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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stFri seetcnen of eht tm:se he has a 6ek-ew ityorsh .e.(g 2t&g; ke)esw of sreinposde (1,) idtiyfclfu geilnpes 2),( geituaf (3,) srdeaeecd iatpeetp )(,4 dna rpoo trycemoenctmoirnoa/n )(5

roF a gdsosinia fo MDD, you nede a 2 ekew toiyrsh fo 5 of the CASEIGPS msotmpys whchi he smtee (he si nylo nssigmi culiaisd onaiedit nda srtteien ni tv.sctia)eii suTh eh esmet the dicoisatgn ticarire rof a omjra eievesdrps peo,desi hchwi emsan atth etnmttaer is dieicdtan with an RSSI.

Fro the hoert aracosdlvucari rotfsca, eth lony neos onpevr to emprvoi lttarymoi rea t,aistns ,EACi BB pe(s. lldocivear ni rheat rfia)ue,l adn .ratlnnspcieooo eonN fo eshot wree rwnsae c,oscehi so MDD tmernatet aws teh btes hoccei.

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umpalumpa yllu,atAc ithewg ssol adn ieecsxer aer teh lony semuaers to esareedc ymattlior h(teor tanh a)snttsi ni pt ihtw eimarpdi liipd alb .eavlsu m'I otn eabl to alpniex hyw a ow-liaceolr idet is nworg i(t uslodh ereecdas c-gseweeh-agitrdet;& ;aiylmttor) ymeba teerh is on dticre rtaceniloro in cliinlac ustseid weeneb eliwolorac- tdie adn ytlomtia.r +1

fhegedus enev uhhtgo i got sith ,wognr i bivelee i have dfrgiue uto ywh e-iarllcoow tied si .rwngo In the trifs ncneeset fo teh iqontue,s it esatst he sha wlo ettpap.ei So ew nac perytt hmuc nreoig edit nad silcroae mrof hte u.ienaoqt +1

drbravojose I tihkn emyab 2 arsey nxte si eht yek ot scoeho iptnead enadist fo roowi-aclle hicwh kesta a nolg rmet to make its eetc.ff +1

+6 upvote downvote
submitted by ∗strugglebus(189)

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otMs of the pts salvue wree onram.l nngiriDk ast'wn ogsrtu,uoae LDL swa l,dim BMI hsa n.ife He did heav HNT gh.ouht eTh itesgbg iksr cfaosrt rae eht catf taht eh ahd fuedfesr an MI dan tseatdr niuffesgr rseeve psenesdior (htwgei soyxs.a/iten)l hs,Tu eh is eorm ta risk for ic.siude

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sohaib111 ot'nW gnhiav na MI eb a ryev gbi kisr tarfoc ofr onather oen d? nA olsa if tyhe ewtnda ihst resnwa ht(e aee-sniadrtpsn)t, ywh uoldw yhet jsut add ttha sih DLL si nenagsrii ni eth tals .entce.ne.s +14

dbg bc eyrhet' sBSO dan OBDs +33

doodimoodi ,Yhea emoedcdnrem DLL ni lopepe iwht iroepsvu rteah meoblrp si &;lt 001 ezje +1

asingh It is usaeebc of het irefmamte fo tmotryail si 2 ,syr ivetehyrng lese ilwl facfte lerta +6

benny ddm aesiecnr MI +

benny Teyp 2 dsibetea nda jmora sesvpeedri sdrerdio DDM() rea ndpneenteid tcusitoorbrn ot uvsaoacairrldc iedseas adn ot an ecsnreaid rski of alacdmoyri fiincrtnao )I.M( +

benny i3iwltsc4//Pvb/Cpotinwaphs/.4ml.rhc/m.t0n.eM/1wn2:3cg +

drzed Nnoe fo the slcaaicardvour oontisp duolw moiprev ttyolairm tss,an(ti ,ACiE B,B tospcanlenioro rae teh eson taht veha nvpoer aittylomr etifn)e.b oS fi ehty hda tup eon of otes,h I hintk I oluwd have oscenh ht,ta utb evign hatt hte etsr 'dnto ceghan oltitayrm at ,lla I wnet hwit the nepdrs.ttnseaias +2

ihatetesting My niihkgnt swa that eicns eh had na I,M a beta bockrle oldwu pmvoeri ortmi,tlya dna lranoopporl si laos sued as na xa.lciinyot +2

+4 upvote downvote
submitted by ∗mbourne(118)

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I tnkhi ahtt fi eyth had eishnmgot ekli atsn"it yhat"rpe as na wrnaes hoc,eic we lwdou evah an emgtnura rof ttah sa ti uldwo eaescrde rotlmaiyt by eihgnpl ertvpen ANOTEHR heart taakct. vHew,ore I hntik hatt streaenptd-nais tapryeh ilwl do a LOT ot rvtpene i,iduesc whlei o3g-mea tftya cdsai tlhhea(y as thye rae) ut'dlown od SA CUMH ot perentv a rheat .atackt

Teh qineusot si iclybaasl a,gskni ouY" can nyol rcbiprese oen fo heets to kepe isht ddue ilave sa ongl as l.sspeobi Wichh one ilwl aevh the bets ehaccn ta mhsogclpcniai atht"?

eofeherT,r the wsrane loudhs eb spnetdaeiartn-s eapyrh.t

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bharatpillai yhw neaesntspirdat yprtahe oghh?tu hrtee are ont ohguen fsatreeu enivg ot tgssgue esH. DDM' 65 yasre o,dl tno na elleryd nlsegi lema so ton at teh shghtei cs"csalal"i oouplintap ta kirs of scideui? teh iensqotu is os ubeo.g. sa.iumGniv MI, wn'lduot croinhc oolaciclh aktnie isppeserod ihm ot diadetl hmd?iataypcyoro +1

neovanilla I 'tnod liebvee 'its tath eh ahs MDD yb eth llcaicni ni.dentfioi 'sIt more taht ihs oLQ ash olyprabb hcnedag ailyasltcdr scein hte MI dan sIM rae rlnoytgs adtssiceoa hwit cdsardeee tookuol on flie, siyeelaplc degsinoicrn ohw nmoomc ti is ot get a noescd MI sono trefa het rif.ts I nodt' kown het sastt on iisduec MIpo-ts, tub henlpgi het 'taespnit spdoeirens ot kmae mih reom tecvriop-a to lehp hesmfil rnpetev teohnra MI wludo be better hatn "a idte hhig ni aomeg 3 F"sA ta( lstae, htis was my taisf,uciiotjn as mnobreu was y)aisng +2

drzed isrtF esectenn fo teh e:smt he ash a kwe-6e rsiytoh g.(.e g;2&t ekwse) of dsisrepoen (1,) tclidiffyu iselgepn (),2 tegiufa ,()3 aeddecser etpeitap (4,) nda proo aoc/creyniomnntetorm o5F(r ) a iaondsgsi of DM,D uoy dnee a 2 eewk hosrtiy of 5 of eth SSEIGPCA ytmosmsp iwhch he teesm (eh is oyln nimsigs diuliacs datenioi and ntieerts ni iav).iettics hTus he esemt hte sogdinctai erticair for a mojra sdepersiev oe,esdip whhci enmas ahtt ttmneeatr is nectaidid htwi an RISS. +3

+0 upvote downvote
submitted by ∗peteandplop(42)

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Can oeanny xiplnea ywh sit' not ociytn?iaxl My iglco aws tsih dedu sha a bum ikecrt ofrm sroivepu ,IM adn his HR saw w1mn-hi0i4ch/- 'ntac be godo rof eht old thar.e I nwet /wa oalinxyict to girnb shi RH dan aietxyn edunr tn.loroc

udWlo an dseasentitnpar do het emas, hus,t si it a eetrtb ewn,rsa or cvoer a rdwie ngear fo ?tmsopyms

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underd0g nA RSIS oudwl oercv btoh eiorspdnes dna ena.yxit +2

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