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Therapeutics III Test 3 > Bipolar 1 > Flashcards

Bipolar 1 Flashcards

1
Q

what are the 4 clinical presentations of bipolar disorder

A
  1. mania
  2. hypomania
  3. mixed mania
  4. rapid cycling
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2
Q

what is the definition of mania

A

abnormally elevated, expansive or irritable mood for one week or more

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3
Q

when someone presents with mania, what is required

A

hospitalization

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4
Q

what commonly initiates an episode of mania

A

change in sleep pattern

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5
Q

what is the definition of hypomania

A

elevated, expansive or irritable mood for 4 days

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6
Q

what are two major differences in hypomania and mania

A
  1. no psychotic features in hypomania

2. hospitalization not

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7
Q

what are the symptoms of mixed mania

A
  1. agitation
  2. appetite disturbances
  3. suicidal ideation
  4. psychosis
    PLUS symptoms of depression
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8
Q

what is the definition of rapid cycling

A

four or more episodes in a year where they switch from mania to depression quickly

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9
Q

what percesnt of rapid cycling bipolar disorder is seen in women

A

70-90%

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10
Q

what is an emotional stte characterized by anxiety, dissatisfaction or restlessness

A

dysphoria

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11
Q

what is bipolar type II

A

depressive episodes plus hypomanic episodes

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12
Q

what characterizes type I bipolar disorder

A

evidence of mania

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13
Q

what is reoccurring hypomanic symptoms plus depressive symptoms

A

cyclothymia

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14
Q

what is never seen in bipolar type II

A

full manic or mixed episodes

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15
Q

is the first episode of bipolar disorder with women depression or mania?

A

depression

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16
Q

is the first episode of bipolar disorder with men depression or mania?

A

mania

17
Q

true/ false:

there is no difference in prevalence of bipolar disorder among sexes or races

A

true

18
Q

what are the risk factors for bipolar disorder

A 
Childhood experiences
Residence
Antidepressants
Bright lights
SES - higher classes = higher rate 
Family history
ECT
Childhood experiences
ended marriage
Seasonal changes
19
Q

what medications can cause mania

A 
Amphetamines
Alcohol
Thyroid supplementation
Alcohol
Xanthines (theophylline, aminophylline, caffeine)

Therapeutics III Test 3 (19 decks)

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