Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

5. Psychiatry > 1- Mood Disorders > Flashcards

1- Mood Disorders Flashcards

1
Q

Low mood, loss of interest/enjoyment, neuro vegetative disturbance, reduced energy, irritability/temper outbursts, and social/occupation dysfunction are sx of what disorder?

A

Major depressive disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Is MDD more common in men or women?

A

Women

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the DSM5 criteria for MDD?

A

A. 5+ sx present for at least 2 weeks. 1 sx is either depressed mood or loss of interest or pleasure

  • Depressed mood most of day, nearly every day,
  • Diminished interest/pleasure
  • Weight change
  • Insomnia/hypersomnia
  • Fatigue
  • Feelings of worthlessness/inappropriate guilt
  • Diminished ability to concentrate
  • Thoughts of self harm/SI

B. Clinical impairment in social/occupation functioning

C. no due to physiologic effect of substance or GMC

D. Not better explained by schizophrenia/other disorder

E: Never had manic or hypomanic episode

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is disorder is Sig-E-Caps a pneumonic for? What does is stand for?

A

MDD

Sleep
Interest
Guilt
Energy
Concentration
Appetite
Psychomotor changes
SI
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What disorder is PHQ-9 screening used for?

A

MDD (score of ≥ 10)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the DSM5 criteria for Persistent depressive disorder?

A

A. Depressed mood for most of the day for most days for at least 2 yrs

B. Depressed + 2+ of the the following:
- appetite changes, sleep changes, energy changes, low self esteem, poor concentration, feelings of hopelessness

C. During 2 yr period (1 for peds), pt has never been w/o sx in Criteria A and B for more than 2 months

D. Criteria for MDD may be continuously present for 2 yrs

E. Have never been mania, hypomania, or cyclothymia

F. Does not occur during course of psychotic disorder

G. Not due to GMD or substance induced

H. Sx cause clinically significant distress/impairment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

If pt has a response to tx of a depressive disorder this will result in what % improvement in sx?

A

50% (will be reflected by 50% increase in PHQ-9 score)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What does it mean if pt is in remission for a depressive disorder ?

A

SX w/in “normal” range of tests PHQ-9 ≤ 4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

If pt is in remission for ≥ 6 months for a depressive disorder, what is this considered?

A

Recovery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the tx for mild to mod MDD?

A
  1. Antidepressant (SSRI, SNRI)
  2. Psychotherapy (CBT - individual, couple, group)
  3. Combined therapy (synergistic)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the goal of CBT therapy in pt w/ MDD?

A
  • Education, coping skills, stress management

- To ID and correct incorrect beliefs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the goal of behavioral therapy for MDD?

A

Thought exercises or real experiences to reduce sx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the tx for severe MDD?

A
  1. Antidepressant (SSRI, SNRI)
  2. Psychotherapy (CBT )
  3. Combined therapy (synergistic)
  4. ElectroConvulsive therapy (if SI or food refusal)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the antidepressant course for antidepressants?

A
  1. SSRI (Prozac, Zoloft, Paxil)
  2. SSNI/SSRI (Effexor, Cymbalta)
  3. Miscellaneous (Wellbutrin)
  4. Combo w/ atypical antipsychotics
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the DSM5 Criteria for Bipolar I?

A

A. At least 1 manic episode

B. Occurrence of manic and/or MDD episodes not better explained by other d/o on schizophrenia spectrum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How is a manic episode defined?

A

A. Distinct period of abn/persistently elevated mood ≥ 1 wk

B. During mood disturbance must 3+ of the following sx:
- Inflated self esteem, decreased sleep, more talkative, flight of ideas, distractibility, increased goal directed activity, excessive involvement in pleasurable activities

C. Marked functional impairment or hospitalization to prevent harm to self/others

D. Not due to drug or GMC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What disorder is DIGFAST a pneumonic for? What does is mean?

A

Mania

Distractibility
Impulsivity
Grandiosity
Flight of ideas
Activity (increased, goal directed)
Sleep (decreased need)
Talkative
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is the DSM5 criteria for Bipolar II disorder?

A

A. Presence/hx of at least 1 hypomanic episode & 1 MDD episode
B. Never had a manic episode
C. Not better explained by schizoaffective d/o
D: Depressive sx causing clinically significant distress/impairment in functioning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is the criteria for hypomania?

A

A. Persistently elevated mood, lasting ≥ 4 days that is clearly different from non-depressed mood
B. During period of mood disturbance, 3+ Mania/DIGFAST sx
C. Clear change in function, uncharacteristic of person
D. Change in mood/function is observable by others
E. not severe enough to cause marked impairments. No psychosis
F. No due to drug or GMC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What disorder is the MDQ screening used for? Is is diagnostic?

A

Mood disorders (depression or biopolar)

Not diagnostic, only screening tool. If positive must be evaluated for depressive or bipolar disorder w/ DSM criteria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is the med tx for Bipolar 1 (severe mania)?

A

1st line: Lithium or Valproate. AND 1st gen or atypical neuoleptic (Aripiprazole, Risperidone, olanzapine, quetiapine)

2nd line: Different anticonvulsant &/or atypical

3rd line: ECT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is the med tx for Bipolar II (hypomania)?

A

1st line: Risperidone or olanzapine

2nd line: Different atypical or 1st gen antipsychotic or anticonvulsant

3rd line: Benzodiazepines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is the non-med tx for Bipolar I and II?

A
  1. Psycho-education (depression bipolar support)
  2. Importance of med compliance/avoidance of substance abuse
  3. Circadian stability (regular sleep patterns)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is a mood episode?

A

Distinct period of time when some abn mood is present (depression, mania, hypomania)

25
Q

What is a mood disorder?

A

Patterns of mood episodes (MDD, Bipolar I /II)

26
Q

Is a manic episode a psych emergency?

A

Yes. Pt w/ severely impaired judgment that can make dangerous to self or others

27
Q

What are the differences b/w manic and hypomanic episodes

A

Mania:

  • lasts at least 7 days
  • Severe impairment in social/occupation functioning
  • +/- hospitalization or psychotic features

Hypomania:

  • Lasts at 4 days
  • No marked social/functional impairment
  • Does not require hospitalization
  • No psychotic features
28
Q

What disorder have chronic course that are marked by relapses w/ relatively normal functioning b/w episodes?

A

Mood disorders

29
Q

Stroke pts are at risk for developing what disorder leading to a poorer outcome overall?

A

Depression

30
Q

What is the most common disorder among those that commit suicide?

A

Depression

31
Q

What is anhedonia? What disorder is it most common in?

A

The inability to experience pleasure.

Most common in depression

32
Q

The following sleep disturbances are associated w/ what disorder?

  • Multiple awakenings
  • Initial & terminal insomnia (most common)
  • Hypersomnia
  • Reduced REM
A

Depression

33
Q

What is the cause of depression?

A

Unknown. Believed to be combo of biological, genetic, environmental and psychosocial factors

34
Q

What disorder is associated w/ high cortisol, abn thyroid axis, GABA, genets and psychosocial/life events?

A

MDD

35
Q

All antidepressant meds are equally effective but differ in SE profiles. How long do they take to become effects?

A

4-6 weeks

36
Q

What is the disease progression if MDD is left untx?

A

Depressive episodes are self-limited (resolve in 6-12 mos), episodes will become more frequent, highly likely to eventually commit suicide

37
Q

When is pt w/ MDD hospitalized?

A

Pt at risk for suicide, homicide, or unable to care for him/her self

38
Q

What syndrome is marked by autonomic instability, hyperthermia, hyperreflexia, seizures, coma or death?

A

Serotonin syndrom

39
Q

When is adjunctive therapy used in the tx of MDD?

A

When multiple 1st line txs fail

40
Q

Postpartum women at are risk for what?

A

Depression

41
Q

W/ ECT what is the avg # of treatments?

A

6-12 (7 is avg) over 2-3 wks period

42
Q

What are the common SEs of ECT?

A

Retrograde and anterograde amnesia (resolved w/in 6 months), +’- HA, nausea, muscle soreness

43
Q

What form of MDD is characterized by onset of episodes related to a time of year this follows what pattern and characterized by irritability, carb craving and hypersomnia?

A

Seasonal affective disorder

44
Q

What is bereavement? Is this a mental illness?

A

Simple grief as a reaction to major loss of a loved one (self-limited and last for several months and does not meet criteria for MDD)

NOT a mental illness

45
Q

If pt with bereavement meets criteria for MDD should a dx be made?

A

Yes

46
Q

Bipolar I disorder involves mania and major depression episodes. Are episode of major depression required for DX?

A

No

47
Q

Onset of Bipolar I disorder is usually before what age?

A

30 (1st episode usually at 18)

48
Q

Is there a genetic link for Bipolar I disorder?

A

Yes, has highest genetic link of all major psychiatric disorders

49
Q

What is the best tx for pregnant women w/ Bipolar 1 disorder having a manic episode?

A

ECT

50
Q

What is the gold standard med for Bipolar I disorder?

A

Lithium

51
Q

A pt w/ hx of postpartum mania is at a high risk of relapse w/ future deliveries, what is the tx?

A

Mood stabilizing agents as prophylaxis

52
Q

Bipolar II disorder is aka what?

A

Recurrent major depressive episodes w/ hypomania

53
Q

If pt has hx of 1 full manic episode, even if in the past, what is the dx?

A

Bipolar I

54
Q

What is the difference b/w MDD and persistent depressive disorder?

A

MDD is episodic while PDD is pervasive

55
Q

What is the definition of rapid cycling?

A

At least 4 mood episodes w/in 12 months

56
Q

What is the “2 D” pneumonic for Persistent Depressive disorder?

A

2 yrs of depression
2 listed criteria
Never asx for > 2 months

57
Q

Persistent depressive disorder is aka what?

A

Dysthymia

58
Q

What is the TX for pt w/ Bipolar I or II w/ a depressive episode (acute bipolar depression)?

A
  • +/- Antidepressants (not recommended if new manic state or previously unsuccessful)
  • Caution pt on risk of affect switching w/ use of antidepressants (manic to depressive cycles)→ may use mood stabilizer or antipsychotic as adjunct

5. Psychiatry (19 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions