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20 Cards in this Set
- Front
- Back
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121. mother's emotions towards baby with postpartum blues?
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a. Cares about baby.
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122. Mother's emotions towards baby with postpartum depression?
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a. Many have thoughts about hurting the baby.
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123. Mother's emotions towards baby with postpartum psychosis?
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a. Many have thoughts about hurting the baby.
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124. Symptoms of postpartum blues?
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a. Mild depressive.
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125. Symptoms of postpartum depression?
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a. Severe depression
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126. symptoms of postpartum psychosis?
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a. Look for psychotic symptoms along with severe depressive symptoms.
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127. Treatment of postpartum blues?
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a. Self-limited
b. new treatment necessary. |
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128. Treatment of postpartum depression?
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a. Antidepressants.
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129. Treatment of postpartum psychosis?
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a. Mood stabilizers or antipsychotics and antidepressants.
b. Tip: avoid medications if patient is breast-feeding. Instead, choose electroconvulsive therapy |
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130. What is the most important risk predictor of suicide?
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a. History of suicide threats and attempts.
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131. Other suicide risk factors?
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a. Family history
b. perceived hopelessness (demoralization) c. schizophrenia/borderline or antisocial personality disorder. d. Drug use, especially alcohol e. males/age >65. f. Socially isolated/recently divorced or widowed g. chronic physical illness h. low job satisfaction or unemployment |
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132. Emergency assessment and management of suicidal patient?
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a. Take all suicide threat seriously
b. detain and hospitalize (usually a couple of weeks_ c. never transport patient to emergency department without medically trained personnel accompanying patient. d. Do not identify with the patient e. do not leave patient unsupervised. |
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133. Treatment of choice for suicidal patient?
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a. Psychotherapy + antidepressant medications (SSRIs, our first choice_
b. for acute, severe risk of self harm, treatment of choice is electroconvulsive therapy). |
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134. Indications for electroconvulsive therapy?
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a. Major depressive episodes that are unresponsive to medications
b. high risk for immediate suicide c. contraindications to using antidepressant medications d. good response to you. CT in the past. |
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135. What is the biggest complication of ECT?
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a. Transit memory loss, which worsens with prolonged therapy and resolves after several weeks.
b. Use of ECT is cautioned in patients with space occupying intracranial lesions, as ECT transiently increases intracranial pressure. |
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136. GUIDELINES FOR THE USE OF ANTIDEPRESSANTS?
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a. SSRIs are first-line
b. TCAs are avoided because of high risk of toxicity c. MAOIs are more helpful in atypical depressive disorders. d. Choose antidepressant based on side effect profile e. switch to another antidepressant patient does not respond after a weeks worth. The patient does not tolerate the side effects. f. Treat patients for six months and attempted to discontinue after tapering. Consider long-term therapy for multiple episodes of depression. |
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137. When the question describes a patient concern about weight gain or sexual side effects, which a depressing should you use?
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a. Bupropion (Wellbutrin)-causes modest weight gain.
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138. With what side effect is bupropion notoriously associated?
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a. Seizures.
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139. When the question describes a patient who has poor appetite, loss of weight, or insomnia which antidepressant should you use?
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a. Mirtazapine.
b. Associated with weight gain. |
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140. Antidepressant to use in the treatment of chronic pain (, especially neuropathic pain)?
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a. Amitriptyline
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