation is most appropriate?
- In the meta-analysis, associations persisted after adjustment for cardiovascular risk factors and depression. What does this finding establish?
- Which statement about the meta-analysis' OCD-specific stroke evidence is accurate?
- A study reports HR 1.29 for an association between clinically diagnosed anxiety disorders and first-ever stroke. Which interpretation of the hazard ratio is most accurate?
- Which description best characterizes the evidence base in the meta-analysis of anxiety-related disorders and first-ever stroke?
- A trainee concludes that the stroke meta-analysis proves that treatment of anxiety will prevent stroke because adjusted associations remained significant. What is the key flaw in this conclusion?