mood disorders

Question 1

In​ ​severe​ ​depressive​ ​illness​ ​the​ ​following​ ​are​ ​true​ ​EXCEPT​ ​:(​ ​CHOOSE​ ​ONE)
A. Delusions of guilt or unworthiness are characteristic features of psychotic depression.
B. If hallucinations occur, they are usually congruent with mood
C. Paranoid delusions may occur
E. Hallucinatory voices, if they occur, characteristically speak about rather than to, the patient

Answer 1

answer : E. Hallucinatory voices, if they occur, characteristically speak about rather than to, the patient

Question 2

In​ ​bipolar​ ​depressive​ ​illness​ ​which​ ​ONE​ ​of​ ​the​ ​following​ ​is​ ​true?

A. The sex ratio is approximately equal
B. A switch from one pole to the other occurs in over a half of bipolar episodes within a few months of
admission to hospital
C. Unipolar manic illness is always endogenous
D. Mania denotes a complete loss of insight
E. Three or more episodes of hypomania and at least one episode of depression must have occurred.

Answer 2

A. The sex ratio is approximately equal.

Question 3

The​ ​following​ ​are​ ​true​ ​of​ ​depressive​ ​illness​ ​EXCEPT:​ ​(CHOOSE​ ​ONE)

A. In unipolar depression, there is a female preponderance of around 2:1
B.The unipolar forms tend to present in a similar way in successive generations
C. The initial response to treatment is a good guide to response in future episodes
D. Depression has a good prognosis and seldom lasts beyond 6 months
E. Chronicity is lower for bipolar disorders

Answer 3

E. Chronicity is lower for bipolar disorders

Question 4

The following drugs are particularly dangerous in deliberate overdose EXCEPT: (CHOOSE
ONE)

A. fluoxetine (Prozac)
B. lithium
C. imipramine
D. amitriptyline
E. mianserin

Answer 4

A. fluoxetine (Prozac)

Question 5

The following is a list of behavioural disturbances in Mania. Which is LEAST likely to occur in
a​ ​manic​ ​episode?​ ​(CHOOSE​ ​ONE)

A. Sexual promiscuity
B. Excessive spending
C. Aggression
D. Collecting rubbish
E. Working throughout the night

Answer 5

D. Collecting rubbish (agreed. yeah this is disorganised behaviour more appropriate for
psychotic​ ​d/o)

Question 6

Which​ ​ONE​ ​of​ ​the​ ​following​ ​statements​ ​is​ ​true:
A. Lithium salts can cause prolonged coma in overdose
B. Antidepressants should never need to be taken for more than 6-8 months at any one time.
C. Lithium is equally effective in the prophylaxis of unipolar and bipolar depressive illness
D. Lithium and haloperidol are usefully combined in the treatment of bipolar depressive illness

Answer 6

A. Lithium salts can cause prolonged coma in overdose

Question 7

The​ ​following​ ​are​ ​all​ ​anti​ ​–​ ​manic​ ​medications​ ​EXCEPT​ ​(CHOOSE​ ​ONE)

A. Methylphenidate
B. Olanzepine
C. Lithium
D. Epilim (Sodium Valproate)
E. Benzodiazepines

Answer 7

A. Methylphenidate agreed. According to Dr Cossie: ‘All antipsychotics are anti-manic’.
Source:​ ​Tutorial,​ ​Dr​ ​Cossie,​ ​ ​mood​ ​disorders- also methylphenidate is for ADHD

Question 8

The​ ​following​ ​are​ ​recognised​ ​side​ ​effects​ ​of​ ​Fluoxetine​ ​EXCEPT​ ​(CHOOSE​ ​ONE)

A. Postural hypotension
B. Agitation
C. Headache
D. Sexual dysfunction
E. Appetite disturbance

Answer 8

A. Postural hypotension agree

Question 9

The following is a list of behavioural disturbances in Mania. Which is LEAST likely to occur in
a​ ​manic​ ​episode?​ ​(CHOOSE​ ​ONE)

A. Sexual promiscuity
B. Excessive spending
C. Aggression
D. Collecting rubbish
E. Working throughout the night

Answer 9

D. Collecting rubbish agreed. yeah this is disorganised behaviour more appropriate for
psychotic​ ​d/o

Question 10

The​ ​following​ ​statement​ ​is​ ​FALSE​ ​with​ ​respect​ ​to​ ​the​ ​Serotonin​ ​Syndrome​ ​(CHOOSE​ ​ONE)

A. It may be caused by a single therapeutic dose of an SSRI
B. It typically evolves over several days
C. It may be associated with the use of herbal medicines while taking an SSRI
D. Clonus and hyperkinesia are important diagnostic signs
E. It may be associated with the administration of Opiate medication while taking a SSR

Answer 10

FALSE = B. It typically evolves over several days (majority of cases of serotonin syndrome present
within 24 hours, and most within six hours, of a change in dose or initiation of a drug (uptodate))

Question 11

Clinical response to an adequate dosage of tricyclic antidepressant typically occurs how long
after​ ​initiation​ ​of​ ​treatment?​ ​(CHOOSE​ ​ONE)
A. 1 to 2 hrs
B. 12 to 24 hrs
C. 3 to 10 days
D. 21 to 30 days
E. 4 to 8 hrs

Answer 11

D. 21 to 30 days

Question 12

Which​ ​ONE​ ​of​ ​the​ ​following​ ​is​ ​NOT​ ​a​ ​risk​ ​factor​ ​for​ ​suicide?

A. Elderly
B. Female ​
C. Alcoholic ​
D. Adolescent
E. Bipolar affective disorder

Answer 12

B. Female ​

While females are more likely to attempt suicide, males are more likely to complete suicide, making gender (specifically being male) a stronger risk factor)

Question 13

The​ ​following​ ​statements​ ​concerning​ ​neuroleptic​ ​drugs​ ​are​ ​true:​ ​EXCEPT:​ ​(CHOOSE​ ​ONE)

A. They are of little use in the management of affective disorders
B. Haloperidol is useful in the treatment of Tourette’s disorder.
C. They may be useful in the management of wandering.
D. They may produce an improvement in borderline personality disorder.
E. Chlorpromazine has anti-emetic properties.​ ​

Answer 13

A. They are of little use in the management of affective disorders

This statement is false because neuroleptic drugs (also known as antipsychotics) are often used as adjuncts in the management of affective disorders, especially in bipolar disorder and treatment-resistant depression