Bipolar

Question 1

age of onset in bipolar

Answer 1

20s

Question 2

more severe bipolar (1/2)

Answer 2

2

Question 3

prevalance of bipolar

Answer 3

1% lifetime prevalence

Question 4

gender distribution in biolar

Answer 4

equal in I, more females in II

Question 5

define hypomania

Answer 5

manic sx without psychotic sx

Question 6

predictor of poor outcome in bipolar

Answer 6

psychotic mania

Question 7

worsens the course of Bipolar

Answer 7

substance abuse

Question 8

causes of mania after age 40

Answer 8

drugs, steroids, brain trauma, HIV, stroke, MS, epilepsy, tumor

Question 9

precipitants for mania (7)

Answer 9

post-partum state, sleep deprivation, dopamine agonists, antidepressents, stroke/brain injury, jet lag, severe stress

Question 10

hypomaniac pts are diagnosed with what type of bipolar

Answer 10

II

Question 11

do pts know they are having a manic episode?

Answer 11

no, usually the behaviour is brought to their attention

Question 12

rapid cycling definition

Answer 12

4 or more mood episodes a year

Question 13

define dysphoric mania

Answer 13

depression and mania smultaniously

Question 14

more common: depression or mania

Answer 14

depression

Question 15

more likely to be depressed: bipolar 1 or 2

Answer 15

2

Question 16

more likely to be asymptomatic at any given time, 1 or 2

Answer 16

1

Question 17

possible first sign of bipolar in teens

Answer 17

atypical depression

Question 18

may result from Li+ use

Answer 18

hypothyroidism

Question 19

can mimic depression

Answer 19

hypothyroidism

Question 20

risk of antidepressents in bipolar

Answer 20

can bring about manic episode

Question 21

definition of cyclothymia

Answer 21

2 years of hypomania and numerous periods of depressive sx that do not meet criteria for major depression

Question 22

chance of a bipolar pt having substance addiction

Answer 22

50%

Question 23

manic sx

Answer 23

inflated self esteem, decreased need for sleep, distractability, rapid speech, racing thoughts, increased goal directed behavior, excessive involvement in pleasurable activites

Question 24

acroym for manic sx

Answer 24

DIGFAST

Question 25

DIGFAST

Answer 25

``` distractable increased activity grandiosity flight of ideas (racing thoughts) activites that are dangerous or hypersexuality sleep decreased talkative speech ```

Question 26

definition of bipolar 1

Answer 26

manic episode, with or without episode of major depression

Question 27

definition of bipolar 2

Answer 27

major depression and hypomania

Question 28

dx criteria of bipolar 1

Answer 28

one manic episode (because 90% are going to have a depressive episode at some point(

Question 29

dx criteria of bipolar 2

Answer 29

hypomania and an episode of major depression

Question 30

distinguishes schizophrenia from bipolar

Answer 30

schizophrenia thoughts are mopre fragmented and bizzare with less intense affect

Question 31

areas in the brain effected by bipolar

Answer 31

PFC, Ventrat tegmental area, periaqueductal grey matter, basal ganglia

Question 32

define kindling in bipolar

Answer 32

idea that each episode makes it easier to have a subsequent episode

Question 33

3 bipolar classic mood stabilizers

Answer 33

lithium, valproic acid, carbamazepine

Question 34

6 2nd gen mood stabilizers

Answer 34

aripirazole, quetiapine, risperidone, ziprasidone, olanzapine

Question 35

drug combo for bipolar depression

Answer 35

fluoxetine-olanzaoine

Question 36

serious condition that lamotrigrine can cause

Answer 36

steven-johnson syndrome

Question 37

appoved for maintaince in bipolar

Answer 37

lamotrigine