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CMN 568 Unit 5 Questions and Answers Rated A+
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Exam of 10 pages for the course CMN 568 at CMN 568 (CMN 568 Unit 5)
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CMN 568 Unit 5What may African Americans consider to be more helpful than medications in the tx of
depression? - answer prayer
Among black patients, involvement of who might lead to improve retention and medical
tx rates for depression? - answer involvement of a religious or spiritual leader
What set of questions elicit the patient's perspective of illness and are widely used? -
answer Kleinman questions
What is the most serious complication of depression? - answer attempted or completed
suicide
What are the 3 types of childhood depression? - answer major depressive disorder,
dysthymia or dysthymic disorder, and bipolar affective disorder
What is the hallmark of major depressive disorder? – answer sad or depressed mood
for atleast 2 weeks
In children, depressive symptoms are most often described as what? - answerirritability
Younger children are most likely to have what manifestation of depression? -
answersomatic symptoms (headache,upset stomach)
What type of behavior might adolescents engage in who are depressed? - answerrisky
and antisocial
What is the primary difference between major depressive disorder and bipolar affective
disorder? - answerperiods of mania
What should be suspected if antidepressants cause agitation or other manic symptoms?
- answerBAD
What does the symptoms of mania in BAD resemble? - answerADHD
What laboratory work-ups are indicated in the evaluation of depression to rule out other
causes? - answerCBC, serum electrolytes, thyroid function tests, toxicology screening
and blood alcohol levels
What are the symptoms of serotonin syndrome? - answerfever, rigidity, autonomic
instability, myoclonus, confusion, delirium, and coma.
, What increases the risk of serotonin syndrome? - answerdrug overdose, concurrent use
of more than one SSRIs, and use of other antidepressants or St. Johns Wart along with
SSRIs
Combination of what and SSRIs are especially dangerous? - answerMAOIs
What are some examples of atypical antidepressants? - answerbupropion (Wellbutrin),
venlafaxine (Effexor), mirtazapine (Remeron), and duloxetine (Cymbalta)
What are 2 drug classes that should never be used in primary care? - answerTCAs and
MAOIs
How should mild depression be treated in adolescence? - answerActive support and
monitoring for 6-8 weeks; contact every 1-2 weeks
How should mild depression be tx in adolescents? - answerwith SSRIs and/or
psychotherapy
How should PERSISTANT mild depression be treated at the 6-8 week follow-up? -
answerInstitute tx or refer to mental health
If symptoms of mild depression are improved, how should follow-up management be
carried out? - answerContinue monitoring monthly for 6 months and regular follow-up
for 2 years after resolution
How long should medications be prescribed after symptom resolution? - answerfor 1
year
What are red flags of headaches for adults? - answernew onset headache in patient
over 50, thunderclap headache, "worst headache of my life", headache accompanied by
fever, hx. of recent head trauma, vision changes, htn, hiv +, and + neurologic findings
What are headache red flags for children? - answerheadache in < 5 y/o, new or
worsening headache, fever, night-time headaches and awakening with headache,
posterior headache, headache w/ vomiting, worsened by strain or postural changes,
neuro deficits, cafe au lait spots/ hypopigmentation, recent head trauma
In patients presenting with headache, you should always screen for what? -
answerdepression/anxiety disorders
What diagnostic signs indicate meningeal irritation? - answer+ brudzinski and kernig
signs
What diagnostic tests are done to evaluate red flag symptoms? - answerCT or MRI
What are 3 types of primary headaches? - answermigraine, tension, cluster
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