Depression

Question 1

In learned helplessness model, the behavioral deficits in animals exposed to uncontrollable stress is reversed by

Answer 1

Antidepressants

Question 2

Which disorder is treated with light therapy?

Answer 2

Seasonal affective disorder

Question 3

Patient with depression on admission. Which risk factor suggests the need for maintenance psychotherapy?

Answer 3

3 or more episodes of depression in a lifetime

Question 4

21 yo F hospitalized for excessive bleeding following elective first trimester abortion. Pt reports having anxiety bout bleeding, but is relieved about abortion. Pt reports that the baby’s father is abusive but doesn’t want to leave him. What is the strongest predictor of depression?

Answer 4

Hx of pre-pregnancy depression

Question 5

Detachment of emotional component from perception?

Answer 5

Derealization

Question 6

WHO study in 1990, what is the 2nd worldwide leading source of years of healthy life lost to premature death/disability (#1 is ischemic heart disease)

Answer 6

Unipolar major depression

Question 7

79 yo asks for evaluation for STD. Upset and guilty about an affair. Spouse says the affair happened many years ago. Pt is sad but not confused. Dx?

Answer 7

MDD with psychosis

Question 8

Which depressive symptom is a melancholic feature specifier in DSM-IV?

Answer 8

Lack of pleasure

Question 9

60 yo with depressive syndrome has memory problems. Incorrect on date, messes up serial sevens, spells backwards, but slowly. After 4 weeks of trazodone, both mood and cognition are improved. Dx?

Answer 9

Pseudodementia

Question 10

Depression increases risk of mortality from what disease?

Answer 10

Ischemic heart disease

Question 11

50 yo pt with depression believes that he is responsible for the destruction of the world. This is an example of

Answer 11

Mood congruent delusion

Question 12

Depression, according to Beck’s model is a manifestation of

Answer 12

Distorted negative thoughts (cognitive distortions)

Question 13

Which of the following characteristics is considered particularly likely to be found in pts with MDD with atypical features?

Answer 13

Interpersonal rejection sensitivity

Question 14

34 yo female presents “unable to reach her potential” with mood switches frequently (day to day, sometimes within one day) from mildly to moderately. Depressed to happy in the morning. No episodes meeting criteria for mania. Hx suggests most likely dx?

Answer 14

Cyclothymic disorder

Question 15

Melancholia is characterized as

Answer 15

Anhedonia

Question 16

Focused attention, altered consciousness usually seen in pts with dissociative disorder?

Answer 16

Trance

Question 17

This sx is essential to support dx of dissociative identity disorder?

Answer 17

Extensive inability to recall personal information

Question 18

A feeling of being outside oneself or detached?

Answer 18

Depersonalization

Question 19

Patient reports “I think Im going crazy”. Reports that she has no self and thoughts are not her own. Feels like a robot and is unable to control her body. States she has feelings and is not able to feel them. Feels emotionally numb. Feel head is full of cotton. Recently started having out of body experiences. Dx?

Answer 19

Depersonalization/ derealization disorder