Order therapy for treatment resistant depression

Order therapy for treatment-resistant depression
Order therapy for treatment-resistant depression
A
clinician
is
considering
combination
therapy
for
treatment-resistant
depression.
Which
of
the
following
combinations
has
the
most
potential
for
serious
adverse
reactions?
(A) Bupropion and fluoxetine
(B) Buspirone and nortriptyline
(Q) Paroxetine and desipramine
(D) Phenelzine and lithium carbonate
(E) Venlafaxine and tranylcypromine
2
Which of the following conditions is most commonly
comorbid with prepubertal bipolar disorder?
(A) Attention deficit hyperactivity disorder (ADHD)
(B) Autistic disorder
(C) Separation anxiety disorder
(D) Tourette’s disorder
3
A 39-year-old actuary for an insurance company is
offered a substantial promotion that will require her to
move to another city. Her new office will be on the
23rd floor of a high-rise building. She informs her psy-
chiatrist that she is “terrified” of riding in an elevator
and terrified of heights, but desperately wants the
new job. Which of the interventions listed below is
most likely to be successful for her?
(A) Cognitive therapy
(B) Hypnotherapy
(C) Insight-oriented psychotherapy
(D) Selective serotonin reuptake inhibitors
(E) Systematic desensitization
4
During resettlement, a refugee takes on the values and
attitudes of the new culture and does not retain his
original cultural values. Which of the following best
describes this process?
(A) Integration
(B) Assimilation
(C) Separation
(D) Marginalization
5
Parasomnias can be differentiated from dyssomnias
because parasomnias involve abnormalities in which
of the following aspects of sleep?
(A) Amount of sleep
(B) Initiation of sleep
(C) Physiological systems that occur during sleep
(D) Quality of sleep
(E) Timing of sleep
6
A 27-year-old male patient with an initial episode of
schizophrenia is treated with risperidone at an initial
dose of 2 mg daily, and after 1 week of treatment he
no longer experiences agitation. By the third week of
treatment, with gradual titration of risperidone to
6 mg daily, his delusions and hallucinations are sig-
nificantly improved. At week 4, he describes some
trouble sleeping at night because of restlessness but
reports that he is much less fearful and no longer
hears voices. When seen for a scheduled appoint
ment at week 6, however, he is noticeably drooling
and is in constant motion, rocking back and forth and
fidgeting in his chair. The side effect of treatment that
he is most likely experiencing is:
(A) akathisia.
(B) neuroleptic malignant syndrome.
(C) restless leg syndrome.
(D) serotonin syndrome.
(E) tardive dyskinesia.
7
A patient takes a medication for bipolar | disorder
throughout pregnancy and delivery. The newborn is
noted to be cyanotic and in respiratory distress. An
echocardiogram reveals significant displacement of
two leaflets of the tricuspid valve into the ventricle and
a large atrial septal defect consistent with Ebstein’s
anomaly. Of the following medications, which was
the woman most likely taking during her pregnancy?
(A) Carbamazepine
(B) Gabapentin
(C) Lithium
(D) Topiramate
(E) Valproate
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