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Adult Psych Boards > Mood Disorders > Flashcards

Mood Disorders Flashcards

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1
Q

Behavioral Therapy which helps regulating circadian rhythm in Bipolar Disorder patients

A

Social Rhythm Therapy

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2
Q

DMDD can be diagnosed in this age range

A

6-18 years old

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3
Q

Major distinction between DMDD and IED

A

No persistent mood disruption after outburst with IED

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4
Q

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

A

Low

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5
Q

Best therapy for conduct Disorder

A

Multisystemic Therapy

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6
Q

(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.

A

High

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7
Q

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

A

Increase

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8
Q

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

A

lowest

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9
Q

American Indian and Alaskan Native have the _____ risk of suicide

A

highest

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10
Q

PMDD is associated with low levels of ____

A

serotonin

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11
Q

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

A

Luteal

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12
Q

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

A

Persistent Depressive Disorder (dysthymia)

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13
Q

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

A

Increased

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14
Q

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

A

Vagal Nerve Stimulation

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15
Q

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

A

Follicular

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16
Q

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

A

True

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17
Q

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

A

True

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18
Q

Fluoxetine can be administered ____ weeks prior for patients with PMDD

A

2

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19
Q

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

A

Bupropion

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20
Q

DMDD cannot be diagnosed before age ___

A

6

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21
Q

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

A

Amok

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22
Q

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

A

Melancholic

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23
Q

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

A

False

24
Q

Onset of DMDD must occur before ___ years of age

A

10

25
Q

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

A

6

26
Q

APA recommended measures for detecting cognitive symptoms following ECT

A

Baseline, and weekly repeat of an objective cognitive screen

27
Q

Bipolar med least likely to cause pancreatitis

A

Lithium

28
Q

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

A

reduced

29
Q

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

A

True

30
Q

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

A

True

31
Q

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

A

Depression

32
Q

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

A

GnRH AGONISTS

33
Q

Possible pathophysiology of PMDD

A

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

34
Q

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

A

True

35
Q

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

A

30 and 50

36
Q

A patient has remission with depression using ECT.

What does maintentence treatment look like moving forward?

A

Maintenance ECT and pharmacotherapy

37
Q

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

A

True

38
Q

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

A

In the morning

39
Q

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

A

hypomania

40
Q

Most typical effect of depression on sleep

A

Early Morning Awakening

41
Q

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

A

Drospirenone/Ethinyl estradiol

42
Q

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

A

Caudate Nuclei

43
Q

Excessive talking, as seen in mania

A

Logorrhea

44
Q

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

A

False

More indicative of a major depressive episode.

45
Q

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.

A

Recurrent brief depression – other specified depressive disorder

46
Q

Most common psychiatric symptom assc with Cushings Syndrome

A

Major Depression

47
Q

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

A

8

48
Q

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

A

8

49
Q

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

A

12

50
Q

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

A

12

51
Q

Time period where symtpoms of PMDD naturally cease

A

After menopause

52
Q

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

A

Interpersonal therapy

developed by Weissman and Klerman

53
Q

Focuses of Interpersonal Therapy (GIRD)

A

Grief, Interpersonal Deficit, Role Transition, Role Dispute

54
Q

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

A

4

55
Q

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.

A

6 months, 4 symptoms (Fatigue Four)

Adult Psych Boards (18 decks)

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