AANP Psych
QUESTIONS AND VERIFIED
CORRECT ANSWERS
GRADED A+ LATEST 100%
GUARANTEED PASS
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 - CORRECT ANSWER-25mg once daily
(usu. start half of recommended lowest dose)
Why is a big shift being seen from prescribing TCAs to SSRIs? - CORRECT ANSWER-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
b) monitor her for worsening of symptoms
c) give her a benzo for sleep
,d) initiate sertraline to help manage her symptoms - CORRECT ANSWER-b) monitor her for
worsening of symptoms
A 74-year-old pt has symptoms of depression. Tx with sertraline is being considered. Which
studies might be important to order?
a) EKG, B12, folate
b) B12, folate, TSH
c) CBC, B12, folate
d) LFTs, B12, folate, CBC, TSH - CORRECT ANSWER-b) B12, folate, TSH
Which medication is associated with the lowest rate of sexual dysfunction when used in patients
being treated for depression?
a) paroxetine
b) bupropion
c) duloxetine
d) venlafaxine - CORRECT ANSWER-b) bupropion
(SNRI, not SSRI)
A questionnaire used to evaluate an individual for confusion and dementia.
Will describe an action, such as asking the pt to spell "world" backwards. - CORRECT ANSWER-
MMSE (Mini-Mental State Exam)
CAGE test - CORRECT ANSWER-test for identification of ETOH abuse
C: do you feel need to CUT down
A: are you ANNOYED when someone comments about your drinking?
G: do you feel GUILTY about drinking?
E: do you need to drink EARLY in the AM?
, Lone elevation of ___ (with/without ALT/AST) is a possible sign of occult alcohol abuse. -
CORRECT ANSWER-GGT - gamma glutamyl transaminase
AST/ALT ratio of ___ or higher is more likely in alcoholism. - CORRECT ANSWER-2.0
Korsakoff's syndrome is caused by __. - CORRECT ANSWER-chronic thiamine deficiency
A neurological disorder w/symptoms that include hypotension, visual impairment, and coma.
Signs: mental confusion, ataxia, stupor.
Complication from chronic ETOH abuse. - CORRECT ANSWER-Korsakoff's syndrome
Support group for alcoholic's family and friends. - CORRECT ANSWER-AI-Anon
Kava-kava and valerian root are natural supplements used for ___. Do not mix with ___. -
CORRECT ANSWER-insomnia/anxiety
don't mix w benzos or hypnotics
Presentation: lanugo, peripheral edema, amenorrhea, BMI <18.5 - CORRECT ANSWER-anorexia
*at higher risk for osteopenia/porosis
What medication is contraindicated for anorexic/bulimic patients bc it increases the seizure
threshold? - CORRECT ANSWER-bupropion
__ has a short half life compared w/other SSRIs. Patients need to be weaned or they will have
withdrawal symptoms. - CORRECT ANSWER-Paroxetine
QUESTIONS AND VERIFIED
CORRECT ANSWERS
GRADED A+ LATEST 100%
GUARANTEED PASS
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 - CORRECT ANSWER-25mg once daily
(usu. start half of recommended lowest dose)
Why is a big shift being seen from prescribing TCAs to SSRIs? - CORRECT ANSWER-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
b) monitor her for worsening of symptoms
c) give her a benzo for sleep
,d) initiate sertraline to help manage her symptoms - CORRECT ANSWER-b) monitor her for
worsening of symptoms
A 74-year-old pt has symptoms of depression. Tx with sertraline is being considered. Which
studies might be important to order?
a) EKG, B12, folate
b) B12, folate, TSH
c) CBC, B12, folate
d) LFTs, B12, folate, CBC, TSH - CORRECT ANSWER-b) B12, folate, TSH
Which medication is associated with the lowest rate of sexual dysfunction when used in patients
being treated for depression?
a) paroxetine
b) bupropion
c) duloxetine
d) venlafaxine - CORRECT ANSWER-b) bupropion
(SNRI, not SSRI)
A questionnaire used to evaluate an individual for confusion and dementia.
Will describe an action, such as asking the pt to spell "world" backwards. - CORRECT ANSWER-
MMSE (Mini-Mental State Exam)
CAGE test - CORRECT ANSWER-test for identification of ETOH abuse
C: do you feel need to CUT down
A: are you ANNOYED when someone comments about your drinking?
G: do you feel GUILTY about drinking?
E: do you need to drink EARLY in the AM?
, Lone elevation of ___ (with/without ALT/AST) is a possible sign of occult alcohol abuse. -
CORRECT ANSWER-GGT - gamma glutamyl transaminase
AST/ALT ratio of ___ or higher is more likely in alcoholism. - CORRECT ANSWER-2.0
Korsakoff's syndrome is caused by __. - CORRECT ANSWER-chronic thiamine deficiency
A neurological disorder w/symptoms that include hypotension, visual impairment, and coma.
Signs: mental confusion, ataxia, stupor.
Complication from chronic ETOH abuse. - CORRECT ANSWER-Korsakoff's syndrome
Support group for alcoholic's family and friends. - CORRECT ANSWER-AI-Anon
Kava-kava and valerian root are natural supplements used for ___. Do not mix with ___. -
CORRECT ANSWER-insomnia/anxiety
don't mix w benzos or hypnotics
Presentation: lanugo, peripheral edema, amenorrhea, BMI <18.5 - CORRECT ANSWER-anorexia
*at higher risk for osteopenia/porosis
What medication is contraindicated for anorexic/bulimic patients bc it increases the seizure
threshold? - CORRECT ANSWER-bupropion
__ has a short half life compared w/other SSRIs. Patients need to be weaned or they will have
withdrawal symptoms. - CORRECT ANSWER-Paroxetine
