APEA 3 Psychiatric Competency study guide Exam test questions with approved Answers 2024/2025
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Course
APEA 3P
Institution
APEA 3P
APEA 3 Psychiatric Competency study guide Exam test questions with approved Answers 2024/2025
Most learned authorities agree that if there is no response by 8-12 weeks at a maximal therapeutic dose, a different antidepressant should be tried. The 8–12-week period is an appropriate time frame b...
APEA 3 Psychiatric Competency study guide
Exam test questions with approved Answers
2024/2025
Most learned authorities agree that if there is no response by 8-
12 weeks at a maximal therapeutic dose, a different
antidepressant should be tried. The 8–12-week period is an
appropriate time frame because it will take this long to reach
maximal dose for therapeutic response. 4-6 weeks is nearing the
appropriate time frame, but this may be too short a period of
time to reach and evaluate therapeutic effect.
A patient may derive benefit from a tricyclic antidepressant
(TCA) if he experiences depression and:
A. chronic pain.
B. constipation.
C. bipolar disease.
D. hyperlipidemia.
A.
Amitriptyline and nortriptyline are commonly used in patients
who exhibit depression and chronic pain syndromes. TCAs are
known to produce mild peripheral vasodilator effects and
subsequent relief of pain by an unknown mechanism.
Within 6 months of treatment, patients who are treated for
depression with selective serotonin reuptake inhibitors often
exhibit:
A. insomnia.
B. weight gain.
C. increased libido.
D. hyperglycemia.
B.
,Weight gain is common among men and women who take SSRIs
and tricyclic antidepressants (TCAs) because they stimulate
appetite. Decreased libido may occur several weeks after
starting SSRIs, but this can also be a symptom of depression. The
tricyclic and heterocyclic compounds are often associated with
blood sugar elevations. Elevations almost never occur within 6
months of starting use. Jitteriness and restlessness are commonly
associated with SSRI use. These side effects generally subside
after a month or less of therapy.
What are the recommendations for screening older patients for
depression?
A. Screen at each visit.
B. Screen only if symptoms exist.
C. Screen only patients who are at high risk.
D. Screen every patient annually.
A.
Depression is common in all adults, especially older adults.
Screening can be accomplished easily and quickly in a primary
care setting. Untreated depression leads to higher rates of
mortality when other comorbid conditions exist, especially heart
disease.
Depression is diagnosed on clinical presentation. What time
frame is important for distinguishing between depressed mood
and clinical depression?
A. 1 week
B. 2 weeks
C. 3weeks
D. 4 weeks
B.
Screening tests for depression include questions about
depressed mood or other symptoms that have lasted at least two
weeks. This is an important time frame. Typical screening
questions ask: “in the past 2 weeks, have you felt little interest or
, pleasure in doing things” or “in the past 2 weeks, have you felt
down, depressed, or hopeless”?
Which of the following characterizes bulimia nervosa?
A. Binge eating
B. Purging
C. Food restriction
D. Concern over body weight
A.
Recurrent episodes of binge eating characterize bulimia. Loss of
control is always present, especially when eating. This results in
eating quantities of food far beyond what would normally be
consumed. Binge eating is always followed by a compensatory
activity. This may take the feature of purging or nonpurging.
Nonpurging involves excessive exercise or post-binge fasting.
Binges and the compensatory activity occur a minimum of twice
weekly for at least 3 months for diagnosis of bulimia nervosa.
Which symptom listed below is typical of depression?
A. Difficulty falling asleep
B. Snoring
C. Early morning wakening
D. Keeping late night hours reading
C.
Sleep difficulty is a common complaint among patients with
depression. Patients with difficulty falling asleep are often
anxious. Frequent waking and early morning wakening are
complaints by many patients with depression. There is no agreed
on physiologic explanation, but this is a common symptom.
Carbamazepine is used in patients with bipolar disorder for mood
stabilization. Prescribers who have patients taking
carbamazepine should be alert to:
A. alcohol abuse.
B. electrolyte abnormalities.
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