Depression ***

Question 1

Dx

Answer 1

1 of:
Depressed mood
Anhedonia
5 of:
Depressed mood
Anhedonia
Sleep disturbance
Feelings of worthlessness
Low energy
Poor concentration
Appetite change
Psychomotor agitation or retardation
Suicidal ideation

Question 2

RF

Answer 2

Female, family hx, negative childhood experience, stressors, postpartum,
chronic medical condition, SES, SU, postpartum women, chronic disease, chronic pain

Question 3

Best meds for elderly, pregnant, menopausea, least sexual SE

Answer 3

Elderly = duloxetine, mirtazapine, buproprion, citalopram, sertraline, venlafaxine
Pregnant = AVOID Paroxetine + clomipramine (cardiac defects)
Menopausal = 1) Desvenlafaxine + CBT 2) transdermal estradiol, citalopram, duloxetine, mirtazapine, quetiapine, venlafaxine, sertraline
Antidepressant with least sexual SE: bupropion

Question 4

Rx for serotonin syndrome

Answer 4

DC meds
ER
Cyproheptadine

Question 5

Lithium SE

Answer 5

vomiting, diarrhea, ataxia, myoclonic jerks, wt gain

Question 6

Lithium monitoring

Answer 6

Cr, TSH, lithium, calcium, bHCG

Question 7

Lithium levels

Answer 7

0.6-1.2

Question 8

Serotonin syndrome drugs

Answer 8

MAOis, SSRIs, SNRIs

Question 9

NMS sx not in serotonin syndrome

Answer 9

clonus

Question 10

Acute mania + maintenance meds

Answer 10

lithium, quetiapine, divalproex