CMN 568 Unit 5 Exam Questions with correct Answers
/.What may African Americans consider to be more helpful than medications in the tx of
depression? - Answer-✅prayer
/.Among black patients, involvement of who might lead to improve retention and medical
tx rates for depression? - Answer-✅involvement of a religious or spiritual leader
/.What set of questions elicit the patient's perspective of illness and are widely used? -
Answer-✅Kleinman questions
/.What is the most serious complication of depression? - Answer-✅attempted or
completed suicide
/.What are the 3 types of childhood depression? - Answer-✅major depressive disorder,
dysthymia or dysthymic disorder, and bipolar affective disorder
/.What is the hallmark of major depressive disorder? - Answer-✅sad or depressed
mood for atleast 2 weeks
/.In children, depressive symptoms are most often described as what? - Answer-
✅irritability
/.Younger children are most likely to have what manifestation of depression? - Answer-
✅somatic symptoms (headache,upset stomach)
/.What type of behavior might adolescents engage in who are depressed? - Answer-
✅risky and antisocial
/.What is the primary difference between major depressive disorder and bipolar affective
disorder? - Answer-✅periods of mania
/.What should be suspected if antidepressants cause agitation or other manic
symptoms? - Answer-✅BAD
/.What does the symptoms of mania in BAD resemble? - Answer-✅ADHD
/.What laboratory work-ups are indicated in the evaluation of depression to rule out
other causes? - Answer-✅CBC, serum electrolytes, thyroid function tests, toxicology
screening and blood alcohol levels
, /.What are the symptoms of serotonin syndrome? - Answer-✅fever, rigidity, autonomic
instability, myoclonus, confusion, delirium, and coma.
/.What increases the risk of serotonin syndrome? - Answer-✅drug overdose, concurrent
use of more than one SSRIs, and use of other antidepressants or St. Johns Wart along
with SSRIs
/.Combination of what and SSRIs are especially dangerous? - Answer-✅MAOIs
/.What are some examples of atypical antidepressants? - Answer-✅bupropion
(Wellbutrin), venlafaxine (Effexor), mirtazapine (Remeron), and duloxetine (Cymbalta)
/.What are 2 drug classes that should never be used in primary care? - Answer-✅TCAs
and MAOIs
/.How should mild depression be treated in adolescence? - Answer-✅Active support
and monitoring for 6-8 weeks; contact every 1-2 weeks
/.How should mild depression be tx in adolescents? - Answer-✅with SSRIs and/or
psychotherapy
/.How should PERSISTANT mild depression be treated at the 6-8 week follow-up? -
Answer-✅Institute tx or refer to mental health
/.If symptoms of mild depression are improved, how should follow-up management be
carried out? - Answer-✅Continue monitoring monthly for 6 months and regular follow-
up for 2 years after resolution
/.How long should medications be prescribed after symptom resolution? - Answer-✅for
1 year
/.What are red flags of headaches for adults? - Answer-✅new onset headache in
patient over 50, thunderclap headache, "worst headache of my life", headache
accompanied by fever, hx. of recent head trauma, vision changes, htn, hiv +, and +
neurologic findings
/.What are headache red flags for children? - Answer-✅headache in < 5 y/o, new or
worsening headache, fever, night-time headaches and awakening with headache,
posterior headache, headache w/ vomiting, worsened by strain or postural changes,
neuro deficits, cafe au lait spots/ hypopigmentation, recent head trauma
/.In patients presenting with headache, you should always screen for what? - Answer-
✅depression/anxiety disorders
/.What may African Americans consider to be more helpful than medications in the tx of
depression? - Answer-✅prayer
/.Among black patients, involvement of who might lead to improve retention and medical
tx rates for depression? - Answer-✅involvement of a religious or spiritual leader
/.What set of questions elicit the patient's perspective of illness and are widely used? -
Answer-✅Kleinman questions
/.What is the most serious complication of depression? - Answer-✅attempted or
completed suicide
/.What are the 3 types of childhood depression? - Answer-✅major depressive disorder,
dysthymia or dysthymic disorder, and bipolar affective disorder
/.What is the hallmark of major depressive disorder? - Answer-✅sad or depressed
mood for atleast 2 weeks
/.In children, depressive symptoms are most often described as what? - Answer-
✅irritability
/.Younger children are most likely to have what manifestation of depression? - Answer-
✅somatic symptoms (headache,upset stomach)
/.What type of behavior might adolescents engage in who are depressed? - Answer-
✅risky and antisocial
/.What is the primary difference between major depressive disorder and bipolar affective
disorder? - Answer-✅periods of mania
/.What should be suspected if antidepressants cause agitation or other manic
symptoms? - Answer-✅BAD
/.What does the symptoms of mania in BAD resemble? - Answer-✅ADHD
/.What laboratory work-ups are indicated in the evaluation of depression to rule out
other causes? - Answer-✅CBC, serum electrolytes, thyroid function tests, toxicology
screening and blood alcohol levels
, /.What are the symptoms of serotonin syndrome? - Answer-✅fever, rigidity, autonomic
instability, myoclonus, confusion, delirium, and coma.
/.What increases the risk of serotonin syndrome? - Answer-✅drug overdose, concurrent
use of more than one SSRIs, and use of other antidepressants or St. Johns Wart along
with SSRIs
/.Combination of what and SSRIs are especially dangerous? - Answer-✅MAOIs
/.What are some examples of atypical antidepressants? - Answer-✅bupropion
(Wellbutrin), venlafaxine (Effexor), mirtazapine (Remeron), and duloxetine (Cymbalta)
/.What are 2 drug classes that should never be used in primary care? - Answer-✅TCAs
and MAOIs
/.How should mild depression be treated in adolescence? - Answer-✅Active support
and monitoring for 6-8 weeks; contact every 1-2 weeks
/.How should mild depression be tx in adolescents? - Answer-✅with SSRIs and/or
psychotherapy
/.How should PERSISTANT mild depression be treated at the 6-8 week follow-up? -
Answer-✅Institute tx or refer to mental health
/.If symptoms of mild depression are improved, how should follow-up management be
carried out? - Answer-✅Continue monitoring monthly for 6 months and regular follow-
up for 2 years after resolution
/.How long should medications be prescribed after symptom resolution? - Answer-✅for
1 year
/.What are red flags of headaches for adults? - Answer-✅new onset headache in
patient over 50, thunderclap headache, "worst headache of my life", headache
accompanied by fever, hx. of recent head trauma, vision changes, htn, hiv +, and +
neurologic findings
/.What are headache red flags for children? - Answer-✅headache in < 5 y/o, new or
worsening headache, fever, night-time headaches and awakening with headache,
posterior headache, headache w/ vomiting, worsened by strain or postural changes,
neuro deficits, cafe au lait spots/ hypopigmentation, recent head trauma
/.In patients presenting with headache, you should always screen for what? - Answer-
✅depression/anxiety disorders
