Psychiatric Disorders Study Review with Complete Solutions

Psychiatric Disorders Study Review with
Complete Solutions
PHQ-9 (Patient Health Questionnaire) - Ans -Dx: Any population

Assesses severity of depression, >12: Major depressive disorder

Domain: Body Structure and Fxn



major depressive disorder - Ans -



DSM5 criteria symptoms x2 weeks:

Fatigue or loss of energy/interest

Insomnia or hypersomnia

Loss/increase in appetite; poor appetite

Weight change

Psychomotor retardation or agitation

Suicidal ideation

Guilt or feelings of worthlessness

Loss of attention span - Ans -if four or more of these symptoms=depressed mood



Red flag signs - Ans -Hallucinations

Delusions

Suicidal

Homicidal

Extreme self-care deficit

Adverse effect after medications prescribed
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, Depression is known as - Ans -Unipolar



MAOIS inhibitors



nardil

parmate - Ans -



SSRI's why start on this - Ans -best for mood stabilization



EX of SSRI's - Ans -lexapro

paxil



melancholic depression - Ans -is a type of major depressive disorder that is
characterized by a loss of pleasure in most or all activities, psychomotor retardation,
weight loss, guilt, and insomnia



accounts for 30% of depression



atypical depression - Ans -differs from classical forms. Characterized my mood
reactivity (being able to experience improved mood in response to positive stimuli),
reversed vegatative symtpoms (hyperphagia, hypersomnia). Leaden paralysis (heavy
feeling in arms and legs), long-standing interpersonal rejection sensitivty



Tx: CBT and SSRIs are first line. MAO inhibitors work but are second line due to increased
side effects.
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Tx of *melancholic* depression? - Ans -SSRIs (first line for depression in general)
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