Are these statements TRUE or FALSE?
Though the links to the relevant articles are provided, you DON’T have to re-read that article. Correct answers are given in just few sentences.
1. Presence of “atypical features” in a major depressive episode suggests that instead of borderline personality disorder, the person is more likely to have bipolar disorder.
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Answer: False
Explanation: Atypical features are more likely to be present in depressive episodes in persons with a bipolar disorder AND also in persons with borderline personality disorder. When atypical features are present in a depressive episode, we are also more likely to find a history of psychosocial trauma, seasonal pattern, and obesity.
Review: What to assess for if atypical features are present in a depressive episode
2. If a course of treatment with intravenous ketamine or intranasal esketamine for difficult-to-treat major depressive disorder is planned and the patient is on a psychostimulant, the psychostimulant should not be given on the morning of each ketamine/esketamine treatment.
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Answer: True
Explanation: Ketamine/ esketamine can lead to a temporary increase in blood pressure immediately after they are administered even in patients who are not on a stimulant. If the patient is on a stimulant, the increase in blood pressure may be greater. The good news is that the increase in blood pressure related to administration of ketamine/ esketamine is temporary. So, for patients who are on a stimulant medication and need to continue it, a sufficient precaution may be to ask them to just not take the stimulant on the morning of the ketamine/ esketamine administration. Many leading ketamine treatment centers follow this practice.
Review: Stimulants in a patient receiving ketamine/ esketamine?
3. Migraine headache is unilateral in the majority of cases.
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Answer: True
Explanation: We typically think of migraine headache as being unilateral and as throbbing in nature. It is true that migraine headache is unilateral in 60% of cases and throbbing in 50% of cases, this also means that it is NOT unilateral in 40% of cases and NOT throbbing in 50% of cases. Why is this important for us as clinicians? Because we should NOT fail to consider migraine as the diagnosis when the headache is bilateral and not throbbing in character.
Related Pages
365 Advanced Topics in Psychopharmacology: Quiz 20
365 Advanced Topics in Psychopharmacology: Quiz 21
365 Advanced Topics in Psychopharmacology: Quiz 22
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