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Subject: Tommy's Concepts

Subject: Tommy's Concepts
Tommy's Concepts for the USMLE Step 1


A 27-year-old woman named Britney Murphy presents to her primary care physician with multiple symptoms of depression. She complains of about 2 months of feeling sad and anxious. She describes difficulty falling asleep at night, decreased appetite with a 15 lb weight loss, diminished interest in her hobbies, and poor concentration. The patient denies any other problems. Physical examination is within normal limits. The patient and her physician discuss initiating treatment with a selective serotonin reuptake inhibitor (SSRI). Which of the following would be the most important additional information to gather before starting the SSRI?<br />
<br />
1-Past family history of suicide<br />
2-Past episodes of manic episodes<br />
3-Past liver surgery<br />
4-Past history of addiction