PEBC Psychiatry — High-Yield Clinical Scenarios

20 cards

• A 29-year-old with major depressive disorder has low energy and poor concentration. They also have ADHD and prefer an antidepressant that is activating and has minimal sexual adverse effects. Which drug is a reasonable option?
• A patient with depression has prominent insomnia and poor appetite. A sedating antidepressant is being considered to help sleep and appetite. Which drug is classically selected?
• A patient with depression reports reduced libido and delayed orgasm on an SSRI. The prescriber wants an antidepressant with a lower likelihood of sexual dysfunction. Which drug is a likely choice?
• A 72-year-old with depression is prescribed citalopram. They have a history of prolonged QT interval and take other QT-prolonging medicines. What is the key concern and what is the dose ceiling in older adults?
• A patient with OCD and depression is started on an SSRI. Which SSRI in the source table is specifically labelled as approved for OCD?

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