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
Forwarded from Dr.Jayyan M.S
Which of the following tricyclic antidepressants closely resembles an SSRI in its action mechanism?
Anonymous Quiz
20%
A. Amitriptyline.
11%
B. Nortriptyline.
11%
C. Imipramine.
39%
D. Clomipramine.
19%
E. Doxepine.
Forwarded from Dr.Jayyan M.S
Which of the following antidepressant blocks reuptake of dopamine:
Anonymous Quiz
15%
A. Venlafaxine.
57%
B. Bupropion.
11%
C. Buspirone.
10%
D. Mirtazapine.
7%
E. Fluoxetine.
Forwarded from Dr.Jayyan M.S
Which of the following can cause depression?
Anonymous Quiz
51%
A. Methyldopa.
17%
B. Procyclidine.
9%
C. Tryptophan.
8%
D. Flupenthixol.
14%
E. Testosterone.
Forwarded from Dr.Jayyan M.S
Which of the following is used as an augmenting agent in the treatment of depression:
Anonymous Quiz
63%
A. Propranolol.
18%
B. Pindolol.
9%
C. Metaprolol.
5%
D. Sotalol.
6%
E. Labetolol.
Forwarded from Dr.Jayyan M.S
Which of the following is NOT a risk factor for p partum mood disorder?
Anonymous Quiz
8%
A. Primigravida.
6%
B. Single mother.
73%
C. Vaginal birth.
8%
D. Sexual abuse history.
4%
E. Family history of postpartum mood disorder.