11 Questions
Which condition is known to have the best response to Electroconvulsive Therapy (ECT)?
Depression with suicidal tendency
What is the most common side effect of Electroconvulsive Therapy (ECT)?
Amnesia
Which of the following statements about Electroconvulsive Therapy (ECT) is true?
It is the treatment of major depression
In which range is the number of ECT sessions typically administered for affective disorders?
4 to 10 ECT
What parameter is TRUE about Electroconvulsive Therapy (ECT)?
70-110 volts, 0.3 seconds
Which characteristic is associated with unilateral ECT?
Less amnesia
What is an absolute contraindication for ECT?
Increased intracranial pressure
What are the advantages of unilateral ECT?
Less confusion and amnesia
Which drug is associated with lower seizure thresholds when administering ECT?
Benzodiazepines
What is the minimum seizure duration required for effectiveness of ECT?
5 to 10 seconds
What is considered as the standard for confirmation of seizure during ECT?
(Electroencephalography (EEG)
Study Notes
ECT Conditions and Response
- Depression with suicidal tendency is known to have the best response to ECT.
- ECT is used for life-threatening depression, and for those who have not responded to medication or have found it not helpful in the past.
ECT Characteristics
- The most common side effect of ECT is amnesia.
- ECT requires a voltage of 70-110 volts for 0.3 seconds.
- Unilateral ECT is associated with less amnesia, but is not more effective than bilateral ECT.
- Direct ECT and modified ECT have less memory disturbance compared to bilateral ECT.
Contraindications and Preparation
- Absolute contraindication for ECT is increased intracranial pressure.
- Pregnancy, lactation, and old age are not absolute contraindications for ECT.
- Preparation for ECT procedure includes informed consent in writing, pre-investigations, morning bath, and overnight fasting.
- Administration of an anticonvulsant 30 minutes before ECT is not a recommended preparation.
ECT Indications and Effects
- The most common indication of ECT is major depression.
- The most persistent adverse effect of ECT is retrograde amnesia.
- ECT is not contraindicated in brain tumors, and it is an effective treatment for major depression.
- The minimum seizure duration required for effectiveness of ECT is 30-60 seconds.
- The standard for confirmation of seizure in ECT is EEG.
ECT and Medications
- Lithium is associated with lower seizure thresholds when administering ECT.
- Anticonvulsants, benzodiazepines, and barbiturates increase seizure thresholds when administering ECT.
Test your knowledge on Electroconvulsive Therapy (ECT) with this quiz covering conditions with the best response to ECT, its uses, number of sessions for affective disorders, and common side effects. Choose the correct answers and see how well you know about ECT.
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