Jackofknives
Ipwnpoker.com
Topics: 91
Posts: 708
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A 65 year old physician with no history of psychiatric problems reports that over the past 3 months he has having difficulty sleeping through the night and has lost his appetite for food. He states that if he had been a better doctor, some of this patients would not have died, and he reports that he has lost 25 pounds since the previous year. The most appropriate next step in the management of this patient is
An antidepressant
An antipsychotic
A benzodiazepine
Psychotherapy
A medical evaluation
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There are many things in this world that can’t be changed no matter how hard you try. That’s why you must not hesitate when the time comes where you have to give it all you’ve got.
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| po
Forum Elite
Topics: 39
Posts: 356
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A medical evaluation
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| titly
Forum Elite
Topics: 18
Posts: 293
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an antidepressant????
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we spend our days waiting for the ideal path to appear in front of us, but, what we forget is paths are made by walking, not by waiting. keep walking................................
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| Jackofknives
Ipwnpoker.com
Topics: 91
Posts: 708
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All the questions iv posted are from the BRS book latest edition, ill note down which answer is correct in numerical order and which page the question is at. Im not going to post the explanation unless requested.
(5) B213
___________________
There are many things in this world that can’t be changed no matter how hard you try. That’s why you must not hesitate when the time comes where you have to give it all you’ve got.
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| paheli
It'sAllAboutGoodKarma
Topics: 177
Posts: 2,367
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medical eval.
i think the significant factors here are loss of sleep, appetite and loss of significant amount of weight.
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Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
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| Jackofknives
Ipwnpoker.com
Topics: 91
Posts: 708
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"The most appropriate next step in the management of this depressed pt, who has no previous history of psychiatric illness, is a medical evaluation. This pt has symptoms of depression including sleep problems, inappropriate guilt, suicidal ideation, and significant weight loss. Because of this age and because pancreatic caner and other GI cancers not uncommonly present with depression, this pt should be evaluated for such conditions prior to treating this depression. Psychotherapy, antidepressants, and benzo can treat the associated symptoms but do not address this pt's underlying physical problem."
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There are many things in this world that can’t be changed no matter how hard you try. That’s why you must not hesitate when the time comes where you have to give it all you’ve got.
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