Mood Disorders · NEET PG Preparation Psychiatry

A 55-year-old female is diagnosed with severe major depressive disorder with psychotic features. She has failed trials of multiple selective serotoni…

Practice question from Mood Disorders (NEET PG Preparation Psychiatry), with the correct answer and a step-by-step solution.

easy · MCQ · Q-20AD46

A 55-year-old female is diagnosed with severe major depressive disorder with psychotic features. She has failed trials of multiple selective serotonin reuptake inhibitors (SSRIs). Her psychiatrist decides to initiate electroconvulsive therapy (ECT). Which of the following is the most common acute adverse effect associated with ECT?

  1. A.Permanent retrograde amnesia lasting several years
  2. B.Anterograde and retrograde memory impairment and post-ictal confusionCorrect answer
  3. C.Spontaneous intracranial hemorrhage
  4. D.Delayed onset tardive dyskinesia

Solution

The most common acute cognitive side effects of ECT are post-ictal confusion immediately following the procedure and memory impairment (anterograde amnesia and retrograde amnesia for events surrounding the treatment course). Most cognitive deficits improve significantly within weeks to months following the cessation of ECT.

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