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Q42 of 140
advanced
ECT
treatment-resistant depression
pre-procedure assessment
cardiac risk
anesthesia
A 62-year-old female with treatment-resistant depression is being evaluated for electroconvulsive therapy (ECT). Which pre-ECT assessment is MOST critical?
A
PHQ-9 to document baseline depression severity and establish a quantitative benchmark for measuring treatment response after each ECT session.
B
Cardiac and anesthesia risk assessment, including EKG, screening for raised intracranial pressure, and establishing a cognitive baseline.
C
MRI of the brain to screen for structural abnormalities or space-occupying lesions that could increase procedural risk during ECT.
D
Baseline EEG to map the patient's seizure threshold and guide initial stimulus dosing parameters for the first ECT treatment.
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