USMLE Forum Archives - USMLE Step 1 - Psychiatry
Psychiatry
drspleen - 03-08-11 20:45
A 42-year-old divorced female presents to her primary care physician for lack of energy. Upon further questioning she is found to have increased fatigue, difficulty concentrating, and weight gain. She spends most of her day sleeping and no longer goes to her book club, which she used to love going to. Which of the following neurotransmitters is likely decreased in this patient?
drspleen - 03-08-11 20:45
A 42-year-old divorced female presents to her primary care physician for lack of energy. Upon further questioning she is found to have increased fatigue, difficulty concentrating, and weight gain. She spends most of her day sleeping and no longer goes to her book club, which she used to love going to. Which of the following neurotransmitters is likely decreased in this patient?
The correct answer and explanation will be available after you answer.
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#1
Re: Psychiatry
sudha2015 - 03-09-11 01:13 My answer is: c.
Upon further questioning she is found to have increased fatigue, difficulty concentrating, and weight gain. She spends most of her day sleeping and no longer goes to her book club, which she used to love going to. Which of the following neurotransmitters is likely decreased in this patient?
#4
Re: Psychiatry
babbu5508 - 03-17-11 12:18 My answer is: c.
It's known that the adenosine receptor and the dopamine receptors are present in some of the same areas of the brain. This fits in perfectly with our idea that dopamine fights against the tendency of adenosine to promote sleep
#5
Re: Psychiatry
drspleen - 03-21-11 18:59 The description of the patient is consistent with depression. Patients with depression have decreased levels of norepinephrine and serotonin. Serotonin is also decreased in patients with anxiety, but norepinephrine is increased.
#7
Re: Psychiatry
drspleen - 03-22-11 07:23 Patients with depression have decreased levels of norepinephrine and serotonin. Serotonin is also decreased in patients with anxiety, but norepinephrine is increased.
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