PMH-C Medications Exam Newest 2026 Questions and
Correct Detailed Answers Already Graded A+
Meds for depression/anxiety SSRIs - CORRECT ANSWER-SSRIs (Selective
Serotonin Reuptake Inhibitors)
- sertraline (Zoloft)* most commonly prescribed
- citalopram (Celexa)
- escitalopram (Cilaprex)
- paroxitine (Paxil)
- fluoxitine (Prozac)
- fluvoxamine (Luvox) --> OCD
There are two patients - CORRECT ANSWER-Treatment can benefit both mom
and baby
No treatment poses risk to both mom and baby
"Exposure always occurs, be it to treatment or illness"
Prevalence - CORRECT ANSWER-13% of pg women were prescribed
antidepressants
50% of pregnancies are unplanned - early exposure has often occurred
,PMAD tx guidelines (APA & ACOG) - CORRECT ANSWER-Mild - moderate:
- psychotherapy first line
- continue meds if needed
Severe/Recurrent
- continue meds
Suicidal/Psychotic
- immediate referral to hospital or psychiatric care provider
- medications
First option for medication - CORRECT ANSWER-Is often Sertraline/Zoloft
No single med is "safest" or "best" for use during
pregnancy/postpartum/lactation
Why so much conflicting data on meds in perinatal - CORRECT ANSWER-No
randomized, double-blind, placebo-controlled trials
Many studies are retrospective database and case-control studies
, - may involve voluntary reporting
- confounds (esp illness exposure)
Confounding variables in assessing risk - CORRECT ANSWER-Other
prescription/non-prescription meds
Nutrition
ETOH/cigarettes
Genetics
Obesity
Method of delivery
Environmental toxins
Maternal/paternal age
Length of gestation
Stress
Socioeconomic status
Golden rules of pharmacological tx - CORRECT ANSWER-Keep it simple -
monotherapy where possible, don't change what's working
Ask about and document all known exposure to
medications/supplements/herbals/OTC
Correct Detailed Answers Already Graded A+
Meds for depression/anxiety SSRIs - CORRECT ANSWER-SSRIs (Selective
Serotonin Reuptake Inhibitors)
- sertraline (Zoloft)* most commonly prescribed
- citalopram (Celexa)
- escitalopram (Cilaprex)
- paroxitine (Paxil)
- fluoxitine (Prozac)
- fluvoxamine (Luvox) --> OCD
There are two patients - CORRECT ANSWER-Treatment can benefit both mom
and baby
No treatment poses risk to both mom and baby
"Exposure always occurs, be it to treatment or illness"
Prevalence - CORRECT ANSWER-13% of pg women were prescribed
antidepressants
50% of pregnancies are unplanned - early exposure has often occurred
,PMAD tx guidelines (APA & ACOG) - CORRECT ANSWER-Mild - moderate:
- psychotherapy first line
- continue meds if needed
Severe/Recurrent
- continue meds
Suicidal/Psychotic
- immediate referral to hospital or psychiatric care provider
- medications
First option for medication - CORRECT ANSWER-Is often Sertraline/Zoloft
No single med is "safest" or "best" for use during
pregnancy/postpartum/lactation
Why so much conflicting data on meds in perinatal - CORRECT ANSWER-No
randomized, double-blind, placebo-controlled trials
Many studies are retrospective database and case-control studies
, - may involve voluntary reporting
- confounds (esp illness exposure)
Confounding variables in assessing risk - CORRECT ANSWER-Other
prescription/non-prescription meds
Nutrition
ETOH/cigarettes
Genetics
Obesity
Method of delivery
Environmental toxins
Maternal/paternal age
Length of gestation
Stress
Socioeconomic status
Golden rules of pharmacological tx - CORRECT ANSWER-Keep it simple -
monotherapy where possible, don't change what's working
Ask about and document all known exposure to
medications/supplements/herbals/OTC
