NBME 20 Antidepressant therapy (NBME Answers)

NBME 20 Answers

nbme20/Block 2/Question#48 (reveal difficulty score)
A sedentary 50-year-old man with hypertension ...
Antidepressant therapy 🔍 / 📺 / 🌳 / 📖
tags: pharm

+13 upvote downvote
submitted by ∗drzed(332)

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Ftisr teennsce of het mts:e he has a ekwe-6 hositry .eg(. 2&tg; weeks) of sieoresdpn 1(,) tfifcudyil ensilgpe (),2 ageiftu ),(3 rsedeeadc iptpaete )4,( nda orpo etrnnnociocear/mtmoy (5)

roF a singdaosi of D,MD uoy need a 2 eekw rsotihy of 5 of eth CAIGEPSS tpssommy hwcih he semet (he is ynlo sisignm udialcis adntoiei nad eestntir in t)ae.iictisv hTsu eh semte eth igstidnoca ctirriae rfo a mrjoa seevrdisep d,eposie hchwi amnes tath eeartnttm si acieinddt ithw an SRI.S

oFr eth otreh saovliacacrurd fstc,oar eht onyl seon erpnvo to vmipoer mrtaoyilt are istna,ts CEi,A BB p.es( ollavidrce ni traeh ari,)eful dan ntaco.oolersipn oneN fo theos eewr rnsewa oc,ehisc so DMD emenatrtt aws eht ebts .cehioc

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umpalumpa tlyA,lcua weghit olss nda iecexesr era hte olny uaemerss ot eaeesrcd oitytraml eotrh( ahtn atiss)tn in pt ihwt eirpdiam idpli lab ealvus. Im' otn able to apxelin yhw a iwal-eolcor ietd si wgorn ti( hdlous aeeercds ewg-&;hsdctgeeairt-e lmo)tiy;tra myeab eerth si on dicter cinaetlroro ni lincaicl sseitdu nebwee rlweola-ico dtie dan tlimry.aot +1

fhegedus neve uhtgoh i tog ihst ,rnowg i veilbee i ehva dfigreu otu ywh awecoolri-l tedi is .nogrw In the tsirf eecntsne of the snq,eiuot it sattse he sah lwo pepai.tet So we nac typter mhcu oniger tedi nda casloeir mfro hte q.enoitua +1

drbravojose I tkhin abyem 2 rseya nxet si hte key to sheoco paditen daenist of -colrlawioe hihwc teksa a lgno rmet to ekam tis ffcee.t +1

+6 upvote downvote
submitted by ∗strugglebus(189)

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stoM fo eth stp valsue reew rmno.al Drkningi tan'ws ootgusauer, LLD wsa mid,l MBI sha nief. eH did vahe HNT ouhtg.h ehT ibgtsge riks orftcas rae eth atfc ahtt eh dah fedsurfe an MI nda edtrtsa gnrfsfiue vreees niedepsrso ehi(gtw ynl)itxss/aoe. u,shT eh is emor ta riks rof isieucd.

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sohaib111 nW'to ghvani an MI eb a yrev gbi risk atcfro orf aernhto eon n ?Ad soal if hyet wnatde hits reswan e(th ns-a)raes,ndtpeit hwy loduw tyhe sujt add tath sih LDL si nseiigrna in eth stal n...seectne +14

dbg cb ryt'hee SsBO nad sBOD +33

doodimoodi aehY, edoedemmcrn DLL in ppeleo wiht psvieour thrae pomerbl si &l;t 001 jeze +1

asingh It si eseubca of the rmfmetiae fo omtlitrya si 2 ry,s verithgney esle wlli etacff trela +6

benny mdd eiacsnre MI +

benny eyTp 2 btedeais and morja ivdseepser rdsdorie DDM() are pdneeenndit nustbitororc to louaairacrsvdc edasise nda ot na rceeansid kirs of yaimodarcl afciointnr I).M( +

benny 4it1/wp4/Csthn..l:3nro/2/3mglwM.hpc/.vtwnc0aimes/Picb +

drzed oeNn fo the osaclrvuicrdaa oopntis loudw mripveo tilaoymrt sis(tatn, CAEi, B,B carnisoponleot aer hte onse atth eahv venpor mraiotytl tfeen.i)b oS fi yhte dha put oen of t,oehs I ihnkt I dlwou evha oehnsc t,hat tub gevni hatt teh tres od'nt nheacg ittroaylm ta ,lal I ntew twhi the eenpststdar.sian +2

ihatetesting yM ghinnikt swa ttah sncei eh adh an ,MI a eatb ecrlbok lwduo eiorvmp mlyitato,r and rlnopopraol si aosl esud as an nlyioxi.atc +2

+4 upvote downvote
submitted by ∗mbourne(118)

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I ithkn hatt fi hyet dha gehsnimot ekil sn"tait r"paehty sa an rwsane hiecco, we wuodl vahe an namteurg rof atht sa it dwluo eercdase loityarmt by pngielh revnpte THEOANR rhate cka.att eevHowr, I ikhnt tath anarsstd-teneip aryehtp lwli od a OLT ot rvnepet icid,esu lewhi e3agm-o aftty iadcs ale(yhth as tehy )rea otunwl'd od AS MUHC ot entrvpe a rheta attc.ak

heT utsineqo si yllabcsia ,kisgna Y"uo acn noyl iesbrercp eno fo eehts ot ekep tish edud eliva sa long as blosps.ie hhcWi oen ilwl vhea the bets aehncc ta oinhmcailcpsg ?ttha"

ohrfreTe,e teh waesrn uholds be rnae-nsitapedts ehtrpya.

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bharatpillai hyw nsteensdtpiaar apyehrt ohug?ht rheet rae not ugeonh refatesu gienv to gusgset e D'D.MsH 65 aersy o,ld otn an lreledy gisnle male so otn at the ihtsegh liscaasc""l oapilnptou ta irks of d?iceusi teh siqntuoe is os oaGii.gsu nbvu..me ,IM wotnd'ul nrchcio cacillhoo iakent oeedprssip mih to eddlita dyhiromypctaoa? +1

neovanilla I 'ntdo ieelevb it's ttha he sha DMD yb eth lniclica nieii.nfdot Ist' rome ttah hsi oQL has plyorbba hedcgna iartlalysdc ncise hte IM nad MIs are ysntlogr aaeisodstc wtih edersacde uolootk on i,fle lcpasieley dcoringsnie hwo comomn ti si ot egt a csndeo IM oosn reatf the tifrs. I tdon' wonk teh ststa on seudici -,MopsIt utb nhgiple the iettasnp' rensedipso to eakm ihm oerm tvria-eopc ot lhep eislhfm tvreenp aohenrt IM wdulo be ebrett atnh a" etid ihgh ni gaoem 3 F"As ta( lteas, tsih wsa my tfutoaii,cnjis as nebumro saw ais)ygn +2

drzed tisrF eetcensn fo teh mste: he sah a kw-6ee sirothy .g.e( ;&t2g )skeew fo npssoreide (),1 ufidltyifc elnsiegp ,(2) eguftai 3(), eescdread etpiatep 4,)( dan poro nienn/ratoocrcemtomy ()or F5 a isgsioand of ,DDM oyu ndee a 2 weke toyrshi fo 5 of eht SAPGECIS osystmpm whhci eh esmet e(h si nlyo nssmiig udcailis indietoa nad ietntser in ti)ei.vactsi suTh he meest teh cgnodstiia ierrtcai rfo a omjra edvesrisep eide,spo wihhc senma tath nattremet si tdacinedi thiw an .SSIR +3

+0 upvote downvote
submitted by ∗peteandplop(42)

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Can oenayn ipnalex hyw 'sti nto tnoacilix?y My cgloi wsa thsi dude sah a bum rkceti mfor vpierous I,M dan ihs HR saw ih1--0/4nimwch nat'c be ogod ofr eth odl t.erha I tnwe a/w tiilonaycx ot igrnb his HR nda xyitaen ernud l.ooctrn

luoWd na tssternaaeipdn do eth ea,ms ts,uh si it a treetb ,rneasw ro ceorv a rwedi ngera of otmm?pssy

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underd0g nA SISR lodwu ovrce otbh oerpdissne and xt.eaniy +2

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