Deck 4: History Taking and Assessment Techniques

Question 1

Which of the following is not an MAOI?

A) Marplan
B) Nardil
C) Parnate
D) Aplenzin

Answer 1

Aplenzin

Question 2

The tricyclic antidepressants have the least amount of side effects.

Answer 2

False

Question 3

Which of the following deseases/disorders has been known to cause or worsen depression?

A) Alheimer's
B) Congestive heart failure
C) Fibromyalgia
D) All of the above

Answer 3

All of the above

Question 4

What percentage of patients with depression also have suicidal ideation?

A) Seventy percent
B) Eighty percent
C) Ninety percent
D) none of the above

Question 5

Psychotherapy alone is a powerful tool in reducing depression. Patients typically show the greatest gains in the first:

A) 5 sessions
B) 10 sessions
C) 16 sessions
D) 28 sessions

Question 6

While trazodone affects serotonin like other SSRI medications, it has a different action on the serotonin receptor sites.

Question 7

The anticholinergic side effects are more common with which type of antidepressants?

A) tricyclics
B) SSRIs
C) MAOIs
D) none of these

Question 8

Serotonin syndrome includes fever, muscle rigidity, and hypotension.

Question 9

Typically MAOIs are sedating medications.

Question 10

Endogenous factors refer to causes from "within" or biological causes.

Question 11

Which of the following drugs has been shown to affect norepinephrine levels?

A) maprotiline
B) citalopram
C) paroxetine
D) desipramine

Question 12

Dietary restrictions such as avoiding foods containing tyramine are associated with which class of antidepressants?

A) MAOIs
B) SSRIs
C) Unicyclics
D) none of these.

Question 13

Which of the following types of drugs has been known to cause or worsen depression?

A) Anti-inflammatory drugs like: Indocin, Vioxx, or Celebrex.
B) Blood thiners like: Cumidin or Heprin
C) Sleep aides like: Ambien, Sonata or Halcion.
D) both A and C above.

Question 14

Lexapro and Pristiq are newer antidepressants.

Question 15

Sweating, yawing and inhibited orgasm are common side effects with:

A) MAOIs
B) SSRIs
C) tricyclics
D) heterocyclics

Question 16

Typically speaking medications like amitriptyline and doxepin are more sedating than protriptyline or dopamine.

Question 17

Exogenous factors refer to environmental stress and other "outside" influence in the cause of depression.

Question 18

SSRIs primarily affect the neurotransmitter serotonin.

Question 19

Which of the following SSRIs is associated with more sedation?

A) Prozac
B) Lexapro
C) Celexa
D) Paxil

Question 20

Tricylics are safer than SSRIs for the suicidal patient.

Question 21

You are treating another patient with depression, but after taking a thorough history, you learn that she has had an eating disorder and a seizure disorder in the past. Which medication would not be a good choice?

A) Welbutrin
B) Effexor
C) Zoloft
D) None of these

Question 22

You have started working with a new patient who presents with severe depression, low energy and motivation. She is also 40 pounds overweight. Her primary care physician would like to know if you know of any medication possibilities. You might consider all of the medications below except:

A) Celexa
B) Wellbutrin
C) Remeron
D) Lexapro

Question 23

According to Sinacola and Peters-Strickland, which of the following "holistic/herbal" remedies shows the greatest efficacy in reducing depression?

A) St. John's Wort
B) SAM-e
C) Ginkgo Biloba
D) DHEA

Question 24

"Serotonin syndrome" includes all of the following symptoms except:

A) hypertension
B) fever
C) muscle rigidity
D) agitation

Question 25

Exercise is an excellent idea for depressed patients as it increases levels of:

A) ECT
B) THC
C) substance P
D) PEA

Question 26

A typical daily dose of Prozac or Paxil is:

A) 2-4 mg.
B) 20-40 mg.
C) 75-100 mg.
D) 200-300 mg.

Question 27

Which of the following are not typically used for depressed/pain management patients?

A) Elavil
B) Neurontin
C) Pristiq
D) Luvox

Question 28

As a rule, all antidepressants take about ____ days to begin working.

A) 3 days
B) 6 days
C) 8 days
D) 14 days

Question 29

You are working with a patient with OCD. Which of the following medications is not considered an anti-obsessive?

A) Prozac
B) Anafranil
C) Wellbutrin
D) Luvox

Question 30

You are working with a patient who has responded well to antidepressants in the past, and has had only a moderate response to SSRIs. Aside from increasing the dose, you might also suggest:

A) Adding an MAOI
B) Adding another SSRI
C) Trying a lithium boost
D) Adding a benzo