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Retired NBME Step 2 CK Form 8 Answers

step2ck_form8/Block 4/Question#1 (reveal difficulty score)
A 15-year-old boy is brought to the physician ...
Bupropion ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: psych

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submitted by โˆ—step_prep2(66)
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  • Patient with signs of major depressive disorder (too severe of a presentation for simple adjustment disorder), who should be treated with an anti-depressant, with Bupropion being the only antidepressant listed
  • First-line antidepressants: SSRIs, SNRIs, Bupropion, Mirtazapine
  • Benefits of bupropion: Mild stimulant effects, patient with comorbid cigarette use, helps patients with weight loss, favorable sexual side effect profile

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tinylilron  Bupropion= anti-depressant; Buspirone= treatment for General Anxiety Disorder +
lindasmith462  I mean it was def the only decent answer but its also third line at best in adolescents - especially one who isnt sleeping well.... its specifically approved in peds for depression refractory to SSRIs +1
charcot_bouchard  OMG IKR! This one was such a BS> like i know that Bupropion is not first line in paed. Also that line HE IS CONVINCED he is worthless and useless....like hinting some sort of delusion (depression + psychosis). Chose resperisone...later changed to bupropion because even in depression plus psychosis u need to treat depression first plus antipsych +
adong  worthlessness isn't delusion tho...that's just depression +1



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