another psych Q - fcbarcelona

[ArchivalUser]

odin i liked ur answer.

the answer is C. MAO.
SSRI is better bcoz of its side effect profile.

Explanation:
this pt is likely suffering from a major depressive episode. Because of her depression has atypical features. Although atypical features respond best to MAO such as phenelzine these medications are rarely used beczuse t the potential risk of a fatal hypertensvie crisis.
SSRI such as fluxetine and sertraline are also beficial even though response rates to SSRI may not match those of the MAO. because of their favorable safety profile SSRI have become 1st line treatment in major depression.

[ArchivalUser]

for usmle step 2 i go with CCCCCCCCC

[ArchivalUser]

hey FCbarca,
u say SSRIs are better options n yet choose Phenelzine. moreover, phenelzine is more sedating.
it leaves me confused!

[ArchivalUser]

yeh, drpanchet.

Meaning, SSRI is the best in real life bcoz of its side effect profile,
but MAO is the better in term of effectiveness (wt the question is asking about; the most effective agent would be).

[ArchivalUser]

thanx buddy! i didnt read the question properly.