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Psychiatry > Clinical features of elevated mood > Flashcards

Clinical features of elevated mood Flashcards

1
Q

Five elevated mood states

A 
Hypomania
Mania with no psychotic symptoms
Mania + psychotic symptoms
Mixed affective state
Cyclothymia
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2
Q

Signs of mania (5)

A 
Elevated mood
Irritability
Disinhibition
Overactivity
Delusions
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3
Q

Definition of bipolar affective disorder

A

Two or more episodes of mania +/- depression

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4
Q

Psychotic symptoms sometimes seen in mania

A

Mood congruent delusions- often grandiose, religious, suspicious
Mood congruent hallucinations

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5
Q

Difference between bipolar I and bipolar II

A

Bipolar II- patients do not meet the criteria for full-blown mania (hypomanic)

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6
Q

Mean age of onset of bipolar disorder

A

21

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7
Q

Aetiology of bipolar disorder (2)

A

Strong inherited susceptibility

Environmental stressors e.g. emotional stress, life events, sleep deprivation, illness, childbirth

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8
Q

Median length of untreated episode of bipolar

A

3 months

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9
Q

Definition of schizoaffective disorder

A

Some symptoms of schizophrenia and affective disorder but insufficient for either diagnosis

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10
Q

Definition of cyclothymia

A

Persistent mood instability- numerous periods of mild depression and mild elation

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11
Q

Management of acute mania (2)

A 
Olanzapine (an antipsychotic)
Sodium valproate (anticonvulsant)
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12
Q

Prophylaxis of mania (3)

A

Lithium
Anticonvulsants (sodium valproate, carbamezapine, lamotrigine)
Anti-psychotics (risperidone, olanzapine)

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13
Q

MSE in mania:

Appearance (3)

A

Alert
Bright clothing
Elated/suspicious/tense facial expression

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14
Q

MSE in mania:

Behaviour (3)

A

Brisk gait
Hyperactive
Exaggerated mannerisms

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15
Q

MSE in mania:

Mood and affect

A

Lively, labile affect

Mood: elated, irritable, anxious, fearful

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16
Q

MSE in mania:

Speech (3)

A

Increased rate
High volume
Verbose

17
Q

MSE in mania:

Cognition (2)

A

Impaired insight

Poor attention and concentration

18
Q

MSE in mania:

Features of thought flow (5)

A 
Flight of ideas
Loosening of associations
Neologisms
Pressure of speech
Circumstantiality
19
Q 
MSE in mania:
Thought content (3)
A

Delusions
Obsessions
Ideas of reference

20
Q

MSE in mania:

Perception

A

Hallucinations- often mood congruent

Psychiatry (27 decks)

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