BPD Flashcards
______ is description of one’s internal emotional state.
mood
distinct periods of time in which some abnormal
mood is present.
a. Mood disorder
b. mood episode
B
Symptoms of major depression (8)
SIGE CAPS Sleep Interest Guilt Energy Concentration Appetite Psychomotor activity Suicidal ideation
How many of major depression symtpoms are needed for diagnosis of MDD?
5 out of 9, 1 of which should be core symptoms
core symptoms:
1. depressed mood
2. anhedonia
True about Manic episode
a. it is a medical emergency
b. around 30% have psychotic symptoms
c. in BPD, could be due to recreational drugs
d. found in BP II
A
psychosis is found in >50%
should not be due to recreational drugs
not found in BPII but in BPI
distinct period of abnormally and persistently
elevated, expansive, or irritable mood, and abnormally and persistently
increased goal-directed activity or energy, lasting at least 4 consecutive days,
hypomanic episode
How long should symptoms of mania be present for it to be considered as manic episode?
1 week
Psychotic features
a. mania
b. hypomania
c. neither
d. both
A
Causes severe impairment in social or occupational functioning a. mania b. hypomania c. neither d. both
A
inability to experience pleasure, which is a common finding in depression. a. anhedonia b. avolition c. alogia d. NOTA
A
True in MDD EXCEPT
a. thyroid disorders
b. low cortisol
c. neither
d. both
B
Most lethal in overdose due to cardiac
arrhythmias; side effects include sedation, weight gain, orthostatic hypotension,
and anticholinergic effects. Can aggravate prolonged QTc syndrome.
a. SSRI
b. TCA
c. MAOI
B
risk of hypertensive crisis when
used with sympathomimetics or ingestion of tyramine-rich foods, such
as wine, beer, aged cheeses, liver, and smoked meats
a. SSRI
b. TCA
c. MAOI
C
How long do antidepressants fully work?
4-6 weeks
Most common side effect of MAOI
hypotension
Characterized by hypersomnia, hyperphagia, reactive
mood, leaden paralysis, and hypersensitivity to interpersonal rejection.
a. melancholic features
b. atypical features
c. mixed features
d. catatonia
B
purposeless motor activity, extreme negativism or mutism, bizarre postures, and echolalia a. melancholic features b. atypical features c. mixed features d. catatonia
D
Mood stabilizer, reduced suicide risk with long term use but low therapeutic index
Lithium
Ziprasidone is an example of
a. TCA
b. SSRI
c. typical antipsychotic
d. atypical antipsychotic
D
One manic episode, no depression
a. Bipolar I
b. Bipolar II
c. NOTA
A
Better prognosis
a. Bipolar I
b. Bipolar II
B
At least four mood episodes (manic, hypomanic,
depressed) within 12 months.
a. Anxious Distress
b. Seasonal Pattern
c. Atypical
d. Rapid Cycling
D
chronic depression most of the time, and they may have discrete major depressive episodes, at least 2 years of SGECAPS (no anhedonia). During the 2 year period, the patient has not been without symptoms for >2 months at a time. Never had manic/hypomanic episode
dysthymia
Alternating periods of hypomania and periods with mild-to-moderate depressive
symptoms for at least 2 years, never symptom free for more than 2 months
cyclothymia
