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PA Psychiatry EOR questions and answers rated A+ 2024/2025
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PA Psychiatry EOR questions and answers rated A+ 2024/2025
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PA Psychiatry EOR*SIGECAPS* of Depression - ANS*S*leep disturbances
*I*nterests are ↓
*G*uilt
*E*nergy is ↓
*C*oncentration is ↓
*A*ppetite is ↓
*P*sychomotor Agitation
*S*uicidal thoughts
Major depressive disease - ANSDepressed Mood or Anhedonia
Dx: five or extra of the SIGECAPS Sxs for *> 2 wks* effecting regular feature
Tx:
*SSRI* or *SNRI* > TCA/MAOi > ECT
S/Es of SSRIs - ANS*Sexual Dysfunction*
Wt advantage
Anxiety
Nausea
*SHIVERS* of Serotonin Syndrome - ANS*S*hivering
*H*yperreflexia
*I*ncreased temp (fever)
*V*itals, unstable
*E*ncephalopathy
*R*estless
*S*weating
Tx: Cyproheptadine
1st line Tx of despair in kids - ANSFluoxetine (Prozac)
- Longest Half-life of all SSRIs
- Caution ↑ SI in the 1st 2 weeks of use
SSRI recognised to motive QT c programming language prolongation - ANSCitalopram (Celexa)
Screening device or questionnaire utilized in health center for:
Bipolar Disorder
,Major Depression Disorder - ANSBPD: The Mood Disorder Questionaire
MDD: Beck Depression Inventory
Atypical Antidepressant which inhibits DA reuptake, has less sexual and wt-associated side
outcomes, but decreases *seizure* threshold - ANSBupropion
*smoking cessation*
*SNRI Trade Names*
Effexor
Pristiq
Cymbalta
Fetzima - ANS*SNRI Drug Names*
Venlafaxine
Desvenlafaxine
Duloxetine
Levomilnacipran
TCA antidepressants
*unique traits* - ANSDesipramine - selective NET inhibitor
Imipramine - tx of enuresis
Amitriptyline- tx of neuromuscular pain
Nortriptyline
*QT Interval prolongation* = arrythmias
MAO Inhibitors used as antidepressants
*T*ake *P*ride in *S*hanghai - ANSTranylcypromine
Phenelzine
Selegiline
Antidepressant which inhibits MAO b mechanisms and may ↑ dopamine concentrations -
ANSSelegiline
- Can be delivered in Tx of Parkinson's
Suicide Risk Assessment
*SAD PERSONS*
zero-four Low
five-6 Moderate
7-10 High - ANS*S*ex (men)
*A*ge (biphasic)
*D*epression
*P*revious tries
*E*xcessive substance abuse
, *R*ational wondering, loss
*S*ocial aid lacking
*O*rganized plan
*N*o spouse
*S*ick (persistent)
*DIG FAST* of Bipolar - ANS*D*istractibility
*I*rresponsibility
*G*randiosity
*F*mild of ideas
*A*gitation
*S*leep disturbances
*T*alkative
Bipolar II - ANSDx:
MDD + Hypomania (DIG ST) < 1wk
Function in not fully compromised
Tx: *Risperdal*
Bipolar I Disorder - ANSDx:
MDD > 2wks + Mania (DIG FAST) > 1wk
Inhibits feature of daily residing
Tx:
Acute Manic Episode: Antipsychotic + Mood Stabilizer
Chronic Cycle Episodes: Mood Stabilizer
Mood Stabilizers to Tx Bipolar Disorder (4) - ANSLithium
Valproic Acid (Depakote)
Carbamazepine (Tegretol)
Lamotrigine (Lamictal)
Side Effects of Lithium
*LMNOP* - ANS*L*ithium Side Effects
*M*ovements (tremors)
*N*ephrotoxicity
hyp*O*thyroid
*P*regnancy troubles (Ebstein's Anomoly)
Mood Stabilizer used to Tx Bipolar I Disorder w/ foremost depressed nation and can purpose an
*itchy rash or SJS* - ANSLamotrigine (Lamictal)
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