Mes fam-PSY Flashcards

1
Q

T or F: 50% of pts with cancer develop sx of depression before the dx

A

T

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2
Q

Nommer 4 rx pouvant causer des sx dépressifs

A

b-bloqueurs, BZD, glucocorticoïdes, interferon

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3
Q

Criteria for depression: more than 5/9 + anhedonia or depressed mood for more than 2 weeks

A
M-SIGECAPS
M: mood (depressed)
S: increased/ decreased sleep
I: decreased interest
G: guilt
E: decreased energy
C: decreased concentration
A: increased/decreased appetite and weight
P: psychomotor agitation/ retardation
S: suicidal ideation
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4
Q

in depression, combination therapy with psychological tx and medication is associated with greater improvement than Rx alone, and decreased dropout rate: T or F

A

T

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5
Q

high yield sceening questions for depression (3)

and should we routinely screen it?

A

are u depressed?
have u lost interest or pleasure?
do u have problem sleeping?

No routine screening

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6
Q

Name a scale to screen, dx and monitor depression

A

PHQ9 (personal health questionnaire depression scale), GDS for geriatrics

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7
Q

investigation médicale pour dépression

A

TSH, FSC, B12, BH, urée, créat, ferritine, électrolytes, glycémie

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8
Q

phases of tx for depression

A

acute phase (8-12 w) to relieve sx

maintenance phase (6-12 m after sx resolution): important to continue Rx

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9
Q

tx of youth 10-21 years old

A

mild: active support and monitoring

fluoxetine is first line: monitor for suicidal ideation and behaviour
Do not use paroxetine-Paxil!

psychotherapy: CBT or IPT (interpersonal therapy)

tx should continue 6m at least

referral if moderate/severe with psychosis or subs abuse

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10
Q

how long before u should reassess or refer a depressive pt after starting Rx

A

6-8 w

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11
Q

Name 6 SSRI

A
paroxetine-paxil
fluoxetine-prozac
sertraline-zoloft
citalopram-celexa
fluvoxamine-luvox
escitalopram-cipralex
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12
Q

action of ssri

A

block serotonin reuptake

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13
Q

side effects of SSRI (8)

A

sexual disfct, headache, GI upset, weigh tloss, tremors, insomnia, fatigue, increased QT interval (baseline ECG suggested)

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14
Q

Name 2 SNRI

A

Venlafaxine-effexor

duloxetine-cymbalta

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15
Q

action of SNRI

A

block serotonin and NE reuptake

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16
Q

E2 of SNRI (4)

A

insomnia, tremors, tachycardia, sweating

17
Q

action of SDRI

A

block dopanime and NE reuptake

18
Q

name a SDRI

A

buproprion- wellbutrin

19
Q

E2 of SDRI-buproprion

A

headache, insomnia, nightmares, seizures,
LESS SEXUAL DYSFCT

can be used to augment other AD effects

20
Q

name a TCA

A

amitriptyline-Elavil

21
Q

action of TCA

A

block serotonin and NE reuptake

22
Q

E2 of TCA (elavil- amitriptyline)

A

sexual dysfct, weight gain, tremors, tachycardia, sweating

narrow window, LETHAL IN OD

23
Q

Prognosis of depression
up to __% resolve spontaneously after __ m
risks of recurrence: __% after 1st ep, __ after 2nd ep, __% after 3 ep

A

40% withing 6-12m

50-70-90