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Exam Questions > Bi-polar disorder > Flashcards

Bi-polar disorder Flashcards

1
Q

4 types of signs/symptoms of bi-polar disorder

A
  • Mood
  • Cognition
  • Behaviour
  • Psychotic
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2
Q

Mood sign/symptoms of bi-polar disorder

A
  • Irritability (80%)
  • Euphoria (71%)
  • Lability (69%)(changing)
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3
Q

Cognition signs of bi-polar disorder

A
  • Grandiosity (78%)
  • Poor concentration (71%)
  • Flight of thoughts
  • Lack of insight
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4
Q

Behaviour signs of bi-polar disorder

A
  • Rapid speech
  • Hyperactivity
  • Hypersexuality
  • Less sleep
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5
Q

Psychotic symptoms of bi-polar disorder

A
  • Delusions

- Hallucinations

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6
Q

How long must the elevated mood be present for to be classed as mania

A

1 week, less severe state are called hypomania

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7
Q

Describe hypomania

A

Mania, without psychotic symptoms and last less than a week

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8
Q

What are cyclical mood swings with sub-clinical features called

A

Cyclothymia

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9
Q

Medications that cause bi-polar disorder

A
  • Steroids
  • Amphetamines and Cocaine
  • Antidepressants
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10
Q

Illnesses that can cause bi-polar disorder

A
  • MS
  • Hyperthyroidism
  • Neoplasm
  • Infection
  • Stroke
  • Epilepsy
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11
Q

Hx for bi-polar disorder

A
  • Infections
  • Drug use
  • Hx/FHx of psychiatric disorders
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12
Q

Investigations for bi-polar disorder

A
  • CT head
  • EEG
  • Drug screen
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13
Q

Rx of acute mania

A

-Risperidone
or
-Valproate semisodium

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14
Q

Prophylaxis of bi-polar disorder

A

Lithium carbonate

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15
Q

What must be in place before starting prophylaxis

A
  • Good compliance

- Normal U&Es, ECG, T4

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16
Q

Problem with lithium carbonate

A
  • Lithium toxicity

- Nephrotoxicity

17
Q

Symptoms of lithium toxicity

A
  • Decreased vision (?visual acuity?)
  • Ataxia
  • Tremor
  • Dysarthria
  • Coma
18
Q

Psychological interventions for bi-polar disorder

A
  • CBT
  • Psychoeducation
  • Support groups
19
Q

When lithium carbonate is ineffective what are alternative medications

A
  • Carbamazepine/Lamotrigine (anticonvulsants)
  • Risperidone/Olanzapine (antipsychotics)
  • LITHIUM CARBONATE + SERTRALINE (mood stabiliser + antidepressant, makes most sense)
  • Lithium carbonate + lamotrigine (combination therapy, there’s loads of them)

Exam Questions (21 decks)

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