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Psychology > First Aid Psychiatry: Mood Disorders > Flashcards

First Aid Psychiatry: Mood Disorders Flashcards

1
Q

Major depressive episode can be found in what disroder

A

MDD
dysthymic
bipolar I/II

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2
Q

What are the mood disorders

A
  1. MDD
  2. bipolar I/II
  3. dysthymic
  4. cyclothymic
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3
Q

what are the mood episodies

A
  1. depression
  2. mania
  3. hypomania
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4
Q

criteria for major depressive episode

A

5 for two weeks

SIGE CAPS

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5
Q

symptoms of maina

A

DIG FAST: must have at least 3

  • Distractibility
  • Insomnia
  • Grandiosity
  • Flight of ideas
  • Agitation
  • Speech (pressured)
  • Thoughtlessness
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6
Q

how is hypomania different from mania

A
  • 4 days
  • no hospitalization
  • no psychotic features
  • no social impairment
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7
Q

how is mania different from hypomania

A
  • least 7 days
  • social impairment
  • hospitalization
  • may have psychosis
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8
Q

Patients with mixed features of mood episodes should have what medicine

A

not lithium

- valproic acid

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9
Q

Medical causes of manic episode

A
  • hyperthyroid
  • temporal lobe seizure, MS
  • HIV
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10
Q

Medical causes of depressive episode

A
  • stroke, MI
  • Diabetes, cushing, addison
  • Parkinson
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11
Q

stroke patients usually develop what mood disorder

A
  • depression
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12
Q

Anhedonia

A

inability to experience pleasure

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13
Q

sleep problems associated MDD

A
  • initial and terminal insomnia
  • REM sleep shifted earlier in the night and for greater duration
  • with reduced stages 3 and 4 sleep
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14
Q

first line treatment in patients in MDD with psychotic features

A

atypical (second-generation) antipsychotics along with antidepressants

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15
Q

what has shown benefits when augmenting antidepressants in treatment of refractory MDD

A
  1. T3, T4

2. lithium

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16
Q

what therapy is good for MDD

A

CBT or interpersonal psychotherapy

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17
Q

when do you use ECT for MDD

A
  • patient is unresponsive to pharmacotherapy

- rapid reduction of symptoms desired ( immediate suicide risk)

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18
Q

Common side effect of ECT

A

retrograde and anterograde amnesia

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19
Q

Melancholic features of MDD

A
  • anhedonia
  • depression worse in the morning
  • early morning awakenings
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20
Q

atypical features of MDD

A

hypersomnia, hyperphagia , reactive mood, leaden paralysis, hypersensitivity to interpersonal rejection

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21
Q

catatonia for MDD

A

-catalepsy, purposeless moto, mutism, bizarre postures

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22
Q

triad of season affective disorder

A
  • irritability
  • carbohydrate craving
  • hypersomnia
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23
Q

Onset of MDD symptoms occurs during pregnancy or ?

A

4 weeks following delivery

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24
Q

Major depression with psychotic features is best treated with

A

combination antidepressants and antipsychotic

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25
Q

Anxious distress

A

feeling keyed up/tense, restless, difficulty concentrating

26
Q

what is required for diagnosis for bipolar I

A

manic episode

27
Q

Best treatment for a pregnant women who is having a manic episode.

A

ECT

28
Q

Lithium reduced the risk of what

A

suicide

29
Q

pharmacotherapy treatments for bipolar I

A

Anticonvulsants and atypical antipsychotics

30
Q

Diagnosis bipolar II

A

history of 1 or more major depressive episode and at least one hypomanic
- if there has been manic episode, even in the past, then the diagnosis is bipolar I

31
Q

symptoms of dysthymia

A

2 or more of CHASES

  • poor Concentration
  • feeling of Hopelessness
  • poor Appetite
  • inSomnia
  • low Energy
  • low Self-esteem
32
Q

rapid cycling

A

at least 4 mood episodes within 12 months

33
Q

diagnosis for dythymia

A

2 years of depression
2 criteria of SIGECAPS
Never asymptomatic for 2 months or more

34
Q

treatment for for dysthymia

A

combination of psychotherapy and pharmacotherapy

35
Q

criteria for cyclothymic disorder

A
  • hypomanic symptoms and depressive symptoms
  • do not meet criteria for either
  • no past MDD, hypmania or manic episode
36
Q

firstline treatment for premenstural dysphoric disorder

A

SSRI

37
Q

other treatment options for premenstrual dysphoric disorcer

A

oral contraceptives

GnRH agonists

38
Q

which category of symptoms tends to respond well to antipsychotics in schizophrenia

A

positive

39
Q

which category of symptoms tends to be resistant to antipsychotics in schizophrenia

A

negative

40
Q

what are examples of catatonia seen in schizophrenia patients

A
  • stereotyped movement
  • bizarre posturing
  • muscle rigidity
41
Q

Echolalila

A

meaningless repetition of another person’s spoken words

42
Q

Echopraxia

A

mimiic behavior

-PRAxia: Practice behavior

43
Q

what drugs can create schizophrenic like symptoms

A

cocaine and amphetamines

- both increase dopamine activity

44
Q

how do you diagnose a patient with mixed features of mood episodes

A

criteria met for manic or hypomanic episode

  • 3 symptoms of major depressive episode
  • 1 week present
45
Q

a patient with depression will cause psychotic themes of

A

paranoia and worthlessness

46
Q

a patient with mania have psychotic themes of

A

grandiosity and invincibility

47
Q

criteria for major depressive disorder

A

at one major depressive episode

48
Q

Among those who complete suicide, what is the most common disorder

A

Major depressive disorder

49
Q

what is 5-HIAA

A

metabolite of serotonin

50
Q

patients with CSF fluid with decreased 5-HIAA indicates

A

depressed patients with impulsive and suicidal behavior

51
Q

what are some hormones that can cause MDD

A

high cortisol and abnormal thyroid axis

52
Q

MOA of bupropion

A

dopamine and NE reuptake inhibitor

53
Q

MOA of SNRI

A

Serotonin-NE reuptake inhibitor

54
Q

MOA of mirtazapine

A

alpha 2 antagonist

55
Q

Loss of a parent before age 11 is associated with later development of

A

major depression

56
Q

Leaden paralysis

A

heaving feeling in legs/arms

57
Q

treatment for MDD with atypical features

A

First line: SSRI

MOAI

58
Q

what can be prescribed to patients with resistant/refractory MDD with no psychotic features

A

second-generation antipsychotic along with antidepressant

59
Q

Anticonvulstants are good to treat what

A

rapid cycling bipolar disorder

and mixed features

60
Q

cyclothymic disorder can coexist with what other disorder

A

borderline

Psychology (21 decks)

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