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Fitzgerald Mental Health - chpt 14 Question and answers verified to pass 2025
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Neumonic for MDD Dx = Need 5+ in 2 week period - correct answer ✔SIG E CAPS sleep interest guilt energy concentration appetite psychomotor suicide Neumonic for GAD Dx = Need 3+ in 6 mo period - correct answer ✔WATCHERS worry anxiety tension concentration hyperarousal energy loss restlessness sleep disturbance
Goal of MDD and GAD therapy - correct answer ✔eliminate symptoms restore social and occupational functioning First line drugs for mood disorders - correct answer ✔SSRI Most common AE for psychotropic drugs - correct answer ✔anorgamia, ED, decreased libido Most energizing drug in SSRI - correct answer ✔Fluvoxetine (Prozac) Most sedating SSRI - correct answer ✔Paroxetine (Paxil) SSRI with dose limitation bc QTc prolongation - correct answer ✔Citalopram (Celexa) SSRI with least drug drug interactions - correct answer ✔Escitalopram (Lexapro) SSRI with longest T1/2 - correct answer ✔Fluvoxetine (Prozac) Why is fluvoxetine (Prozac) not a go to SSRI in the elderly? - correct answer ✔b/c it has a long (84 H) T1/ Efficacy time frame for SSRIs - correct answer ✔4-6 weeks
a chief complaint of "not really feeling any better. In fact, I think I might feel worse. I have this on-and-off headache right over my eyes since I started the medication." Results of physical examination reveal the following: Well- groomed and appropriately dressed for the occasion, PERLA, fundi WNL, CN 2-12 intact, clear, fluid speech. Today, you provide the following advice, choosing two of the following responses. A. The sertraline dose is likely inadequate and needs to be increased. B. She should be switched to a SNRI such as venlafaxine. Due to her headache report, the sertraline should be immediately discontinued. C. A lag of a number of weeks in the onset of SSRI therapeutic effect is expected. D. Frontal headache is a common short-term problem with early SSRI use. - correct answer ✔C and D Ms. Yancy is a 56-year-old woman with a history of depression and has been taking citalopram for about 6 months. Four days ago, she decided to discontinue the citalopram as she states her depressive symptoms have been much improved. Today, she presents with "not feeling well," with a 2-day history of persistent frontal headache. When assessing Ms. Yancy for additional findings of antidepressant discontinuation syndrome, the NP anticipates that Ms. Yancy will report all of the following except: Nausea. Fever. Flu-like symptoms. Anxiety. - correct answer ✔fever Which of the following tests should be periodically checked while on olanzapine (Zyprexa®)?
BUN and creatinine Creatine kinase and potassium Complete blood count and platelet count Blood sugar and lipid profile - correct answer ✔Blood sugar and lipid profile Which of the following provides the most accurate information on assessing for alcohol abuse in a 55-year-old man who states, "I drink 5‒6 beers every night but I get to work every day." Elevated ALT/AST to ≥6 times upper limit of normal Positive response to two items on the CAGE questionnaire Modest RBC macrocytosis Elevated serum triglycerides - correct answer ✔Positive response to two items on the CAGE questionnaire The use of opioid analgesia is most appropriate in which of the following clinical situations? A 40-year-old man with acute low back pain × 2 days A 28-year-old woman with a 24-hour history of migraine headache A 48-year-old woman who is 1 day postoperative after abdominal hysterectomy A 54-year-old woman with 5-year history of fibromyalgia - correct answer ✔A 48-year-old woman who is 1 day postoperative after abdominal hysterectomy Select components of substance use disorder include all of the following except:
