08-27-2010, 11:07 AM
You are seeing a 28-year-old patient whose first child
you delivered a month ago. She comes to your clinic
with her son for his one-month well child check. She has
a question about breast-feeding, but otherwise tells you
that things are going well. You observe, however, that
she seems tired and is less animated than usual. She is
gentle with her infant, but her face doesn’t seem to light
up with the glow that you often see with new mothers.
Which of the following best explains your
observations?
A) Sleep deprivation.
B) Marital discord at home.
C) Post-partum depression.
D) Thyroid dysfunction.
E) Any of the above.
If you had been aware of her depression earlier and
wanted to prescribe an antidepressant during her pregnancy,
you would have been cautious, prescribing a
Pregnancy Safety Category B drug.
Which of the following antidepressants is
Category B in pregnancy?
A) Fluoxetine.
B) Bupropion.
C) Nortriptyline.
D) Mirtazapine.
E) None of the above.
Risks associated with SSRI use during pregnancy
include all of the following EXCEPT:
A) Irritability of the neonate.
B) Preterm delivery.
C) Low birth weight.
D) Persistent pulmonary hypertension.
E) Tetralogy of Fallot.
If you had decided to prescribe an antidepressant
medication for her during pregnancy, which one
of the following would have been LEAST
desirable?
A) Fluoxetine.
B) Paroxetine.
C) Sertraline.
D) Nortriptyline.
E) Citalopram.
you delivered a month ago. She comes to your clinic
with her son for his one-month well child check. She has
a question about breast-feeding, but otherwise tells you
that things are going well. You observe, however, that
she seems tired and is less animated than usual. She is
gentle with her infant, but her face doesn’t seem to light
up with the glow that you often see with new mothers.
Which of the following best explains your
observations?
A) Sleep deprivation.
B) Marital discord at home.
C) Post-partum depression.
D) Thyroid dysfunction.
E) Any of the above.
If you had been aware of her depression earlier and
wanted to prescribe an antidepressant during her pregnancy,
you would have been cautious, prescribing a
Pregnancy Safety Category B drug.
Which of the following antidepressants is
Category B in pregnancy?
A) Fluoxetine.
B) Bupropion.
C) Nortriptyline.
D) Mirtazapine.
E) None of the above.
Risks associated with SSRI use during pregnancy
include all of the following EXCEPT:
A) Irritability of the neonate.
B) Preterm delivery.
C) Low birth weight.
D) Persistent pulmonary hypertension.
E) Tetralogy of Fallot.
If you had decided to prescribe an antidepressant
medication for her during pregnancy, which one
of the following would have been LEAST
desirable?
A) Fluoxetine.
B) Paroxetine.
C) Sertraline.
D) Nortriptyline.
E) Citalopram.