Depressive and Bipolar Disorder

Question 1

Are mood fluctuations considered normal?

Answer 1

Yes, mood fluctuations are considered normal.

Question 2

What type of moods are associated with periods of time with exaggerated emotion? Also, the patient coping strategies are ineffective.

Answer 2

Abnormal moods

Question 3

SIGECAPS is the mnemonic that describes an abnormal mood. What does the S mean?

Answer 3

Sleep. Insomnia or hyerpsomina nearly every day.

Question 4

SIGECAPS is the mnemonic that describes an abnormal mood. What does the I mean?

Answer 4

Interest. Diminished interest or pleausre in nearly all activities.

Question 5

SIGECAPS is the mnemonic that describes an abnormal mood. What does the G mean?

Answer 5

Guilt. Inappropriate feelings of guilt or worthlessness.

Question 6

SIGECAPS is the mnemonic that describes an abnormal mood. What does the E mean?

Answer 6

Energy. Loss of energy or fatigue.

Question 7

SIGECAPS is the mnemonic that describes an abnormal mood. What does the C mean?

Answer 7

Concentration. Diminished ability to think or concentrate, indecisiveness.

Question 8

SIGECAPS is the mnemonic that describes an abnormal mood. What does the A mean?

Answer 8

Appetite. Increase or decreased.

Question 9

SIGECAPS is the mnemonic that describes an abnormal mood. What does the P mean?

Answer 9

Psychomotor. Observed psychomotor agitation or retardation.

Question 10

SIGECAPS is the mnemonic that describes an abnormal mood. What does the S mean?

Answer 10

Suicide. Recurrent thoughts of death or suicidal ideation.

Question 11

What type of bipolar disorder is associated with a manic episode preceded by or followed by a hypo-manic or major depressive state?

Answer 11

Bipolar I Disorder.

Question 12

DIGFAST is the mnemonic for manic episode. What does D mean?

Answer 12

Distractibility.

Question 13

DIGFAST is the mnemonic for manic episode. What does I mean?

Answer 13

Indiscretion

Question 14

DIGFAST is the mnemonic for manic episode. What does G mean?

Answer 14

Grandiosity

Question 15

DIGFAST is the mnemonic for manic episode. What does F mean?

Answer 15

Flight of ideas

Question 16

DIGFAST is the mnemonic for manic episode. What does A mean?

Answer 16

Activity increase

Question 17

DIGFAST is the mnemonic for manic episode. What does S mean?

Answer 17

Sleep deficit. There is a decrease need for sleep.

Question 18

DIGFAST is the mnemonic for manic episode. What does T mean?

Answer 18

Talkativeness. There is pressure speech.

Question 19

What type of bipolar disorder is associated with a hypomanic episode and a major depressive disorder?

Answer 19

Bipolar II disorder

Question 20

Is Bipolar II disorder a miler form of bipolar disorder?

Answer 20

No, bipolar II disorder is not a milder form of bipolar.

Question 21

Bipolar II disorder is associated with greater what?

Answer 21

Greater chronicity of illness.

Question 22

Bipolar II disorder patient spend more time in what phase of their illness?

Answer 22

Depressive phase

Question 23

What type of disorder is associated with a chronic, fluctuating mood disturbance symptoms that are distinct from each other?

Answer 23

Cyclothymic Disorder

Question 24

What disorder is associated with chronic, severe persistent irritability?

Answer 24

Disruptive Modd Dysregulation

Question 25

What disorder is associated with a depressed mood being present on most days, loss of interest in hobbies, not caring anymore, or not feeling enjoyment in activities that were previously considered pleasurable? Patients may experience recurrent thoughts of death or suicidal ideation, plans, or attempts.

Answer 25

Major depressive disorder

Question 26

What type of disorder is associated with a depressed mood that occurs most days for two years? Patients state that they are “down in the dumps” and that the mood has become a part of the patient’s day to day experience. Some patients may report they have always been this way.

Answer 26

Persistent depressive disorder or Dysthymia.

Question 27

What disorder is associated with an expression of mood lability, irritability, dysphoria, and anxiety symptoms that occur repeatedly during the pre-menstrual phase of the cycle and remit around the onset of menses? Symptoms peak around the onset of menses. Patients are symptom free in the follicular phase.

Answer 27

Premenstrual Dysphoric Disorder

Question 28

Severe major depressive episode is best treated with what type of therapy?

Answer 28

Pharmacotherapy with psychotherapy.

Question 29

What type of syndrome is associated with an excessive amount of serotonin caused by an overdose of serotonergic agents? The symptoms generally go away within a day once seotoinin levels are back to normal.

Answer 29

Serotonin Syndrome

Question 30

What type of syndrome is associated with patients sometimes experiencing symptoms when medication is removed without tapering?

Answer 30

Serotonin Discontinuation Syndrome

Question 31

What is the first line treatment when antidepressant medications and psychotherapy are not effective and are too slow?

Answer 31

Electroconvulsive Therapy

Question 32

Major depressive disorders, bipolar disorders, manic episodes, and schizophrenia can be treated by what therapy?

Answer 32

ECT

Question 33

Bright light therapy can be used for mood disorders with what type of pattern?

Answer 33

Seasonal pattern

Question 34

Bright therapy is used to suppress production of what substance from the brain?

Answer 34

Melatonin

Question 35

What is the measure of the amount of light received at specific distance from a light source?

Answer 35

Lux