1
PA PSYCHIATRY EOR | 2025
UPDATE|COMPREHENSIVE FREQUENT
MOST-TESTED QUESTIONS AND
VERIFIED ANSWERS/SOLUTIONS|GET IT
100% ACCURATE!!
*SIGECAPS* of Depression - (ANSWER)*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 - (ANSWER)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
,2
S/Es of SSRIs - (ANSWER)*Sexual Dysfunction*
Wt gain
Anxiety
Nausea
*SHIVERS* of Serotonin Syndrome - (ANSWER)*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 - (ANSWER)Fluoxetine (Prozac)
- Longest Half-life of all SSRIs
- Caution ↑ SI in the 1st 2 weeks of use
SSRI known to cause QT interval prolongation - (ANSWER)Citalopram (Celexa)
,3
Screening tool or questionnaire used in clinic for:
Bipolar Disorder
Major Depression Disorder - (ANSWER)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 - (ANSWER)Bupropion
*smoking cessation*
*SNRI Trade Names*
Effexor
Pristiq
Cymbalta
Fetzima - (ANSWER)*SNRI Drug Names*
Venlafaxine
Desvenlafaxine
Duloxetine
Levomilnacipran
TCA antidepressants
*special characteristics* - (ANSWER)Desipramine - selective NET inhibitor
, 4
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 - (ANSWER)Tranylcypromine
Phenelzine
Selegiline
Antidepressant which inhibits MAO b mechanisms and can ↑ dopamine
concentrations - (ANSWER)Selegiline
- Can be added in Tx of Parkinson's
Suicide Risk Assessment
*SAD PERSONS*
0-4 Low
5-6 Moderate
7-10 High - (ANSWER)*S*ex (males)
*A*ge (biphasic)
*D*epression
PA PSYCHIATRY EOR | 2025
UPDATE|COMPREHENSIVE FREQUENT
MOST-TESTED QUESTIONS AND
VERIFIED ANSWERS/SOLUTIONS|GET IT
100% ACCURATE!!
*SIGECAPS* of Depression - (ANSWER)*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 - (ANSWER)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
,2
S/Es of SSRIs - (ANSWER)*Sexual Dysfunction*
Wt gain
Anxiety
Nausea
*SHIVERS* of Serotonin Syndrome - (ANSWER)*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 - (ANSWER)Fluoxetine (Prozac)
- Longest Half-life of all SSRIs
- Caution ↑ SI in the 1st 2 weeks of use
SSRI known to cause QT interval prolongation - (ANSWER)Citalopram (Celexa)
,3
Screening tool or questionnaire used in clinic for:
Bipolar Disorder
Major Depression Disorder - (ANSWER)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 - (ANSWER)Bupropion
*smoking cessation*
*SNRI Trade Names*
Effexor
Pristiq
Cymbalta
Fetzima - (ANSWER)*SNRI Drug Names*
Venlafaxine
Desvenlafaxine
Duloxetine
Levomilnacipran
TCA antidepressants
*special characteristics* - (ANSWER)Desipramine - selective NET inhibitor
, 4
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 - (ANSWER)Tranylcypromine
Phenelzine
Selegiline
Antidepressant which inhibits MAO b mechanisms and can ↑ dopamine
concentrations - (ANSWER)Selegiline
- Can be added in Tx of Parkinson's
Suicide Risk Assessment
*SAD PERSONS*
0-4 Low
5-6 Moderate
7-10 High - (ANSWER)*S*ex (males)
*A*ge (biphasic)
*D*epression
