UTA FNP 3 FINAL EXAM ACTUAL QUESTIONS AND
SOLUTIONS GRADED A+
✔✔Give this drug no later than 1500 due to stimulant effects - ✔✔Bupropion
✔✔SSRI drugs include - ✔✔Fluoxetine, paroxetine, sertraline, fluvoxamine, citalopram,
escitalipram, brintellix, viibryd.
✔✔Phq9 score <10 treatment (depression) - ✔✔Reassurance and or counseling
✔✔PHQ-9 score 10-14 - ✔✔Watchful waiting supportive counseling. If no improvement
after 1 month, consider antidepressant
✔✔PHQ-9 score 15-19 - ✔✔Patient preference antidepressant and or counseling
✔✔PHQ-9 score >20 - ✔✔Antidepressant alone or in combo with counseling.
✔✔SIGECAPS - ✔✔acronymn for depression symptoms - sleep, interest, guilt, energy,
concentration, appetite, psychomotor agitation, suicide
✔✔Loss of interest or pleasure - ✔✔anhedonia
✔✔DSM-5 depression - ✔✔5 or more ss in 2 week period at least 1 must be depressed
mood or loss of interest/pleasure
✔✔Mood sleep impulsivity - ✔✔Serotonin
✔✔Pleasure, reward, psychomotor activity, fatigue, low energy, cognition -
✔✔Dopamine
✔✔Mood arousal appetite planning concentration - ✔✔Norepi
✔✔Anxiety agitation of depression - ✔✔Low gaba
✔✔Watch for prolongation of QT and hypertension - ✔✔Snri- cymbalta and fetzima
✔✔Prior Depression is risk factor for - ✔✔Cad and dm
✔✔Inadequate response in 4-6 weeks to drug and tolerable ss you should -
✔✔Increase dose
✔✔No remission in 8-12 weeks you should - ✔✔Add buproprion or switch med
SOLUTIONS GRADED A+
✔✔Give this drug no later than 1500 due to stimulant effects - ✔✔Bupropion
✔✔SSRI drugs include - ✔✔Fluoxetine, paroxetine, sertraline, fluvoxamine, citalopram,
escitalipram, brintellix, viibryd.
✔✔Phq9 score <10 treatment (depression) - ✔✔Reassurance and or counseling
✔✔PHQ-9 score 10-14 - ✔✔Watchful waiting supportive counseling. If no improvement
after 1 month, consider antidepressant
✔✔PHQ-9 score 15-19 - ✔✔Patient preference antidepressant and or counseling
✔✔PHQ-9 score >20 - ✔✔Antidepressant alone or in combo with counseling.
✔✔SIGECAPS - ✔✔acronymn for depression symptoms - sleep, interest, guilt, energy,
concentration, appetite, psychomotor agitation, suicide
✔✔Loss of interest or pleasure - ✔✔anhedonia
✔✔DSM-5 depression - ✔✔5 or more ss in 2 week period at least 1 must be depressed
mood or loss of interest/pleasure
✔✔Mood sleep impulsivity - ✔✔Serotonin
✔✔Pleasure, reward, psychomotor activity, fatigue, low energy, cognition -
✔✔Dopamine
✔✔Mood arousal appetite planning concentration - ✔✔Norepi
✔✔Anxiety agitation of depression - ✔✔Low gaba
✔✔Watch for prolongation of QT and hypertension - ✔✔Snri- cymbalta and fetzima
✔✔Prior Depression is risk factor for - ✔✔Cad and dm
✔✔Inadequate response in 4-6 weeks to drug and tolerable ss you should -
✔✔Increase dose
✔✔No remission in 8-12 weeks you should - ✔✔Add buproprion or switch med
