Correct answer for yesterdays USMLE-style question is E! See explanation below. Any questions? Ask and well answer! E) Bipolar disorder with SSRI-induced mania. One classic feature of bipolar disorder is that treatment of the patient’s depressive symptoms with an SSRI (such as fluoxetine) can throw the patient into full-blown mania. The patient in this vignette had clear symptoms of depression--more than 5 of the SIG E CAPS components for greater than 2 weeks--so treatment with an SSRI like fluoxetine was appropriate. Explanation of incorrect answers: The patient’s reported symptoms after taking the SSRI were consistent with mania, which is characteristic of bipolar disorder; the presence of these symptoms rules out uncomplicated major depressive disorder (B). Schizophrenia (A) and depression with psychotic features (C) are both characterized by psychotic features such as delusions, paranoia, and hallucinations. Panic disorder (D) is characterized by brief recurrent episodes of intense fear and discomfort, while agoraphobia is fear of being in public places; this patient exhibited none of these symptoms. firecracker.me
Posted on: Thu, 29 May 2014 15:31:41 +0000
Trending Topics
Recently Viewed Topics
© 2015