Psych

Question 1

SIG E CAPS for depression…

Answer 1

Sleep disturbance
Interest
Guilt

Energy

Concentration
Appetite
Psychomotor
Suicidal Ideation

Question 2

Diagnostic eval of MDD

Answer 2

CBC, CMP, TSH

+ PHQ-9 or MDQ

Question 3

MDQ can help r/o ______ d/o

Answer 3

bipolar

Question 4

MDD requires ____ or more sxs for _____ weeks

Answer 4

5+ for 2 weeks

Question 5

MDD response = ____% improvement

Answer 5

50%

Question 6

MDD remission = …

Answer 6

normal range (PHQ < 5)

Question 7

dose timing for fluoxetine

Answer 7

QAM

Question 8

Which SSRI?

• longest t1/2
• used for OCD, bulimia, panic d/o, pmdd
• taper gradually

Answer 8

fluoxetine

Question 9

Which SSRI?

-used for PTSD, SAD, nocturnal eating

Answer 9

sertraline

Question 10

Which SSRI?

a/w wt gain

used for GAD, PTSD

Answer 10

parozetine

Question 11

Citalopram is only approved for…

Answer 11

MDD

Question 12

escitalopram can be used for…

Answer 12

GAD

Question 13

Which SNRI?

GAD, SAD, panic d/o

take with food

Answer 13

venlafaxine

Question 14

Which SNRI?

only approved for MDD

Answer 14

desvenlafaxine

Question 15

Which SNRI?

used for GAD, diabetic neuropathy, FM

C/I w. liver disease

Answer 15

duloxetine

Question 16

Which antidepressant is a DA reuptake inhibitor

Answer 16

bupropion

Question 17

bupropion should be avoided in patients with what 2 disorders?

Answer 17

seizures, anorexia

Question 18

bupropion can also be used for what 2 conditions?

Answer 18

SAD and smoking cessation

Question 19

Which antidepressant?

alpha 2 antagonist

enhances NE and 5HT transmition

Answer 19

mirtazapine

Question 20

mirtazapine has less ______ SEs than SSRIs

Answer 20

sexual SEs

Question 21

This antidepressent is often used in elderly patients to help with depression, sleep and appetite

Answer 21

mirtazapine

Question 22

how long for antidepressant to be fully effective?

Answer 22

2-8 weeks

Question 23

SEs tend to resolve after ____

Answer 23

1 week

Question 24

duration of antidepressant tx…

Answer 24

4-9 mo after determining therapeutic dose

Question 25

pts with RFs for recurrence should be on ______ of maintenance tx

Answer 25

1-3 years

Question 26

d/c of antidepressents should occur over…

Answer 26

1-6 mo

Question 27

Tx option for the below…

1.
Suboptimal effect from initial antidepressant
2.
Severe depression w/thought disorder, bipolar disorder,
or suicidal or homicidal ideation
3.
Co morbid psychiatric (substance abuse) or medical
conditions
4.
Diagnosis is in question

Answer 27

psych referral

Question 28

Tx option for the below

1.
Suicidal or homicidal ideations
2.
Severe psychomotor retardation or agitation
3.
Associated psychosis

Answer 28

hospitalization

Question 29

4 criteria for involuntary psych tx…

Answer 29

danger to self
danger to others
persistent/acutely disabled
gravely disabled