Bipolar Disorders

Question 1

percent of population with bipolar disorder

Answer 1

1%

Question 2

bipolar disorder criteria

Answer 2

just 1 maniac episode, even without depressive episodes

Question 3

difference between hypomania and mania

Answer 3

mania- paranoia, delusions, hallucinations, need for hospitalization

hypomania- less intense, do not need to be hospitalized (bipolar II)

Question 4

what is rapid cycling, and in which course of bipolar disorder is it included in?

Answer 4

4 or more episodes in one year

bipolar course 1

Question 5

depression is more common than manias in this bipolar course

Answer 5

bipolar course 2 (although depression is more common than mania is both bipolar 1 and 2, it is more common overall with bipolar 2)

Question 6

difference between bipolar 1, bipolar 2, cyclothymia

Answer 6

bipolar 1- maniac, mostly depressive

bipolar 2- hypomaniac, mostly depressive

cyclothymia- cycle between hypomania and less-than-depressive states

Question 7

drugs for bipolar 1 depression

Answer 7

lithium, valproate, carbamazepine, lamotrigine

Question 8

therapeutic levels of lithium

Answer 8

0.8-1.2 mEq/L

Question 9

black box warning of valproate

Answer 9

pancreatitis that will kill patients

neural tube defects

Question 10

life threatening adverse effects of carbamazepine, oxcarbamazepine

Answer 10

rare aplastic anemia, agranulocytosis

rare stevens Johnson syndrome rash

SIADH with hyponatremia (symptom of inappropriate antiduretic hormone)

Question 11

life threatening adverse effects of lamotrigine

Answer 11

rare stevens Johnson syndrome RASH that is VERY SERIOUS