NR 547- Final
Exam with correct
and verified
answers in 2025
Patient Health Questionnaire-9 (PHQ-9) - ANSWER: self report tool for screening, diagnosing, and
monitoring depression. Based on the DSM-5 criteria for MDD and evaluates symptom severity over the
past two weeks
Components of the PHQ-9 - ANSWER: Nine Symptom Domains
1. Anhedonia
2. Depressed Mood
3. Sleep Problems
4. Fatigue
5. Appetite Changes
6. Low Self Worth
7. Concentration Issues
8. Psychomotor Changes
9. Suicidal Thoughts
,PHQ-9 Scoring Interpretation - ANSWER: Each question is scored:
0=Not at all
1= Several Days
2= More than half the days
3= Nearly Every Day
Total Score: 0-27
PHQ-9 Depression Severity Levels - ANSWER: 0-4: Minimal or No depression
5-9: Mild Depression
10-14: Moderate Depression
15-19: Moderately Severe Depression
20-27: Severe Depression
Clinica Use of the PHQ-9 - ANSWER: Score >= 10: Possible clinical depression, further evaluation needed
Score >=15: Likely MDD, consider therapy and/or medication
Score >=20: Severe Depression, requires urgent intervention
Mood Disorder Questionnaire - ANSWER: screening tool used for Bipolar Disorder, and helps differentiate
bipolar disorder from unipolar depression and other mood disorders
Consists of three parts, assessing lifetime history of manic or hypomanic symptoms
Part one of MDQ - ANSWER: Symptom Checklist
13 yes/no questions
Increased Energy and Activity
,Euphoric or irritable mood
Decreased need for sleep
Unusual talkativeness or pressured speech
Racing Thoughts
Easily Distracted
Increase in goal-directed activities
Involvement in Risky behaviors
Unusual Confidence or grandiosity
More outgoing/social than usual
episodes lasting several days or longer
other people noticing these changes
symptoms occurring together in the same time period
Part 2 MDQ - ANSWER: Symptom Clustering
1 yes/no question
"Have several of the above symptoms ever happened during the same period of time?"
Part 3 MDQ - ANSWER: Functional Impairment
1 questions, 3 point scale: No, Minor, or Serious problem
"How much did these problems cause difficulty in work, social, or family life?"
MDQ Scoring Interpretation - ANSWER: 7 or more "yes" responses in Part 1
"Yes" in Part 2
Moderate or serious impairment in part 3 is a positive screen. This is possible bipolar disorder, needs a
clinical assessment
, Negative Screen:
Fewer than 7 "yes" responses in Part 1 OR "No" in part 2 OR "No/Minor problems" in Part 3= unlikely
bipolar disorder
Limitations to MDQ - ANSWER: More sensitive to Bipolar I Disorder than Bipolar II or Cyclothymia
May produce false positives in BPD
Anhedonia - ANSWER: a diminished ability to experience pleasure
TSH - ANSWER: 0.4-4
For patients on thyroid medications 0.5 -3 is often targeted
Elevated TSH - ANSWER: Hypothyroidism
Low TSH - ANSWER: hyperthyroidism
hemoglobin - ANSWER: Men
13.8-17.2
Women
12.1-15.1
Pregnant women
11-14
Children
11-16
Lithium Level - ANSWER: Therapeutic range
0.6-1.2
Toxicity Risk
>1.5
Severe toxicity
>2
Exam with correct
and verified
answers in 2025
Patient Health Questionnaire-9 (PHQ-9) - ANSWER: self report tool for screening, diagnosing, and
monitoring depression. Based on the DSM-5 criteria for MDD and evaluates symptom severity over the
past two weeks
Components of the PHQ-9 - ANSWER: Nine Symptom Domains
1. Anhedonia
2. Depressed Mood
3. Sleep Problems
4. Fatigue
5. Appetite Changes
6. Low Self Worth
7. Concentration Issues
8. Psychomotor Changes
9. Suicidal Thoughts
,PHQ-9 Scoring Interpretation - ANSWER: Each question is scored:
0=Not at all
1= Several Days
2= More than half the days
3= Nearly Every Day
Total Score: 0-27
PHQ-9 Depression Severity Levels - ANSWER: 0-4: Minimal or No depression
5-9: Mild Depression
10-14: Moderate Depression
15-19: Moderately Severe Depression
20-27: Severe Depression
Clinica Use of the PHQ-9 - ANSWER: Score >= 10: Possible clinical depression, further evaluation needed
Score >=15: Likely MDD, consider therapy and/or medication
Score >=20: Severe Depression, requires urgent intervention
Mood Disorder Questionnaire - ANSWER: screening tool used for Bipolar Disorder, and helps differentiate
bipolar disorder from unipolar depression and other mood disorders
Consists of three parts, assessing lifetime history of manic or hypomanic symptoms
Part one of MDQ - ANSWER: Symptom Checklist
13 yes/no questions
Increased Energy and Activity
,Euphoric or irritable mood
Decreased need for sleep
Unusual talkativeness or pressured speech
Racing Thoughts
Easily Distracted
Increase in goal-directed activities
Involvement in Risky behaviors
Unusual Confidence or grandiosity
More outgoing/social than usual
episodes lasting several days or longer
other people noticing these changes
symptoms occurring together in the same time period
Part 2 MDQ - ANSWER: Symptom Clustering
1 yes/no question
"Have several of the above symptoms ever happened during the same period of time?"
Part 3 MDQ - ANSWER: Functional Impairment
1 questions, 3 point scale: No, Minor, or Serious problem
"How much did these problems cause difficulty in work, social, or family life?"
MDQ Scoring Interpretation - ANSWER: 7 or more "yes" responses in Part 1
"Yes" in Part 2
Moderate or serious impairment in part 3 is a positive screen. This is possible bipolar disorder, needs a
clinical assessment
, Negative Screen:
Fewer than 7 "yes" responses in Part 1 OR "No" in part 2 OR "No/Minor problems" in Part 3= unlikely
bipolar disorder
Limitations to MDQ - ANSWER: More sensitive to Bipolar I Disorder than Bipolar II or Cyclothymia
May produce false positives in BPD
Anhedonia - ANSWER: a diminished ability to experience pleasure
TSH - ANSWER: 0.4-4
For patients on thyroid medications 0.5 -3 is often targeted
Elevated TSH - ANSWER: Hypothyroidism
Low TSH - ANSWER: hyperthyroidism
hemoglobin - ANSWER: Men
13.8-17.2
Women
12.1-15.1
Pregnant women
11-14
Children
11-16
Lithium Level - ANSWER: Therapeutic range
0.6-1.2
Toxicity Risk
>1.5
Severe toxicity
>2
