Depression and anxiety screening tools and initial management in the primary care setting, as tested on USMLE Step 2 CK.
30 cards · basic cards · AI-written, checked twice. Edit anything.
- What screening tool is most commonly used in primary care to quantify depression severity?
- PHQ-9 (Patient Health Questionnaire-9)
- How many items does the PHQ-9 contain?
- 9
- What is the PHQ-9 total score range?
- 0 to 27
- A PHQ-9 score of 10 or higher suggests what?
- Likely major depressive disorder of at least moderate severity
- What is the PHQ-2 used for?
- A brief 2-item initial screen for depression before administering a longer tool
- What two symptoms does the PHQ-2 ask about?
- Little interest or pleasure in doing things, and feeling down, depressed, or hopeless
- What screening tool is used to quantify generalized anxiety symptoms in primary care?
- GAD-7 (Generalized Anxiety Disorder-7)
- How many items does the GAD-7 contain?
- 7
- What GAD-7 score suggests probable generalized anxiety disorder?
- 10 or higher
- What does the USPSTF recommend regarding depression screening in the general adult population?
- Screen all adults, as long as systems are in place to ensure accurate diagnosis, effective treatment, and follow-up
- Which item on the PHQ-9 specifically assesses suicidal ideation?
- Item 9, thoughts of being better off dead or of hurting yourself
- What should be done immediately if a patient endorses PHQ-9 item 9?
- Directly assess suicide risk and safety
- What screening tool is used for postpartum depression?
- Edinburgh Postnatal Depression Scale (EPDS)
- What EPDS score generally warrants further evaluation for postpartum depression?
- 10 or higher
- What is the first-line pharmacologic drug class for major depressive disorder in primary care?
- SSRIs (selective serotonin reuptake inhibitors)