PRACTICE EXAM WITH VERIFIED SOLUTIONS
◉ What are the 3 antibiotics we can use to treat purulent cellulitis?
Answer: BCD
Bactrim, Clindamycin, Doxycycline
◉ What is the screening tool used for depression? Answer: PHQ-2
If positive screening with PHQ-2 then will used PHQ-9
◉ What are the common symptoms of depression? Answer:
Depressed mood
Restless
Change in appetite
Insomnia
Fatigue
Suicidal thoughts
Loss of interest/pleasure
◉ How do we approach suicidal ideation with our patients? Answer:
We need to be direct. We need to ask them "Have you had any
thoughts of harming yourself or others?" If the answer is yes, then
,you need to investigate further and ask if they have a plan and if they
have the means to fulfill that plan. If so, they need to be taken to the
hospital for voluntary hold for their protection. SAFETY is the
priority.
◉ What medications are first line treatment for depression? Answer:
SSRIs and SNRIs
◉ What are the most common side effects with SSRIs and SNRIs?
Answer: Weight gain and sexual dysfunction
◉ What is common side effect with Prozac? Answer: Jittery, long
half-life
◉ What is a common side effect with Paxil? Answer: Sedating
◉ What is a good quality about Lexapro? Answer: Works quickly
◉ What is a good quality about Zoloft? Answer: A great SSRI for
almost any patient, great choice for elderly, low side effect profile.
◉ What are common SSRIs? Answer: Prozac, Paxil, Lexapro, and
Zoloft
,◉ What are common SNRIs? Answer: Cymbalta and Effexor
◉ What is a good quality of Cymbalta? Answer: Can also be helpful
for treatment of neuropathic pains.
◉ What should be considered when prescribing Effexor? Answer: BP
issues may occur
◉ When will a patient start to see the true effects of SSRIs and
SNRIs? Answer: 4-6 weeks after starting it.
◉ What are signs and symptoms of serotonin syndrome? Answer:
Agitations, tachycardia, shivering, tremors, seizure, and potentially
death.
◉ What medications/supplements when taken with SSRIs can put a
patient at increased risk for serotonin syndrome? Answer: Triptans
and St John's Wart
◉ What is the screening tool used for anxiety? Answer: GAD-7
◉ What antihypertensive medication is used to treat signs and
symptoms of anxiety? Answer: Beta-blockers- help bring down the
heart rate.
, ◉ What are SSRIs used for first line treatment? Answer: depression,
OCD, PTSD and anxiety
◉ How does the SSRI drug class work? Answer: Works by increasing
the amount of serotonin in the brain, and that serotonin greatly
impacts our overall mood.
◉ What is the goal for SSRI treatment? Answer: We want to treat
them until they are feeling better and then for another 6 months
after that, then we can try to taper them off of these drugs, and see
what happens.
◉ what SSRI is commonly used to treat GAD? Answer: Lexapro,
quick onset and low side effect profile
◉ What SSRI is commonly used for OCD? Answer: Paxil
◉ What are come off label uses for Paxil? Answer: Pre-menstrual
disorders
Menopause symptoms
◉ What SSRI is used to treat bulimia? Answer: Prozac