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Pnt Exam 2 > Bipolar > Flashcards

Bipolar Flashcards

0
Q

among bad symptoms are exaggerations of normal: (5)

A 
1 sadness and fatigue
2 joy and exuberance
3 sensuality and sexuality
4 irritability and rage
5 energy and creativity
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1
Q

what does BAD magnify

A

common human experiences to larger than life proportion

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2
Q

to be diagnosed as BAD, the patient has to have had…?

A

at least one episode of mania or hypomania alternating with periods of either normal or depressed mood.

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3
Q

bipolar males v female ratio

Type 1

A

equally common Type 1

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4
Q

bipolar males v female ratio

Type 2

A

more women Type 2

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5
Q

approximately ___% patients with bipolar report some sort of stressor to their first manic episodes

A

66%

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6
Q

Influences:
what 3 factors precipitate mood changes?
particularly in patients with what predisposition?

A

Environmental
Psychosocial
Physical stressors
-precipitate mood changes, particularly in patients with a genetic predisposition

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7
Q

Which is more common Bipolar (BAD), or MDD?

A

BAD, Bipolar, is more common… than MDD

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8
Q

Looseness of associations is regarding

a. schizo
b. mania

A

a. schizo

NOT mania

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9
Q

diagnostic criteria for a manic episode

a distinct period of what kinds of mood changes? (3 adjectives)

A

persistently:
1 elevated mood
2 expansive mood
3 irritable mood

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10
Q

diagnostic criteria for a manic episode

increased goal directed activity or energy lasting at least # week?

A

1 week

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11
Q

diagnostic criteria for a manic episode
how often does persistently increased goal-directed activity or energy last, during its distinct period?
1. per day?
2. how many days?
3. What about during hospitalization?

A
  1. present most of the day
  2. nearly every day
  3. any duration if hospitalization is necessary
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12
Q

diagnostic criteria for a manic episode

during the period of mood disturbance, # symptoms have persisted and present to a significant degree?

A

> =3, greater than or equal to 3 symptoms

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13
Q

diagnostic criteria for a manic episode

during the period of mood disturbance # of symptoms have persisted if the mood is only irritable?

A

4 symptoms if the mood is only irritable

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14
Q

diagnostic criteria for a manic
during manic period regarding-
self esteem?

A

inflated self esteem

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15
Q

diagnostic criteria for a manic
during manic period regarding-
grandiosity?

A

inflated grandiosity

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16
Q

diagnostic criteria for a manic
during manic period regarding-
–sleep?
–how many hours of sleep?

A
  • -Decreased need for sleep

- -Only 3 hours of sleep

17
Q

diagnostic criteria for a manic
during manic period regarding-
–talking?
–how may they feel about talking?

A
  • -more talkative than usual

- -pressure to continue talking

18
Q

diagnostic criteria for a manic
during manic period regarding-
thinking and thoughts? (2)

A

Flight of Ideas, or…

Subjective experience that thoughts are Racing

19
Q

diagnostic criteria for a manic
during manic period regarding-
Attention?
What kinds of affective stimuli?

A

Easily Distracted to:

  • unimportant stimuli
  • irrelevant stimuli
20
Q

diagnostic criteria for a manic
during manic period regarding-
Amount of: “goal-directed activity”?

A

Increase in “goal-directed activity”

21
Q

diagnostic criteria for a manic
during manic period regarding-
what types of “goal-directed activity”?

A

Social
Occupational
Sexual

22
Q

diagnostic criteria for a manic
during manic period regarding-
Non-goal-directed activity?

A

Psychomotor Agitation

23
Q

diagnostic criteria for a manic
during manic period regarding-
An Increase or Decrease involvement in pleasurable activities

A

Increased involvement in pleasurable activities

24
Q

diagnostic criteria for a manic
during manic period regarding-
Involvement in what types of pleasurable activities?

A

Pleasurable activities with a:
High potential for PAINFUL consequences, such as:
buying sprees, sexual indiscretions, or foolish business investing

25
Q

diagnostic criteria for a manic
during manic period regarding-
mood disturbance… what two life impairments?

A

impairment in:

  • occupational functioning
  • usual social activities or relationships with others
26
Q

diagnostic criteria for a manic
during manic period regarding-
mood disturbances… that necessitate hospitalization to prevent:

A

harm to self, or harm to others

27
Q

diagnostic criteria for a manic
during manic period regarding-
mood disturbances… with presentation of what type of feature? (1)

A

mood disturbance with “psychotic feature”

28
Q

diagnostic criteria for a manic
during manic period:
Are symptoms due to direct physiologic effects of substances?

A

FUCK NO.

29
Q

diagnostic criteria for a manic
during manic period:
Are symptoms due to a general medical condition?

A

Aw, hell NO!

30
Q

what do “severe” stages of manic episode resemble?

- what 3 descriptive features

A

paranoid schizophrenia… parrot

  • behavior
  • hallucinations
  • delusions
31
Q
  • Approximately how many patients with manic episodes have some psychotic features during their episode?
  • What are these 2 psychotic features?
A
  • 2/3, of patients during manic episodes have some psychotic features
  • Grandiose or Paranoid Delusions
32
Q

Mnemonic name for “symptoms” of manic episode?

A

Dig Fast

~Diggy diggy, fast fast, gotta dig fast~

33
Q

In Mnemonic for symptoms of manic episode…

What does this letter stand for?: D

A

Dig Fast

Distractability

34
Q

In Mnemonic for symptoms of manic episode…

What does this letter stand for?: I

A

Dig Fast

Irratability

35
Q

In Mnemonic for symptoms of manic episode…

What does this letter stand for?: G

A

Dig Fast

Grandiosity

36
Q

In Mnemonic for symptoms of manic episode…

What does this letter stand for?: F

A

Flight of Ideas

37
Q

In Mnemonic for symptoms of manic episode…

What does this letter stand for?: A

A

Dig Fast

Activity Increase

38
Q

In Mnemonic for symptoms of manic episode…

What does this letter stand for?: S

A

Dig Fast

Sleep deficit

39
Q

In Mnemonic for symptoms of manic episode…

What does this letter stand for?: T

A

Dig Fast
Talkative

diggy diggy fast fast

40
Q

Are people with manic episode in your faaace?

A

INTRUSIVE MOTHER FUCKERS

Pnt Exam 2 (11 decks)

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