|
1.
Of the major types of depressions, which is the least severe?
|
|
A) major depression
|
|
B) dysthymia
|
|
C) unipolar depression
|
|
D) bipolar disorder
|
|
|
|
2.
About what percentage of Americans have a depressive disorder in any given year?
|
|
A) 10%
|
|
B) 15%
|
|
C) 25%
|
|
D) 35%
|
|
|
|
3.
Research has repeatedly shown that the best treatment for people diagnosed with a major depression is:
|
|
A) Keeping the patient away from all unwanted social activities.
|
|
B) Medication.
|
|
C) Lengthy vacations with plenty of rest.
|
|
D) Medication and "talking therapies."
|
|
|
|
4.
Research has shown that ________is essential for maintaining good mental health.
|
|
A) a moderately optimistic illusion
|
|
B) a realistic appraisal of one's choices
|
|
C) a sound financial basis
|
|
D) marriage
|
|
|
|
5.
The same area of the brain is activated by optimism and depression.
|
|
|
|
|
6.
When data on over 14,000 paticipants was re-analayzedin 2009,
|
|
A) the seretonin transporter gene showed a relationship to risk of depression
|
|
B) incorporating environmental exposures yield false positives as often as the gene studies.
|
|
C) gene analysis was found to have a major positive effect.
|
|
D) environmental impact was found to have a major positive effect.
|
|
|
|
7.
Research by Jing Du of NIMH suggests that
|
|
A) long-term stress boosts cortisol and is critical in building resistance to stress.
|
|
B) elevated levels of glucocorticoids consistently enhance cell functioning.
|
|
C) corticosterone provides energy for acting quickly in an emergency.
|
|
D) chronic stress does not lead to chronically elevated glucocorticoids.
|
|
|
|
8.
Specific variations in genes have been shown to regulate depression and
|
|
A) the serotonin system.
|
|
B) protection from the depression-promoting variations.
|
|
C) no genes have been found that are specifically related to depression.
|
|
D) overrides the positive effects of 5-HTTLPR "S" version.
|
|
|
|
9.
Some types of depression run in families.
|
|
A) It is a false belief that depression runs in families.
|
|
B) activity decreased or remained unchainged when families with a predisposition to depression are given a drug that depletes dopamine and norepinephrine.
|
|
C) brain chemicals dopamine and norepinephrine appear associated with depression.
|
|
D) Members of these families are unable to feel pleasure.
|
|
|
|
10.
People who are prone to depression
|
|
A) show evidence that environment alters DNA.
|
|
B) indicate that epigenetics plays a major role.
|
|
C) have shown that stress consistently precipitates onset of illness.
|
|
D) show genetic mutation.
|
|
|
|
11.
All depressed patients respond positively to
|
|
A) psychotherapy
|
|
B) medication
|
|
C) psychotherapy and medication.
|
|
D) not all patients respond to treatment.
|
|
|
|
12.
Research has suggested that early maternal care affects
|
|
A) the methylation state of specific genes..
|
|
B) hormonal response to stress.
|
|
C) the DNA chromatin structure
|
|
D) All of the above.
|
|
|
|
13.
Suicidal events may be predicted by
|
|
A) suicidal thinking, higher levels of parent-child conflict, and the use of drugs or alcohol.
|
|
B) CBT
|
|
C) the use of combination therapies.
|
|
D) non-suicidal self injury.
|
|
|
|
14.
Suicidal behavior
|
|
A) can be predicted by the prevalence of suicidal thoughts.
|
|
B) can be predicted by non-suicidal self injury.
|
|
C) tend to happen early in the treatment process
|
|
D) can be stopped with quick, decisive treatment.
|
|
|
|
15.
Anti-anxiety medications such as benzodiazepines
|
|
A) increase the liklihood of a suicidal event in research by Brent.
|
|
B) decrease the liklihood of a suicidal event in research by Brent.
|
|
C) have consistently shown they have no effect on suicidal events.
|
|
D) should always be used with a SSRI.
|
|
|
|
16.
Successful treatment of persistent depression
|
|
A) can be helped by several treatment strategies.
|
|
B) is not likely to be responsive to other treatments if medication fails to help.
|
|
C) is not likely to be responsive to other treatments if CBT does not help.
|
|
D) shows improved odds of success as more treatment strategies are tried.
|
|
|
|
17.
If a first treatment with an SSRI fails
|
|
A) no other SSRI will be effective.
|
|
B) the patient should be tried on a different SSRI.
|
|
C) the patient should be given benzodiazapines to increase success.
|
|
D) it should be continued until it is effective.
|
|
|
|
18.
Diligent follow-up after initial success
|
|
A) is unnecessary once the medication has begun to be effective.
|
|
B) is necessary so medications can be stopped once the depression has passed.
|
|
C) is essential to avoiding relapse in teen depression.
|
|
D) increases the liklihood of future depressive episodes.
|
|
|
|
19.
The use of SSRI's during pregnancy
|
|
A) may result in problems in the fetus such as breathing.
|
|
B) increase the risk of premature births.
|
|
C) greatly increase the risk of major birth defects.
|
|
D) increases the risk of low birth weight more than untreated major depression.
|
|
|
|
20.
People who experience high levels of anxiety with a major depression
|
|
A) have more severe depression than those with depression alone.
|
|
B) are more likely to be unemployed.
|
|
C) are less likely to respond to anti-depressants
|
|
D) All of the above.
|
|
|
|
21.
Overall analysis of the STAR*D results indicates
|
|
A) if an SSRI fails people should switch to medication of a different class since SSRIs are not effective for that person.
|
|
B) if an SSRI fails, a different SSRI may be as effective as a different class of medication
|
|
C) adding an additional medication is not useful in treating resistant depressions.
|
|
D) patients who become symptom-free have no better chance of remaining well than those who experience only symptom improvement.
|
|
|
|
22.
Selecting the optimal treatment for teens
|
|
A) is not possible since moderators of treatment response are not yet known.
|
|
B) requires that CBT be used along with medication.
|
|
C) is crucial for those who do not respond to an initial treatment.
|
|
D) is based on their initial diagnosis.
|
|
|
|
23.
Combining psychotherapy with medication in long-term studies of depressed teenagers.
|
|
A) generally is more expensive due to investment in long-term therapy.
|
|
B) can be cost-effective.
|
|
C) shows no significant improvement in outcome studies.
|
|
D) shows no improvement over switching to an SNRI.
|
|
|
|
24.
The liklihood of depression following an acute stroke can be reduced with psychotherapy and medication.
|
|
A) True
|
|
B) a stroke causes depression through specific chemical changes.
|
|
C) little is known about this phenomona.
|
|
D) a stroke directly effects thickening of the brain tissues, thus causing depression.
|
|
|