BPD

Question 1

______ is description of one’s internal emotional state.

Answer 1

mood

Question 2

distinct periods of time in which some abnormal
mood is present.
a. Mood disorder
b. mood episode

Answer 2

B

Question 3

Symptoms of major depression (8)

Answer 3

SIGE CAPS
Sleep
Interest
Guilt
Energy
Concentration
Appetite
Psychomotor activity
Suicidal ideation

Question 4

How many of major depression symtpoms are needed for diagnosis of MDD?

Answer 4

5 out of 9, 1 of which should be core symptoms
core symptoms:
1. depressed mood
2. anhedonia

Question 5

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

Answer 5

A
psychosis is found in >50%
should not be due to recreational drugs
not found in BPII but in BPI

Question 6

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,

Answer 6

hypomanic episode

Question 7

How long should symptoms of mania be present for it to be considered as manic episode?

Answer 7

1 week

Question 8

Psychotic features

a. mania
b. hypomania
c. neither
d. both

Answer 8

A

Question 9

Causes severe impairment in social
or occupational functioning
a. mania
b. hypomania
c. neither
d. both

Answer 9

A

Question 10

inability to experience
pleasure, which is a common finding in
depression.
a. anhedonia
b. avolition
c. alogia
d. NOTA

Answer 10

A

Question 11

True in MDD EXCEPT

a. thyroid disorders
b. low cortisol
c. neither
d. both

Answer 11

B

Question 12

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

Answer 12

B

Question 13

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

Answer 13

C

Question 14

How long do antidepressants fully work?

Answer 14

4-6 weeks

Question 15

Most common side effect of MAOI

Answer 15

hypotension

Question 16

Characterized by hypersomnia, hyperphagia, reactive
mood, leaden paralysis, and hypersensitivity to interpersonal rejection.
a. melancholic features
b. atypical features
c. mixed features
d. catatonia

Answer 16

B

Question 17

purposeless motor
activity, extreme negativism or mutism, bizarre postures, and echolalia
a. melancholic features
b. atypical features
c. mixed features
d. catatonia

Answer 17

D

Question 18

Mood stabilizer, reduced suicide risk with long term use but low therapeutic index

Answer 18

Lithium

Question 19

Ziprasidone is an example of

a. TCA
b. SSRI
c. typical antipsychotic
d. atypical antipsychotic

Answer 19

D

Question 20

One manic episode, no depression

a. Bipolar I
b. Bipolar II
c. NOTA

Answer 20

A

Question 21

Better prognosis

a. Bipolar I
b. Bipolar II

Answer 21

B

Question 22

At least four mood episodes (manic, hypomanic,

depressed) within 12 months.
a. Anxious Distress
b. Seasonal Pattern
c. Atypical
d. Rapid Cycling

Answer 22

D

Question 23

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

Answer 23

dysthymia

Question 24

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

Answer 24

cyclothymia

Question 25

Personality disorder that may coincide with cyclothymia

Answer 25

Borderline personality disorder