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NBME 17 Answers

nbme17/Block 3/Question#40 (8.5 difficulty score)
A 26-year-old-woman comes to the physician 5 weeks

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submitted by 8ames(3),

Sertraline (SSRI) that inhibit 5-HT reuptake is a known treatment for OCD. Other treatment include SNRI (fax)

Methylphenidate = ADHD

Haloperidol = Tourettes

submitted by surfacegomd(1),

FA 2020 page 563 OCD Obsessive-compulsive disorder treatment: CBT and SSRI's. Second line: clomipramine and venlafaxine.

submitted by j44n(107),

this lady has eithe OCD or an anxiety disorder both first line for tx is an SSRI-> she washes her hands 30x a day and wakes the poor baby up 14 times a night. She's got multiple repetitive behaviors that aren't productive to solving the perceived problem

submitted by victorlt14(1),

I think my mistake here was failure to recognise she had similar symptoms for 2 months prior to delivery. For postpartum depression/psychosis symptom onset would be 4 weeks from delivery. Thus a previous diagnosis of OCD would be more likely.

Answer: SSRI (1st line for OCD)