Ready to test your Knowledge?
Try out our new practice tests completely free!
exam preparation banner icon

A 27-Year-Old Man Comes to the Office Due to Depressed

Question 843
Multiple Choice
arrowQuestion 843arrow
Multiple Choice

A 27-year-old man comes to the office due to depressed mood and low energy for the past several months.  He describes sad and irritable mood, sleeping 12-14 hours a day, decreased appetite, and poor concentration at work.  The patient has stopped going to the gym and playing his guitar and has withdrawn from his friends and girlfriend.  He has no medical problems and physical examination and routine laboratory tests are normal.  Major depressive disorder is diagnosed and he is started on fluoxetine 20 mg.  At his 2-month follow-up, the patient reports, "I'm feeling just a little better.  I am still down on most days but at least I picked up my guitar once this week.  The other thing is sex.  In the beginning, I was so depressed that I didn't care whether I had sex.  Now, I'm interested and get erections, but it's taking too long to ejaculate and it sometimes fails to happen altogether."  The patient says that this is creating problems with his girlfriend and he is considering stopping the antidepressant.  He drinks a beer a day and does not use illicit drugs.  Which of the following is the best management strategy for this patient?

A)Explain that sexual dysfunction will improve as he develops tolerance to fluoxetine
B)Reassure the patient that sexual dysfunction will improve as his depression improves
C)Recommend decreasing the dose of fluoxetine
D)Recommend drug holidays to decrease the severity of dysfunction
E)Recommend switching to bupropion

Choose question tag
close menu

10+ million students use Quizplus to study and prepare for their homework, quizzes and exams through 20m+ questions in 300k quizzes.


Explore our library and get United States Medical Licensing Examinations Homework Help with various study sets and a huge amount of quizzes and questions

Get Free Access Now!
Textbook Solutions
Textbook Solutions

Find all the solutions to your textbooks, reveal answers you would’t find elsewhere

Find Solutions
Search By Image
Search By Image

Scan any paper and upload it to find exam solutions and many more


Studying is made a lot easier and more fun with our online flashcards

Find Flashcards