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nbme24/Block 2/Question#38 (26.3 difficulty score)
A 65-year-old man comes to the physician ...

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submitted by neonem(570),
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adisdiadochokinetic  Another reason not to use TCAs (or alprazolam or haloperidol for that matter) is that the Beers criteria state to avoid the use of all of those drugs in patients over the age of 65. +16  
t123  The cardiac stuff is not a distractor - MDD is common after an MI, and a very poor prognostic factor (reinfarction) +8  
therealslimshady  Beers criteria also says avoid antidepressants though. +  

submitted by madojo(176),
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