Bipolar disorder

Question 1

Major depressive or bipolar disorder with psychotic features

Answer 1

psychotic symptoms occur exclusively during mood episodes.

Question 2

schizophrenia

Answer 2

mood symptoms, if present, are brief and not prominent.

Question 3

schizoaffective disorder

Answer 3

major depressive or manic episode occurs concurrent with symptoms of schizophrenia.
lifetime history of delusions or hallucinations for 2 or more weeks outside of mood episode is present.
mood episodes are prominent and recur throughout illness.

Question 4

any patient having depression

Answer 4

should be screened for a history of mania in order to differentiate unipolar from bipolar disorders.

Question 5

major depressive episode and history of a manic episode

Answer 5

Bipolar 1 disorder ( pt can have delusions, hallucinations when they experience manic and depressive episodes).

Question 6

depressive symptoms include?

Answer 6

depressed mood, hopelessness, hypersomnia, low energy/lethargy, impaired concentration, and psychomotor retardation on mental status examination.

Question 7

manic episode with psychotic features?

Answer 7

psychotic episode 3 years ago, grandiose delusions, decreased need for sleep, and impulsive spending.

Question 8

absence of psychotic symptoms outside of mood episodes

Answer 8

rules out primary psychotic disorder.