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14 Cards in this Set
- Front
- Back
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Medical Conditions associated with Depression
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Hypothyroidism
Parkinson's Disease Dementia |
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Screening For Dementia
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Mini-cog
Mini Mental State Examination |
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Which Dementia Screening Exam is more sensitive?
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Mini-cog
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Diagnostic Criteria for Major Depressive Disorder
SIG-E-CAPS |
Must have a Depressed Mood or Anhedonia and
at least 5 of 8 criteria S-Sleep I-Interest G-Guilt E-Energy C-Concentration A-Appetite P-Psychomotor Retardation or Agitation S-Suicidal Ideation |
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How long do the MDD criteria signs have to be present for it to be MDD?
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2 weeks or longer
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After a death, MDD is diagnosed when?
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When symptoms of depression last more than
2 months |
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True or False
Hyperthyroidism is a cause of insomnia in the elderly. |
True
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When do you screen for depression?
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All adults should be screened especially those with chronic diseases
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What scale can you use for the elderly to screen for dementia?
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Geriatric Depression Scale-Short Form
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What labs should you order for insomnia, depression, and fatigue screening?
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CMP
TSH CBC ESR EKG |
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Insomnia Treatments
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Cognitive Behavioral Therapy (CBT-I)
Non-Benzodiazepines (Zolpidem) Melatonin Receptor Agonist Combination Therapy |
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MDD Treatments
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Biopsychosocial Approach
SSRIs or SNRIs- 1st line drugs Psychotherapy-CBT, Interpersonal Therapy Exercise Herbs-Saw Palmetto, St. Johns Wart |
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Treatment Duration for MDD
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First Episode-9-12 months of meds
Recurrent Episodes-2-3 years of meds Multiple Recurrences and Elderly-Continuous Takes 4-6 weeks to be fully effective Follow up in 2 wks for side effects |
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SADPERSONS Scale to Assess Severity of Suicide Ideality
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S-Sex
A-Age D-Diagnosis of Depression P-Previous attempt E-EtOH R-Rational thinking impaired S-Social support lacking O-Organized plan N-No significant other S-Sickness |
