PSYCHIATRY EOR 2025|ACTUAL EXAM WITH 102 QUESTIONS AND ANSWERS|100%
VERIFIED|A+GRADED
*SIGECAPS* of Depression - (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 - (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 - (ANSWER)*Sexual Dysfunction*
Wt gain
Anxiety
Nausea
*SHIVERS* of Serotonin Syndrome - (ANSWER)*S*hivering
*H*yperreflexia
*I*ncreased temp (fever)
*V*itals, unstable
*E*ncephalopathy
*R*estless
,PSYCHIATRY EOR 2025|ACTUAL EXAM WITH 102 QUESTIONS AND ANSWERS|100%
VERIFIED|A+GRADED
*S*weating
Tx: Cyproheptadine
1st line Tx of depression in children - (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 - (ANSWER)Citalopram (Celexa)
Screening tool or questionnaire used in clinic for:
Bipolar Disorder
Major Depression Disorder - (ANSWER)BPD: The Mood Disorder Questionaire
MDD: Beck Depression Inventory
Atypical Antidepressant which inhibits DA reuptake, has less sexual and wt-related side effects, but
decreases *seizure* threshold - (ANSWER)Bupropion
*smoking cessation*
*SNRI Trade Names*
Effexor
Pristiq
Cymbalta
Fetzima - (ANSWER)*SNRI Drug Names*
Venlafaxine
,PSYCHIATRY EOR 2025|ACTUAL EXAM WITH 102 QUESTIONS AND ANSWERS|100%
VERIFIED|A+GRADED
Desvenlafaxine
Duloxetine
Levomilnacipran
TCA antidepressants
*special characteristics* - (ANSWER)Desipramine - selective NET inhibitor
Imipramine - tx of enuresis
Amitriptyline- tx of neuromuscular pain
Nortriptyline
*QT Interval prolongation* = arrythmias
MAO Inhibitors used as antidepressants
*T*ake *P*ride in *S*hanghai - (ANSWER)Tranylcypromine
Phenelzine
Selegiline
Antidepressant which inhibits MAO b mechanisms and can ↑ dopamine concentrations -
(ANSWER)Selegiline
- Can be added in Tx of Parkinson's
Suicide Risk Assessment
*SAD PERSONS*
0-4 Low
5-6 Moderate
7-10 High - (ANSWER)*S*ex (males)
*A*ge (biphasic)
, PSYCHIATRY EOR 2025|ACTUAL EXAM WITH 102 QUESTIONS AND ANSWERS|100%
VERIFIED|A+GRADED
*D*epression
*P*revious attempts
*E*xcessive substance abuse
*R*ational thinking, loss
*S*ocial support lacking
*O*rganized plan
*N*o spouse
*S*ick (chronic)
*DIG FAST* of Bipolar - (ANSWER)*D*istractibility
*I*rresponsibility
*G*randiosity
*F*light of ideas
*A*gitation
*S*leep disturbances
*T*alkative
Bipolar II - (ANSWER)Dx:
MDD + Hypomania (DIG ST) < 1wk
Function in not fully compromised
Tx: *Risperdal*
Bipolar I Disorder - (ANSWER)Dx:
MDD > 2wks + Mania (DIG FAST) > 1wk
Inhibits function of daily living
VERIFIED|A+GRADED
*SIGECAPS* of Depression - (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 - (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 - (ANSWER)*Sexual Dysfunction*
Wt gain
Anxiety
Nausea
*SHIVERS* of Serotonin Syndrome - (ANSWER)*S*hivering
*H*yperreflexia
*I*ncreased temp (fever)
*V*itals, unstable
*E*ncephalopathy
*R*estless
,PSYCHIATRY EOR 2025|ACTUAL EXAM WITH 102 QUESTIONS AND ANSWERS|100%
VERIFIED|A+GRADED
*S*weating
Tx: Cyproheptadine
1st line Tx of depression in children - (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 - (ANSWER)Citalopram (Celexa)
Screening tool or questionnaire used in clinic for:
Bipolar Disorder
Major Depression Disorder - (ANSWER)BPD: The Mood Disorder Questionaire
MDD: Beck Depression Inventory
Atypical Antidepressant which inhibits DA reuptake, has less sexual and wt-related side effects, but
decreases *seizure* threshold - (ANSWER)Bupropion
*smoking cessation*
*SNRI Trade Names*
Effexor
Pristiq
Cymbalta
Fetzima - (ANSWER)*SNRI Drug Names*
Venlafaxine
,PSYCHIATRY EOR 2025|ACTUAL EXAM WITH 102 QUESTIONS AND ANSWERS|100%
VERIFIED|A+GRADED
Desvenlafaxine
Duloxetine
Levomilnacipran
TCA antidepressants
*special characteristics* - (ANSWER)Desipramine - selective NET inhibitor
Imipramine - tx of enuresis
Amitriptyline- tx of neuromuscular pain
Nortriptyline
*QT Interval prolongation* = arrythmias
MAO Inhibitors used as antidepressants
*T*ake *P*ride in *S*hanghai - (ANSWER)Tranylcypromine
Phenelzine
Selegiline
Antidepressant which inhibits MAO b mechanisms and can ↑ dopamine concentrations -
(ANSWER)Selegiline
- Can be added in Tx of Parkinson's
Suicide Risk Assessment
*SAD PERSONS*
0-4 Low
5-6 Moderate
7-10 High - (ANSWER)*S*ex (males)
*A*ge (biphasic)
, PSYCHIATRY EOR 2025|ACTUAL EXAM WITH 102 QUESTIONS AND ANSWERS|100%
VERIFIED|A+GRADED
*D*epression
*P*revious attempts
*E*xcessive substance abuse
*R*ational thinking, loss
*S*ocial support lacking
*O*rganized plan
*N*o spouse
*S*ick (chronic)
*DIG FAST* of Bipolar - (ANSWER)*D*istractibility
*I*rresponsibility
*G*randiosity
*F*light of ideas
*A*gitation
*S*leep disturbances
*T*alkative
Bipolar II - (ANSWER)Dx:
MDD + Hypomania (DIG ST) < 1wk
Function in not fully compromised
Tx: *Risperdal*
Bipolar I Disorder - (ANSWER)Dx:
MDD > 2wks + Mania (DIG FAST) > 1wk
Inhibits function of daily living
