Bipolar Flashcards

1
Q

Is there a bipolar gene?

A

No single bipolar gene that can determine if the individual will be diagnosed with it.

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

What is the greatest risk factor for bipolar disorder?

A

family history across generations it is very inheritable

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

Age at which BPD is most likely due to a medical disorder?

A

45 years and above

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

If someone is 45 and older and this is the first time they are presenting manic or BP you should first

A

check into their medical history and see if there is a medical reason for it

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

DIGFAST (D) 3

A

Distractibility
difficulty concentrating and may be easily distracted by irrelevant stimuli
thoughts jump rapidly

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

DIGFAST (I) 5

A

impulsive and risky behaviors
excessive spending
reckless driving
promiscuous sexual activity
w.o. considering consequences

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

DIGFAST (G) 6

A

Grandiosity
inflated sense of self esteem
special powers, talents, abilities
narcissistic behaviors

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

DIGFAST (A) 2

A

Activity increases
reduced need for sleep and engage in excessive goal-directed activities

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

DIGFAST (F) #

A

Flight of ideas rapid and continuous flow of thoughts that are often tangential and interconnected
speaks quickly

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

DIGFAST (S) 3

A

Sleep disturbance
decreased need for sleep insomnia
but will usually not feel fatigued

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

DIGFAST (T)

A

talkativeness speak rapidly and excessively - sometimes to the point of difficult to interrupt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

mania and hypomania typically present as (2)

A

irritable and uncooperative

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

difference between bipolar 1 and bipolar 2 in terms of manic/ hypomania

A

BP1 more extreme changes in mood and energy- symptoms are very severe really interfere with home, school, work
symptoms last for at least one week.

BP2 symptoms of mania are hypomania so less severe and lasts for a shorter period at least 4 days

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

what is the neuro protective treatment of choice

A

lithium it protects nerve cells from damage

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

what is symbyax a combination of and used for?

A

prozac (fluoxetine) and olanzapine
FDA approved for bipolar depression

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

Latuda is approved for

A

bipolar depression

14
Q

seroquel is approved for

A

bipolar depression

15
Q

what is rapid cycling? 5

A

four or more mood episodes within a year including manic, hypomanic, depressive, or mixed episodes

16
Q

What factors can contribute to rapid cycling in bipolar disorder (10)

A

brain chemistry
stress
substance abuse
medication (stimulants, corticosteroids or antidepressants for BPD)
sleep disturbances
hormonal changes
seasonal changes
medical conditions (thyroid)
non compliance to tx

17
Q
A