Psychiatric Treatment Of Depression Quiz
The following questions test basic knowledge regarding the treatment of depression.
- 1.A 19 year-old female arrives at the clinic complaining of depression including symptoms of anhedonia, loss of appetite, hypersomnia and low energy. She is prescribed a medication. You are notified 2 days later by a neurologist at the local hospital that she is being evaluated for a seizure disorder. Which of the following medications was most likely prescribed?
- A.
Cymbalta (Duloxetine)
- B.
Zoloft (Sertraline)
- C.
Prozac (Fluoxetine)
- D.
Wellbutrin (Bupropion)
- E.
Luvox (Fluvoxamine)
- 2.You go past the hospital to check in on this patient and note for the first time some scrapes on her knuckles. What commonly comorbid condition accompanies this patient's depression?
- A.
Bipolar Disorder, Most Recent Episode Manic, Severe
- B.
Schizophrenia, Paranoid type
- C.
Conversion Disorder
- D.
Impulse Disorder NOS
- E.
Bulemia
- 3.You review the medication prescribed to this patient and determine that a different choice may be more appropriate. Which of the following would be an appropriate choice for medications at this time?
- A.
Geodon (Ziprasidone)
- B.
Depakote (Divalproex Na)
- C.
Clonazepam
- D.
Buspar (Buspirone)
- E.
Prozac (Fluoxetine)
- 4.In your assessment of this patient, you ascertain that there are no suicidal thoughts. You make a referral for specialized therapy for her condition and ask her to follow-up with you in one week. Why do you ask to follow-up in one week?
- A.
To monitor for emergence of another seizure
- B.
To monitor for emergence of antidepressant induced suicidal ideation
- C.
To monitor for emergence of sexual dysfunction related to antidepressant use
- D.
To assess if the patient has recovered from her depression
- E.
To assess for additional psychopathology
- 5.You see this patient back at the 1 week mark and discuss the events leading to her seizure. She reports that overall she is tolerating the new medication well without side effects. She asks you how long it will take for her to start having fewer symptoms of depression. You tell her:
- A.
When effective, people begin to feel better at about 1 month mark after starting medication
- B.
When effective, people begin to feel better at about the 3 week mark after starting medication
- C.
When effective, people begin to feel better at about the 2 week mark after starting medication
- D.
When effective, people begin to feel better at about the 1 week mark after starting medication
- E.
When effective, people begin to feel better at about the 2 month mark after starting medication
- 6.This same patient continues to follow-up for medication management in your clinic. After about 2 years, she reports that she has started a new relationship and reports that she is having difficulty with sexual arousal. She asks you to change the medication. Asking which of the following questions might be helpful before making a decision to change the medication?
- A.
How is your relationship with your new Partner?
- B.
Have you had problems with sexual function prior to this relationship?
- C.
What other medications are you taking?
- D.
How do you feel about your body?
- E.
All of the above
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