need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
search for anything ⋅ score predictor (โ€œpredict me!โ€)

NBME 17 Answers

nbme17/Block 3/Question#40 (reveal difficulty score)
A 26-year-old-woman comes to the physician 5 weeks
Sertraline ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags:

 Login (or register) to see more


 +4  upvote downvote
submitted by 8ames(4)
get full access to all contentpick a username

Sertraline (SSRI) that inhibit 5-HT reuptake is a known treatment for OCD. Other treatment include SNRI (fax)

Methylphenidate = ADHD

Haloperidol = Tourettes

get full access to all contentpick a username



 +0  upvote downvote
submitted by โˆ—surfacegomd(3)
get full access to all contentpick a username

FA 2020 page 563 OCD Obsessive-compulsive disorder treatment: CBT and SSRI's. Second line: clomipramine and venlafaxine.

get full access to all contentpick a username



 +0  upvote downvote
submitted by โˆ—j44n(141)
get full access to all contentpick a username

this lady has eithe OCD or an anxiety disorder both first line for tx is an SSRI-> she washes her hands 30x a day and wakes the poor baby up 14 times a night. She's got multiple repetitive behaviors that aren't productive to solving the perceived problem

get full access to all contentpick a username



 +0  upvote downvote
submitted by victorlt14(5)
get full access to all contentpick a username

I think my mistake here was failure to recognise she had similar symptoms for 2 months prior to delivery. For postpartum depression/psychosis symptom onset would be 4 weeks from delivery. Thus a previous diagnosis of OCD would be more likely.

Answer: SSRI (1st line for OCD)

get full access to all contentpick a username



Must-See Comments from nbme17

cassdawg on Membrane lipid peroxidation
cassdawg on Haemophilus influenzae type b
cassdawg on Pelvic Splanchnic
cassdawg on Actinic keratosis
cassdawg on Early septic shock
cassdawg on Epinephrine
flapjacks on Placebo effect
cassdawg on 0.9% Saline
waitingonprometric on Tubular adenoma
bingcentipede on Surface kappa:surface lambda ratio
cassdawg on Free T4
tinyhorse on 25%
cassdawg on Absence of functional LDL receptors in ...
bingcentipede on Residual volume: โ†‘; Arterial PO2: โ†“; ...

search for anything NEW!