Depression

Question 1

MDD tx is?

Answer 1

SSRI

Question 2

MDD, is due to low Serotonin, Norepi, tryptophan?

Answer 2

true - anhedonia

Question 3

MDD risk facrors

Answer 3

fam hx, poor, single, divorced, widowed

Question 4

MDD pneumonic?

Answer 4

SIGECAPS - sleep, interest, guilt, energy, mood, conc., appetite, suicidal

Question 5

MDD diag?

Answer 5

PHQ2-9, Becks Depression inventory.

Question 6

what score on PHQ9 need tx?

Answer 6

9

Question 7

MDD tx?

Answer 7

SSRI- takes 4-6 weeks

Question 8

SNRI and SSRI SE?

Answer 8

sexual dys, nausea/GI

Question 9

> 2 year depression with no Mania or hypomania. “Always depressed”

Answer 9

PDD

Tx: SSRI, SNRI

Question 10

beyond normal grief or berevement after 6 months?

Answer 10

Adjustment disorder: hopeless

Question 11

Mania vs Hypomania?

Answer 11

difference is Mania has delusion+ insomnia

Question 12

Lithium is a good tx for?

Answer 12

acute mania

Question 13

Bipolar sxs?

Answer 13

pressured speech, flight of ideas, talkative, sexauly active.

Question 14

Bipolar Mixed is?

Answer 14

Irritable/Aggitated and Mania

Question 15

Bipolar tx?

Answer 15

Lithium, Anticonvolsant (carbamenzapine, lamictal, valproate)
Antipsych (haldol, quetiepine)

Question 16

Lithium can cause what in preg?

Answer 16

Ebstein’s (tricusp drop)

Question 17

Lithium SE?

Answer 17

nephro diabetes insipidus, dysrhythmias, fine tremor

Question 18

ibuprophen and diuretics with lithium cause?

Answer 18

renal failure

Question 19

valproate si

Answer 19

congenital hepatitis