Wednesday, July 24, 2013

Antidepressants

4 comments:

  1. Q: A 22-year-old man presents to his family physician with complaints of insomnia. He was recently honorably discharged from the army after finishing an 18-month tour of duty in Iraq. He states that the insomnia began about 7 months ago after a fierce nighttime battle. He reports having nightmares and flashbacks of the battle and is easily startled by loud noises. Which pharmacologic agents would be most appropriate to treat this patient’s condition?

    A: SSRI are the first line for treat post-raumatic stress disorder.

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  2. Q: A man has felt depressed for several months. He has attempted to treat his symptoms by taking St. John’s wort, an herbal supplement obtained over the counter. Feeling that his depression is worsening, the man begins taking a friend’s prescription antidepressant. In the next few days he begins experiencing fever, mental status changes, and muscle rigidity. His core body temperature is elevated to 40.1°C (104°F). Which kind of medications did this man likely add to his course of St. John’s wort?

    A: SSRI

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  3. Q: An 18-year-old college freshman is brought to the college health clinic after her roommate confronted her about vomiting after every meal. The patient reports that she began binging and purging in high school after making the cheerleading squad. She states that she feels guilty about her binging and purging, but feels unable to stop. Laboratory studies show a potassium level of 3.3 mEq/L, a chloride level of 94 mEq/L, and a blood urea nitrogen level of 22 mg/dL. Which of the following drugs is contraindicated in this patient?

    A: Bupropion -> lower the seizure treshhold, so it's contraindicated in hypokalemia states like bulimia.

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  4. Q: A 16-year-old girl visits her family physician with complaints of amenorrhea. Although she falls 20% below the minimum body weight expected for her height, she doesn’t think she is skinny enough. After breaking up with her boyfriend a year ago, she dropped out of cheerleading and has been struggling with school, although she used to be an honors student. She admits to crying spells, feeling guilty, and thoughts of suicide.
    Which of the following medications is contraindicated in this patient?

    A: Bupropion -> lower the seizure treshhold, so it's contraindicated in hypokalemia states like bulimia nerviosa.

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