Mania and Bipolar

Question 1

DIGFAST for mania

Answer 1

distractibility
irritability
grandiosity
flight of ideas
activity increased
sleep decreased and sex up
talkativeness

Question 2

what are the 3 ICD-10 forms of specified mania

Answer 2

hypomania, mania w/ psychotic symptoms, mania w/o psychotic symptoms

Question 3

how long does hypomania last

Answer 3

a few days

Question 4

investigation of mania

Answer 4

young mania rating scale
history and MSE
SCID and SCAN

Question 5

treatment of mania

Answer 5

antipsychotics, mood stabilisers and lithium

ECT

Question 6

true/false - hypomania can have psychotic delusions

Answer 6

false - it becomes defined as mania at that point

Question 7

1st line antidepressant in bipolar

Answer 7

fluoxetine

Question 8

1st line mood stabiliser in bipolar and its alternative

Answer 8

lithium - valproate

Question 9

1st line mood stabiliser in bipolar and its alternative

Answer 9

lithium - valproate

Question 10

who is more likely to get bipolar, men or women

Answer 10

equal incidence

Question 11

who is more likely to get depression, men or women

Answer 11

men

Question 12

what % of people with bipolar or mania die of suicide

Answer 12

10%

Question 13

how long does a manic episode tend to last

Answer 13

1-3 months

Question 14

what % of people with depression die of suicide

Answer 14

15%

Question 15

how long does a typical depressive episode last

Answer 15

4-6 months