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IPT 5 (Mental) Final Exam Questions With Accurate Answers
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IPT 5 (Mental) Final Exam Questions WithAccurate Answers 2024-2025
JA is a 55 y/o female patient that presents to clinic today with complaints of side effects
due to her current treatment for MDD with an unidentified AD. The patient complains
that she has an increased heart rate, dry mouth, headache, and she is experiencing
excessive sweating causing her to be uncomfortable and embarrassed. After the blood
test you notice she also has increased cholesterol and TG levels, and she is having
proteinuria. Which of the following AD best represents this side effect profile?
Desvenlafaxine
3 multiple choice options
Among the following statements concerning the pharmacotherapeutic treatment of MDD
with AD, which one of the following statements is true?
However, different antidepressants can be used together to capitalize on different
receptor profiles, and it is producent to combine antidepressants with
non-pharmacological therapies such as CBT
All of the following could be considered Mood Disorders or types of depressive
disorders EXCEPT:
Medically induced delusional disorder
3 multiple choice options
Patient health questionnaire PHQ-9 represents a rating scale that assists the clinician in
identifying the severity of the patient's depression. Which of the following statements is
true regarding the PHQ-9?
The PHQ-9 is scored on a metric scale from 0-27
Which one of the following is evidence-based, non-pharmacological therapy for major
depressive disorder?
Cognitive behavioral therapy, ECT
Spravato is an NMDA antagonist and is intended for use as an adjunct to induction for a
patient who will be treated long term with a more traditional oral antidepressant. It
provides immediate relief for some core symptoms of severe major depressive disorder,
especially suicidal ideation, and does not require 4-6 weeks for peak activity. Which of
the following is true about Spravato?
,Initial dose: 56mg twice a week, federal REMS program compliance is required
There is a BBW associated with Spravato describing sedation, dissociation, misuse, and
suicidal thoughts/behaviors
There are many clinical rules of thumb or clinical pearls associated with the use of
antidepressants in the treatment of MDD. The majority of these clinical pearls, in fact,
are very helpful in allowing the clinician to determine effectivity of treatment, and to
improve the clinical management of the patient. Which of the following clinical pearls is
stated correctly?
A proper medical workup of the patient, including a review of the medications the client
is currently taking, needs to be done so that the symptoms cannot be an adverse
medication effect or explained better by a different illness.
A patient MF presents to your clinic. He is a 38 year old Hispanic man & is currently
being treated for MDD. MF was recently switched from an SSRI which was ineffective &
he was initially initiated on Viibryd for MDD. He is at the pharmacy & is picking up his
medication for the first time. Which of the following statements is true regarding MFs
new prescription?
Viibryd must be taken with food to increase bioavailability. taking on an empty stomach
will hinder absorption
The initial dose of Viibryd is 10 mg po qday for depression
Which of the following drug and facts are correctly paired?
Brand name: Wellbutrin, generic name: bupropion drug class: NE/DA reuptake inhibitor
lowers seizure threshold, FDA maximum dose per day: 450 mg
3 choices
Which of the following statements concerning MAOIs is/are true:
MAOIs carry the risk of a potentially fatal hypertensive crisis associated with the
co-ingestion of tyramine rich foods. Common adverse effects associated with MAOIs
include: insomnia, orthostatic hypotension, sedation, sexual dysfunction, myoclonic
jerking. JA is a 42-year-old female who presents to the clinic today reporting fatigue,
lack of interest in friends/family activities for over 2 weeks. She also complains of
headaches, diffuse aches, and pains and reports not having the interest in performing
activities that she used to find enjoyable. Past medical history includes: HTN (controlled
on meds), seizure disorder, unspecified (not currently under treatment for this
disorder), cardiac arrhythmia-atrial fibrillation being treated with anticoagulant. List of
current medications includes: blah blah blah. All of JA's labs, hepatic, and renal function
are within normal limits. Chief resident administered PHQ-9 survey & the patients
scored 20 therefore he is diagnosing the patient with Major Depressive Disorder, & asks
you to write the mediation order for this patient who has a follow up in 2 weeks. Which
order represents the best choice to treat JA's depression?
, Trintellix 10 mg tabs / #14 / Sig: take one tab po daily for depression
Several classes of antidepressants are available to practitioners; of those listed, the
selective serotonin reuptake inhibitors are most frequently prescribed. In general, for
which one of the neurotransmitter(s) below is an SSRI selective?
Primarily affect serotonin, not other neurotransmitters
The first generation to be developed based on the theories in the 1970s and 1980s was
selective serotonin reuptake inhibitors. All these theories pointed to low levels of
serotonin playing a vital role in the pathogenesis of depression. The antidepressants
SNRIs ensued from SSRIs. Generally, SNRIs.
Block the reabsorption (reuptake) of serotonin and norepinephrine into neurons
SSRIs were developed in the 1970s and 1980s based upon the hypothesis that serotonin
deficiencies played an important role in the pathogenesis of depression. Which one of
the following transporter is involved in the mechanism of SSRI.
SERT
3 options
HPI: MJ is a 50 year old female who comes to you for help with problems sleeping. She
describes that her problems have been present for the last 6 months. She states she
can fall asleep, but not stay asleep. PMH: Nicotine dependence, Hepatitis C with mild
cirrhosis, obesity, arthritis. CURRENT MEDS: tylenol PM - take 2 caplets PO at bedtime,
Wegovy - inject 2.4 subq once weekly, MVI - take 1 tab PO daily. For the following
question, select the ONE best answer
Which of the following medications could be used to assist MJ with falling asleep and
staying asleep?
EsZopiclone and zolpidem
HPI: MJ is a 50 year old female who presents to you seeking assistance with sleep
issues. She states that she has been having problems for the past 6 months. She states
she is able to fall asleep, but unable to stay asleep. PMH: Nicotine dependence,
Hepatitis C with mild cirrhosis, obesity, arthritis. CURRENT MEDS: tylenol PM - take 2
caplets PO at bedtime, Wegovy - inject 2.4 subq once weekly, MVI - take 1 tab PO daily.
You have decided to start Ambien to manage her insomnia. What dose should MJ
receive?
5 mg
3 multiple choice options
Feeling of being detached from one's environment is a psychological symptom
associated with what type of anxiety?
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