Exam (elaborations)
PAEA Psychiatry EOR Topics
- Course
- Institution
PAEA Psychiatry EOR Topics
[Show more]
Seller
Follow
EXAMQA
Reviews received
Content preview
PAEA Psychiatry EOR TopicsMDD diagnosis requires ___ or more symptoms every day for ___ weeks that is
causing impairment in social, occupational, or other important areas of funtioning
- CORRECT ANSWER-≥5 symptoms
2 weeks
what are the symptoms of MDD? - CORRECT ANSWER-SIG E CAPS
-*S*leep (insomnia or hypersomnia)
-*I*nterest (decreased pleasure/interest in doing things)
-*G*uilt (or feelings of worthlessness)
-*E*nergy (loss or fatigue)
-*C*oncentration (loss or indecisiveness)
-*A*ppetite (loss or hyperphagia resulting in wt. loss or gain)
-*P*sychomotor (retardation or agitation)
-*S*uicidal Ideation
depression is thought to be caused by decreased levels of - CORRECT
ANSWER-serotonin, norepinephrine, and/or dopamine
how long does it take for most anti-depressants to start working enough that the
patient notices a difference? - CORRECT ANSWER-3 weeks with max effect at 3
mos
Dx? depressed mood for most of the day, more days than not for ≥2 years -
CORRECT ANSWER-Persistent Depressive Disorder (Dysthymia)
persistent depressive disorder (dysthymia) requires how many symptoms to be
present for at least 2 years? - CORRECT ANSWER-≥2 symptoms of depression
(SIG E CAPS)
cyclothymic disorder is similar to persistent depressive disorder (dysthymia) in
that symptoms must be present for ____ years and not absent for more than
____ months at a time - CORRECT ANSWER-2 years
2 months
,what meds are considered 1st line in treating depressive disorders like MDD and
PDD? - CORRECT ANSWER-SSRI's (fluoxetine/Prozac, sertraline/Zoloft,
paroxetine/Paxil, citalopram/Celexa, escitalopram/Lexapro, fluvoxamine/Luvox)
what is another way treatment resistant depression can be treated? - CORRECT
ANSWER-electroconvulsive therapy (ECT)- inducing a brief seizure causes the
release of NTs
all antidepressants carry a BBW for - CORRECT ANSWER-suicidal ideation
(thoughts, not attempts) in children, adolescents, and young adults; if this occurs,
consider it a side effect of a med instead of worsening depression & change
meds
which antidepressants can lower the seizure threshold? which is the worst? -
CORRECT ANSWER-ALL! Bupropion is worst
which antidepressants can cause QT prolongation? which is the worst? -
CORRECT ANSWER-ALL except for *combined SSRIs* (vilazodone/Viibryd,
vortioxetine/Brintellex), *MAOIs* (Isocaboxazid/Marplan, phenelzine/Nardil,
tranylcypromine/Parnate, selegiline transdermal patch), and *"fringe drugs"*
(buproprion/Wellbutrin, mirtazapine/Remeron, trazodone)
*citalopram*/Celexa (SSRI) has a BBW for QT prolongation
which SSRI is category D/X in pregnant patients for causing pulmonary HTN in
newborns? - CORRECT ANSWER-paroxetine/Paxil
1st, 2nd, and 3rd line medication treatment for depression - CORRECT
ANSWER-1st- SSRIs
2nd- SNRIs, bupropion, mirtazapine
3rd- TCAs & MAOIs
all of these work best when combined with CBT
what are some common SEs of SSRIs? - CORRECT ANSWER-GI upset, sexual
dysfxn, HA, changes in energy level, anxiety, insomnia, wt changes, SIADH
, acute AMS, seizures, coma, restlessness, diaphoresis, tremor, hyperthermia,
N/V, abdominal pain, mydriasis, and tachycardia are all signs of? which is caused
by? - CORRECT ANSWER-serotonin syndrome
caused by SSRI + MAOI use or inadequate wash out time between switching
meds
list the SNRIs - CORRECT ANSWER-venlafaxine/Effexor, desvenlafaxine/Pristiq,
duloxetine/Cymbalta
which antidepressant can cause worsening of glaucoma? - CORRECT
ANSWER-duloxetine/Cymbalta
amitriptyline, doxepin, cimipramine, imipramine, trimipramine, nortriptyline,
amoxapine, desipramine, protriptyline are what class of medications? -
CORRECT ANSWER-TCAs for depression; "-amine" & "-triptyline"
what are some reasons TCAs should generally be avoided in the elderly? -
CORRECT ANSWER--cardiotoxicity (QT prolongation)
-anticholinergic SEs (can't pee, can't see, can't spit, can't shit)
-increases fall risk, confusion & sedation
what antidepressant is often used to overdose and can be detected on EKG of
OD pts as prolonged QT and wide complex tachycardia? - CORRECT
ANSWER-TCAs "-amine" & "-triptyline"
list the MAOIs - CORRECT ANSWER-isocarboxazid/Marplan, phenelzine/Nardil,
tranylcypromine/Parnate, selegiline transderm patch
hypertensive crisis occurs with what class of antidepressants when tyramine
containing foods are ingested (fermented: beer, cheese, wine, etc.) - CORRECT
ANSWER-MAOIs
what antidepressant works by inhibiting reuptake of dopamine and
norepinephrine? - CORRECT ANSWER-bupropion/Wellbutrin
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller EXAMQA. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
62890 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now