PAEA Psychiatry EOR Topics – Verified Questions & Answers PDF (Rated A+)

PAEA
Psychiatry EOR
Topics Questions
with Verified
Answers



≥5 symptoms

2 weeks - ✔✔- ACTUAL ANSWER- MDD diagnosis requires ___ or more
symptoms every day for ___ weeks that is causing impairment in social,
occupational, or other important areas of funtioning

SIG E CAPS

,-*S*leep (insomnia or hypersomnia)
-*I*nterest (decreased pleasure/interest in doing things)
-*G*uilt (or feelings of worthlessness)
-*E*nergy (loss or fatigue)
-*C*oncentration (loss or indecisiveness)
-*A*ppetite (loss or hyperphagia resulting in wt. loss or gain)
-*P*sychomotor (retardation or agitation)
-*S*uicidal Ideation - ✔✔- ACTUAL ANSWER- what are the symptoms of MDD?

serotonin, norepinephrine, and/or dopamine - ✔✔- ACTUAL ANSWER-
depression is thought to be caused by decreased levels of

3 weeks with max effect at 3 mos - ✔✔- ACTUAL ANSWER- how long does it
take for most anti-depressants to start working enough that the patient notices a
difference?

Persistent Depressive Disorder (Dysthymia) - ✔✔- ACTUAL ANSWER- Dx?
depressed mood for most of the day, more days than not for ≥2 years

≥2 symptoms of depression (SIG E CAPS) - ✔✔- ACTUAL ANSWER- persistent
depressive disorder (dysthymia) requires how many symptoms to be present for
at least 2 years?

2 years
2 months - ✔✔- ACTUAL ANSWER- cyclothymic disorder is similar to persistent
depressive disorder (dysthymia) in that symptoms must be present for ____
years and not absent for more than ____ months at a time

SSRI's (fluoxetine/Prozac, sertraline/Zoloft, paroxetine/Paxil, citalopram/Celexa,
escitalopram/Lexapro, fluvoxamine/Luvox) - ✔✔- ACTUAL ANSWER- what
meds are considered 1st line in treating depressive disorders like MDD and
PDD?

electroconvulsive therapy (ECT)- inducing a brief seizure causes the release of
NTs - ✔✔- ACTUAL ANSWER- what is another way treatment resistant
depression can be treated?

, suicidal ideation (thoughts, not attempts) in children, adolescents, and young
adults; if this occurs, consider it a side effect of a med instead of worsening
depression & change meds - ✔✔- ACTUAL ANSWER- all antidepressants carry
a BBW for

ALL! Bupropion is worst - ✔✔- ACTUAL ANSWER- which antidepressants can
lower the seizure threshold? which is the worst?

ALL except for *combined SSRIs* (vilazodone/Viibryd, vortioxetine/Brintellex),
*MAOIs* (Isocaboxazid/Marplan, phenelzine/Nardil, tranylcypromine/Parnate,
selegiline transdermal patch), and *"fringe drugs"* (buproprion/Wellbutrin,
mirtazapine/Remeron, trazodone)

*citalopram*/Celexa (SSRI) has a BBW for QT prolongation - ✔✔- ACTUAL
ANSWER- which antidepressants can cause QT prolongation? which is the
worst?

paroxetine/Paxil - ✔✔- ACTUAL ANSWER- which SSRI is category D/X in
pregnant patients for causing pulmonary HTN in newborns?

1st- SSRIs
2nd- SNRIs, bupropion, mirtazapine
3rd- TCAs & MAOIs

all of these work best when combined with CBT - ✔✔- ACTUAL ANSWER- 1st,
2nd, and 3rd line medication treatment for depression

GI upset, sexual dysfxn, HA, changes in energy level, anxiety, insomnia, wt
changes, SIADH - ✔✔- ACTUAL ANSWER- what are some common SEs of
SSRIs?

serotonin syndrome

caused by SSRI + MAOI use or inadequate wash out time between switching
meds - ✔✔- ACTUAL ANSWER- acute AMS, seizures, coma, restlessness,
diaphoresis, tremor, hyperthermia, N/V, abdominal pain, mydriasis, and
tachycardia are all signs of? which is caused by?