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Adams 10th > Chapter 52 - Depression and Bipolar > Flashcards

Chapter 52 - Depression and Bipolar Flashcards

1
Q 
Post-stroke depression is most common in patients with lesions involving which part of the brain?*
A. Left lateral frontal cortex
B. Right lateral frontal cortex
C. Left temporoparietal cortex
D. Right temporoparietal cortex
A

A. Left lateral frontal cortex (p. 1531)

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2
Q 
Lesions in this location have a higher association with pathologic cheerfulness or mania
A. Left hemisphere
B. Right hemisphere
C. Basal ganglia
D. Brainstem
A

B. Right hemisphere (p. 1531)

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3
Q 
Psychotic depression with hallucinations and delusions are more commonly seen in strokes in this location
A. Left lateral frontal cortex
B. Right lateral frontal cortex
C. Left temporoparietal cortex
D. Right temporoparietal
A

D. Right temporoparietal (p. 1531)

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4
Q 
Post-stroke depression is most commonly seen in patients with deficits in which aspect?*
A. Motor and language
B. Executive
C. Sensory
D. Memory
A

A. Motor and language (p. 1531)

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5
Q 
Symptoms in the criteria for diagnosis of major depressive syndrome should be present for at least how long?
A. 2 weeks
B. 1 month
C. 6 months
D. 1 year
A

A. 2 weeks (p. 1532)

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6
Q

Which is NOT true of bipolar disease?*
A. Depression is more common than mania.
B. Episodes of pure mania do not occur.
C. It is divided into unipolar and bipolar groups.
D. The disease is more frequent in women.

A

B. Episodes of pure mania do not occur. (p. 1533)

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7
Q 
Only an endogenous depressive illness occurs
A. Unipolar
B. Bipolar I
C. Bipolar II
D. Mixed affective state
E. Rapid cycling bipolar disease
A

A. Unipolar (p. 1533)

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8
Q 
At least one episode of full mania
A. Unipolar
B. Bipolar I
C. Bipolar II
D. Mixed affective state
E. Rapid cycling bipolar disease
A

B. Bipolar I (p. 1533)

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9
Q 
At least one episode of hypomania
A. Unipolar
B. Bipolar I
C. Bipolar II
D. Mixed affective state
E. Rapid cycling bipolar disease
A

C. Bipolar II (p. 1533)

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10
Q 
Symptoms of both depression and mania occur within a single episode of the illness
A. Unipolar
B. Bipolar I
C. Bipolar II
D. Mixed affective state
E. Rapid cycling bipolar disease
A

D. Mixed affective state (p. 1533)

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11
Q 
4 or more circumscribed episodes occur in a year
A. Unipolar
B. Bipolar I
C. Bipolar II
D. Mixed affective state
E. Rapid cycling bipolar disease
A

E. Rapid cycling bipolar disease (p. 1533)

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12
Q

Which of the following is NOT part of the diagnostic criteria for major depressive episode?*
A. Markedly diminished interest or pleasure in almost all activities
B. Insomnia or hypersomnia
C. Psychomotor agitation or retardation
D. Diminished ability to think or concentrate
E. Flight of ideas

A

E. Flight of ideas (p. 1532)

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13
Q 
Which of the following neurotransmitters are not involved in the biology of depression?*
A. Acetylcholine
B. Dopamine
C. Norepinephrine
D. Serotonin
E. Biogenic monoamines
A

A. Acetylcholine (p. 1536)

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14
Q 
True of depressive psychosis*
A. Has good insight
B. Delusions are fixed and bizarre
C. More common in younger patients
D. Appears after weeks or months of more typical symptoms of depression
A

D. Appears after weeks or months of more typical symptoms of depression (p. 1532)

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15
Q 
Neurotransmitter currently implicated in the genesis of depression*
A. Norepinephrine
B. Serotonin
C. Dopamine
D. Substance P
A

B. Serotonin (p. 1536)

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16
Q 
Most serious adverse side effect of MAO inhibitor*
A. Hypertensive crisis
B. Increased appetite
C. Sedation
D. Hypotension
A

A. Hypertensive crisis (p. 1538)

17
Q 
The only absolute contraindication to ECT
A. Increased ICP
B. Hypertension
C. Epilepsy
D. Suicidal ideation
A

A. Increased ICP (p. 1540)

18
Q

Functional imaging findings in depression*
A. Hypometabolism in the left frontal cortex
B. Hypermetabolism in the left frontal cortex
C. Hypometabolism in the left temporooccipital cortex
D. Functional imaging findings are normal

A

A. Hypometabolism in the left frontal cortex (p. 1535)

Adams 10th (27 decks)

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