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Mood/Psych > Mood/Psych: Multiple Choice & Other Questions > Flashcards

Mood/Psych: Multiple Choice & Other Questions Flashcards

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1
Q

A 28 year-old woman is diagnosed with a first episode of moderate to severe depression. What medication would be a good initial choice for her?

  1. Aripiprazole/Abilify
  2. Bupropion XR 150 mg daily
  3. Escitalopram/Lexapro
  4. Duloxetine/Cymbalta
A
  1. Escitalopram/Lexapro
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2
Q

Which symptoms are associated with geriatric depression? Select all that apply.

  1. Impaired memory
  2. Inability to concentrate
  3. Dizziness
  4. Low energy
  5. Socially withdrawn
  6. Reduced appetite
A
  1. Impaired memory
  2. Inability to concentrate
  3. Low energy
  4. Socially withdrawn
  5. Reduced appetite
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3
Q

A 78 year-old man complains of impaired memory and reduced appetite for past 3 months. The NP suspects depression. How should it be evaluated?

  1. TSH, B-12/folate levels
  2. Screen for suicide
  3. Geriatric depression screen
  4. CBC CMP, TSH
  5. Urine screen for UTI
A
  1. Geriatric depression screen
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4
Q

A 75 year-old woman is diagnosed with moderate depressive disorder. Which medication would be a good choice?

  1. Aripiprazole/Abilify
  2. Desipramine/Norpramine
  3. Escitalopram/Lexapro
  4. Duloxetine/Cymbalta
A
  1. Escitalopram/Lexapro
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5
Q

You are an NP responsible for choosing a screening test to identify depression. You should choose a test that has:

  1. High sensitivity
  2. High specificity
  3. Low sensitivity
  4. Low specificity
A
  1. High sensitivity
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6
Q

Which instrument should be used to rule out depression in a 45 year-old man?

  1. Instrument with 83% sensitivity
  2. Instrument with 90% specificity
  3. Instrument with 88% sensitivity
  4. Instrument with 88% specificity
A
  1. Instrument with 90% specificity
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7
Q

What statements are true about bipolar disorder (BD)? Select all that apply.

  1. BD may present as depression
  2. BD is rarely associated with poor sleep
  3. Patients do not need to be screened for BD before starting SSRIs
  4. If a patient has BD, SSRIs may precipitate an episode of mania
  5. Patients with BD have low rates of suicide
A
  1. BD may present as depression
  2. If a patient has BD, SSRIs may precipitate an episode of mania
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8
Q

Select all symptoms associated with bipolar disorder.

  1. Excessive sleeping
  2. Insomnia
  3. Low energy
  4. Delusions
  5. Multiple social problems
A
  1. Insomnia
  2. Delusions
  3. Multiple social problems
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9
Q

Select all that apply as the most effective management for moderate depression.

  1. Therapy
  2. Medication
  3. Lifestyle changes
  4. Combo of therapy, meds, and lifestyle changes
  5. Combo of therapy and medications
A
  1. Combo of therapy and medications
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10
Q

A 32 year-old woman is diagnosed with generalized anxiety disorder. What medication might be helpful in relieving GAD symptoms long-term?

  1. Propanolol
  2. Alprazolam
  3. Bupropion
  4. Escitalopram
A
  1. Escitalopram
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11
Q

A student has a fear of taking exams but has to take one soon. What could you prescribe to relieve anxiety prior to the exam?

  1. Sertraline daily 6 - 8 weeks before test
  2. Alprazolam low-dose 45 minutes before test
  3. Propanolol 10 - 40 mg 60 minutes before test
  4. Buspirone 60 minutes before test
  5. Hydroxyzine 60 minutes before test
A
  1. Propanolol 10 - 40 mg 60 minutes before test
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12
Q

A 28 year-old ER RN has PTSD. Which med/s could be tried to treat her?

  1. Bupropion
  2. Lorazepam
  3. Hydroxyzine
  4. Fluoxetine
  5. Escitalopram
A
  1. Escitalopram
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13
Q

A 24 year-old patient with depression has become suicidal. She threatens to take all 20 antidepressant pills right now. Which is the most likely to cause death if consumed all at once?

  1. Escitalopram
  2. Sertraline
  3. Amitriptyline
  4. Fluoxetine
A
  1. Amitriptyline
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14
Q

Select all medications that might relieve acute symptoms of generalized anxiety disorder.

  1. Propanolol
  2. Alprazolam
  3. Buspirone
  4. Hydroxyzine
A
  1. Alprazolam
  2. Hydroxyzine
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15
Q

A 19 year-old woman was diagnosed with depression by another provider 2 weeks ago and was started on escitalopram. She now complains of paranoid thoughts and inability to sleep. Select all clues that suggest bipolar disorder.

  1. Age 19
  2. Paranoid thoughts
  3. Female gender
  4. Insomnia
A
  1. Age 19
  2. Paranoid thoughts
  3. Insomnia
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16
Q

Your patient abruptly stops the escitalopram he’s/she’s been taking for the past 3 months. Select all symptoms that may occur.

  1. Anxiety
  2. Dizziness
  3. Insomnia
  4. Flu-like symptoms
A
  1. Anxiety
  2. Dizziness
  3. Insomnia
  4. Flu-like symptoms

Mood/Psych (10 decks)

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