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Psychiatry · Medical mimics: interferon
Sample itemA patient treated with pegylated interferon alpha for hepatitis C develops marked depressive symptoms with suicidal thoughts. The best management is:
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Treat with an SSRI and monitor closely, considering dose modification of interferon
Interferon alpha commonly causes depression, irritability and anxiety, and SSRIs treat and can prevent it. Severe depression or suicidality may require interferon dose reduction or discontinuation.
Option by option
A. Treat with an SSRI and monitor closely, considering dose modification of interferon (correct)
Correct. SSRIs with monitoring are appropriate.
B. Prescribe a benzodiazepine alone
Benzodiazepines do not treat depression.
C. Ignore the symptoms
Suicidal thoughts need attention.
D. Give disulfiram
Disulfiram has no role.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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