Stack #70363
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| Treatments for unipolar depression and bipolar depression are the same. | False
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| Name three symptoms of unipolar dpression | Loss of interest or pleasure in most or all activites, sleep disturbance, decreased energy, low self esteem, recurrent thoughts of death or suicide
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| name two symptoms of bipolar depression | Episodes of depression followed by periods of mania, inflated self esteem, decreased need for sleep, flights of ideas or racing thoughts, lack of focus
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| Depressive illness is thought to be caused by | Environmental factors, genetics and biological/physiological elements
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| The combination of psychotherapy and pharmacotherapy does not benefit depressed patients | False
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| How many more times prevalent is depression in women than in men? | 2-3 times more prevalent
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| Do race and social class have an effect on the rates of depression? | Yes
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| Name the four types/classes of edications used to treat depression | Tricyclic antidepressants (TCAs), Monoamine Oxidase Inhibitors (MAOIs), Selective Serotonin Reuptake Inhibitors, New generation antidepressants
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| Name several common adverse reactions to antidepressant medications | Anticholinergic effects, weight gain, weight loss, cardiovascular effects, sleep disturbance, sexual dysfunction, elevated hypertension, orthostatic hypotension, sedation
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| A major concern in the use of TCAs, especially disipramine,with children or adolescents is? | Cardiac toxicity
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| Name the major symptom of atypical depression | Prominent anxiety or panic symptoms
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| What type of depressive mood disorder are MAOIs effective in treating? | Atypical depression with anxiety and panic symptoms
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| What types of foods can trigger a hypertensive crisis when consumbed by a patient on MAOIs? | Tyramine ingestion-beers & ales, cheese, cholocate, fish, liver, sauerkraut, wine, bean curd, caffine
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| Interaction with what drug can provoke fatal hyperthermia when ingested with MAOIs? | Meperidine
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| Is hyperthermia a severe reaction with MAOIs and dextromethorphan taken together? | Yes
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| What precent of all antidepressant prescriptions in the US written for SSRIs? | Greater than 80%
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| Name several "activation" effects noted by people starting SSRIs | Anxiety, agitation, restlessness, insomnia
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| In what timeframe are the "activation" effects noted to dissapate? | 4-8 weeks after beginning SSRI therapy
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| Which of the SSRIs causes the most "activation" effects? | Fluoxetine
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| Which SSRI does not appear to cause "activating" side effects? | Citalopram
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| The most sedating SSRI is | Fluvoxamine
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| Which drug of the new generation antidepressants has the highest sedation effect? | Trazadone
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| Name two other adverse effects of Trazadone | Serious orthostatic hypotension and ventricular arrhythmia
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| Which next generation drug does not effect serotonin levels? | Buproprion
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| Sexual dysfunction is a side effect of Buproprion? | No
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| Which nest generation antidepressant promotes sleep restoration? | Mirtazapine
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| Which drug is associated with an elevation of supine diastolic blood pressure? | Venlafaxine
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| Which next generation antidepressant does not appear to suppress REM sleep? | Nefazodone
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