Page 1 of 1: 25 year old man

bebica · Credits: 26055 My Scrapbook

Sam is a 25 year old man living with his partner Jane. He presents to the emergency department saying that he " couldn’t go on any longer". He is employed at a bank but has not reported to work for a week , having called into say he is ill.
The history revealed that he was feeling sad and tearful most of the time and had been this way for almost 2 months. He could not sleep and often woke up early in the morning. His appetite was low and he had lost about 15 pounds. His energy and concentration were low and felt that he was not a good person. In fact many of the things that he said about himself were very self critical. He had never experienced a major depression before and was frightened by some suicidal thoughts he had recently.
Q1
Which of the following steps should be part of your initial work up of the case?
select up to five
1 assessment of competence of consent to treatment
2 assessment of financial competence
3 assessment of suicidal risk
4 blood and urine screen for alcohol and drugs
5 CBC
6 CT scan
7 dexamethasone suppression test
8 ECG
9 EEG
10 electrolytes
11 MRI
12 neurophysiological testing
13 personality testing-MMPI
14 PET scan
15 physical exam
16 thyroid function

Q2 having confirmed a diagnosis of depression with no organic cause which of the following components could be part of a treatment plan? select up to seven

1. arrange short term disability
2 arrange long term disability
3 cingulotomy
4 cognitive behavioral therapy
5 couple therapy
6 cytomel 25 micrograms daily
7 desipramine 50 mg, increasing each week by 25 mg to 150 mg
8 electroconvulsive therapy
9 family therapy
10 fluoxetine 40 mg/day for 1 week then 80 mg/day
11 genetic counseling
12 interpersonal therapy
13 lithium 600 mg bid
14 meet with his partner
15 paroxetine 50 mg four times a day
16 psychoanalysis
17 sertraline 20 mg/day initially increasing each week by 20 mg to 80 mg/day
18 supportive therapy

dokdoka · Credits: 1743 My Scrapbook

assessment of suicidal risk
blood and urine screen for alcohol and drugs
cbc
electrolytes
thyroid function

cognitive behavioral therapy
couple therapy
family therapy
meet with his partner
paroxetine 50mg four times a day
psychoanalysis
supportive therapy

docnoor · Credits: 4229 My Scrapbook

Which of the following steps should be part of your initial work up of the case?
select up to five
1 assessment of competence of consent to treatment
2 assessment of financial competence
3 assessment of suicidal risk *****
4 blood and urine screen for alcohol and drugs ****
5 CBC
6 CT scan
7 dexamethasone suppression test
8 ECG
9 EEG
10 electrolytes
11 MRI
12 neurophysiological testing
13 personality testing-MMPI ****
14 PET scan
15 physical exam ****
16 thyroid function ****

Q2 having confirmed a diagnosis of depression with no organic cause which of the following components could be part of a treatment plan? select up to seven

1. arrange short term disability
2 arrange long term disability
3 cingulotomy
4 cognitive behavioral therapy ***
5 couple therapy
6 cytomel 25 micrograms daily
7 desipramine 50 mg, increasing each week by 25 mg to 150 mg
8 electroconvulsive therapy
9 family therapy ***
10 fluoxetine 40 mg/day for 1 week then 80 mg/day ***
11 genetic counseling
12 interpersonal therapy ***
13 lithium 600 mg bid
14 meet with his partner ***
15 paroxetine 50 mg four times a day
16 psychoanalysis ***
17 sertraline 20 mg/day initially increasing each week by 20 mg to 80 mg/day
18 supportive therapy ***

doctormoony · Credits: 10002 My Scrapbook

[quote="bebica"]Sam is a 25 year old man living with his partner Jane. He presents to the emergency department saying that he " couldn’t go on any longer". He is employed at a bank but has not reported to work for a week , having called into say he is ill.
The history revealed that he was feeling sad and tearful most of the time and had been this way for almost 2 months. He could not sleep and often woke up early in the morning. His appetite was low and he had lost about 15 pounds. His energy and concentration were low and felt that he was not a good person. In fact many of the things that he said about himself were very self critical. He had never experienced a major depression before and was frightened by some suicidal thoughts he had recently.
Q1
Which of the following steps should be part of your initial work up of the case?
select up to five
1 assessment of competence of consent to treatment*****
2 assessment of financial competence
3 assessment of suicidal risk******
4 blood and urine screen for alcohol and drugs******
5 CBC
6 CT scan
7 dexamethasone suppression test
8 ECG
9 EEG
10 electrolytes
11 MRI
12 neurophysiological testing
13 personality testing-MMPI
14 PET scan
15 physical exam*******

16 thyroid function*****

Q2 having confirmed a diagnosis of depression with no organic cause which of the following components could be part of a treatment plan? select up to seven

1. arrange short term disability********
2 arrange long term disability
3 cingulotomy
4 cognitive behavioral therapy*******
5 couple therapy
6 cytomel 25 micrograms daily
7 desipramine 50 mg, increasing each week by 25 mg to 150 mg*******
8 electroconvulsive therapy*********
9 family therapy
10 fluoxetine 40 mg/day for 1 week then 80 mg/day*******
11 genetic counseling
12 interpersonal therapy
13 lithium 600 mg bid********
14 meet with his partner
15 paroxetine 50 mg four times a day
16 psychoanalysis
17 sertraline 20 mg/day initially increasing each week by 20 mg to 80 mg/day
18 supportive therapy[/******quote]

bebica · Credits: 26055 My Scrapbook

Sam is a 25 year old man living with his partner Jane. He presents to the emergency department saying that he " couldn’t go on any longer". He is employed at a bank but has not reported to work for a week , having called into say he is ill.
The history revealed that he was feeling sad and tearful most of the time and had been this way for almost 2 months. He could not sleep and often woke up early in the morning. His appetite was low and he had lost about 15 pounds. His energy and concentration were low and felt that he was not a good person. In fact many of the things that he said about himself were very self critical. He had never experienced a major depression before and was frightened by some suicidal thoughts he had recently.
Q1
Which of the following steps should be part of your initial work up of the case?
select up to five
1 assessment of competence of consent to treatment
2 assessment of financial competence
3 assessment of suicidal risk
4 blood and urine screen for alcohol and drugs
5 CBC
6 CT scan
7 dexamethasone suppression test
8 ECG
9 EEG
10 electrolytes
11 MRI
12 neurophysiological testing
13 personality testing-MMPI
14 PET scan
15 physical exam
16 thyroid function

Q2 having confirmed a diagnosis of depression with no organic cause which of the following components could be part of a treatment plan? select up to seven

1. arrange short term disability
2 arrange long term disability
3 cingulotomy
4 cognitive behavioral therapy
5 couple therapy
6 cytomel 25 micrograms daily
7 desipramine 50 mg, increasing each week by 25 mg to 150 mg
8 electroconvulsive therapy
9 family therapy
10 fluoxetine 40 mg/day for 1 week then 80 mg/day
11 genetic counseling
12 interpersonal therapy
13 lithium 600 mg bid
14 meet with his partner
15 paroxetine 50 mg four times a day
16 psychoanalysis
17 sertraline 20 mg/day initially increasing each week by 20 mg to 80 mg/day
18 supportive therapy

ieva · Credits: 3579 My Scrapbook

Sam is a 25 year old man living with his partner Jane. He presents to the emergency department saying that he " couldn’t go on any longer". He is employed at a bank but has not reported to work for a week , having called into say he is ill.
The history revealed that he was feeling sad and tearful most of the time and had been this way for almost 2 months. He could not sleep and often woke up early in the morning. His appetite was low and he had lost about 15 pounds. His energy and concentration were low and felt that he was not a good person. In fact many of the things that he said about himself were very self critical. He had never experienced a major depression before and was frightened by some suicidal thoughts he had recently.
Q1
Which of the following steps should be part of your initial work up of the case?
select up to five
1 assessment of competence of consent to treatment*****
2 assessment of financial competence
3 assessment of suicidal risk*****
4 blood and urine screen for alcohol and drugs*****
5 CBC
6 CT scan
7 dexamethasone suppression test
8 ECG
9 EEG
10 electrolytes
11 MRI
12 neurophysiological testing
13 personality testing-MMPI
14 PET scan
15 physical exam*****
16 thyroid function*****

Q2 having confirmed a diagnosis of depression with no organic cause which of the following components could be part of a treatment plan? select up to seven

1. arrange short term disability******
2 arrange long term disability
3 cingulotomy
4 cognitive behavioral therapy********
5 couple therapy
6 cytomel 25 micrograms daily
7 desipramine 50 mg, increasing each week by 25 mg to 150 mg
8 electroconvulsive therapy
9 family therapy***+/-
10 fluoxetine 40 mg/day for 1 week then 80 mg/day*****
11 genetic counseling
12 interpersonal therapy
13 lithium 600 mg bid***+/-
14 meet with his partner
15 paroxetine 50 mg four times a day
16 psychoanalysis*****
17 sertraline 20 mg/day initially increasing each week by 20 mg to 80 mg/day
18 supportive therapy******

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