Mood Disorders - Derreberry

Question 1

mood

Answer 1

description of ones emotional state

Question 2

name two categories of mood disorders

Answer 2

bipolar

depressive

Question 3

what is the criteria for major depressive episode

Answer 3

5 symptoms for at least 2 week period

Question 4

what are the symptoms for major depressive episode

Answer 4

SIGECAPS
sleep
decreased interest
guilt 
decreased energy
decreased concentration
change in appetite
psychomotor retardation
suicidal ideation

Question 5

in order to be diagnosed with major depressive disorder they can’t have a history of what

Answer 5

mania

Question 6

what gender is more likely to get major depressive disorder

Answer 6

females

Question 7

what increases the chance of someone have a major depressive disorder

Answer 7

having a first degree relative

Question 8

Are SSRI good for major depressive disorder

Answer 8

safe and well tolerated

Question 9

what are side effects of SSRI

Answer 9

GI
headache
sexual symptoms

Question 10

If a major depressive disorder patient is on TCA what test must be done on them

Answer 10

EKG, increases QTc

Question 11

how long does it take for depressive medications to work

Answer 11

4-8 weeks

Question 12

MAOIs if taken with what can increase the risk for what

Answer 12

tyramine

hypertensive crisis

Question 13

Electroconvulsive therapy (ECT) is a good choice for what type of patients with major depressive disorder

Answer 13

elderly
pregnant
cannot tolerate pharmacotherapy

Question 14

what are 5 features of major depressive disorder

Answer 14

melancholic 
atypical 
psychotic 
anxious distress
catatonic

Question 15

Melancholic

Answer 15

waking up early
depression worse in the morning
weight loss

Question 16

atpyical

Answer 16

increase eating, sleeping

“leaden paralysis”

Question 17

psychotic

Answer 17

delusions and hallucinations

Question 18

catatonic

Answer 18

negativism

excessive motor activity

Question 19

what is persistent depressive disorder ( dysthymic disorder)

Answer 19

depressed mood for about 2 years 
2 of the following: CHASES
poor concentration
hopelessness
poor or increased appetite
InSomnia or hyperinSomnia
low energy 
low self esteem 

person has not been w/o sxs for more than 2 months

Question 20

what is the dysthymia rule of 2’s

Answer 20

2 years depression
2 listed criteria
never asymptomatic for greater than 2 months

Question 21

what are some risk factors for suidide

Answer 21

greater than 45 yrs
alcohol and substance abuse
history of violence
prior attempt

Question 22

what is the best predictor for suicide

Answer 22

past attempt

Question 23

does asking someone if they are suicidal plant the idea of suicide in their head

Answer 23

no

Question 24

what condition increase risk of suicide

Answer 24

emergence from deep depression

Question 25

In elderly suicide what should always be ruled out first

Answer 25

biological causes

hypothyroidism

Question 26

How do elderly present when they are suicidal

Answer 26

physical complaints instead of saying they are depressed

Question 27

Adjustment disorder

Answer 27

development of emotional or behavioral symptoms in response to an identifiable stressor occurring within 3 months of onset of the stressor

Question 28

Someone walks in office, just broke up with girlfriend, not sleeping or eating, can’t focus in class, does not enjoy Marshall football games anymore? what does he have

Answer 28

major depressive disorder

Question 29

When assessing suicide risk in patient, what is the greatest risk

Answer 29

previous suicide attempt

Question 30

what is manic disorder

Answer 30

abnormally and persistently elevated, expansive, or irritable mood lasting at LEAST ONE WEEK and associated with three criteria, 4 if mood is irritable

Question 31

what are the criteria for manic and hypomania disorder

Answer 31

DIG FAST
distractibility
insomnia
grandiosity
flight of ideas
activity/agitation
speech
thoughtlessness

Question 32

what is the difference between hypomanic and mania

Answer 32

hypomanic same criteria except:
lasts only 4 days
no impairment in social functioning 
does not require hospitalization
not due to drugs
no psychotic features

Question 33

kindling

Answer 33

after multiple stress induced episodes

for bipolar pathophysiology

Question 34

what looks dysfunctional in Neuro-imaging findings for bipolar

Answer 34

anterior paralimbic and prefrontal

Question 35

what is the criteria for bipolar I disorder

Answer 35

presence of at least 1 manic episode
does not need a depressive episode
can last up to 3 months without treatment

Question 36

what are FIRST LINE agents for bipolar I disorder

Answer 36

Lithium and Valproic acid

Question 37

what are side effects for Lithium

Answer 37

renal, thyroid dysfunction
tremor
weight gain

Question 38

side effect for valprioic acid

Answer 38

liver dysfunction

pancreatitis

Question 39

side effect for carbamazepine

Answer 39

bone marrow suppression

Question 40

what is the criteria for bipolar II disorder

Answer 40

history of hypomania

have major depressive episode in past

Question 41

what is the difference between bipolar I disorder and bipolar II disorder

Answer 41

II: major depressive episode in past
I: only need manic episode

I: history of psychosis (psychosis is part of mania)
I: more likely to lead to social consequences

Question 42

what is psyhocosis

Answer 42

hallucinations

Question 43

what is rapid cycling

Answer 43

four or more complete cycles a year

Question 44

define mixed episode

Answer 44

criteria met for both manic/hypomanic episode and depressive episode
-present for at least 1 week
EMERGENCY

Question 45

what is cyclothymic disorder

Answer 45

numerous periods with hypomanic symptoms and depressive symptoms ( not meeting criteria for both) for at least 2 years