Anxiety/ADHD
This anxiety disorder is characterized by excessive, uncontrollable worry occurring more days than not for at least six months.
Generalized Anxiety Disorder (GAD)
What is the most commonly used screening tool for depression?
PHQ-9
This condition develops acutely over hours to days and is characterized by fluctuating levels of consciousness and impaired attention.
Delirium
A teacher reports that a child is inattentive and disruptive in class, but parents report no concerns at home. Why does this child not yet meet diagnostic criteria for ADHD?
Impairment must occur in multiple settings
The first-line medication classes for Generalized Anxiety Disorder in primary care.
SSRIs or SNRIs
What is the first-line treatment for GAD?
Cognitive-Behavioral Therapy (CBT)
A patient describes decreased need for sleep, grandiosity, impulsive spending, pressured speech, and racing thoughts for ten days.
Manic episode
Early visual hallucinations combined with parkinsonian features suggest this type of dementia.
Lewy Body Dementia
A 9-year-old child is diagnosed with generalized anxiety disorder. What is the first-line nonpharmacologic treatment?
Cognitive Behavioral Therapy (CBT)
A patient with GAD and a history of substance misuse needs a non-controlled medication that takes 2–4 weeks to work and is not intended for PRN use.
Buspirone
This laboratory test should be obtained when evaluating new-onset anxiety because hyperthyroidism may mimic psychiatric symptoms.
TSH
A patient has recurrent depressive episodes and at least one hypomanic episode but has never experienced mania.
Bipolar II Disorder
Personality changes, disinhibition, stealing, poor hygiene, and socially inappropriate behavior are classic findings of this dementia.
Frontotemporal Dementia
A child younger than 6 years old repeatedly reenacts a traumatic event through play and has become socially withdrawn following the event. What psychiatric condition should be suspected?
Post-Traumatic Stress Disorder (PTSD)
This medication is first-line for bipolar I disorder, reduces suicide risk, and requires monitoring of thyroid and renal function.
Lithium
Criteria must be present by what age in order to diagnose an adult with ADHD?
Age 12
A 42-year-old patient reports depressed mood, loss of interest in previously enjoyable activities, fatigue, poor concentration, insomnia, feelings of worthlessness, and decreased appetite for the past three weeks.
Major Depressive Disorder (MDD)
A patient continues to experience insomnia despite appropriate sleep hygiene measures. What is considered the most effective long-term nonpharmacologic treatment?
Cognitive Behavioral Therapy for Insomnia (CBT-I)
Which class of medications is most appropriate for management of GAD in children?
SSRIs
A patient with depression reports weight loss, insomnia, and poor appetite. This antidepressant may be particularly beneficial.
Mirtazapine (Remeron)
What is a non-stimulant medication indicated for management of ADHD?
Atomoxetine (Straterra)
A patient with depression also wants help quitting smoking and is concerned about sexual side effects and weight gain. Which antidepressant would be the most appropriate choice?
bupropion (Wellbutrin)
A patient with insomnia also has depression and would benefit from a medication that is sedating but is not typically considered habit-forming.
Trazodone
A grieving patient has persistent functional impairment, hopelessness, and preoccupation with the loss lasting more than one year.
Complicated grief
This is the most important treatment rule when managing depression in a patient with bipolar disorder.
Never use an antidepressant alone