Forwarded from Dr.Jayyan M.S
The lifetime prevalence of depressive illness is:
Anonymous Quiz
40%
A. 13%
7%
B. 70%
31%
C. 40%
15%
D. 6%
7%
E. 3%
Forwarded from Dr.Jayyan M.S
All of the following are vulnerability factors for depression in women, except:
Anonymous Quiz
11%
A. Loss of mother before the age of 11.
23%
B. Three or more children under the age of 15.
37%
C. Lack of work outside the house.
12%
D. Lack of anyone in whom to confide.
17%
E. Living in a homeless shelter.
Forwarded from Dr.Jayyan M.S
The criterion for unintended weight loss used in diagnosis of depression is:
Anonymous Quiz
7%
A. Loss of any amount of weight.
47%
B. Loss of 5% or more of the body weight in the past month.
26%
C. Loss of 10% or more of body weight in the past month.
8%
D. Loss of 10% of body weight in the past 2 weeks.
12%
E. Loss of 5% of the body weight in the past 2 weeks.
Forwarded from Dr.Jayyan M.S
The rapid-cycling bipolar disorder is characterized by:
Anonymous Quiz
79%
A. Four or more mood episodes per year.
6%
B. Four or more mood episodes per month.
12%
C. Four or more episodes of mania or hypomania in a year.
2%
D. Four or more episodes of depression per year.
Forwarded from Dr.Jayyan M.S
A 28-year-old woman is being assessed for bipolar disorder. She complains of mood swings from time to time ranging from “tearfulness to feeling really good.” On further questioning, she reveals that she has not been able to maintain any relationships because of her mood swings and feels empty. She fears abandonment by her friends because of her mood swings but also blames everyone for her “current state.”
Forwarded from Dr.Jayyan M.S
The most important differential diagnosis in this patient is:
Anonymous Quiz
6%
A. Major depressive disorder.
86%
B. Borderline personality disorder.
5%
C. Histrionic personality.
3%
D. Depressive personality.
1%
E. Generalized anxiety disorder.
Forwarded from Dr.Jayyan M.S
A 32-year-old woman is admitted to an acute psychiatric inpatient unit for severe depression. The patient has been ruminating about suicide and guilt feelings. She believes that she has committed a sin and deserves to be punished. The resident physician thinks that the patient is obsessed with thoughts of guilt and suspects that patient has a primary obsessional disorder.
Forwarded from Dr.Jayyan M.S
The attending psychiatrist explains that patient is not obsessional but severely depressed because:
Anonymous Quiz
42%
A. The patient has suicidal ideation.
6%
B. The patient has indeed committed a sin.
48%
C. The patient is not distressed by the guilt feelings and is mood congruent.
2%
D. The psychiatrist thinks so.
2%
E. Antidepressants alone were not effective.
Forwarded from Dr.Jayyan M.S
All of the following are found in brain imaging studies of persons with depression, except:
Anonymous Quiz
20%
A. Decreased volume of the parietal lobes.
10%
B. Decreased volume of the frontotemporal lobes.
17%
C. Decreased caudate size.
36%
D. Increased ventricular size.
18%
E. Decreased blood flow in the dorsolateral prefrontal cortex.
Forwarded from Dr.Jayyan M.S
Which of the following has an equal prevalence in both sexes:
Anonymous Quiz
46%
A. Bipolar I disorder.
13%
B. Dysthymia.
8%
C. Major depressive disorder.
11%
D. All of the above.
21%
E. None of the above.
Forwarded from Dr.Jayyan M.S
The dose of lamotrigine should be lower than the usual dose, if lamotrigine is used in combination with:
Anonymous Quiz
63%
A. Valproic acid.
7%
B. Escitalopram.
7%
C. Olanzapine.
19%
D. Lithium.
4%
E. Sertraline.
Forwarded from Dr.Jayyan M.S
Evidence exists for the effectiveness of all of the following antiepileptics as mood stabilizers, except:
Anonymous Quiz
4%
A. Valproic acid.
73%
B. Gabapentin.
4%
C. Lamotrigine.
4%
D. Carbamazepine.
15%
E. Oxcarbamazepine.
Forwarded from Dr.Jayyan M.S
One of the primary reasons for slow titration of lamotrigine when it is used in treatment of bipolar disorder is:
Anonymous Quiz
7%
A. Hypotension.
76%
B. Rash leading to Stevens-Johnson syndrome.
6%
C. Extrapyramidal side effects.
3%
D. Sedation.
7%
E. Toxicity.
Forwarded from Dr.Jayyan M.S
Which of the following drugs has been shown to decrease the suicide rate:
Anonymous Quiz
3%
A. Carbamazepine.
9%
B. Olanzapine.
14%
C. Sertraline.
71%
D. Lithium.
3%
E. Valproic acid.
Forwarded from Dr.Jayyan M.S
All of the following are indicators of good response to lithium, except:
Anonymous Quiz
20%
A. Family history of bipolar disorder.
5%
B. Good baseline functioning.
12%
C. Nonrapid cycling.
44%
D. Mixed episode.
20%
E. Non of the above
Forwarded from Dr.Jayyan M.S
Studies have shown that relapse of bipolar disorder after discontinuation of lithium is:
Anonymous Quiz
18%
A. 10% in 1 year.
34%
B. 50% in 1 year.
25%
C. 50% in 6 months.
13%
D. 20% in 6 months.
11%
E. 50% in 2 years
Forwarded from Dr.Jayyan M.S
The following are recognized side effects of lithium at therapeutic dose, except:
Anonymous Quiz
7%
A. Thirst.
10%
B. Fine tremors.
5%
C. Polydipsia.
32%
D. Diplopia.
46%
E. Erectile dysfunction.
Forwarded from Dr.Jayyan M.S
Which of the following antipsychotics also has an antidepressant effect:
Anonymous Quiz
38%
A. Flupenthixol.
22%
B. Chlorpromazine.
11%
C. Haloperidol.
15%
D. Trifluperazine.
14%
E. Fluphenazine.
Forwarded from Dr.Jayyan M.S
All of the following are true about carbamazepine, except:
Anonymous Quiz
11%
A. Can cause SIADH.
7%
B. Induces its own metabolism.
35%
C. Eliminated by extrahepatic metabolism.
21%
D. Reduces levels of valproic acid.
25%
E. Toxicity is not accurately indicated by plasma level.
Forwarded from Dr.Jayyan M.S
Peripheral neuropathy is a side effect of:
Anonymous Quiz
10%
A. SSRIs.
31%
B. TCAs.
8%
C. SNRIs.
42%
D. MAOIs.
9%
E. NRIs.
Forwarded from Dr.Jayyan M.S
A 48-year-old male patient with difficult-to-treat depression has tried all the antidepressants except MAOIs. He is currently on an SSRI.
Which of the following SSRIs needs the longest washout period before switching a patient to an MAOI:
Which of the following SSRIs needs the longest washout period before switching a patient to an MAOI:
Anonymous Quiz
17%
A. Paroxetine.
68%
B. Fluoxetine.
3%
C. Citalopram.
8%
D. Sertraline.
4%
E. Escitalopram