Common psychiatric presentations, screening tools, and first-line management decisions tested on the PANCE.
34 cards · basic cards · AI-written, checked twice. Edit anything.
- What is the minimum duration of depressive symptoms required to diagnose major depressive disorder?
- At least 2 weeks
- Which validated questionnaire is most commonly used to screen for and grade the severity of depression?
- The PHQ-9 (Patient Health Questionnaire-9)
- First-line pharmacologic treatment class for major depressive disorder
- SSRIs (selective serotonin reuptake inhibitors)
- What screening tool is used to assess the severity of generalized anxiety disorder symptoms?
- The GAD-7
- How long must excessive worry occur, more days than not, to diagnose generalized anxiety disorder?
- At least 6 months
- What defines panic disorder?
- Recurrent unexpected panic attacks plus at least a month of worry about additional attacks or their consequences
- First-line pharmacologic treatment for panic disorder
- SSRIs
- What episode, and for how long, is required to diagnose bipolar I disorder?
- A manic episode lasting at least 7 days (or any duration if hospitalization is required)
- What combination of episodes defines bipolar II disorder?
- At least one hypomanic episode and one major depressive episode, with no full manic episode
- First-line mood stabilizer for long-term treatment of bipolar disorder
- Lithium
- Early signs of lithium toxicity include ____.
- tremor, nausea, and ataxia
- What chronic renal side effect can long-term lithium use cause?
- Nephrogenic diabetes insipidus
- Besides renal function, which gland's function should be monitored during long-term lithium therapy?
- The thyroid, since lithium can cause hypothyroidism
- What is the minimum total duration of continuous disturbance, including at least 1 month of active symptoms, required to diagnose schizophrenia?
- 6 months
- Give examples of positive symptoms of schizophrenia
- Hallucinations, delusions, and disorganized speech