What are the core features of ADHD?
- Inattention
- Hyperactivity
- Impulsivity
Fill in the blank:
In children under 17 years, ADHD diagnosis requires at least ______ symptoms of hyperactivity and impulsivity or inattention.
6
Which screening tool is used for Generalized Anxiety Disorder?
GAD-7
What is the first-line pharmacotherapy for unipolar depression?
Selective serotonin reuptake inhibitors
(SSRIs)
True or False:
Monoamine oxidase inhibitors (MAOIs) can be combined with SSRIs.
False
High risk for causing serotonin toxicity.
What is the primary treatment approach for Generalized Anxiety Disorder?
- Cognitive behavioral therapy (CBT)
- Selective serotonin reuptake inhibitors (SSRIs)
What are the symptoms of lithium toxicity?
- Nausea
- Vomiting
- Diarrhea
- Neurological symptoms
Fill in the blank:
The Mood Disorder Questionnaire is used to screen for ______.
Bipolar disorder
What are the diagnostic criteria for a major depressive episode?
- Depressed mood most of the day
- Loss of pleasure in activities
- Insomnia
- Psychomotor retardation
- Fatigue
- Decreased ability in concentrating
- Feelings of worthlessness
- Sleep disturbances
- 5% weight change in <1 month
- Recurrent thoughts of death and/or suicide
For diagnosis, five or more criteria must be present, for at least two consecutive weeks and at least one symptom must be either depressed mood or loss of interest or pleasure.
Which medication class is associated with the highest risk of acute serotonin syndrome?
Monoamine oxidase inhibitors
(MAOIs)
What is the recommended treatment for malignant neuroleptic syndrome?
Refer to emergency room
Fill in the blank:
Symptoms of ADHD must be present in ______ or more settings for diagnosis.
2
What are the side effects of SSRIs?
- GI discomfort (diarrhea)
- Sexual dysfunction
- Weight gain
What is the target serum level for lithium in maintenance treatment?
0.8 to 1.2 mEq/L
What are the symptoms of acute serotonin syndrome?
- Agitation
- Diaphoresis
- Tachycardia
- Hyperthermia
- Tremor
- Hyperreflexia
- Clonus
What is the difference between Bipolar I disorder and Bipolar II disorder?
Bipolar 1 experiences major depressive episodes, hypomania, and mania and bipolar II only experiences major depressive episodes and hypomania.
What is the first-line treatment for children aged 4-5 years with ADHD?
Parent or Caregiver Training in Behavior Management
(PTBM)
Which antipsychotic medications are associated with a black box warning for increased risk of death in the elderly?
- Haloperidol
- Chlorpromazine
What is the Hunter Criteria used for?
Diagnosing acute serotonin syndrome
Which screening tools are used for unipolar depression?
- PHQ-2
- PHQ-9
PHQ-9 is required by Medicare for nursing home mental health screenings.
Fill in the blank:
A history of one or more major depressive episodes without a history of mania is required for the diagnosis of ______.
unipolar depression
What laboratory tests should be considered for a first episode of depression in an elderly patient?
- CBC
- B12 and folate
- CMP
- UA
- TSH
- hCG
- UDS
- Glucose
True or False:
SSRIs should be started at a therapeutic dose and increased rapidly.
False
SSRIs should be started at a subtherapeutic dose and titrated up.
What should be screened for before starting an SSRI?
Bipolar disorder
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