HOW TO OBTAIN CME CREDITS BY READING THIS ISSUE
The following articles and test are designed to provide psychiatrists with continuing medical education opportunities. Category 1 credits can be earned by reading the material and successfully answering the quiz. Complete instructions are given with the quiz located at the end of the articles.
To assist you in studying the material, this Pretest indicates some of the areas to be covered and will enable you to challenge your present knowledge of these subjects before reading further.
After reading this issue of Psychiatric Annals, psychiatrists will better understand the relationship of specific psychiatric symptoms to excess glucocorticoids - both exogenous and in Cushing's syndrome. They will have increased knowledge of the relationship of altered hypothalamic-pituitaryadrenal function to major depressive disorder, and of the significance of prolonged HPA activation for cognitive dysfunction, social impairment, and perhaps even anatomic CNS changes.
1. Patients with which of the following disorders consistently show high rates of nonsuppression and markedly elevated postdexamethasone Cortisol levels?
A. Anorexia nervosa.
B. Borderline personality disorder.
C. Major depression with psychotic features.
D. Schizoaffective disorder.
2. The percentage of patients with Cushing's syndrome who exhibit depressed mood and the depressive syndrome is:
D. Over 50%.
3. The incidence of psychosis in corticosteroid treatment is approximately:
1.C 2.D 3.A