PA Psychiatry EOR exam
|\ |\ |\ |\
questions with answers |\ |\
*SIGECAPS* of Depression - CORRECT ANSWERS ✔✔*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 ANSWERS ✔✔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 ANSWERS ✔✔*Sexual Dysfunction*
|\ |\ |\ |\ |\ |\ |\
Wt gain
|\
,Anxiety
Nausea
*SHIVERS* of Serotonin Syndrome - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔*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 ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔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
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Citalopram (Celexa) |\ |\
Screening tool or questionnaire used in clinic for:
|\ |\ |\ |\ |\ |\ |\
Bipolar Disorder|\
,Major Depression Disorder - CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔Bupropion
|\ |\ |\ |\
*smoking cessation* |\
*SNRI Trade Names*
|\ |\
Effexor
Pristiq
Cymbalta
Fetzima - CORRECT ANSWERS ✔✔*SNRI Drug Names*
|\ |\ |\ |\ |\ |\
Venlafaxine
Desvenlafaxine
Duloxetine
Levomilnacipran
TCA antidepressants
|\
*special characteristics* - CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔Tranylcypromine
Phenelzine
Selegiline
Antidepressant which inhibits MAO b mechanisms and can ↑ |\ |\ |\ |\ |\ |\ |\ |\ |\
dopamine concentrations - CORRECT ANSWERS ✔✔Selegiline
|\ |\ |\ |\ |\
- Can be added in Tx of Parkinson's
|\ |\ |\ |\ |\ |\ |\
Suicide Risk Assessment |\ |\
*SAD PERSONS* |\
0-4 Low
|\
5-6 Moderate
|\
7-10 High - CORRECT ANSWERS ✔✔*S*ex (males)
|\ |\ |\ |\ |\ |\
*A*ge (biphasic) |\
*D*epression
*P*revious attempts |\
*E*xcessive substance abuse |\ |\
*R*ational thinking, loss |\ |\
*S*ocial support lacking |\ |\
|\ |\ |\ |\
questions with answers |\ |\
*SIGECAPS* of Depression - CORRECT ANSWERS ✔✔*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 ANSWERS ✔✔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 ANSWERS ✔✔*Sexual Dysfunction*
|\ |\ |\ |\ |\ |\ |\
Wt gain
|\
,Anxiety
Nausea
*SHIVERS* of Serotonin Syndrome - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔*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 ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔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
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Citalopram (Celexa) |\ |\
Screening tool or questionnaire used in clinic for:
|\ |\ |\ |\ |\ |\ |\
Bipolar Disorder|\
,Major Depression Disorder - CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔Bupropion
|\ |\ |\ |\
*smoking cessation* |\
*SNRI Trade Names*
|\ |\
Effexor
Pristiq
Cymbalta
Fetzima - CORRECT ANSWERS ✔✔*SNRI Drug Names*
|\ |\ |\ |\ |\ |\
Venlafaxine
Desvenlafaxine
Duloxetine
Levomilnacipran
TCA antidepressants
|\
*special characteristics* - CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔Tranylcypromine
Phenelzine
Selegiline
Antidepressant which inhibits MAO b mechanisms and can ↑ |\ |\ |\ |\ |\ |\ |\ |\ |\
dopamine concentrations - CORRECT ANSWERS ✔✔Selegiline
|\ |\ |\ |\ |\
- Can be added in Tx of Parkinson's
|\ |\ |\ |\ |\ |\ |\
Suicide Risk Assessment |\ |\
*SAD PERSONS* |\
0-4 Low
|\
5-6 Moderate
|\
7-10 High - CORRECT ANSWERS ✔✔*S*ex (males)
|\ |\ |\ |\ |\ |\
*A*ge (biphasic) |\
*D*epression
*P*revious attempts |\
*E*xcessive substance abuse |\ |\
*R*ational thinking, loss |\ |\
*S*ocial support lacking |\ |\
