Depression and Suicide _ ______________________________________________________________________
143. In some cultures, depression and anxiety may be expressed through A) panic attacks.
150. Which of the following general medical conditions does NOT influence the choice of antidepressant drug based on side effect profile or adverse drug-drug interaction?
B) somatic symptoms. C) psychotic symptoms. D) delusions of persecution.
A) HIV infection B) Chronic asthma C) Seizure disorders D) Parkinson disease
144. Which of the following statements regarding Black/African Americans’ help-seeking patterns for depression treatment is TRUE? A) Black/African American women tend to prefer individual or group therapy over medication. B) Black/African Americans are more likely to seek services earlier and therefore experience better outcomes. C) Black/African Americans are less likely to seek help for psychological distress from primary care settings. D) All of the above 145. Compared to younger adults with depression, the elderly are more likely to exhibit A) sadness. B) irritability. C) unhappiness. D) vegetative signs. 146. Provider-related factors that contribute to inadequate diagnosis and treatment of depression in the elderly include the following, EXCEPT: A) Reluctance to stigmatize B) Doubts over treatment effectiveness C) Uncertainty over diagnosis and proper treatment D) Abundant continuing physician training and education on depression 147. Which of the following drug classes is NOT considered a potential cause of depressive symptoms in the differential diagnosis? A) Amphetamines B) Steroids
151. Which of the following is NOT an advantage of using SSRIs in the treatment of depression? A) Ease of dosing B) Low toxicity in overdose C) Less prominent side effect profile D) Efficacy in initially addressing anxiety or panic symptoms 152. The restrictive diet required with oral MAOIs is due to which mechanism? A) Muscarinic receptor blockade
B) Inhibition of dietary amine catabolism C) Antagonism of intestinal opioid receptors D) Activation of gastrointestinal serotonin receptors
153. Which of the following antidepressants is associated with the lowest risk of discontinuation symptoms?
A) Paroxetine B) Fluoxetine C) Venlafaxine D) Amitriptyline
154. If a patient does not adequately respond to initial antidepressant therapy, all of the following options
should be considered, EXCEPT: A) Stopping treatment completely B) Adjusting the treatment plan C) Re-evaluating the initial diagnosis D) Optimizing the prescribed therapy
155. Which of the following is a contributor to treatment- resistant depression? A) Illness severity B) Medical and psychiatric comorbidity C) Limitations of FDA-approved drug options D) All of the above 156. Which of the following antidepressants is rated pregnancy category D, indicating positive evidence of risk to the fetus?
C) Antihypertensive medications D) Cytotoxic chemotherapy agents
148. The most frequent comorbid psychiatric condition in patients with a diagnosis of MDD is A) social phobia.
B) generalized anxiety disorder. C) post-traumatic stress disorder. D) borderline personality disorder.
149. Patients with MDD with psychotic features should receive A) an antipsychotic alone. B) an antidepressant alone. C) electroconvulsive therapy alone. D) an antipsychotic and an antidepressant medication or electroconvulsive therapy.
A) Bupropion B) Paroxetine C) Venlafaxine D) Maprotiline
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