NBME 20 Antidepressant therapy (NBME Answers)

Retired 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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rtiFs ectnnsee of the e:smt he sha a -6ekwe yshroti .g.(e ;t&g2 es)wke fo dopsesiren 1(), lfcitduyif ipesgenl 2(,) gufaiet 3(), ecsaederd tptepiea )4,( dan roop myoncetnarteomi/ocrn 5)(

roF a disonaisg of DM,D yuo deen a 2 kewe troihys of 5 of eth SIEGACSP styospmm iwhch he temse he( si yonl gsiisnm lausiidc itoinaed dna ntsretie ni i.ititesca)v uTsh eh eetsm eth coasidgitn iaietrcr fro a jorma vseeriesdp poseedi, ichwh seamn that tmrentate si ietadcind itwh na IS.SR

roF hte rehto ccrosavdiulaar s,ofratc eth nloy enos nrevpo to voerimp rtyomtali rae nstasit, AEi,C BB ps(.e eoilvclrda in rheta )luafrei, nad palinoootne.crs neoN fo shote rwee aesnwr ciocshe, so MDD trettanem saw the etbs cehi.co

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umpalumpa ulaAtc,ly wiethg sosl nad iereexcs aer teh loyn suerasem to aereesdc atyltiomr (otrhe nath tntis)as ni pt whit imrpdeai pidli alb aeuvs.l Im' not elba to xelinpa why a lworlciea-o diet is owgrn t(i usdohl asedecre taet&ce;-ewgrihgsed- a)ltt;riomy ambye herte si on triecd errlnoictao in ailncilc seiutsd ebenwe ocriwle-alo diet and tyomr.ailt +1

fhegedus eevn hugtoh i gto hits gorwn, i eevbile i evha ifegdur uto wyh owieaocl-lr iedt si rnwo.g In the fstir ecnntees of teh nqoseiut, it tsetas eh sha low p.ttpeaie So ew anc ttrepy mhuc irnoeg ietd nad oaielcrs ofrm eth euto.niqa +1

drbravojose I tiknh embay 2 eaysr exnt si eht kye ot ecosho enatidp tnasdie fo wcoai-elrol chihw akest a olng mter to amke its ef.fcet +1

+6 upvote downvote
submitted by ∗strugglebus(189)

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osMt fo the tsp alvseu eerw r.amnol rnkigiDn w'astn tou,ogesrau LDL swa dl,im IMB hsa .efin eH idd heva HNT .hgothu Teh stggebi skir orfcast ear teh ftca htat eh dah erfeufds an MI dan drtaest efsuingfr seeerv insdpeseor w(ehigt aso/.n)lixsyte Tuh,s eh is ermo at kris ofr isicue.d

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sohaib111 'Wton vanigh an MI be a revy ibg rski fatrco ofr natrohe neo ?An d lsoa if ehyt anedtw ihst awsrne t(eh t)ae,srsntnipad-e yhw lodwu yeth tsju dad ahtt shi DLL is iegnsrian ni eth lsta ntn.seee..c +14

dbg bc e'ryeht OBSs nda DOBs +33

doodimoodi eh,aY neceerddomm LLD ni poepel whti resvpuoi retah emoblpr si ;lt& 100 ezej +1

asingh It is eeuscab fo het mrteefami fo lmtyatroi is 2 ry,s tieghyvnre lese will efatcf eltar +6

benny mdd neseiarc IM +

benny eTpy 2 eaeibtds adn mroaj eiseedpvrs orrsdide DM()D rea entipnended irbootrcntsu ot adscavircurola eeisdsa nad ot an rinscaede srik fo iaymlacrdo aoftirinnc M(I). +

benny bcts4wtC.e3c3iopv2/4inlwr/./P:m./h0w/mpMh1c.asg/intln +

drzed eNon fo het iralsaduracvoc nospito oulwd irovemp aymtilrto stna,i(st A,CEi ,BB annoscolroeipt ear eht nseo htta vhae rnovpe tlirmtyoa bfeie.)nt oS if yeth dha tpu oen of th,soe I htnki I wdolu aveh henocs ,ahtt btu enigv htat eht sret dnto' hgcnae iymttlaor at a,ll I entw ihwt het tanpnsrset.dseia +2

ihatetesting yM gknihitn was htat eicns eh dha na IM, a tbea cbrkloe lwudo ievompr ,lomtairyt nad olpnoalorrp si osal usde sa an cayioti.lxn +2

+4 upvote downvote
submitted by ∗mbourne(118)

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I hnkit atth if hety adh esmnohigt ilek nsti"ta y"peatrh as an nswear io,cehc we doulw veah na eanutgrm rfo ttah sa ti ulwdo rdseeeac ytmaortil yb ihpengl ernpevt OARTENH rhtea acttk.a verweo,H I hktni atht aidresnpt-atesn eyrphat lilw do a OTL ot evneprt iids,ecu wlieh a3-omeg attfy dacis h(aehtly sa yteh )ear low'undt do SA MCHU ot vneptre a hreat aat.tck

heT qutsenio is caiylsbal kisang, Y"ou nac loyn srerpbiec eno fo sethe ot ekpe tihs deud lvaei sa ongl as elbsspio. cihhW neo ilwl vhae hte ebst ecahcn ta gpnmsohaclcii t?th"a

reroeThfe, teh rwneas hdlsuo be per-eatdtsnnais .rhtpyea

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bharatpillai hwy ntserdepanisat haepytr gtuoh?h rethe aer nto hngoue sftueera igevn ot ustgsge MDse'D .H 65 aesry dl,o otn an dlrleey nlgise lmea so not ta eht sgiehht ssac"c"lail inaoultppo ta skir fo uisiecd? eth suntqioe si so .go .i.Guseunvibam ,IM dto'wnlu onrhcic cahlcolio ntakie opedpssrei him ot tliadde rpitydyoaoah?cm +1

neovanilla I do'tn lbeeeiv ti's taht eh sah DDM by the llciniac iii.onfedtn st'I eomr htat ihs oLQ ahs lobyarpb cadgenh adtlyclrias enics eth MI dan MIs rae rotsglny estdacsiao whit ceadsrdee kltouoo no fli,e iayesclepl ciirnondges owh momcon it si ot teg a noecds MI osno farte teh s.frti I tnod' nwok the attss no dceusii oI,-sMtp btu pleihng teh siapntt'e nosseidrpe ot make mhi oemr toae-ivcpr ot help hmfsile tvenrpe rtaneho IM lwoud eb brttee nath "a ietd hghi ni amego 3 sAF" (at lste,a tihs wsa my asi,ijtuitcnof sa monuebr saw anyisg) +2

drzed tsrFi sntecene fo eht :stem eh sah a we6e-k ioyhrts g(.e. g;2&t ek)swe of esnserpdoi ),1( iftciuylfd nlegsepi ,2)( egfuita ),(3 dsaeecred tptpieae 4),( dan opor nrcmeeantcmotyoonir/ ) ro(F5 a agsisidno fo MD,D uoy ened a 2 ekwe yhtiors of 5 of eth SECGAISP omypsstm wichh eh steem (he si nyol ssiigmn idscilua oentaidi and rseitten ni ie.cistavti) uThs he emets the nogcsaidit irritace fro a moraj seidrpeesv esipode, wchih neams ttah mettetnar is eicitndda iwht na SIRS. +3

+0 upvote downvote
submitted by ∗peteandplop(42)

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Can oanyne aniplxe yhw ti's not lcixtina?oy yM giloc saw isht dedu has a mub rikect rmfo usiveopr I,M adn hsi HR asw c-/in4-hh0imw1 'acnt eb ogdo rof het dol athr.e I tnew w/a ynoiatclxi ot rgbin hsi HR adn xtnyeia udern locront.

uWold an pidetnatssrane od teh sem,a ,uhts si it a rbttee sraew,n ro ecorv a rwied ragen of sy?mosmpt

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underd0g nA SIRS woldu ceorv tohb esosnerdip adn axeny.ti +2

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