PA Psychiatry EOR| 241 QUESTIONS| WITH COMPLETE SOLUTIONS
SIGECAPS* of Depression Correct Answer: *S*leep disturbances *I*nterests are ↓ *G*uilt *E*nergy is ↓ *C*oncentration is ↓ *A*ppetite is ↓ *P*sychomotor Agitation *S*uicidal thoughts Major depressive disorder Correct Answer: Depressed Mood or Anhedonia Dx: 5 or more of the SIGECAPS Sxs for *> 2 wks* effecting normal function Tx: *SSRI* or *SNRI* > TCA/MAOi > ECT S/Es of SSRIs Correct Answer: *Sexual Dysfunction* Wt gain Anxiety Nausea *SHIVERS* of Serotonin Syndrome Correct Answer: *S*hivering *H*yperreflexia *I*ncreased temp (fever) *V*itals, unstable *E*ncephalopathy *R*estless *S*weating Tx: Cyproheptadine 1st line Tx of depression in children Correct Answer: Fluoxetine (Prozac) - Longest Half-life of all SSRIs - Caution ↑ SI in the 1st 2 weeks of use SSRI known to cause QT interval prolongation Correct Answer: Citalopram (Celexa) Screening tool or questionnaire used in clinic for: Bipolar Disorder Major Depression Disorder Correct Answer: BPD: The Mood Disorder Questionaire
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pa psychiatry eor| 241 questions| with complete solutions
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