PA PSYCHIATRY EOR (UPDATED) |
241 QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTI ONS
Question : SIGECAPS of Depression
Correct answer: Sleep disturbances
Interests are ↓ Guilt Energy is ↓ Concentration is ↓ Appetite is ↓ Psychomotor Agitation Suicidal thoughts
Question : Major depressive disorder Dx:
Correct answer: Depressed Mood or Anhedonia
Dx: 5 or more of the SIGECAPS Sxs for > 2 wks
effecting normal function
Question : Tx of Major depressive disorder:
Correct answer: SSRI or SNRI > TCA/MAOi > ECT
Question : S/Es of SSRIs
Correct answer: Sexual Dysfunction
Wt gain
Anxiety Nausea
Question : SHIVERS of Serotonin Syndrome
Correct answer: Shivering
Hyperreflexia Increased temp (fever) Vitals, unstable Encephalopathy Restless Sweating
Question : Tx of Serotonin Syndrome
Correct answer: Cyproheptadine
Question : 1st line Tx of depression in children
Correct answer: Fluoxetine (Prozac)
Longest Half-life of all SSRIs
Caution ↑ SI in the 1st 2 weeks of use
Question : SSRI known to cause QT interval
prolongation
Correct answer: Citalopram (Celexa)
Question : Screening tool or questionnaire used in clinic
for:
Bipolar Disorder Major Depression Disorder Correct answer: BPD: The Mood Disorder Questionaire
MDD: Beck Depression Inventory
Question : Atypical Antidepressant which inhibits DA
reuptake, has less sexual and wt-related side effects, but decreases seizure threshold
Correct answer: Bupropion
smoking cessation
Question : SNRI Trade Names
Correct answer: Effexor
Pristiq Cymbalta Fetzima
Question : SNRI Drug Names
Correct answer: Venlafaxine
Desvenlafaxine Duloxetine Levomilnacipran
Question : TCA antidepressants special characteristics
Correct answer: Desipramine - selective NET inhibitor
Imipramine - tx of enuresis Amitriptyline- tx of neuromuscular pain Nortriptyline
QT Interval prolongation = arrythmias
Question : MAO Inhibitors used as antidepressants
Correct answer: Take Pride in Shanghai
Tranylcypromine Phenelzine Selegiline
Question : Antidepressant which inhibits MAO b
mechanisms and can ↑ dopamine concentrations
Correct answer: Selegiline
Can be added in Tx of Parkinson's
Question : Suicide Risk Assessment
Correct answer: SAD PERSONS
0-4 Low 5-6 Moderate 7-10 High
