AANP Psych Exam Complete Questions and
Answers.
Depression scale used in older adults, cognitively impaired adults, nursing home
residents - > PHQ-9
How major depressive disorder is diagnosed - > 5+ symptoms present of "Sig E Caps" for
at least 2 consecutive weeks:
S: sleep issues
I: interests
G: guilt
E: energy
C: concentration difficulties
A: appetite
P: psychomotor agitation or irritation
S: suicidality
What medication class is considered first line in a patient who has major depressive
disorder?
a) atypical antidepressant
b) tricyclic antidepressant
c) selective serotonin reuptake inhibitor
d) serotonin-norephinephrine reuptake inhibitor - > d) serotonin-norephinephrine
reuptake inhibitor
Effexor, Cymbalta, Pristique
What medication class is considered first line in an adult who has mild to moderate
depressive disorder?
a) atypical antidepressant
b) tricyclic antidepressant
,c) selective serotonin reuptake inhibitor
d) serotonin-norephinephrine reuptake inhibitor - > c) selective serotonin reuptake
inhibitor
What class:
Sertraline
escitalopram
fluoxetine
paroxetine
citalopram
fluvoxamine - > SSRIs
Which statement(s) are true regarding symptoms of depression in adolescents?
a) their symptoms may be similar to those of adults
b) impulsivity is a common finding
c) depressed mood is usual
d) substance abuse may be initiated during this time
e) difficulty thinking/concentrating may be present
f) indecisiveness may be present
g) hopelessness would be unusual - > a) their symptoms may be similar to those of adults
b) impulsivity is a common finding
c) depressed mood is usual
d) substance abuse may be initiated during this time
e) difficulty thinking/concentrating may be present
f) indecisiveness may be present
85-year-old patient has been diagnosed with moderate depression. What medication
class is considered first line?
a) atypical antidepressant
b) tricyclic antidepressant
c) selective serotonin reuptake inhibitor
, d) serotonin-norephinephrine reuptake inhibitor - > c) selective serotonin reuptake
inhibitor
Once an antidepressant is initiated in an older adult, when would you see improvement
and resolution of symptoms? - > improvement: 4-6 weeks
resolution: 12-16 weeks
Once an antidepressant is initiated in a young-middle adult, when would you see
improvement and resolution of symptoms? - > improvement: 2-4 weeks
resolution: 6-12 weeks
In an older adult, potential side effects of ___:
parkinsonism
anorexia
sinus bradycardia
hyponatremia
bleeding
fragility fractures - > SSRIs
A 75-year-old female was diagnosed w depression and started on sertraline (usual dose
50-200mg/day). What dosage would be a good starting dose?
a) 25mg once daily
b) 25mg twice daily
c) 50mg once daily
d) 100mg once daily - > 25mg once daily
(usu. start half of recommended lowest dose)
Why is a big shift being seen from prescribing TCAs to SSRIs? - > safety
*people can overdose on TCAs, can't on SSRIs
4 weeks ago, an 84 year old female lost her husband of 59 years. She is not sleeping well
at nighttime and her appetite is decreased. She is managing her day to day affairs but
"isn't herself". How should this be handled?
a) diagnose her w depression
Answers.
Depression scale used in older adults, cognitively impaired adults, nursing home
residents - > PHQ-9
How major depressive disorder is diagnosed - > 5+ symptoms present of "Sig E Caps" for
at least 2 consecutive weeks:
S: sleep issues
I: interests
G: guilt
E: energy
C: concentration difficulties
A: appetite
P: psychomotor agitation or irritation
S: suicidality
What medication class is considered first line in a patient who has major depressive
disorder?
a) atypical antidepressant
b) tricyclic antidepressant
c) selective serotonin reuptake inhibitor
d) serotonin-norephinephrine reuptake inhibitor - > d) serotonin-norephinephrine
reuptake inhibitor
Effexor, Cymbalta, Pristique
What medication class is considered first line in an adult who has mild to moderate
depressive disorder?
a) atypical antidepressant
b) tricyclic antidepressant
,c) selective serotonin reuptake inhibitor
d) serotonin-norephinephrine reuptake inhibitor - > c) selective serotonin reuptake
inhibitor
What class:
Sertraline
escitalopram
fluoxetine
paroxetine
citalopram
fluvoxamine - > SSRIs
Which statement(s) are true regarding symptoms of depression in adolescents?
a) their symptoms may be similar to those of adults
b) impulsivity is a common finding
c) depressed mood is usual
d) substance abuse may be initiated during this time
e) difficulty thinking/concentrating may be present
f) indecisiveness may be present
g) hopelessness would be unusual - > a) their symptoms may be similar to those of adults
b) impulsivity is a common finding
c) depressed mood is usual
d) substance abuse may be initiated during this time
e) difficulty thinking/concentrating may be present
f) indecisiveness may be present
85-year-old patient has been diagnosed with moderate depression. What medication
class is considered first line?
a) atypical antidepressant
b) tricyclic antidepressant
c) selective serotonin reuptake inhibitor
, d) serotonin-norephinephrine reuptake inhibitor - > c) selective serotonin reuptake
inhibitor
Once an antidepressant is initiated in an older adult, when would you see improvement
and resolution of symptoms? - > improvement: 4-6 weeks
resolution: 12-16 weeks
Once an antidepressant is initiated in a young-middle adult, when would you see
improvement and resolution of symptoms? - > improvement: 2-4 weeks
resolution: 6-12 weeks
In an older adult, potential side effects of ___:
parkinsonism
anorexia
sinus bradycardia
hyponatremia
bleeding
fragility fractures - > SSRIs
A 75-year-old female was diagnosed w depression and started on sertraline (usual dose
50-200mg/day). What dosage would be a good starting dose?
a) 25mg once daily
b) 25mg twice daily
c) 50mg once daily
d) 100mg once daily - > 25mg once daily
(usu. start half of recommended lowest dose)
Why is a big shift being seen from prescribing TCAs to SSRIs? - > safety
*people can overdose on TCAs, can't on SSRIs
4 weeks ago, an 84 year old female lost her husband of 59 years. She is not sleeping well
at nighttime and her appetite is decreased. She is managing her day to day affairs but
"isn't herself". How should this be handled?
a) diagnose her w depression
