Mood Disorders + Behavioral Health

Depress-y

100

According to the USPSTF, which patient population is recommended to be screened for depression

All adults! PHQ-2 is effective and easy to use. If either question is positive, further investigation should be done.

200

List at least 3 factors that increase risk for suicide

chronic suicidal ideation, major mental illness, history of prior attempts, hx of SUD, chronic pain, chronic medical condition, limited coping skills, unstable or turbulent psychosocial status, limited ability to identify reasons for living

300

3 first-line drug classes used to treat MDD

SSRIs, SNRIs, atypical antidepressants (Buproprion)

BONUS: what piece of hx is important to obtain prior to starting any of these meds? 

400

An objective way to monitor therapeutic response to antidepressant therapy once medication started

Serial PHQ9s

500

New adjunctive medication therapy for MDD with suicidal ideation and treatment-resistant depression

Esketamine, glutamate receptor modulator delivered via nasal inhalation

Stress-y

100

According to the USPSTF, which patient population is recommended to be screened for anxiety?

age<65 yo. Use either the GAD-2 or GAD-7.

200

True or false: 1 panic attack is pathognomonic for panic disorder

False. Up to 1/3 of all adults will experience a panic attack in their lifetime, but panic disorder requires >1mo of panic attacks and persistent worry about their recurrence.

300

First-line medication classes for GAD

SSRIs, SNRIs (fewer side effects than TCAs and treat comorbid psych disorders)

400

List at least 3 diagnoses that need to be excluded prior to diagnosis of GAD

medication effect, SUD, hyperthyroidism, symptom driven (dyspnea, arrhythmia, hypertension)

500

(2) first-line treatments for panic disorder and social anxiety disorder

CBT and SSRIs/SNRI

Cuz You're Hot Then You're Cold

100

Typical age of onset of Bipolar disorder

early adulthood

200

Difference between type 1 and type 2 bipolar disorder

Type 1: 1+ episode of mania + episodes of MDD/hypomania

Type 2: episodes of hypomania + MDD

300

These classes of medications can precipitate mania

Antidepressants (SSRIs, SNRIs, atypicals)

400

Numerous periods of hypomanic symptoms (doesn't meet hypomanic episode dx) and numerous periods of depressive symptoms (doesn't meet MDD episode dx)

Cyclothymic Disorder

500

List at least 3 first-line medications for bipolar disorder

lithium, valproic acid, carbamazepine, lamotrigine

Just Say No

100

Substance causing the most common cause of preventable death in the US

tobacco

200

Two first-line medications for opioid use disorder

Methadone, buprenorphine-naloxone

300

#1 most effective treatment combination to quit smoking

Varenicline (Chantix) + nicotine replacement

400

An important adjunct medication for patients on combination chronic opioid and benzodiazepine therapy

Naloxone

500

(2) first-line treatment medications for alcohol use disorder

Naltrexone, Acamprosate

Grab Bag

100

Abnormal motor function that is not explained by a medical condition or consistent with exam findings

Conversion Disorder

200

1 example of positive symptoms and 1 example of negative symptoms in Schizophrenia

Positive: delusions, hallucinations, disorganized speech

Negative: flat affect, decreased activity

300

Most effective treatment for binge eating disorder

CBT. 

Adjunct therapies include topiramate, lisdexamfetamine, SSRIs/SNRIs

400

2 labs that should be monitored in patients taking the second-generation antipsychotic olanzapine

lipid panel, A1c/BG

500

Medication to use in ADHD when a patient has a history of substance use disorder

Atomoxetine OR buproprion OR TCAs