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Kaplan Qbank USMLE



Author6 Posts
  #1

A 57 year old male with a recent history of an MI. Which of the following is associated with a decreased survival?

a) Avoidant personality
b) decreased platlet count
c) decreased serum catacolamines
d) major depressive eppisode
e) sexual dysfunction


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  #2

well i guess major depressive disorder

  #3

I'd go with "d" too

  #4

I think it's D too.

  #5

i think D

  #6

Depression may precede MI in 30 to 50 percent of patients. Depression is associated with increased morbidity and mortality following MI and CABG surgery; patients with depression were five times more likely to die during the initial 6 months following MI than nondepressed patients.

Frasure-Smith N, Lesperance F, Talajic M. Depression and 18-month prognosis after myocardial infarction. Circulation 1995;91:999–1005. [PMID: 7531624]


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