Exam (elaborations)
PA Psych EOR main topics - PANCE Prep Pearls
PA Psych EOR main topics - PANCE Prep Pearls
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PA Psych EOR main topics - PANCE PrepPearls
number of sx and time required for MDD - CORRECT ANSWER-5 sx
2 weeks
how do you tx seasonal affective disorder? - CORRECT ANSWER-SSRIs, light,
bupropion
pt presents with depressive sx, but their mood elevated with positive events.
what is this, and how do you tx? - CORRECT ANSWER-atypical depression
MAOis
is ECT safe in preggos/elderly? - CORRECT ANSWER-yup
SSRIs have (high/low) toxicity if used in overdose - CORRECT ANSWER-low
which SSRI can cause long QT syndrome? - CORRECT ANSWER-citalopram
pt with depression presents with AMS, seizures, restlessness, sweating, and
unstable vitals - CORRECT ANSWER-serotonin syndrome (often with combo of
SSRIs + MAOis, or if st. john's wort is used with SNRIs)
which class of antidepressants works on serotonin, norepi, and dopamine? -
CORRECT ANSWER-SNRIs (venlafaxine, desvenlafaxine, duloxetine)
pt presents with depression. They also have fatigue/pain. what's the big SE of
their recommended tx? - CORRECT ANSWER-(SNRI) --> HTN
amitriptyline, nortriptyline, clomipramine, desipramine, imapramine, and doxepin
belong to what class of meds? which neurotransmitters do they work on? -
CORRECT ANSWER-TCAs
serotonin and norepi
TCA SEs - CORRECT ANSWER-high overdose toxicity, anticholinergic,
prolonged QT, wide complex tachycardia
, mirtazapine is (sedating/activating) - CORRECT ANSWER-sedating
patient experienced sexual dysfunction/GI SE from SSRIs. what are the CI for
the the next med they might try? - CORRECT ANSWER-(bupropion) --> CI with
seizures, eating disorders
bupropion acts on which neurotransmitters? - CORRECT ANSWER-dopamine
and norepi
what patient education point is important with MAOIs? - CORRECT ANSWER-no
tyramine foods due to HTN crisis
#1 risk factor for bipolar - CORRECT ANSWER-FH
how do you tx bipolar? - CORRECT ANSWER-Li, haloperidol, benzos,
antipsychotics
Bipolar I vs Bipolar II - CORRECT ANSWER-I: 1+ mania or mixed episode
(mania = elevated/irritable mood, thinking, or behavior for 1 week that causes
impairment. doesn't have to be a week if causes hospitalization). they may also
have depression.
II: 1+ hypomania AND depression (hypomania = 4 days of sx without significant
impairment, psychosis, or hospitalization. no racing thought or psychomotor
agitation).
time requirement and tx for PDD - CORRECT ANSWER-2+ years (or 1 for
kiddos) of depression. it may be milder than MDD
SSRIs
pt presents with alternating hypomanic and depressive sx, but they don't meet
the full requirements for each. what is the time requirement for this disorder, and
how do you tx? - CORRECT ANSWER-(cyclothymic)
2+ years (or 1 in kiddos)
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