Mood Disorders

Question 1

Behavioral Therapy which helps regulating circadian rhythm in Bipolar Disorder patients

Answer 1

Social Rhythm Therapy

Question 2

DMDD can be diagnosed in this age range

Answer 2

6-18 years old

Question 3

Major distinction between DMDD and IED

Answer 3

No persistent mood disruption after outburst with IED

Question 4

Those with chronic suicidality have low/high levels of 5-HIAA

Answer 4

Low

Question 5

Best therapy for conduct Disorder

Answer 5

Multisystemic Therapy

Question 6

(High/Low)___ EE or expressed emotion is indicator of hostility, criticism, and overemotional involvement of families that leads to higher chances of relapse in those with psychiatric conditions.

Answer 6

High

Question 7

In patients with MDD, a decrease in serotonin might lead to a (inc/dec) in TSH

Answer 7

Increase

Question 8

Pacific Islander and Native Hawaiian populations have the ______ risk of suicide

Answer 8

lowest

Question 9

American Indian and Alaskan Native have the _____ risk of suicide

Answer 9

highest

Question 10

PMDD is associated with low levels of ____

Answer 10

serotonin

Question 11

Abnormal levels of serotonin in PMDD is amplified during the _____ phase.

Answer 11

Luteal

Question 12

If pt meets criteria for MDD for YEARS continuously without breaks, what is the diagnosis?

Answer 12

Persistent Depressive Disorder (dysthymia)

Question 13

Patients with suicidality can have increased/decreased 5-HT1A and 5-HT2A receptor expression in the prefrontal cortex

Answer 13

Increased

Question 14

Patient with treatment resistant depression who has trialed most antidepressants and ECT without much benefit; next option?

Answer 14

Vagal Nerve Stimulation

Question 15

Patients with PMDD are symptom free in the ____ phase of the menstrual cycle

Answer 15

Follicular

Question 16

T/F: Factors like seasonal changes, history of interpersonal trauma, and stress may be associated expression of PMDD

Answer 16

True

Question 17

T/F: Abilify is FDA approved as a first line medication for acute mania

Answer 17

True

Question 18

Fluoxetine can be administered ____ weeks prior for patients with PMDD

Answer 18

2

Question 19

Only antidepressant that has been FDA approved for preventative treatment of major depressive disorder with seasonal pattern

Answer 19

Bupropion

Question 20

DMDD cannot be diagnosed before age ___

Answer 20

6

Question 21

Condition in which an individual exhibits two phases, an outburst of violence and a dissociative phase

Answer 21

Amok

Question 22

1) profound sadness/empty mood, 2) worsening of symptoms in the morning, 3) waking up at least 2 hours before regular waking time, 4) psychomotor agitation or retardation, 5) anorexia or weight loss, and 6) profound guilt are indicators of this persistent depressive disorder specifier

Answer 22

Melancholic

Question 23

T/F: One can diagnosis DMDD and bipolar disorder.

Answer 23

False

Question 24

Onset of DMDD must occur before ___ years of age

Answer 24

10

Question 25

DMDD should not be diagnosed in children less than __ years of age (developmentally).

Answer 25

6

Question 26

APA recommended measures for detecting cognitive symptoms following ECT

Answer 26

Baseline, and weekly repeat of an objective cognitive screen

Question 27

Bipolar med least likely to cause pancreatitis

Answer 27

Lithium

Question 28

In bipolar depression there is **increased/reduced** number of connections between pregenual anterior cingulate cortex, amygdala, and dorsomedial thalamus

Answer 28

reduced

Question 29

T/F: Depression in the elderly is under diagnosed and under treated

Answer 29

True

Question 30

T/F: Family history of depression is a risk factor for DMDD

Answer 30

True

Question 31

Interferon can create a medication induced _____ in 10 to 40% of patients within the first 12 weeks of treatment

Answer 31

Depression

Question 32

If PMDD is refractory to SSRIs, can consider this for treatment

Answer 32

GnRH AGONISTS

Question 33

Possible pathophysiology of PMDD

Answer 33

Changes from ovarian steroids (progesterone, estrogen) during the luteal phase

Question 34

T/F: Post partum depression is more common in primiparous women

Answer 34

True

Question 35

In a pt with history of post partum depression, the risk of it occurring in subsequent deliveries is between __% and ___ %.

Answer 35

30 and 50

Question 36

# A patient has remission with depression using ECT. What does maintentence treatment look like moving forward?

Answer 36

Maintenance ECT and pharmacotherapy

Question 37

T/F: In order to meet criteria for Seasonal Affective Disorder, symptoms must fully remit during other parts of the year

Answer 37

True

Question 38

Light therapy for Seasonal Affective Disorder is most affective at this time period

Answer 38

In the morning

Question 39

Must be cautious in administering light therapy to bipolar patients (who have seasonal pattern of sx) as it can cause ___

Answer 39

hypomania

Question 40

Most typical effect of depression on sleep

Answer 40

Early Morning Awakening

Question 41

the only combined oral contraceptive pill that is FDA-approved and effective for the treatment of PMDD

Answer 41

Drospirenone/Ethinyl estradiol

Question 42

On imaging, one can observe atrophy of the _____ in MDD

Answer 42

Caudate Nuclei

Question 43

Excessive talking, as seen in mania

Answer 43

Logorrhea

Question 44

T/F: Weight loss over the period of 2 months is consistent with normal bereavement.

Answer 44

False | More indicative of a major depressive episode.

Question 45

This diagnosis include a depressed affect and at least 4 other symptoms of depression are present for 2-13 days **at least once per month for 12 consecutive months.**

Answer 45

Recurrent brief depression -- other specified depressive disorder

Question 46

Most common psychiatric symptom assc with Cushings Syndrome

Answer 46

Major Depression

Question 47

Prozac is approved for children ___ years of age and older to treat major depression.

Answer 47

8

Question 48

Prozac is FDA approved for children ___ years of age and older to treat major depression.

Answer 48

8

Question 49

Lexapro is FDA approved for adolescents ____ years of age and older for major depressive disorder

Answer 49

12

Question 50

Lexapro is FDA approved for adolescents ____ years of age and older for major depressive disorder

Answer 50

12

Question 51

Time period where symtpoms of PMDD naturally cease

Answer 51

After menopause

Question 52

A manual-driven treatment for depressive disorders that focuses on interpersonal issues as the cause of depression and as a method of cure, choosing one of the four issues of grief, role dispute, role transition, and interpersonal deficit

Answer 52

Interpersonal therapy | developed by Weissman and Klerman

Question 53

Focuses of Interpersonal Therapy (GIRD)

Answer 53

Grief, Interpersonal Deficit, Role Transition, Role Dispute

Question 54

Major depressive disorder (MDD) with peripartum onset applies when depressive symptoms begin during pregnancy or within __ weeks following delivery.

Answer 54

4

Question 55

Chronic Fatigue Syndrome lasts __ months with __ or more symptoms inlcuding concentration issues, sore throat, post exercise malaise, tender lymph nodes, muscle pain, headaches, poor sleep.

Answer 55

6 months, 4 symptoms (Fatigue Four)