M3 ANX DPR Flashcards

1
Q

In the puerperium, what percentage will develop a non-psychotic postpartum depressive disorder within 6 months of delivery?

A

15%

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2
Q

Prevalence of post partum blues

A

26-84%

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3
Q

Maternity blues peaks at what postpartum day?

A

4th-5th

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4
Q

Maternity blues normalizes by what postpartum day?

A

10

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5
Q

Management for maternity blues

A

Supportive treatment

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6
Q

Incidence of post partum depression

A

10-20%

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7
Q

Post partum depression is associated with the following EXCEPT

a. antenatal depression
b. smoking
c. unmarried status
d. old maternal age

A

D

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8
Q

Percentage of postpartum depression that is recurrent

A

70%

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9
Q

Percentage of women with postpartum depression that will develop depression 1 year later

A

25%

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10
Q

Postpartum woman with possible mood disorder and suicidal or homicidal thoughts. What is the next best step?

A

Immediate referral to psychiatrist or emergency department

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11
Q

Postpartum woman with possible mood disorder no suicidal or homicidal thoughts, but with psychotic symptoms. What is the management?

A

Consider tx with typical antipsychotic and co-manage with psych

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12
Q

Postpartum woman with possible mood disorder no suicidal or homicidal thoughts, currently with mania or bipolar disorder history but without psychotic symptoms. What medications should be give?

a. valproate
b. carbamazepine
c. lithium
d. typical antipsychotic

A

D

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13
Q

Specific cardiac teratogenic effect of lithium

A

ebstein anomaly

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14
Q

Major teratgenic effect of valproic acid

A

NTDs

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15
Q

Major teratogenic effect of carbamazepine

A

hydantoin syndrome

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16
Q

Lifetime prevalence of mood disorders

A

3.9%

17
Q

risk of bipolar disorder for bothmonozygotic twins if one is affected

A

40-70%

18
Q

risk of bipolar disorder for those with affected 1st degree relatives

A

5-10%

19
Q

postpartum psychosis affects

a. 1/1000 of deliveries
b. 1/1100 of deliveries
c. 1/1500 of deliveries
d. 1/1800 of deliveries

A

A

20
Q

What is the most important risk factor for postpartum psychosis?

A

A.

21
Q

Incidence of anxiety disorders

A

18%

22
Q

Incidence of schizophrenia spectrum disorders

A

1.1%

23
Q

Schizophrenic disorders has __% concordance in monozygotic twins

A

50%

24
Q

Lifetime prevalence of eating disorder

A

2-3%

25
Q

Cornerstone in management of eating disorders

A

Psychological treatment

26
Q

Prevalence of personality disorders

A

20%