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Depression and anxiety

Depression and Anxiety
a) Self limiting
b) Likely to reoccur
c) Is not associated with higher death rates
d) Is part of a normal grief reaction
2) Which is a risk for major depression? a) African American
b) Having chronic obstructive pulmonary disease
c) Being male
d) Witnessing a traumatic event
a) Do not help with situational, short-term anxiety
b) Are associated with alcohol abuse
c) Are quicker in onset of action than selective serotonin reuptake inhibitors (SSRIs)
d) Are associated with reduced rates of depression
4) Which symptom is least suggestive of anxiety: a) Irritability
b) Insomnia
c) Flat affect
d) Reduced ability to concentrate
5) Dysthymia is a milder depression that tends to persist. a) True
b) False
6) Diagnostic testing for a patients with depression should include all of the following EXCEPT: a) Thyroid stimulating hormone levels
b) Complete blood count
c) Lipid panel
d) Basic metabolic panel
7) Which medication is the best first line option for major depression: a) Citalopram (Celexa)
b) Nortriptyline (Pamelor)
c) Alprazolam (Xanax)
d) Mirtazapine (Remeron)
8) When discontinuing SSRIs it important to taper them over a period of weeks. a) True
b) False
9) Tricylcic antidepressants are not used as first line medications in the management of depression because of all of the following reasons EXCEPT:
a) Can lead to cardiac arrhythmia.
b) Risk of constipation
c) It is associated with increasing anxiety
d) They are often fatal in overdose
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10) Medication treatment of the first episode of major depression should last _______ after remission : a) 6-12 months
b) For life
c) Two years
d) 3-6 months
11) SSRIs are contraindicated in patients with glaucoma. a) True
b) False
12) Which anti-depressant has the fewest sexual side effects: a) Venlafaxine
b) Sertraline
c) Bupropion
d) Paroxetine
13) Which anxiety is characterized by a baseless morbid fear of apparently harmless objects often leading to agoraphobia.
a) Generalized anxiety disorder
b) Obsessive compulsive disorder
c) Panic disorder
d) Post-traumatic stress disorder
14) Depressed patients should be encouraged to: a) Initiate an exercise program 5-7 times a week
b) Exercise for 10-15 minutes each session
c) Perform weight training as a type of aerobic exercise
d) Encourage up to an hour of exercise a day in those whose conditioning and energy level allows
15) The A in the SIG-E-CAPS mnemonic stands for: a) Anxiety
b) Agitation
c) Appetite changes
d) Anhedonia
16) In teen-agers, which is the most effective treatment in the management of anxiety: a) Watch and wait therapy
b) Selective serotonin treatment
c) Cognitive-behavioral therapy
d) Combination therapy with cognitive-behavioral therapy and a selective serotonin therapy
17) Which SSRI is least likely associated with the discontinuation syndrome? a) Fluoxetine
b) Paroxetine
c) Sertraline
d) Citalopram
a) Chronic obstructive pulmonary disease
b) Metabolic syndrome
c) Myocardial infarction
d) All of the above
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19) Which medication is least likely to cause the serotonin syndrome when combined with the SSRI sertraline:
a) Buspirone
b) St. John’s Wort
c) Venlafaxine
d) Paroxetine
20) The effects of buspirone may not be noticed for 2-4 weeks. a) True
b) False
21) Which medication is associated with the highest risk in pregnant women? a) Fluoxetine
b) Sertraline
c) Paroxetine
d) Citalopram
22) Mirtazapine is associated with sedation. a) True
b) False
23) Which medication is likely to interact with SSRIs? a) Warfarin
b) Digoxin
c) Cimetidine
d) All of the Above
24) Tapering of SSRIs should occur by _____% every week. a) 10
b) 25
c) 50
d) 75
25) Which of the following is NOT a symptom of abrupt withdrawal from paroxetine? a) Sexual dysfunction
b) Dizziness
c) Nausea
d) Hyper-arousal
26) Which medication is not recommended for the patient with anxiety? a) Paroxetine
b) Sertraline
c) Venlafaxine
d) Bupropion
27) Which benzodiazepine is recommended due to fewer dependency issues in the patient with panic attacks?
a) Lorazepam
b) Anafranil
c) Alprazolam
d) Clonazepam
28) Benzodiazepines are the first-line long-term treatment in panic attacks. a) True
b) False
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29) Which statement is true regarding anti-depressant medication therapy a) Nausea typically persists for the first 2-3 months of therapy
b) Improvement in symptoms may not be noticed for 4-8 weeks.
c) Abrupt discontinuation of the medication will result in minimal side effects
d) Monoamine oxidase inhibitors are the most effective medication used to treat depression
30) Which of the following statements about St. John’s Wort is FALSE? a) It is dosed three times a day
b) Its effects are noticed in 10 days
c) It has multiple drug-herb interactions
d) Should not be used with paroxetine
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Source: http://nursece4less.com/Tests/N024.pdf

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IFA AGRICULTURAL CONFERENCE ON MANAGING PLANT NUTRITION 29 June - 2 July 1999, Barcelona, Spain THE IMPACT OF BIOTECHNOLOGY AND GENOMICS ON THE FERTILIZER INDUSTRY David A. Lightfoot Southern Illinois University, United States THE IMPACT OF BIOTECHNOLOGY AND GENOMICS ON THE FERTILIZER INDUSTRY 1 David A. Lightfoot Southern Illinois University, United States 1.

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