Question of the Week # 134

Q134] A 55 year-old woman comes to your office complaining of  sweating, headache, nausea and vomiting.  This happened shortly after her lunch.  She had some grape fruit juice and redwine with her lunch. She had She has a long history of depression but she does not believe in conventional antidepressants.  She is not being medically treated for depression  and anxiety however, she has been using over the counter herbal medicine for her depression. Which of the following is the most likely medication she has been using ?

a] Ginkgo biloba

b] Kava – Kava

c] St.johns wort

d] Ephedra

e] Yohimbine

Question of the Week # 132

Q132] While you are on rounds in psychiatry wards, a 50 yr old depressed female patient tells you that she wants to be discharged soon. She says sometimes she feels like stabbing herself with a dinner knife provided along with her food. Your most important next step:

A] Discharge the patient according to her request
B] Replace the knifes and forks with plastic utensils
C] Arrange one-on one supervision
D] Arrange a nurse to visit her every 30 minutes