MOOD DISORDERS - Depressive Disorders

Question 1

Best initial lab test to rule out
underlying medical causes in adolescent
with depression? (2x)

Answer 1

Monospot

Question 2

What is needed to confirm premenstrual

dysphoric disorder? (2x)

Answer 2

Symptom rating log over 2 months

Question 3

Symptom of depression more common

in older than younger children? (2x)

Answer 3

Melancholia

Question 4

Antidepressant with most studies and

data for adolescent depression? (2x)

Answer 4

Prozac/fluoxetine

Question 5

Caspi’s study showed which
environmental risk factor in a patient
with two copies of the short allele of the
5-HTT promoter polymorphism was
associated with increased risk of
depression as an adult? (2x)

Answer 5

Stressful childhood event

Question 6

Adolescent with severe depression on
SSRI, now having severe teeth grinding
at night. Cannot lower medication. Best
treatment? (2x)

Answer 6

Acrylic dental guard

Question 7

Psychiatrist treating depressed teenager.
Withdrawn and doesn’t talk during
assessment. Next step?

Answer 7

Ask about favorite hobbies or movies

Question 8

Important lab test in MDD?

Answer 8

CBC

Question 9

Treatment for Adolescents with Depression
Study (TADS) concluded that best
treatment of depression is?

Answer 9

CBT, Fluoxetine, and Combined groups

equally efficacious at 36 weeks

Question 10

A 14 year old comes in with 9 months of sad
mood. She is always irritable, feels sad for
most days, is failing her previous favorite
class, and no longer likes going to ballet.
Diagnosis?

Answer 10

Depression, not otherwise specified

Question 11

Depression symptoms more likely present
in childhood onset MDD compared to
adolescent onset?

Answer 11

Hallucinations

Question 12

Psychiatric disorder most likely comorbid
with recurrence of severe abdominal pain
with no physical finding?

Answer 12

Mood

Question 13

Tired 16 yo w/history of well-controlled
type I diabetes feeling “down forever.”
Sleeps excessively and is failing classes.
Occasionally feels ok, esp when smoking
marijuana. Diagnosis?

Answer 13

Persistent depressive disorder

Question 14

14 yo increasingly irritable, grades dropped
in school, talking back to soccer coach,
picking on sister. Appropriate next step?

Answer 14

Screen for mood disorder

Question 15

Psych disorder comorbid in youth with

diabetes?

Answer 15

MDD

Question 16

Compared to teenagers, children with

depression have more?

Answer 16

Somatic complaints

Question 17

12 yo with tic disorder on Risperdal has
EPS after starting what medication for
mood disorder?

Answer 17

Fluoxetine

Question 18

Psychiatric disorder most likely comorbid
with recurrence of severe abdominal pain
with no physical finding?

Answer 18

Mood

Question 19

What diagnosis is associated with imaging
showing abnormal left prefrontal cortex
volume and function?

Answer 19

Major Depressive Disorder

Question 20

Which receptor overactivity causes
depression-like symptoms through
inflammation?

Answer 20

Glutamate

Question 21

Systemic medication derived from what
Vitamin is associated with depression in
adolescents?

Answer 21

Vitamin A

Question 22

Adolescent with MDD recently attempts
suicide, parents and patient resistant to
start SSRI. Best approach?

Answer 22

Explore beliefs of patient and parents about

medication

Question 23

A patient shows mild depressive symptoms
related to his father’s undiagnosed
depression. The father refuses treatment
even after you note connection between the
son and father’s mood symptoms. How
should you proceed?

Answer 23

Start psychoeducation with the whole

family about depression