Mood Disorders

Question 1

SIGECAPS

Answer 1

Depressed mood +
Sleep
Interest
Guilt
Energy
Concentration
Appetite
Psychomotor
Suicide

Question 2

1 of 2 of the following symptoms must be present for major depressive episode

Answer 2

depressed mood

loss of interest

Question 3

typical duration of major depressive episode

Answer 3

6-12 months

Question 4

major depressive episode definition

Answer 4

2+ weeks of 5/9 symptoms

Question 5

major depressive disorder definition

Answer 5

2+ major depressive episodes with at least 2 months of euthymia separating episodes

Question 6

common depression presentation in adolescents, elderly

Answer 6

adolescents- irritability

elderly- anhedonia

Question 7

percentage of patients with MDD that commit suicide

Answer 7

10-15%

Question 8

biggest risk factor for completing suicide

Answer 8

previous attempt

Question 9

Depressive disorder with mixed features

Answer 9

major depressive episode + 3 or more symptoms of mania/hypomania at the SAME time as the MDE

Question 10

Adjustment disorder

Answer 10

less than 6 mo, identifiable stressor, does not meet full criteria for MDE

Question 11

depression due to a medical condition definition

Answer 11

occurs with major medical condition, goes beyond just adjustment to diagnosis

Question 12

medical conditions that can lead to depressive symptoms (5)

Answer 12

• Endocrinopathies (thyroid, Cushing)
• Pancreatic CA
• Viral infections - HIV, HCV, EBV, CMV
• Stroke- left sided
• Neuro disease: PD, MS

Question 13

highest risk of post-CVA depression

Answer 13

first 2 years

Question 14

substance induced mood disorder can be excluded if substance has not been used in-

Answer 14

One month

Question 15

classes of substances that can cause substance-induced mood disorder (3)

Answer 15

illicit drugs- alcohol, cocaine, amphetamine w/d
OTC sympathomimetics/caffeine
Rx drugs- corticosteroids, hormones, chemo

Question 16

definition of grief

Answer 16

lasting less than 2 months, symptoms of declining intensity, feelings centered around loss

Question 17

treatment approach to grief

Answer 17

antidepressants not effective

counseling is best

Question 18

dysthymia

Answer 18

depressed mood, more days than not, for 2 years
only 1 year required for children
must have at least 2+ symptoms of MDE

Question 19

normal sadness

Answer 19

not excessive or out of proportion to the stressor not associated with functions impairment

Question 20

premenstrual dysphoric disorder

Answer 20

at least 5 symptoms occurring around the onset of menses and not present at any other times in the menstrual cycle

Question 21

Seasonal affective disorder

Answer 21

MDE that occurs during seasons in at least 2 years

Question 22

psychotic depression

Answer 22

MDE + psychotic symptoms (always occurring together)

Question 23

double depression

Answer 23

dysthymia + major depressive episode