3P Psychiatric Study Questions And Well Elaborated Answers.

With Psychiatry what is always screened for? - correct answer Bipolar If positive on which depression assessment would institute a PHQ9? - correct answer PHQ2 PHQ2 is what kind of tool? - correct answer Depression assessment tool Why do we always screen for bipolar? - correct answer It could be bipolar presenting as depression What is GDS? - correct answer Geriatric Depression Scale Have there been times you felt very cheerful and happy (this felt different than normal self)? is what kind of screening question? - correct answer Bipolar Screening question 30 yes/no questionnaire that is used to evaluate depression in the elderly pt - correct answer Geriatric Depression Scale mood questionnaire test for what? - correct answer Bipolar SNRIs or SSRIs can send a bipolar into? - correct answer Acute manic phase What is SIG E CAPS? - correct answer S-sleep issues I- interests G-guilt E-energy C-concentration A-appetite P-psychomotor agitation or irritation S-suicidality With mixed mania what is often the presenting behavior? - correct answer Irritability What do you always ask a psych patient about? - correct answer Thoughts of suicide What is considered mild to moderate depression? HOw do we treat? - correct answer 2-4 symptoms present, SSRI or SNRI 5 or more symptoms present, most of the day, nearly everyday for a minimum of 2 consecutive weeks is considered what? - correct answer Major depressive disorder If a patient has > 4 symptoms but they are not present most of the day nearly everyday? a. major depressive disorder b. mild to moderate - correct answer B. Is it okay to treat situational depression? What must you obtain first? why? - correct answer Yes, mood questionnaire, make sure they are not bipolar SSRIs - correct answer selective serotonin reuptake inhibitors SSRI - correct answer class of drugs used to relieve anxiety by limiting reuptake of a neurotransmitter SSRI - correct answer class of drugs used to relieve anxiety by limiting reuptake of a neurotransmitter What does SSRI do? - correct answer increases serotonin in the brain What SSRI is great for both anxiety and depression? - correct answer Sertraline Decreased sex drive. Nausea, diarrhea, anorexia, vomiting. Headache, dizziness, anxiety (esp. fluoxetine), rash, insomnia, sedation, sweating, vivid dreams, tremor, dry mouth (esp. paroxetine), bruising (anti-platelet aggregation) are side effects of what category of drugs? - correct answer SSRIs What SSRI is approved for general anxiety disorder? - correct answer Escitalopram With any drug that increases 5-HT (e.g., MAO inhibitors, SNRIs, TCAs) hyperthermia, confusion, myoclonus, cardiovascular instability, flushing, diarrhea, seizures. -Treatment: cyproheptadine (5-HT2 receptor antagonist). What condition is this? - correct answer Serotonin syndrome What pain killer when combined with SSRIs causes serotonin syndrome? - correct answer Ultram What SSRI is used in teens a lot? Why? - correct answer Paroxetine, long 1/2 life Tramadol (Analgesic, Opioid) is known as? - correct answer Ultram SNRIs (serotonin-norepinephrine reuptake inhibitors) are given when the patient? - correct answer Lacks energy serotonin syndrome, confusion, restlessness, hypomania, diaphoresis. Drug interactions St. John's Wort and MAOI's are contraindicated with what class of drugs? - correct answer SSRIs SSRIs take how long to work? - correct answer 4-6 weeks What class of drugs are typically 2nd line and have better side effect profile that TCA's or MAOi's. - correct answer SNRIs Duloxetine (Cymbalta) a. SNRI b. SSRI - correct answer A. Desvenlafaxine (Pristiq) a. SSRI b. SNRI - correct answer B. Venlafaxine (Effexor) a. SNRI b. SSRI - correct answer A.