AANP Psych
__ has a short 1/2 existence compared w/other SSRIs. Patients need to be weaned or they'll
have withdrawal signs. - ANS-Paroxetine
4 weeks in the past, an eighty four year antique lady misplaced her husband of fifty nine years.
She is not dozing properly in the dead of night and her appetite is decreased. She is coping with
her day after day affairs but "isn't herself". How must this be treated?
A) diagnose her w despair
b) display her for worsening of symptoms
c) supply her a benzo for sleep
d) provoke sertraline to help manage her signs - ANS-b) screen her for worsening of signs
eighty five-year-vintage patient has been identified with mild melancholy. What medicine
magnificence is taken into consideration first line?
A) ordinary antidepressant
b) tricyclic antidepressant
c) selective serotonin reuptake inhibitor
d) serotonin-norephinephrine reuptake inhibitor - ANS-c) selective serotonin reuptake inhibitor
A 24-year-vintage lady has a brand new onset of panic disor-
der. As a part of her medical presentation, you anticipate to
fnd all of following besides:
A. Height signs and symptoms at 10 mins into the panic assault.
B. History of agoraphobia.
C. Record of chest pain in the course of panic assault.
D. History of notion sickness. - ANS-D. History of notion disorder.
A 44-year-antique man has been taking an SSRI for the past
four months and complains of new onset of sexual dys-
function and issue attaining orgasm. You suggest
him that:
A. This is a temporary aspect impact regularly seen within the first
weeks of remedy.
B. Switching to every other SSRI would likely be beneficial.
C. That is a not unusual destructive impact of SSRI remedy that is not going to solve with out
adjustment in his remedy.
D. He must see an urologist for further evaluation. - ANS-C. That is a not unusual damaging
effect of SSRI therapy this is not going to remedy without adjustment in his therapy.
,A seventy four-year-antique pt has symptoms of melancholy. Tx with sertraline is being
considered. Which studies is probably crucial to reserve?
A) EKG, B12, folate
b) B12, folate, TSH
c) CBC, B12, folate
d) LFTs, B12, folate, CBC, TSH - ANS-b) B12, folate, TSH
A 75-year-vintage girl became identified w despair and began on sertraline (regular dose
50-200mg/day). What dosage would be an awesome starting dose?
A) 25mg once day by day
b) 25mg two times day by day
c) 50mg as soon as each day
d) 100mg as soon as day by day - ANS-25mg once day by day
(usu. Begin 1/2 of endorsed lowest dose)
A commonplace aspect impact of __ is erectile disorder. - ANS-Paroxetine
A middle-elderly girl who has taken healing dose of lorazepam for the beyond 6 years needs to
prevent taking the medication. You endorse her that:
A. She will discontinue the drug immediately if she be-
lieves it no longer enables along with her symptoms.
B. Fast withdrawal in this situation can cause
tremors and hallucinations.
C. She ought to taper down the dose of the medication
over the subsequent week.
D. Gastrointestinal disillusioned is typically suggested in the course of the first week of
benzodiazepine withdrawal. - ANS-B. Rapid withdrawal in this case can result in tremors and
hallucinations.
A neurological disease w/symptoms that include hypotension, visible impairment, and coma.
Signs: intellectual confusion, ataxia, stupor.
Complication from continual ETOH abuse. - ANS-Korsakoff's syndrome
A questionnaire used to evaluate an individual for confusion and dementia.
Will describe an motion, which includes asking the pt to spell "global" backwards. - ANS-MMSE
(Mini-Mental State Exam)
According to DSM-five, a prognosis of depression should
consist of either depressed temper or which of the
following?
A. Lack of interest or satisfaction
B. Recurrent mind of dying
C. Emotions of worthlessness
D. Weight exchange (both boom or decrease) - ANS-A. Lack of interest or delight
, All of the subsequent are danger factors for relapse except:
A. Current episode lasts extra than 2 years.
B. Onset of melancholy occurs at younger than two decades of age.
C. Poor recovery between episodes.
D. Absence of dysthymia preceding the episode. - ANS-D. Absence of dysthymia preceding the
episode.
All of the following pharmacological interventions are
used within the remedy of sufferers with bulimia nervosa
except:
A. Fluoxetine (Prozac®).
B. Desipramine (Norpramin®).
C. Bupropion (Wellbutrin®).
D. Paroxetine (Paxil®). - ANS-C. Bupropion (Wellbutrin®).
Among the desired frst-line pharmacological deal with-
ment options for patients with PTSD include the
use of:
A. Methylphenidate (Ritalin®).
B. Oxazepam (Serax®).
C. Lithium carbonate.
D. Sertraline. - ANS-D. Sertraline.
An opportunity to methadone that can be used to minimize
opioid withdrawal symptoms is the use of:
A. Gabapentin.
B. Buprenorphine plus naloxone.
C. Methylnaltrexone.
D. Topiramate. - ANS-B. Buprenorphine plus naloxone.
An aged affected person who is depressed and has more than one medicines may be
prescribed __ because it has fewer drug interactions than the other SSRIs. - ANS-citalopram
Anxiety in response to a hard life occasion is a herbal reaction by means of the frame to:
A. Help someone attention on the problem at hand.
B. Decrease the fight-or-flight reaction.
C. Impair decision-making underneath duress. - ANS-A. Assist someone cognizance on the
problem to hand.
As you develop the initial remedy plan for a woman
with panic ailment, you remember prescribing:
A. Carbamazepine (Tegretol®).
B. Risperidone (Risperdal).
__ has a short 1/2 existence compared w/other SSRIs. Patients need to be weaned or they'll
have withdrawal signs. - ANS-Paroxetine
4 weeks in the past, an eighty four year antique lady misplaced her husband of fifty nine years.
She is not dozing properly in the dead of night and her appetite is decreased. She is coping with
her day after day affairs but "isn't herself". How must this be treated?
A) diagnose her w despair
b) display her for worsening of symptoms
c) supply her a benzo for sleep
d) provoke sertraline to help manage her signs - ANS-b) screen her for worsening of signs
eighty five-year-vintage patient has been identified with mild melancholy. What medicine
magnificence is taken into consideration first line?
A) ordinary antidepressant
b) tricyclic antidepressant
c) selective serotonin reuptake inhibitor
d) serotonin-norephinephrine reuptake inhibitor - ANS-c) selective serotonin reuptake inhibitor
A 24-year-vintage lady has a brand new onset of panic disor-
der. As a part of her medical presentation, you anticipate to
fnd all of following besides:
A. Height signs and symptoms at 10 mins into the panic assault.
B. History of agoraphobia.
C. Record of chest pain in the course of panic assault.
D. History of notion sickness. - ANS-D. History of notion disorder.
A 44-year-antique man has been taking an SSRI for the past
four months and complains of new onset of sexual dys-
function and issue attaining orgasm. You suggest
him that:
A. This is a temporary aspect impact regularly seen within the first
weeks of remedy.
B. Switching to every other SSRI would likely be beneficial.
C. That is a not unusual destructive impact of SSRI remedy that is not going to solve with out
adjustment in his remedy.
D. He must see an urologist for further evaluation. - ANS-C. That is a not unusual damaging
effect of SSRI therapy this is not going to remedy without adjustment in his therapy.
,A seventy four-year-antique pt has symptoms of melancholy. Tx with sertraline is being
considered. Which studies is probably crucial to reserve?
A) EKG, B12, folate
b) B12, folate, TSH
c) CBC, B12, folate
d) LFTs, B12, folate, CBC, TSH - ANS-b) B12, folate, TSH
A 75-year-vintage girl became identified w despair and began on sertraline (regular dose
50-200mg/day). What dosage would be an awesome starting dose?
A) 25mg once day by day
b) 25mg two times day by day
c) 50mg as soon as each day
d) 100mg as soon as day by day - ANS-25mg once day by day
(usu. Begin 1/2 of endorsed lowest dose)
A commonplace aspect impact of __ is erectile disorder. - ANS-Paroxetine
A middle-elderly girl who has taken healing dose of lorazepam for the beyond 6 years needs to
prevent taking the medication. You endorse her that:
A. She will discontinue the drug immediately if she be-
lieves it no longer enables along with her symptoms.
B. Fast withdrawal in this situation can cause
tremors and hallucinations.
C. She ought to taper down the dose of the medication
over the subsequent week.
D. Gastrointestinal disillusioned is typically suggested in the course of the first week of
benzodiazepine withdrawal. - ANS-B. Rapid withdrawal in this case can result in tremors and
hallucinations.
A neurological disease w/symptoms that include hypotension, visible impairment, and coma.
Signs: intellectual confusion, ataxia, stupor.
Complication from continual ETOH abuse. - ANS-Korsakoff's syndrome
A questionnaire used to evaluate an individual for confusion and dementia.
Will describe an motion, which includes asking the pt to spell "global" backwards. - ANS-MMSE
(Mini-Mental State Exam)
According to DSM-five, a prognosis of depression should
consist of either depressed temper or which of the
following?
A. Lack of interest or satisfaction
B. Recurrent mind of dying
C. Emotions of worthlessness
D. Weight exchange (both boom or decrease) - ANS-A. Lack of interest or delight
, All of the subsequent are danger factors for relapse except:
A. Current episode lasts extra than 2 years.
B. Onset of melancholy occurs at younger than two decades of age.
C. Poor recovery between episodes.
D. Absence of dysthymia preceding the episode. - ANS-D. Absence of dysthymia preceding the
episode.
All of the following pharmacological interventions are
used within the remedy of sufferers with bulimia nervosa
except:
A. Fluoxetine (Prozac®).
B. Desipramine (Norpramin®).
C. Bupropion (Wellbutrin®).
D. Paroxetine (Paxil®). - ANS-C. Bupropion (Wellbutrin®).
Among the desired frst-line pharmacological deal with-
ment options for patients with PTSD include the
use of:
A. Methylphenidate (Ritalin®).
B. Oxazepam (Serax®).
C. Lithium carbonate.
D. Sertraline. - ANS-D. Sertraline.
An opportunity to methadone that can be used to minimize
opioid withdrawal symptoms is the use of:
A. Gabapentin.
B. Buprenorphine plus naloxone.
C. Methylnaltrexone.
D. Topiramate. - ANS-B. Buprenorphine plus naloxone.
An aged affected person who is depressed and has more than one medicines may be
prescribed __ because it has fewer drug interactions than the other SSRIs. - ANS-citalopram
Anxiety in response to a hard life occasion is a herbal reaction by means of the frame to:
A. Help someone attention on the problem at hand.
B. Decrease the fight-or-flight reaction.
C. Impair decision-making underneath duress. - ANS-A. Assist someone cognizance on the
problem to hand.
As you develop the initial remedy plan for a woman
with panic ailment, you remember prescribing:
A. Carbamazepine (Tegretol®).
B. Risperidone (Risperdal).
