Psychiatric Disorders

Question 1

Differences in the prevalence and presentation of psychiatric illness in women:

Major depression: ___% among women, versus ___% in the general population

Answer 1

Major depression: 25% among women, versus 10% in the general population

Question 2

Differences in the prevalence and presentation of psychiatric illness in women:

Women are ___ likely to attempt suicide and ___ likely to use lethal means

Answer 2

Women are MORE likely to attempt suicide and LESS likely to use lethal means

Question 3

Psychopharmacologic treatment during pregnancy:

SSRIs are generally considered safe to use during pregnancy. Which SSRI is the exception?

Answer 3

Paroxetine (Paxil) - Increased risk of cardiac defects

Question 4

Psychopharmacologic treatment during pregnancy:

SSRIs are potentially associated with which condition in newborns?

Answer 4

Pulmonary hypertension in newborns

Question 5

Psychopharmacologic treatment during pregnancy:

Mood stabilizer: Lithium
Teratogenic risk?

Answer 5

Lithium - Ebstein’s anomaly

Question 6

Psychopharmacologic treatment during pregnancy:

Mood stabilizer: Valproic acid
Teratogenic risk?

Answer 6

Valproic acid (Depakote) - Neural tube defects

Question 7

Psychopharmacologic treatment during pregnancy:

Mood stabilizer: Carbamazepine
Teratogenic risk?

Answer 7

Carbamazepine (Tegretol) - Neural tube defects

Question 8

Psychopharmacologic treatment during pregnancy:

Mood stabilizer: Lamotrigine
Teratogenic risk?

Answer 8

Lamotrigine (Lamictal) - Cleft palate

Question 9

Differential diagnosis of cognitive impairment in the geriatric patient?

Answer 9

Dementia, delirium, depression (“pseudodementia”), sleep apnea