3P Psychiatric Questions and Answers Graded A+
With Psychiatry what is always screened for?
Bipolar
If positive on which depression assessment would institute a PHQ9?
PHQ2
PHQ2 is what kind of tool?
Depression assessment tool
Why do we always screen for bipolar?
It could b...
With Psychiatry what is always screened for? - answer Bipolar
If positive on which depression assessment would institute a PHQ9? - answerPHQ2
PHQ2 is what kind of tool? - answer Depression assessment tool
Why do we always screen for bipolar? - answer It could be bipolar presenting as
depression
What is GDS? - answer Geriatric Depression Scale
Have there been times you felt very cheerful and happy (this felt different than normal
self)? is what kind of screening question? - answer Bipolar Screening question
30 yes/no questionnaire that is used to evaluate depression in the elderly pt - answer
Geriatric Depression Scale
mood questionnaire test for what? - answer Bipolar
SNRIs or SSRIs can send a bipolar into? - answer Acute manic phase
What is SIG E CAPS? – answer S-sleep issues
I- interests
G-guilt
E-energy
C-concentration
A-appetite
P-psychomotor agitation or irritation
S-suicidality
With mixed mania what is often the presenting behavior? - answer Irritability
What do you always ask a psych patient about? - answer Thoughts of suicide
What is considered mild to moderate depression? How do we treat? - answer2-4
symptoms present, SSRI or SNRI
5 or more symptoms present, most of the day, nearly every day for a minimum of 2
consecutive weeks is considered what? - answer Major depressive disorder
, If a patient has > 4 symptoms but they are not present most of the day nearly every
day? a. major depressive disorder b. mild to moderate – answer B.
Is it okay to treat situational depression? What must you obtain first? why? - answer
Yes, mood questionnaire, make sure they are not bipolar
SSRI - answer class of drugs used to relieve anxiety by limiting reuptake of a
neurotransmitter
SSRI - answer class of drugs used to relieve anxiety by limiting reuptake of a
neurotransmitter
What does SSRI do? - answer increases serotonin in the brain
What SSRI is great for both anxiety and depression? - answer Sertraline
Decreased sex drive. Nausea, diarrhea, anorexia, vomiting. Headache, dizziness,
anxiety (esp. fluoxetine), rash, insomnia, sedation, sweating, vivid dreams, tremor, dry
mouth (esp. paroxetine), bruising (anti-platelet aggregation) are side effects of what
category of drugs? – answer SSRIs
What SSRI is approved for general anxiety disorder? - answer Escitalopram
With any drug that increases 5-HT (e.g., MAO inhibitors, SNRIs, TCAs) hyperthermia,
confusion, myoclonus, cardiovascular instability, flushing, diarrhea, seizures.
-Treatment: cyproheptadine (5-HT2 receptor antagonist). What condition is this? -
answer Serotonin syndrome
What pain killer when combined with SSRIs causes serotonin syndrome? - answer
Ultram
What SSRI is used in teens a lot? Why? - answer Paroxetine, long 1/2 life
Tramadol
(Analgesic, Opioid) is known as? - answer Ultram
SNRIs (serotonin-norepinephrine reuptake inhibitors) are given when the patient? –
answer back’s energy
serotonin syndrome, confusion, restlessness, hypomania, diaphoresis. Drug interactions
St. John's Wort and MAOI's are contraindicated with what class of drugs? – answer
SSRIs
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