WBR1137
| Author | [[PageAuthor::Pratik Bahekar, MBBS [1]]] |
|---|---|
| Exam Type | ExamType::USMLE Step 2 CK |
| Main Category | MainCategory::Psychiatry |
| Sub Category | SubCategory::Psychiatry, SubCategory::Ethics |
| Prompt | [[Prompt::36 year old man comes to a primary care doctor, with complains of depressed mood and loss of interest from last 7 months when he lost his wife in a car accident. On examinations, his vitals were stable and lab reports were,
The dexamethasone suppression test did not reveal an adrenal axis pathology, also TSH was normal. His mood brightened when he learns about positive events. He had a 20 pound weight gain in last 6 months and sleeping 10 hours a day. Also, he described a heavy feeling in his arms and legs. What is the next step in the management?]] |
| Answer A | AnswerA::Prescribe Selegiline |
| Answer A Explanation | AnswerAExp::This a case of atypical depression, it is treated by MAOIs. |
| Answer B | AnswerB::Prescribe Doxepine |
| Answer B Explanation | AnswerBExp::MAOIs not Doxepine is first line treatment for atypical depression. |
| Answer C | AnswerC::Prescribe Lithium |
| Answer C Explanation | AnswerCExp::Lithium is a mood stabilizer, this patient does not have features of bipolar disorder. |
| Answer D | AnswerD::Prescribe Risperidone |
| Answer D Explanation | AnswerDExp::Risperidone is an antipsychotic, not used in the treatment of atypical depression. |
| Answer E | AnswerE::Prescribe Buspirone |
| Answer E Explanation | AnswerEExp::Buspirone is useful for treating depression with features of anxiety. |
| Right Answer | RightAnswer::A |
| Explanation | [[Explanation::This a case of atypical depression, it is treated by MAOIs. Educational Objective: |
| Approved | Approved::No |
| Keyword | |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |