CMN 568 Unit 5 Exam 2024 Questions with correct Answers

CMN 568 Unit 5 Exam 2024 Questions with correct Answers What may African Americans consider to be more helpful than medications in the tx of depression? - Answer ️️ -prayer Among black patients, involvement of who might lead to improve retention and medical tx rates for depression? - Answer ️️ -involvement of a religious or spiritual leader What set of questions elicit the patient's perspective of illness and are widely used? - Answer ️️ -Kleinman questions What is the most serious complication of depression? - Answer ️️ -attempted or completed suicide What are the 3 types of childhood depression? - Answer ️️ -major depressive disorder, dysthymia or dysthymic disorder, and bipolar affective disorder What is the hallmark of major depressive disorder? - Answer ️️ -sad or depressed mood for atleast 2 weeks In children, depressive symptoms are most often described as what? - Answer ️️ -irritability Younger children are most likely to have what manifestation of depression? - Answer ️️ - somatic symptoms (headache,upset stomach) What type of behavior might adolescents engage in who are depressed? - Answer ️️ -risky and antisocial What is the primary difference between major depressive disorder and bipolar affective disorder? - Answer ️️ -periods of mania What should be suspected if antidepressants cause agitation or other manic symptoms? - Answer ️️ -BAD What does the symptoms of mania in BAD resemble? - Answer ️️ -ADHD What laboratory work-ups are indicated in the evaluation of depression to rule out other causes? - Answer ️️ -CBC, serum electrolytes, thyroid function tests, toxicology screening and blood alcohol levels What are the symptoms of serotonin syndrome? - Answer ️️ -fever, rigidity, autonomic instability, myoclonus, confusion, delirium, and coma. What increases the risk of serotonin syndrome? - Answer ️️ -drug overdose, concurrent use of more than one SSRIs, and use of other antidepressants or St. Johns Wart along with SSRIs Combination of what and SSRIs are especially dangerous? - Answer ️️ -MAOIs What are some examples of atypical antidepressants? - Answer ️️ -bupropion (Wellbutrin), venlafaxine (Effexor), mirtazapine (Remeron), and duloxetine (Cymbalta) What are 2 drug classes that should never be used in primary care? - Answer ️️ -TCAs and MAOIs How should mild depression be treated in adolescence? - Answer ️️ -Active support and monitoring for 6-8 weeks; contact every 1-2 weeks How should mild depression be tx in adolescents? - Answer ️️ -with SSRIs and/or psychotherapy How should PERSISTANT mild depression be treated at the 6-8 week follow-up? - Answer ️️ -Institute tx or refer to mental health If symptoms of mild depression are improved, how should follow-up management be carried out? - Answer ️️ -Continue monitoring monthly for 6 months and regular follow-up for 2 years after resolution How long should medications be prescribed after symptom resolution? - Answer ️️ -for 1 year What are red flags of headaches for adults? - Answer ️️ -new onset headache in patient over 50, thunderclap headache, "worst headache of my life", headache accompanied by fever, hx. of recent head trauma, vision changes, htn, hiv +, and + neurologic findings What are headache red flags for children? - Answer ️️ -headache in < 5 y/o, new or worsening headache, fever, night-time headaches and awakening with headache, posterior headache, headache w/ vomiting, worsened by strain or postural changes, neuro deficits, cafe au lait spots/ hypopigmentation, recent head trauma In patients presenting with headache, you should always screen for what? - Answer ️️ - depression/anxiety disorders What diagnostic signs indicate meningeal irritation? - Answer ️️ -+ brudzinski and kernig signs What diagnostic tests are done to evaluate red flag symptoms? - Answer ️️ -CT or MRI What are 3 types of primary headaches? - Answer ️️ -migraine, tension, cluster What type of headache is rare in children? - Answer ️️ -cluster What causes migraine headaches? - Answer ️️ -dilation of blood vessels innervated by trigeminal nerve What can trigger migraine headaches? - Answer ️️ -stress, lack of sleep/ fatigue, certain foods (esp. nitrates), chocolate, alcohol, menstruation, oral contraceptives What are classic migraine symptoms? - Answer ️️ -unilateral, throbbing headache that builds gradually and lasts hours to