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ECT assessment

J.Corey Williams 10 questions

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Questions in this quiz (10)

  1. 1ECT is effective in the following disorders:
    1. AMajor Depressive Disorder
    2. BSchizophrenia, catatonic features
    3. CBipolar Mania
    4. DParkinson's Disease
    5. EAll of the above
  2. 2The following are standard care in ECT practice:
    1. APre-treatment work-up including physical exam and EKG
    2. BPretreatment work-up including an EEG
    3. CIntratreatment monitoring of EEG and EKG
    4. DA and C
    5. EAll of the above
  3. 3Cognitive side-effects associated with ECT include:
    1. APostictal confusion and disorientation
    2. BPostictal delirium
    3. CAnterograde and retrograde amnesia
    4. DAutobiographical memory loss
    5. EA, b and c
    6. FAll of the above
  4. 4The following physiological changes may occur during the course of an ECT treatment:
    1. AHypertension
    2. BHypotension
    3. CTachycardia
    4. DDiaphoresis
    5. Ea, b and c
    6. FAll of the above
  5. 5An individual's seizure threshold is typycally determined
    1. Aby a mathematical formula based on age and sex of the patient
    2. Bby administering successive stimulation with increasing joules until a seizure occurs during the initial treatment
    3. Cif the treating physician deems it necessary
    4. Din order to titrate the energy dose to ensure maximum efficiacy and minimum cognitive side-effects
    5. Eb and c
    6. FAll of the above
  6. 6Determinates of seizure threshold include:
    1. AAge
    2. BSex
    3. CElectrode placement
    4. DAnesthetic agent
    5. EAll of the above
    6. FNone of the above
  7. 7The best predictor of an effective ECT treatment is:
    1. ATotal seizure duration
    2. BHypotension during the seizure
    3. CLack of postictal bradycardia
    4. DThe degree of post-ictal seizure suppression
    5. Ea, b, and c
    6. Fd only
  8. 8The characteristics of induction agents are:
    1. Amethohexitol - short acting, least effect on seizure threshold
    2. Bpropofol - anti-emetic, lower incidience of emergence delirium, raises seizure threshold
    3. Cketamine - lowers seizure threshold, may reduce cogntive problems because its an NMDA antagonist
    4. Da and c
    5. Eall of the above
  9. 9Pretreatment use of atropine or glycopyrolate prevents
    1. Aa centrally mediated vagal discharge and asystole immediately follwing electrical stimulation
    2. Bsalivary secretions and potential aspiration pneumonia
    3. Cpost-ictal bradycardia
    4. DTransient increases in intracranial pressure
    5. Ea, b and c
    6. FAll of the above
  10. 10Nondominant unilateral ECT is an effective as bilateral ECT
    1. Aat an energy dose slightly above seizure threshold
    2. Bat an energy dose 5 to 6 times seizure threshold
    3. Cwith equivalent cognitive effects but a shorter treatment course
    4. DWith less cogntive effects but a longer treatment course
    5. Ea and c
    6. Fb and d

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ECT assessment
Language
English
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