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(333)

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Ftris tecnseen fo teh te:ms he hsa a e-kwe6 ryiotsh g..e( &t;2g k)wese of npresoside )1(, ytufcdliif gelnpeis (2), agietfu 3,)( eaecddres patpeiet 4),( nad opro rotmeet/nnrnaioymcoc )(5

Fro a gsaodiins of DM,D ouy ndee a 2 ekwe hitsyor fo 5 fo the ISCAESGP pmtsoyms hcwih eh eemst eh( is onyl isnigms sludaiic toeadnii dan ertstnei in it)caevsiti. uhTs he tseem eth tngdsicoai rrtiecia for a rmoaj srivpseeed ,odiepse chwhi aemsn atht tnrtemeta is eainddtci ihwt an RS.SI

orF the hroet csruraclaadvoi ftsoac,r het yoln oesn rpvneo ot orepvim oiatyrmlt ear niastt,s E,ACi BB s(.pe lcradvolei ni etrha ru,eif)al nda saocrenip.otlno Noen of ethos erew sneraw ohicesc, os DMD teemattnr was hte bste c.eohic

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umpalumpa ya,tclAlu iegwht slso dna csexeire are teh nylo ussrmeae ot eseredac royalmtti heot(r ntah t)stnias in tp tihw dpairime pdiil lab avulse. I'm not bale to xapeiln why a ewicaollro- diet is wognr (ti ldsuho eaesdrce icegs--eete&;grwdath toamiy;tl)r emaby erhte si no dcriet tooilrncare ni inacclil etusdis ewenbe llra-iewoco edit nad oay.mrittl +1

fhegedus vene hghuot i tog hits r,nowg i eilbeve i vhea eurgdfi tou wyh ooiecal-lrw tdei si r.wong In het rtfis eenetscn fo the iuqn,sote it atstse he hsa lwo eiatp.ept So ew nca rytpte mhuc rgieno dtei and crlseaio fmro hte et.qaiuon +1

drbravojose I iknht eaymb 2 rsyae netx si teh yek ot cesooh dpietan ienstad fo l-eraiclowo cwhih taske a nolg etrm to akme its .tfeecf +1

+6 upvote downvote
submitted by ∗strugglebus(189)

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stMo fo het tps uaelsv erwe .anolmr niiknDgr w'satn ut,useooarg LDL asw ,imdl MBI has .feni He idd evah NHT thh.ogu heT bstggie irks roatfsc rae eth acft that he adh feurefds na MI adn sdrtate egufinfsr servee essiordpne i(wgthe ela/i)nsx.ytso ,Tush eh is ermo ta rkis for iscud.ei

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sohaib111 'ntWo gavnhi na IM eb a vrye big rski rtfcoa fro rthneoa eon ?dAn asol fi thye dwtnae htis ernwas (eth itpatessr-e)nnd,a ywh uwodl ythe tsuj dad tath sih LDL si rannseigi in eht tsla tens..n.ece +14

dbg bc eyh'rte SOsB and BODs +33

doodimoodi Yh,ae medreedcmon LDL ni oelpep htwi sorpivue ehtar orlbmep si t;l& 100 eejz +1

asingh tI si csebeua of teh rmtmeefai fo aytimltro is 2 sry, etenygrivh lese liwl cetaff artel +6

benny dmd anrcsiee IM +

benny Tpye 2 tedsaieb dna roamj evsedpesri sdoirrde )DMD( aer edtnenidnep urnocrtstiob to rlouadcacvisra deesisa nad to an reedaicns ksri of aamycodlri oactninfir .MI() +

benny /.egc4Pcl/trn4tiatso/s/C1n0pMw/p.w/mhln:.i32.bi3mhvcw +

drzed enNo of eht avouldicsarcra otpsnio ulwod eporvmi yrtimotla ,(iatstsn AEiC, B,B rtnooipalsnceo rae het seon atht heav pveron lomryiatt ebtnf.e)i So fi yeht hda upt neo fo seot,h I nthik I dluow haev ochnes ttah, utb gievn htta the sret tndo' eacgnh amiylrott at all, I tnew wthi het .pssitntraeasden +2

ihatetesting yM tihinngk saw that ncsie eh had an MI, a ebat ekbolcr ldwuo opirmve l,oryitamt nad pooprrlolna si laso esdu sa na ixi.alcynot +2

+4 upvote downvote
submitted by ∗mbourne(118)

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I ihtnk ahtt fi ehty dha ihmsognet ilek tinsa"t "ertyhap sa an rwaesn co,iceh ew luodw veah an uetmgran orf hatt as ti dwoul eecrsade rmltyitoa by hgeipnl rventpe HNTOAER rheta atcta.k How,erve I itkhn ahtt -retaesdntipans etyhpar lwli do a TLO ot vetrnpe di,eucis ehwil e3m-ago taytf dicsa hay(leht sa ythe )ear lwtuno'd od AS MHUC ot envertp a hraet t.ctaak

ehT neosutiq si abilsalcy nisagk, u"Yo anc yoln crsrieebp noe of shete to eekp htsi uded evali sa ongl sa s.siepobl Whihc eon wlil ehav het tbes hcneac ta cghsonicmlipa a?"htt

eheTrorfe, eth werasn lhdsuo eb r-eitdatnpasnes rpa.etyh

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bharatpillai ywh nptrasaesdient htpeary ot?hguh heter are ont nuhoge reasueft nvgie to ueggsts D MD's.He 65 ysrae l,do not an dyeellr legnsi mela so nto at het gistheh as"i"clalsc loappution ta ikrs fo iicudes? eht tsiqnoeu is os bn Guosmg.ei.i.auv MI, nou'wdlt rhcoicn acolhocil iatenk seredppiso mhi to liaddte ?paoamtycirdhoy +1

neovanilla I n'dto elibvee it's atth he has MDD by het cnlalici nidtiien.fo sI't omer tath ihs oLQ has abbpryol egnachd aaydlcltisr cisen the IM nda MIs aer osntglyr dcsteiaaso hiwt rcseedaed uotkolo on l,eif eylcileasp eigoircdsnn ohw oncmom ti si ot etg a ocnsde IM osno ftera eth .frist I 'tond oknw the tstsa no dseicui osI-pM,t btu lepnghi eth tstpane'i pnidseroes to aekm ihm emor vora-teicp ot hpel hmsflie etevprn tonhaer IM wodul eb retetb tnha "a eitd hghi ni egoma 3 A"Fs t(a lta,es shti wsa ym j,naiufstoiitc sa mnurebo aws sigay)n +2

drzed rtsiF tnesence of eht mts:e he sah a k-ee6w tiysohr g.(e. 2t;g& )ekwes of snesirdope ,1() ifctduyfli lpiensge (2), guitaef (),3 ddseeecar paitpeet )4,( nda oorp eayccmeoirno/nnttrom Fr)(5o a isnaodgsi of ,DMD oyu ndee a 2 ewek hystroi fo 5 of hte IGESCPAS ymtsomsp wihch he eetsm he( si nylo smsnigi diisuacl oteiniad dna itesntre in aicstviei).t hsTu he stmee eth dcisioatng creiairt for a joamr iresepdesv di,peeos ciwhh asemn hatt rmteteant si nditdaiec whti an RS.SI +3

+0 upvote downvote
submitted by ∗peteandplop(42)

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nCa noeyna anplexi why s'it ton ?aliticnxyo My olgci wsa hsti udde ash a mbu crietk morf uiorpsev M,I and ish RH was 4-mc1ihi/0nw-h 'tcan eb dgoo ofr het odl t.reha I ntwe /aw oianytlicx ot ibrgn his RH nad tainexy nedru .ontolcr

uolWd an ataestnriednps od eht ms,ea shu,t is ti a etrebt s,nraew ro oecrv a ridwe gnrae fo mosytm?sp

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underd0g An ISRS woldu rvoce both nosseirdep dna tya.nexi +2

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