NBME 20 Antidepressant therapy (NBME Answers)

Retired NBME 20 Answers

nbme20/Block 2/Question#48 (reveal difficulty score)
A sedentary 50-year-old man with hypertension ...
Antidepressant therapy 🔍 / 📺 / 🌳 / 📖
tags: pharm

+13 upvote downvote
submitted by ∗drzed(332)

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sFrti ennseetc fo hte e:smt he sah a -e6ekw oythris g(..e 2&tg; ewkes) fo seoeinsprd ),(1 iiyfcultdf gpnilese )2,( geitfua 3,)( ddeareces aetpteip ),(4 adn orop naoettinceo/mmcroyrn )(5

rFo a iasoinsgd of DD,M ouy ened a 2 week ohstryi fo 5 of eth EISPCASG ysosmmtp ichhw eh steem he( is lnyo ignmssi ucaidlsi noiteida nda treintes ni a.ivetstc)ii uhTs he smete eth cniotsdagi eairctir for a raomj epvdiseres oedei,sp hchwi msaen ttah arenmttet si ceitnaidd whti na R.SIS

orF eth ohert aaccsarorvudil rc,osfta teh only ones neoprv to mrveiop imltotary rae t,tissna iA,EC BB sp.(e ivlralcdeo ni reath ielufra), adn nsrancopieolto. nNeo of hoest were nerwas eio,hccs so DMD raenettmt asw the setb ice.hoc

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umpalumpa uyc,altlA hgewit lsso dna recexsie are the lnoy merseaus to rescdeae oyilatmtr heto(r ahnt ns)aitts in pt tihw meaidpir lpidi bal lusea.v 'Im ont ebla to lxipnea ywh a lor-ewiloac edti si wognr t(i losduh dereaesc greegehtct&-wds-iae; r;l)iottmya mabey heetr is no ceitdr arnitcooerl ni ilcnlcai edstsiu eebewn llaieoc-row itde nad .otirltmya +1

fhegedus eevn hhotgu i got isht gwnor, i eveiebl i eavh rudifge uto wyh c-iwolarole tied si nwo.rg In eht ftsri ncnsetee fo eht soq,itenu it setsta he sah olw itpa.epet So ew anc rpttye hcmu eingro ited dna carolsie rfom eht on.qieaut +1

drbravojose I ntkih abmye 2 resya etxn si eth eky ot soheoc tandeip iednsta fo w-laocroile wihhc tkesa a gnlo trme to amke its .teffec +1

+6 upvote downvote
submitted by ∗strugglebus(189)

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tosM of het tps vlseau reew .amlron rDikning s'wtan uge,ootusar DLL saw d,mli IBM hsa fe.ni He did avhe HNT gouh.ht The sbgetig ksri foacstr are the fcta that eh dha frfeudse na MI nda radstet sefguifnr sveeer ndpreeisos etig(hw tlyas).nios/ex s,Thu he is emor at srik fro ici.edus

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sohaib111 'Wnot ihgavn na IM be a yevr big irsk acfotr rfo aterhon eno A?dn saol fi hety adewtn ihts arwesn h(et n)pes,-tdaisarent yhw dwlou heyt just dad that his LLD si rsigeanni in eht slta .t.sneecen. +14

dbg bc ty'heer sBSO nda DBsO +33

doodimoodi ahYe, rmeomeencdd LLD in eepplo thwi erpisovu haert melobpr is l&t; 001 jzee +1

asingh tI is seubeca fo teh etmfraime fo olmyiattr is 2 ,yrs nvyeeghtri eles lilw caftef eratl +6

benny ddm escreian MI +

benny yepT 2 bsiaedet dna romaj evrisdpsee ierdsord (MDD) aer nnededitnep ostcunroirbt to aurcascrdiolav sesadie nda to na irneedsca ksri fo aoiylcrdma icofnntari )(.IM +

benny smP2n3w/Me4./1n4t/:.ppohg0tm3c.ch/Cil.savlri/wbwnt/ci +

drzed eonN of eht ccovalaudairrs npostio ldwuo imorpve ytlmiarot itssnt(,a EA,Ci B,B ncpeolooinrast rae teh esno atht heva norpve ramtilyot nfeibe).t oS fi yhte had tpu oen of htoes, I nktih I luwod veha oshecn h,tat tbu veign thta teh sert ndt'o cnehag tlotmraiy ta all, I wnte hwit het iretsdnaps.naste +2

ihatetesting yM nnihtigk was ttah secni eh had na MI, a abet cklrebo olwdu voempri tyrm,ltoai dna aooonrlrlpp is aols sdeu as an aiin.ycxtlo +2

+4 upvote downvote
submitted by ∗mbourne(118)

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I tinkh ttah if yteh adh emsthongi leki t"astin rhe"tpya as an nrsewa hcceo,i we ludwo aveh an ermgtnau fro hatt as it ldowu reeacesd ytrimtloa by ehlngpi tnpevre ORATENH atehr ttkc.aa ereHovw, I kniht ahtt nnaeitdtrspesa- harpeyt illw od a TOL to nvpeter cus,iide wehil mgea-3o ytaft iscad hthlay(e as ehty aer) wldt'uno do AS UMHC to npvetre a erhta akctat.

hTe qunesoit si ciaysalbl ,nkgsai "oYu acn lony rrbiecsep eon fo teesh ot kpee itsh edud aivle sa nolg as e.sosbilp hichW eon liwl aevh het tbse hcneac at lcihcgmnaospi atth"?

eeThefrr,o het erswna hsoudl be seaseanttn-rpid at.yhpre

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bharatpillai hwy ainrnaesptsedt ypahret ho?thug herte aer otn huoneg ftsaereu ingve to sesgutg 'seD HD.M 65 esyar ,odl tno na ydlelre iengls male so tno at eht ghtheis isccla"las" lnoppatiuo at isrk fo isiude?c teh itnesquo is so vm.ine.uiG.obau sg ,IM odu'ltnw hcnciro lcolhiaoc akniet rpdpesoeis mih ot teiddla ymoidachytpo?ar +1

neovanilla I 'tnod eleibev it's ttah eh ahs MDD yb eht licalcin nieitfn.dio It's ermo htta his LoQ sah yrploabb ngeachd lctdayrasil ecnsi the IM and IsM are tgysolrn cdoaaetiss twih dasrcdeee tooukol no ,lefi clpyailees ioicnndgers woh mcnmoo ti si to get a cedons MI oons earft eth ri.tsf I ndot' wnok het sttas on iusceid sIM,o-pt utb gheilpn teh pe'anistt prsoedseni to keam hmi more a-rpecvtoi to hlep hsflime rvpenet aoetnhr IM olwud eb trtbee ahnt "a ited hhig ni maoge 3 F"As ta( al,ets isht aws my iiacuttfnsij,o as oebnurm wsa gsy)ani +2

drzed rFtsi ceetenns of eht :mset he has a e6wek- yhitosr ..eg( t2;g& )eewsk of osrdnieesp 1(,) tcfiifdyul ielpgsen 2(), tigufea ,()3 eecesradd eteapipt 4(), and proo rcnintmo/yetmceoonra )5Fro( a ngisiosad fo D,MD you ende a 2 kwee tirsyho of 5 of eht GESSCPAI ytmosmps hciwh he tesem he( si yoln gssnmii luiiascd dtiieano adn estretni ni isviiatc)et. Tshu eh etmse eht dagiconsti raeirict rof a rmajo esvdsierpe pisod,ee hiwhc saemn hatt enrmaettt is adntieicd hwti an .SIRS +3

+0 upvote downvote
submitted by ∗peteandplop(42)

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Can neyoan laxinpe hwy st'i ont noal?iityxc My cilgo was tish uedd sha a mbu ecitkr mofr rpuioves ,IM adn sih RH saw 4--mh0hii/n1cw tcn'a eb doog rof teh dol t.rhae I tnew a/w cilyxintao to gnrib his HR dna txiyean edurn n.crtolo

uoWdl an snpatrnistdaee do teh aem,s ,sthu is it a rbeett esanrw, or rveco a irwed arnge of ?pmmotsys

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underd0g An SIRS oldwu cveor hbot iesespdnor dna atix.ney +2

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