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Psychiatry > Bipolar > Flashcards

Bipolar Flashcards

1
Q

What type of disorder is bipolar

A

Affective disorder

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2
Q

Who is more affected Bipolar disorder M or F

A

Equally

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3
Q

What criteria is needed to Dx Bipolar disorder

A

Repeated episodes (2+) of depression and mania/hypomania

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4
Q

If there is no mania/hypomania what Dx can be made

A

Recurrent depression

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5
Q

If there is no depression what Dx can be made

A

Mania

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6
Q

Aetiology of bipolar

A 
Early onset 
Usually FH 
Genetic 
Adverse life events 
Abuse 
PTSD 
Other forms of depression
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7
Q

What is far more common in bipolar people than in the general population

A

Suicide

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8
Q

Rx of bipolar

A

Lithium
Anti-convulsants
Antipsychotics
Psychological therapy

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9
Q

Which anti-convulsants can be given to treat bipolar

A

Sodium Valproate
Lamotrigine
Carbamezepine

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10
Q

What is the major CI with sodium valproate

A

Pregnancy

Women need to be on a contraceptive

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11
Q

How often do lithium levels need to be measure in patients blood

A

Every 3 months

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12
Q

Which is the only drug shown to reduce self harm and suicide

A

Lithium

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13
Q

Which psychological therapy can be given in bipolar

A

CBT

Family therapy

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14
Q

Symptoms of depression in Bipolar

A

Fatigue
Low mood
Anhedonia

Loss of confidence 
Loss of self esteem 
guilt 
Suicidal thoughts 
Decreased concentration 
Agitation or retardation 
Sleep disturbance 
Change in appetite
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15
Q

What is anhedonia

A

Loss of interest/pleasure in daily life

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16
Q

Mood symptoms of mania

A

Irritability
Euphoria
Lability

17
Q

Cognition symptoms of mania

A 
Grandiosity 
Distractibility 
Poor concentration
Flight of ideas/racing thoughts 
Confusion 
Lack of insight 
Lack of judgement
18
Q

Behaviour symptoms of mania

A

Rapid speech
Hyperactivity
Decreased sleep (they feel they don’t need a much sleep)
Extravagance

19
Q

Psychotic symptoms of mania

A

Delusions

Hallucinations

20
Q

Which specific anti-psychotics can be used in bipolar

A

Olanzapine
Risperidone
Quetiapine

21
Q

Which psychological therapies are used to treat bipolar

A

CBT

Family therapy

22
Q

Depression symptoms in bipolar

A

Depressed/low mood
Anhedonia
Fatigue

Loss of confidence 
Loss of self esteem 
Unreasonable feelings of guilt or self reproach 
Recurrent thoughts of suicide 
Decreased concentration 
Agitation or retardation 
Sleep disturbance 
Change in apetite
23
Q

What is the difference between bipolar I and Bipolar II

A

Bipolar I - one manic episode

Bipolar II - one hypomanic episode

24
Q

What is cyclomathia

A

Cyclical mood swings with subclinical features

25
Q

What type of disorder is main

A

Affective disorder

26
Q

What is mania

A

Describes a state of feeling, or mood, that can range from near-normal experience to severe, life-threatening illness

27
Q

What are less severe mania states called

A

Hypomania

28
Q

What disorder is diagnosed if mania alternated with depression

A

Bipolar

29
Q

Which tools can be used to Dx mania

A

SCID
SCAN
Young mania rating scale

30
Q

What are the physical medical Ddx for mania

A 
Stroke
MS 
Epilepsy
Brain tumour 
Neurosyphilis 
Cushing's 
Hyperthyroidism 
SLE

Psychiatry (15 decks)

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