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?
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PHQ-9 (Patient Health Questionnaire-9)- How many items does the PHQ-9 contain?
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9- What is the PHQ-9 total score range?
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0 to 27- A PHQ-9 score of 10 or higher suggests what?
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Likely major depressive disorder of at least moderate severity- What is the PHQ-2 used for?
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A brief 2-item initial screen for depression before administering a longer tool- What two symptoms does the PHQ-2 ask about?
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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?
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GAD-7 (Generalized Anxiety Disorder-7)- How many items does the GAD-7 contain?
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7- What GAD-7 score suggests probable generalized anxiety disorder?
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10 or higher- What does the USPSTF recommend regarding depression screening in the general adult population?
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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?
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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?
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Directly assess suicide risk and safety- What screening tool is used for postpartum depression?
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Edinburgh Postnatal Depression Scale (EPDS)- What EPDS score generally warrants further evaluation for postpartum depression?
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10 or higher- What is the first-line pharmacologic drug class for major depressive disorder in primary care?
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SSRIs (selective serotonin reuptake inhibitors)
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