M3 ANX DPR

Question 1

In the puerperium, what percentage will develop a non-psychotic postpartum depressive disorder within 6 months of delivery?

Answer 1

15%

Question 2

Prevalence of post partum blues

Answer 2

26-84%

Question 3

Maternity blues peaks at what postpartum day?

Answer 3

4th-5th

Question 4

Maternity blues normalizes by what postpartum day?

Answer 4

10

Question 5

Management for maternity blues

Answer 5

Supportive treatment

Question 6

Incidence of post partum depression

Answer 6

10-20%

Question 7

Post partum depression is associated with the following EXCEPT

a. antenatal depression
b. smoking
c. unmarried status
d. old maternal age

Answer 7

D

Question 8

Percentage of postpartum depression that is recurrent

Answer 8

70%

Question 9

Percentage of women with postpartum depression that will develop depression 1 year later

Answer 9

25%

Question 10

Postpartum woman with possible mood disorder and suicidal or homicidal thoughts. What is the next best step?

Answer 10

Immediate referral to psychiatrist or emergency department

Question 11

Postpartum woman with possible mood disorder no suicidal or homicidal thoughts, but with psychotic symptoms. What is the management?

Answer 11

Consider tx with typical antipsychotic and co-manage with psych

Question 12

Postpartum woman with possible mood disorder no suicidal or homicidal thoughts, currently with mania or bipolar disorder history but without psychotic symptoms. What medications should be give?

a. valproate
b. carbamazepine
c. lithium
d. typical antipsychotic

Answer 12

D

Question 13

Specific cardiac teratogenic effect of lithium

Answer 13

ebstein anomaly

Question 14

Major teratgenic effect of valproic acid

Answer 14

NTDs

Question 15

Major teratogenic effect of carbamazepine

Answer 15

hydantoin syndrome

Question 16

Lifetime prevalence of mood disorders

Answer 16

3.9%

Question 17

risk of bipolar disorder for bothmonozygotic twins if one is affected

Answer 17

40-70%

Question 18

risk of bipolar disorder for those with affected 1st degree relatives

Answer 18

5-10%

Question 19

postpartum psychosis affects

a. 1/1000 of deliveries
b. 1/1100 of deliveries
c. 1/1500 of deliveries
d. 1/1800 of deliveries

Answer 19

A

Question 20

What is the most important risk factor for postpartum psychosis?

Answer 20

A.

Question 21

Incidence of anxiety disorders

Answer 21

18%

Question 22

Incidence of schizophrenia spectrum disorders

Answer 22

1.1%

Question 23

Schizophrenic disorders has __% concordance in monozygotic twins

Answer 23

50%

Question 24

Lifetime prevalence of eating disorder

Answer 24

2-3%

Question 25

Cornerstone in management of eating disorders

Answer 25

Psychological treatment

Question 26

Prevalence of personality disorders

Answer 26

20%