NMS Q&A Family Medicine

SECTION XIVBehavior and Psychologyin Primary Carechapter 50DepressionExamination questions: Unless instructed otherwise, choosethe ONE lettered answer or completion that is BEST ineach case.1 If present for at least two weeks, each of the followingis a criterion among those comprising a diagnosticbasis for major depression, except for which one?(A) Insomnia(B) Anhedonia(C) Feeling of guilt(D) Suicidal ideation(E) Depressed mood worse as the day progresses2 Each of the following antidepressant medicationsmay effective as single drug therapy in a primary carepractice except for which one?(A) Buspirone (buproprion)(B) Zoloft (sertraline)(C) Prozac (Fluoxetine, Sarafem)(D) Pamelor (nortriptyline)(E) Effexor (venlafaxine)3 A 45-year-old man has been treated by his familydoctor in conjunction with a psychiatrist for classicbipolar disorder (manic depression) with lithium(lithium carbonate 300 mg 3 times per day withtrough levels tested regularly). Each of the followingis true regarding lithium treatment except for whichstatement?(A) Polydipsia is an expected side effect.(B) Hypothyroidism is a common side effect.(C) Manic symptoms will recur sooner than depressionif lithium is discontinued.(D) Organic hypoglycemia is a side effect.(E) Sodium loss makes diuretics relatively contraindicated.4 The highest incidence of depression occurs in whichof the following age groups?(A) 5 to 14 years(B) 15 to 24 years(C) 25 to 34 years(D) 35 to 55 years(E) 65 years5 A 28-year-old woman reports feeling depressed afterher 18-year-old younger sister died after an illicitdrug overdose 1 month earlier. She does not feel likeparticipating in her usual social activities, but shehas continued to work and take care of her family289