Managing Depression in a Managed Care Environment

Post Test

A score of 70% must be achieved to receive continuing education credits.

 

1. 30 % to 67% of the workplace costs of major depressive disorder (MDD) were related to presenteeism.
  True
  False
2. The ventromedial prefrontal cortex modulates pain, aggression, sexual and eating behaviors.
  True
  False
3. What are the key brain areas involved in regulation of mood.
a. Ventromedial prefrontal cortex
b. Lateral orbital prefrontal cortex
c. Dorsolateral prefrontal cortex
d. All of the above
4. Major Depression Disorder may cause:
a. Repetitive cell damage
b. Eventual neurodegeneration
c. Both A & B
d. None of the above
5. What are the common issues regarding antidepressant therapy?
a. Non compliance
b. 75% of antidepressants are discontinued by month 4
c. Patients only took it when they felt bad
d. All of the above
6. What are the interventions used to reduce non compliance?
a. Educate patients regarding the disease and treatment options
b. Discuss common side effect of the antidepressant medication openly with patients
c. Emphasis that these medication need to be taken on a daily basis to be effective
d.All of the above
7 Co morbid anxiety disorder is associated with higher suicide risk and reduced remission rates.
  True
  False
8 Which complicating factors in the treatment of Major Depression can be easily detected by conducting a urine drug screen and checking GGTP?
 a. Co morbid Anxiety Disorder
 b. Substance abuse and dependence
c. Pain
d. None of the above
9 Improvement of pain symptoms decreases the odds for remission.
  True
  False
10 What should you do for the patients who are not responding to treatment?
a. Reconsider diagnosis
b. Refer to psychiatrist
c. Implement case management
d. All of the above

 

Activity Evaluation

Please rate this activity on the following scale:
4 - Excellent        3 - Good        2 - Fair        1 - Poor

Activity met my expectations    4        3        2        1  
Activity was free of bias    4        3        2        1
Activity content was understandable    4        3        2        1
Presenter was free of bias    4        3        2        1
Method of learning was beneficial    4        3        2        1


Due to the content of this activity, I will change my practice patterns by:

Providing appropriate education to patients
Explain treatment options to prevent non compliance
Ask patients about their functioning at work
My practice patterns will not change
Other    Specify:

Continuing education implies quality improvement in behavior. As part of our quality improvement process, NAMCP/AAMCN will contact you 6 months from your post test submission to monitor change.


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