A 23-year-old gravida 1 para 1 who is a single mother of a 3-day-old infant comes to your office for a newborn follow-up. She reports some sleep disturbance, mild depression without suicidal ideation, and financial concerns. Her past medical history is significant for persistent depressive disorder. The U.S. Preventive Services Task Force recommends which one of the following to help prevent perinatal depression in patients such as this? A) Exercise B) Amitriptyline C) Sertraline (Zoloft) D) Referral for cognitive-behavioral therapy {Ans: ANSWER: D Referral for cognitive-behavioral therapy The U.S. Preventive Services Task Force (USPSTF) recommends counseling interventions to prevent perinatal depression in patients who are at risk. This patient has risk factors for perinatal depression, including young age, single motherhood, and a history of depression. Other risk factors include low socioeconomic status and depressive symptoms. The USPSTF found that the benefits of counseling interventions outweigh the harms. The USPSTF could not find evidence that exercise, amitriptyline, or sertraline were beneficial.}A 48-year-old runner presents with anterior knee pain. He says that the pain developed insidiously and is worse at the beginning of a run and immediately following a run. There is no history of injury. An examination suggests patellar tendinopathy.