  
              Key features of depression and its 
              management in general practice.  
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              "..I'd 
                like to return to work.." 
              
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              Which 
                of the following statements are true of the management of depression 
                in the elderly?
              
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          1. 
            The elderly tolerate tricyclic antidepressants better than SSRIs. | 
         
         
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          2. 
            Adverse effects of SSRIs are more problematic in older patients than 
            younger patients. | 
         
         
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          3. 
            SSRIs interact with beta-blockers. | 
         
         
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          4. 
            Hormone replacement therapy is useful in the management of depression 
            in the elderly. | 
         
         
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          5. 
            Electroconvulsive therapy is useful in the management of psychotic 
            depression in the elderly.  | 
         
         
       
      
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       5. 
        Electroconvulsive therapy is useful in the management of psychotic depression 
        in the elderly.   
      Author's 
        answer: True.  
      Depression 
        with fixed, unreasonable beliefs of poverty, sin, guilt, persecution, 
        filth, or dreadful internal disease or abnormality, hallucinations of 
        voices haranguing, foul smells, or disgusting tastes particularly benefit 
        from electroconvulsive therapy. 
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