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psychiatric Q - fadd
#1
A 30-year-old woman presents to her primary care physician with multiple symptoms of depression. She complains of about 2 months of feeling sad and anxious. She describes difficulty falling asleep at night, decreased appetite with a 15 lb weight loss, diminished interest in her hobbies, and poor concentration. The patient denies any other problems. Physical examination is within normal limits. The patient and her physician discuss initiating treatment with a selective serotonin reuptake inhibitor (SSRI). Which of the following would be the most important additional information to gather before starting the SSRI?

A. Family history of depressive episodes


B. Family history of alcoholism or drug dependence


C. Past history of hypomanic or manic episodes


D. Past history of kidney diseases


E. Past history of obsessions or compulsions

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#2
c//
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#3
Agree. Bipolar should be treated with mood stabilizer.
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#4
hypomania will worsen with SSRI
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#5
C. is right.
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